Understanding how health care organizations can achieve care coordination internally is essential because it is difficult to achieve, but essential for high-quality and efficient health care delivery. This article offers an answer by providing a synthesis of knowledge about coordination from organization theory, where coordination is a central research topic. The article focuses on intra-organizational coordination, which is challenging especially across boundaries such as departments or professions. It provides an overview of the classic coordination mechanisms, e.g., standardization of work processes, but also of recent insights that have identified the conditions that are required to achieve coordination, and how these conditions can be provided by formal mechanisms, such as standardization, but also informally by drawing on features of the emerging situation. Such research highlights the contribution of, e.g., routines like those guided by care pathways or of artifacts like displays. The coordination insights are also discussed as regards inter-organizational care coordination.
RamanujamRRousseauDM. The challenges are organizational not just clinical. J Organ Behav2006; 27: 811–827.
2.
MintzbergHGloubermanS. Managing the care of health and the cure of disease—part I: differentiation. Health Care Manage Rev2001; 26: 56–69.
3.
McDonaldKM. Care coordination, Rockville, MD: Agency for Healthcare Research and Quality, 2007.
4.
OvretveitJ. Does clinical coordination improve quality and save money; A detailed review of the evidence, Volume 2, London: The Health Foundation, 2011.
5.
ArgoteL. Input uncertainty and organizational coordination in hospital emergency units. Adm Sci Q1982; 27: 420–434.
6.
GittellJH. Coordinating mechanisms in care provider groups: relational coordination as a mediator and input uncertainty as a moderator of performance effects. Manage Sci2002; 48: 1408–1426.
7.
Institute of MedicineSmithM. Best care at lower cost: the path to continuously learning health care in America, Washington, DC: The National Academies Press, 2013.
8.
ScottWRDavisGF. Organizations and organizing: rational, natural and open systems perspectives, Harlow: Pearson/Prentice Hall, 2007.
9.
HeathCStaudenmayerN. Coordination neglect: how lay theories of organizing complicate coordination in organizations. Res Organ Behav2000; 22: 153–192.
10.
ThompsonJD. Organizations in action: social science bases of administrative theory, New Brunswick, NJ: Transaction Pub, 1967.
11.
MintzbergH. The structuring of organizations: a synthesis of the research, Englewood Cliffs, NJ: Prentice-Hall, 1979.
12.
OkhuysenGABechkyBA. Coordination in organizations: an integrative perspective. Acad Manage Ann2009; 3: 463–502.
13.
SchultzEMMcDonaldKM. What is care coordination?Int J Care Coord2014; 17: 5–25.
14.
FarajSXiaoY. Coordination in fast-response organizations. Manage Sci2006; 52: 1155–1169.
15.
GrantRM. Toward a knowledge-based theory of the firm. Strategic Manage J1996; 17: 109–122.
16.
ValentineMAEdmondsonAC. Team scaffolds: how mesolevel structures enable role-based coordination in temporary groups. Organ Sci2015; 26: 405–422.
17.
JarzabkowskiPALêJKFeldmanMS. Toward a theory of coordinating: creating coordinating mechanisms in practice. Organ Sci2012; 23: 907–927.
18.
GosselinR. Probing into task interdependencies: the case of physicians in a teaching hospital. J Manage Stud1985; 22: 466–497.
19.
YoungGJ. Best practices for managing surgical services: the role of coordination. Health Care Manage Rev1997; 22: 72–81.
20.
StraussAL. Social organization of medical work, New Brunswick: Transaction, 1997.
21.
MacdonaldKM. The sociology of the professions, London, England: SAGE Publications, 1995.
22.
CurrieGWhiteL. Inter-professional barriers and knowledge brokering in an organizational context: the case of healthcare. Organ Stud2012; 33: 1333–1361.
PearsonSDGoulart-FisherDLeeTH. Critical pathways as a strategy for improving care: problems and potential. Ann Intern Med1995; 123: 941–948.
25.
PoksinskaB. The current state of Lean implementation in health care: literature review. Qual Manage Health Care2010; 19: 319–329.
26.
Van de VenAHDelbecqALKoenigRJr. Determinants of coordination modes within organizations. Am Sociol Rev1976; 41: 322–338.
27.
TushmanMLNadlerDA. Information processing as an integrating concept in organizational design. Acad Manage Rev1978; 3: 613–624.
28.
GalbraithJR. Organization design: an information processing view. Interfaces1974; 4: 28–36.
29.
XiaoY. What whiteboards in a trauma center operating suite can teach us about emergency department communication. Ann Emerg Med2007; 50: 387–395.
30.
FieldMJLohrKH. Clinical practice guidelines: directions for a new program, Washington, DC: National Academy Press, 1990.
31.
Institute for Healthcare Improvement. Going lean in health care, Cambridge, MA: Institute for Healthcare Improvement, 2005.
32.
BeckerMC. Organizational routines: a review of the literature. Indus Corporate Change2004; 13: 643–677.
33.
BeckerMCOrganizational routines. In: TeeceDAugierM (eds). The Palgrave Dictionary of strategic management, London: Palgrave MacMillan, 2014.
34.
CohenMDHilligossPB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care2010; 19: 493–497.
35.
SoletDJ. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Acad Med2005; 80: 1094–1099.
36.
GreenhalghT. Role of routines in collaborative work in healthcare organisations. Br Med J2008; 337: 1269–1271.
37.
AllenTJ. Managing the flow of technology, Cambridge, MA: MIT Press, 1977.
38.
AdlerPSHeckscherC. The collaborative, ambidextrous enterprise. Universia Bus Rev2013; 40: 34–51.
39.
ProvostSM. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev2015; 40: 1–12.
40.
BechkyBA. Sharing meaning across occupational communities: the transformation of understanding on a production floor. Organ Sci2003; 14: 312–330.
41.
Mintzberg, H. On management: Inside our strange world of organizations. In: The professional organization, ch. 10. New York: The Free Press, 1989, pp.173–195.
42.
VosL. Towards an organisation-wide process-oriented organisation of care: a literature review. Implement Sci2011; 6: 8–8.
43.
LegaFDePietroC. Converging patterns in hospital organization: beyond the professional bureaucracy. Health Pol2005; 74: 261–281.
44.
VillaSBarbieriMLegaF. Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases. Health Care Manage Sci2009; 12: 155–165.
45.
PrætoriusTTowards the collaborative hospital – harnessing the potential of enabling care processes and structures. In: ElgM (ed). Sustainable development in organizations, Cheltenham: Edward Elgar Publishing, 2015, pp. 57–76.
46.
KristensenTBogetoftPPedersenKM. Potential gains from hospital mergers in Denmark. Health Care Manage Sci2010; 13: 334–345.
47.
PosnettJ. Is bigger better? Concentration in the provision of secondary care. Br Med J1999; 319: 1063–1065.
48.
PreyraCPinkG. Scale and scope efficiencies through hospital consolidations. J Health Econ2006; 25: 1049–1068.
49.
Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century, Washington, DC: The National Academies Press, 2001.
50.
GittellJHSeidnerRWimbushJ. A relational model of how high-performance work systems work. Organ Sci2010; 21: 490–506.
GulatiRWohlgezogenFZhelyazkovP. The two facets of collaboration: cooperation and coordination in strategic alliances. Acad Manage Ann2012; 6: 531–583.
53.
HofmarcherMMOxleyHRusticelliE. Improved health system performance through better care coordination: OECD health working papers, Paris: Organisation for Economic Co-operation and Development, 2007.
54.
BodenheimerT. Coordinating care: a perilous journey through the health care system. N Engl J Med2008; 358: 1064–1071.
55.
ColemanEABerensonRA. Lost in transition: challenges and opportunities for improving the quality of transitional care. Ann Intern Med2004; 140: 533–536.
56.
ColemanEA. Falling through the cracks: challenges and opportunities for improving transitional care for persons with continuous complex care needs. J Am Geriatr Soc2003; 51: 549–555.
57.
WagnerEHAustinBTVon KorffM. Organizing care for patients with chronic illness. Millbank Q1996; 74: 511–543.
58.
WagnerEH. What will it take to improve care for chronic illness?Eff Clin Pract1998; 1: 2–4.
59.
KelloggKCOrlikowskiWJYatesJ. Life in the trading zone: structuring coordination across boundaries in postbureaucratic organizations. Organ Sci2006; 17: 22–44.
