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Graphical comparison of a centralised (A) and a decentralised (B) system. A decentralised system in systems theory is a system in which lower level components operate on local information to accomplish global goals.
Decision-making in a centralized organization can face information flow inefficiencies and barriers to effective communication which decreases the speed and accuracy in which decisions are made. A decentralized firm is said to hold greater flexibility given the efficiency in which it can analyze information and implement relevant outcomes. [118]
Decentralized decision-making also contributes to the core knowledge of group intelligence and crowd wisdom, often in a subconscious way à la Carl Jung's collective unconscious. Decision theory is a method of deductive reasoning based on formal probability and deductive reasoning models.
Centralisation of authority is the systematic and consistent concentration of authority at a central point or in a person within the organization. This idea was first introduced in the Qin dynasty of China.
In a centralized model of HIE, there is a central (or master) database that holds a copy of all of the records of every patient contained. In a federated model of HIE, there is no master database. In a centralized model, patient information is uploaded to a single database from which any provider in the HIE can download.
This has been termed as decentralization or devolution. This was a marked shift from the highly centralized form of government that had been in place since independence in 1963. The centralized governance was plagued by political and economic dis-empowerment and unequal distribution of resources. [9]
Delegated administration refers to a decentralized model of role or group management. In this model, the application or process owner creates, manages and delegates the management of roles. A centralized IT team simply operates the service of directory, metadirectory, web interface for administration, and related components.
The chief nurse is a registered nurse who supervises the care of all the patients at a health care facility. The chief nurse is the senior nursing management position in an organization and often holds executive titles like chief nursing officer (CNO), chief nurse executive, or vice-president of nursing. They typically report to the CEO or COO.