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NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Managing Within An Organization: Organizational Structure & Management Functions, Roles and Skills
Mary E. Width, M.S, R.D. Wayne State University

The Controversy
• ENVIRONMENT It doesn’t matter how well it worked in a factory, it won’t work here - this is a hospital (or nursing home, urgent care center, etc.). • MANAGEMENT Good management is good management no matter where it’s practiced. What worked elsewhere will work in a health care organization as well.

The Controversy
• Vertical versus Horizontal views • Survival of the fittest

• Look not at what business we do, but how we do business

1

NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Introduction to Management
• What is management?
– A process whereby unrelated resources are integrated into a total system for accomplishment of objectives – Working with and through individuals and groups to accomplish organizational goals – To control or guide; to have charge of; to direct; to succeed in accomplishing – The four basic elements of group effort in the management process are: toward objectives; through people; via techniques, in an organization

Management Defined
• From now on, management is defined as:
The effective use of resources to accomplish goals of the organization or in simpler terms getting things done through people

Organizational Structure
• “Organization is a deliberate arrangement of people to accomplish a specific purpose.”
– People, structure, purpose

• Elements of formal structure
– – – – – Hierarchy Span of Control Line/Staff relationships Centralization/decentralization Departmentalization

2

NFS 5360 - MANAGEMENT FUNCTIONS, ORGANIZATIONAL STRUCTURE, and DELEGATION

Hierarchy
• “Vertical relationships within an organization that define reporting relationships.” • Typical Managerial Levels
– First-line or Frontline (Technical level) • production

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