Clinical Case 06-2019 by Slidesgo

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Organization Development in Nonindustrial Settings:

Health Care, School Systems, the Public Sector, and


Family-Owned Businesses
Organization Development

Health Care

School System

Public Sectors

Family-Owned Business
Health
Care
Health Care
● In recent years, growing applications of OD in service
industries can be seen as this entire sector continues to
grow.

● Historically, most published material on OD has focused


on applications in industrial and manufacturing
organizations.

● However, applications of OD may be modified in order


to:
(i) extend beyond the narrow industrial model, or
(ii) extend into any new industry or unique
organizational setting or situation
ORGANIZATION DEVELOPMENT

IN HEALTH CARE
Health care is a dynamic and complex industry experiencing
significant growth and change.

• Though it is beginning to change, consumers are often insulated


from the economic consequences of their major health care
decisions, including:
- lifestyle choices,
- health habits,
- which hospital to go to, and
- where to get outpatient services

• Access to the health care system and the cost of care are mostly
determined by insurance provided through Medicare, Medicaid, or
private insurance, the majority of which is provided through
employers.
On Providers of
Care
● The key providers of care are not all connected through an
employment agreement.
● The hospital or any other setting where care is delivered does not
typically employ the physician. Rather, most caregivers, with the
exception of certain specialties, such as radiology, clinical pathology,
or emergency medicine, have to apply for “privileges” to work at a
hospital or any other care setting.
● Physicians often do not exclusively work at one hospital or outpatient
facility. They behave more as independent businesspersons. In some
cases, they compete directly with hospitals, clinics, and other
outpatient facilities for patients and revenues.
On Facility Capacity
• Demand often outstrips facility capacity
in many geographical areas and medical
specialties.

• Capital expenditures are often regulated


by Certificate of Need (CON) laws, so
even if the organization has the capital,
additional capacity cannot be provided
easily or quickly.
TRENDS IN HEALTH CARE
• Diagnosing the Organization

• Diagnosing the family-run organization requires the


particular tasks and skills necessary to understand the
family system in addition to the business system.

• “Presenting” issues and problems that appear to be


business related often require careful probing and
unbundling to get an accurate picture of “what is
happening.”

• Trust building, begun in the entry phase, continues in the


diagnosis stage by bringing the family together for an
orientation meeting.
Opportunities for Organization
Development Practice

● Creating Effective Cultures


● High-Quality, Cost-Effective Human Resource
Systems
● Effective Job and Work Designs
● Restoring Trust In and Among Stakeholders
 
Success Principles for OD in Health Care
• Demonstrate the Relevance of the Subject
to Strategic Performance
• Demonstrate the Importance of Depth for
Sustainability
• Demonstrate Competence
• Facilitate Integration Among and between
the Diverse Parts of the System

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