Teams and Team Effectiveness in Health Services Organizations

Bruce J. Fried; Amy C. Edmondson

Chapter | Shortell & Kaluzny's Health Care Management: Organization Design and Behavior | 2019

Teams and Team Effectiveness in Health Services Organizations

Abstract

Book Abstract: Completely updated to address the challenges faced by modern health care organizations, this edition of Shortell and Kaluzny's Health Care Management: Organization Design and Behavior offers a more global perspective on how the United States and other countries address issues of health and health care. Written by internationally recognized and respected experts in the field, the new edition continues to bring a systemic understanding of organizational principles, practices, and insight to the management of health services organizations. Based on state-of-the-art organizational theory and research, the text emphasizes application and challenges you to provide a solution or a philosophical position. Coverage includes topics ranging from pay for performance and information technology to ethics and medical tourism and expands upon a major theme of the previous edition: health care leaders must effectively design and manage health care organizations while simultaneously influencing and adapting to changes in environmental context.

Keywords: Groups and Teams; Performance Effectiveness; Health; Health Industry;

Format: Print

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Citation:

Fried, Bruce J., and Amy C. Edmondson. "Teams and Team Effectiveness in Health Services Organizations." Chap. 5 in Shortell & Kaluzny's Health Care Management: Organization Design and Behavior. 7th ed., edited by Lawton Robert Burns, Elizabeth H. Bradley, and Bryan Jeffrey Weiner, 98–131. Boston, MA: Cengage Learning, 2019.

Today the most promising innovation and business opportunities require collaboration among functions, offices, and organizations. To realize them, companies must break down silos and get people working together across boundaries. But that’s a challenge for many leaders. Employees naturally default to focusing on vertical relationships, and formal restructuring is costly, confusing, and slow. What, then, is the solution? Engaging in four activities that promote horizontal teamwork: (1) developing cultural brokers or employees who excel at connecting across divides; (2) encouraging people to ask questions in an open-ended, unbiased way that genuinely explores others’ thinking; (3) getting people to actively take other points of view; and (4) broadening employees’ vision to include more-distant networks. By supporting these activities, leaders can help employees connect with new pools of expertise and learn from and relate to people who think very differently from them. And when that happens, interface collaboration will become second nature.

Article | Manufacturing & Service Operations Management | Spring 2019

Fluid Teams and Knowledge Retrieval: Scaling Service Operations

Melissa A. Valentine, Tom Fangyun Tan, Bradley R. Staats and Amy C. Edmondson

To scale service operations requires retrieving knowledge across the organization. However, prior work highlights that individuals on the periphery of organizational knowledge networks may struggle to access useful knowledge at work. A knowledge repository has the potential to help peripheral individuals gain access to valuable knowledge because it is universally available and can be used without social interaction. However, for it to successfully serve this equalizing function, those on the periphery of the organizational knowledge networks must actually use it, possibly overcoming barriers to doing so. In this paper, we develop a multilevel model of knowledge retrieval in teams to explore how individuals on the periphery of knowledge networks—because of their inexperience, location, lack of social capital, gender, or role—access knowledge from such a knowledge repository. Unexpectedly, we find that individuals whose experience and position already provide access to vital knowledge use a knowledge repository more frequently than individuals on the organizational periphery. We argue that this occurs because the knowledge repository—despite its appearance of equivalent accessibility—is actually more accessible to central than to peripheral players. Thus, knowledge retrieval is not driven primarily by the need to overcome limited access to other knowledge sources. Rather knowledge retrieval is facilitated when actors know how to reap value from the knowledge repository, which ironically improves with increasing access to other sources of knowledge. We conclude that a knowledge repository is unlikely to scale service operations without additional intervention.

Keywords: teaming; teams; Groups and Teams; Knowledge Management; Service Delivery; Knowledge Use and Leverage;

Citation:

Valentine, Melissa A., Tom Fangyun Tan, Bradley R. Staats, and Amy C. Edmondson. "Fluid Teams and Knowledge Retrieval: Scaling Service Operations." Manufacturing & Service Operations Management 21, no. 2 (Spring 2019): 346–360. View Details

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Teams and Team Effectiveness in Health Services Organizations

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