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Unlocking Organizational Cultures in Healthcare & Community-Based Organizations for Success

Explore the cultural paradigms, power structures, organizational structures, control systems, and rituals & routines within healthcare and community-based organizations, presented through stories and symbols. Learn navigational strategies and scenarios for fostering connection, modeling transparency, and driving change.

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Unlocking Organizational Cultures in Healthcare & Community-Based Organizations for Success

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  1. THE HIDDEN REEFSNavigating the Organizational Cultures of Healthcare & Community-Based Organizations for Success National Center for Complex Health & Social Needs 2018 Conference – December 5-7 • Jane Pirsig, MSW, MBA • Advocate Aurora Health • Alliance for Strong Families and Communities

  2. The Cultural Web Cultural Paradigm – the set of assumptions about the organization which is held in common and taken for granted in the organization Fundamental of Strategy by G Johnson, R Whittington, and K Scholes 2012

  3. Stories

  4. Stories

  5. STORIES – Health Care • Faith-based Legacy • Technology – 1st Gamma Knife in Midwest • Clinic Director rides bike through snowstorm • “World Class” practitioners / patients

  6. STORIES – Community-based Organization • Founding “father/mother” is Executive Director • Year closed with $1 in bank • Resident sought safety in building • Internal promotions

  7. Symbols

  8. Symbols

  9. SYMBOLS – Health Care • Organization Logo • Scrubs, Stethoscope, RN Name Badges • Clinical / medical language i.e., “frequent flyers” • Strategy: Best Care Building Based

  10. SYMBOLS – Community-based Organization • Third Party Logos – United Way, COA • Casual Dress, “running” shoes • Private offices • Donated Furniture • Community / Home-based Service Provision

  11. Power Structures

  12. Power Structures

  13. POWER STRUCTURES – Health Care • Hierarchal • Compliance / Regulations • Board of Directors focus: governance model

  14. POWER STRUCTURES – Community-based Organization • Single, linear • Practice rather than Business based • Single Practitioners • Board of Directors focus: Operations

  15. Organizational Structure

  16. Organizational Structure

  17. ORGANIZATIONAL STRUCTURE – Health Care • Clinical vs. Operations • Linear Workflow • Efficient

  18. ORGANIZATIONAL STRUCTURE – Community-based Organization • Team-based • Practice-based • Multiple Funder driven • Fluid

  19. Control Systems

  20. Control Systems

  21. CONTROL SYSTEMS –Health Care • Productivity; number of procedures, visits • Finance • Compliance/Regulation • Clinical Outcomes

  22. CONTROL SYSTEMS – Community- based Organization • Funder Reporting Requirements • Budget “Cap” • Community Perception • Number of clients, activities • Behavioral Outcomes

  23. Rituals and Routines

  24. Rituals & Routines

  25. RITUALS & ROUTINES – Health Care • Clinic Workflow for All • EHR Documentation • MD/RN Directed • Focus on Body

  26. RITUALS & ROUTINES – Community-based Organization • Multiple Workflows • Frequent Disruptions • Fluid Documentation • Delayed Decision-making

  27. Scenario 1

  28. Scenario 2

  29. Assessment • Connection • Modeling • Transparency & Change NAVIGATION

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