Organizing Course 2nd Year

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University of Benghazi – Faculty

of Public Health
Department of Basic Medical
Sciences Course
Health Administration

For 2nd year students (2023 -2024)

Organizing Function in Health Organizations

Instructor: Dr. Fathi Saad

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?What is Organizing
 In planning, managers set their objectives and determine exactly
what to do to attain these objectives. Of course, one person cannot
does everything to implement all the plans of a modern
organization. Planning, consequently, requires organizing the
efforts of many people.
 Organizing - is a management function that involves arranging
human and non-human (physical) resources to help attain
organizational objectives. The management function establishes
relationship between activity and authority.
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What is Organizing?
 Organizing is the function of management that involves developing
an organizational structure and allocating resources to ensure the
accomplishment of objectives.
 Organizing is the process of arranging people and resources to
work together to accomplish a goal.
 The result of an organizing process is an organization.
 Organization - is the total system of social and cultural relationship
among peoples who are joined together to achieve some specific
common objectives.
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?What is Organizing
 Organizing forces us to address several basic questions:
 What do tasks that are required to implement plan?
 How many positions are needed to perform all the
required tasks?
 How should these positions be grouped?
 How many layers of management (Organizational levels)
are needed to coordinate them?
 How many people should a manager supervise directly?
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Importance of Organizing

1) Determine relationships of employees by clarifying jobs and

work relationships through answering these questions:

 Who is responsible to do a task or job?

 Who is in-charge of whom?

 How different people and departments relate to each

other and work with one another?


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Importance of Organizing
2) Organizing helps in dividing up and coordinating activities and
grouped them into work groups and assigning a manager to each
work group with authority necessary to supervise them.
3) Organizing determine tasks, positions, authority and responsibility
4) Organizing promotes collaboration and coordination among
individuals in a group which improves communication within the
organization.
5) Organizing develops maximum use of time, human, and non
human(material) resources and design a formal role of employees.
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Organizational Structure
 Organizational structure is the system of tasks, workflows,

reporting relationships and communication channels that link the

diverse work of individuals and groups.

 Organizational structure is the way in which various department

of an organization are formally arranged.

 The Organizational structure of health organizations change very

often to adjust with changes in environment to improve performance

and thereby succeed in strategy implementation. 7


Types of Organizational Structures
 Each health organization should have Formal and Informal
structure.
1) Formal structure is characterized by well-defined authority,
reporting relationships, job titles, policies, procedures, specific job
duties, and a host of other factors necessary to accomplish its goals.
 Organizations should have an organizational structure represented in
an organizational chart: “a symbolic diagram of formal relationship
which has boxes that show position titles and lines that represent
reporting relationships and how departments are tied together.”
 The organizational charts of the current day health organization
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Types of Organizational Structures
 Organizational chart shown the following information:
 Boxes represent different work units.
 Titles in these boxes show the work performed by each
unit and positions.
 Solid lines indicate reporting and authority relationships
and superior – subordinate connection. (who reporting to
whom and who are superior and who are subordinate).
 Horizontal layers indicate levels of management.
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Types of Organizational Structures
2) Informal structure: is a network of personal and social
relationships that arises spontaneously as people associate with one
another in a work environment.
 Behind every formal structure there is an informal structure which is
made up of unofficial working relationships among members.
 Informal structure shows who talks and interacts regularly with
whom regardless of the formal positions, titles and relationships.
 Formal structure developed by management while informal
structure developed through wishes, preferences and interactions of
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staff outside the formal structure.
Organizational Design
 Organizational design is the process of assigning responsibilities
and structure work for the purpose of supporting goals, objectives
and strategies.
 It helps organization in:
 Dividing and grouping tasks.
 Network to convey information.
 Locating decision centers and authority.
 Helps to link work units with top management and suppliers.
 Helping in deciding managerial style of a health organization.
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Common Terms in Organizing
 Differentiation: it means that, health organization is composed of
many different units that work on different kinds of tasks, using
different skills and methods…. (it promotes specialization).
 Differentiation: is an aspect of an organization’s internal
environment created through division of labor and job specialization.
 Division of labor: means that, the work of the organization is
divided into small tasks performed by various individuals and units
throughout the organization.
 Specialization: means that, different people, groups or units
perform specific part of the entire task. 13
Common Terms in Organizing

 Differentiation has two types throughout health organizations:

1) Vertical differentiation: refers to issues pertaining to authority,

hierarchical levels, reporting and delegation within an organization.

2) Horizontal differentiation: refers to issues of departmentalization

that create functional, divisional and matrix organizations.

 Matrix organization is an organization structure where teams

report to multiple leaders.


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Structure of Matrix Organization

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Common Terms in Organizing
 Integration: means that different units and departments within
hospitals put back together to work in harmony so that work is
coordinated toward providing an overall patients' service.
 Integration promotes synergy and coordination.
 The more differentiation in work and specialization of workers, the
more difficult the integration.
 Centralization: means the concentration of authority and decision
making towards the top of an organization.
 Decentralization: means dispersion of authority and decision
making to operating units throughout the organization. 16
Balancing Centralization and Decentralization
 Health managers should focus on striking a balance among opposite
forces, needs, and goals.
 Organizational structures in health organizations (e.g. large
hospitals) are challenging because they have to strike balance
between centralization and decentralization.

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Common Terms in Organizing
 Autonomy: means that granting power and responsibility to
followers to initiate innovate action that improves performance of
work toward the general goal of organization.
 Control: means that the authority given to others to shape decisions
and resources allocations are limited by specific parameters and
providing for higher level reviews.
 Organizational structures in health organizations (e.g. large
hospitals) are challenging because they have to strike balance
between autonomy and control.

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Common Terms in Organizing
 Mechanistic organizations: refers to organizations that are highly
structured and formalized and control employees behaviors to
handle routine functions within a stable environment.
 Organic organizations: refers to organizations that rely on the
adaptive capacities of individuals, facilitated by empowerment and a
collaborative network to cope with dynamic internal and external
forces. They promote flexibility, adaptability, decentralization,
teamwork, and open lines of communication.
 Health organizations should ensure a degree of both mechanistic and
organic in their structure. 19

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