Chapter 5 Teams and Team Effectiveness in Health Services Organizations Bruce Fried, Sharon Topping, and Amy Edmondson Vignette Vignette: To Boutique or Not to Boutique The physicians of a moderate-sized family practice clinic are concerned over changes in insurance programs and believe the substantial costs in time and money the clinic and its medical professionals spend dealing with insurance companies may be better spent in delivering care. Similar practices have dropped insurance entirely in favor of a boutique approach, where patients pay a fixed flat amount for a year of unlimited services. The clinic board charters a team to examine the concept and obtain concrete data from boutique practices. This will be used to determine the advisability of such a change in the clinic's marketplace. Propose the structure and makeup of such a team and how it might proceed. Assignment The idea of teams has become pervasive in the last couple of decades. Forty or fifty years ago, it would have been considered plagiarism for students in high school and college to work together on almost any assignment. Now it seems as if there is more actually assigned teamwork among students than individual work. Research this pronounced increase in emphasizing student teamwork and determine its roots and benefits applied to the medical arena. Additional Debate Time Debate the merits of providing a team with decisional authority vs. restricting it to an advisory role. Shortell HCM 6e Study Guide Chapter 5 Page 1 Chapter 6 Communication Mario Moussa, Ph.D., MBA Vignette Vignette: To Facebook or Not to Facebook The board at a large regional hospital returned from a board retreat where aspects of social media were a major topic. They are almost evenly split in deciding to establish a Facebook presence. The chairman is against it, stating that such practices are degrading to serious pursuits such as medicine. The CEO is in favor of the proposal, holding that social networking is proven as an important communication tool that will educate the public and assist with on-going training and awareness among the staff. How should the CEO proceed in convincing the chairman and those with him to accept the proposal? Assignment There are a number of organizations devoted to improving communication among health care professionals, with the public, and with government. Research some of these organizations and prepare a brief description of two that you find particularly interesting. If you detect some \"hidden agenda\" in their operations or presentations, explain how you determined the communication organization itself is engaged in carefully designed message creation directed at particular stakeholders. Additional Debate Time Debate Time: Winning Support Debate the merits of emphasizing emotional issues versus logical issues in attempting to win support for a project. Shortell HCM 6e Study Guide Chapter 6 Page 1 Chapter 7 Power, Politics, and Conflict Management Tim Hoff and Kevin Rockmann Vignette Vignette: Nurses Take Over The nurses in a large hospital in a state that has \"right to work\" laws decided both conditions and pay were no longer acceptable. \"Right to work\" is a euphemism that applies to states where one cannot be required to join a union even if workers of an organization have unionized and have the authority to bargain with management. As a result, unions in such states are not as powerful as those in states that require union membership in unionized environments. The nurses are not currently unionized and do not believe they can effectively become unionized due to their state's limitations on unions. While this is a serious detriment to their potential power, they still believe they can be effective in obtaining better conditions and pay. How should they proceed? Assignment Over the past several years, there has been a movement to resolve disputes with methods designed to avoid lawsuits or to settle suits already in progress. This area is called alternative dispute resolution (ADR). Research this topic and prepare a brief report as an assignment or for class presentation. Highlight some areas where ADR approaches use methods described in the chapter. Additional Debate Time Debate Time: Asymmetry of Power Debate whether or not there will be a shift in the asymmetry of power between physicians and other members of the professional medical community and why. 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