Organizational Structures and Leadership
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In most health care settings, it is unlikely that you would
hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it
is helpful for any organization to delineate pathways of responsibility and
authority in an organizational chart, the lived experience of these structures
is most apparent through the inquiries and behaviors people share everyday.
In your own workplace, you may find yourself wondering, who
should I turn to when I have a practice dilemma? or Where can I go to learn
more about this issue? These questions speak to the intricacies of formal and
informal organizational structure and leadership.
To prepare:
Review the information presented in Chapter 12 of the course
text. Focus on the information about formal versus informal structure as well
as the types of organizational structures.
Consider the overall structure or hierarchy of your
organization or one with which you are familiar. Which organizational structure
best describes your organization—line (or bureaucratic), ad hoc, matrix,
service line, or flat? Note: It is possible to have a combination of structures
in one organization. Is decision making centralized or decentralized in this organization?
What is the role of committees, task forces, and councils in
the organization, and who is invited to join? Consider how this relates to
formal and informal leadership.
Reflect on how decisions are made within a specific
department or unit. Which stakeholders provide input or influence the
decision-making process? Assess this in terms of formal and informal
leadership.
To support your analysis, consider your own experiences and
investigate these matters by speaking with others at the organization and
reviewing available documents. Be sure to consider how the concepts of formal
and informal structure and leadership relate to one another and are
demonstrated in the organization and in the particular department or unit.
By Day 3
Post a depiction of your organization’s formal structure,
indicating whether it is best described as line, ad hoc, matrix, service line,
flat, or a combination. Describe how decisions are made within the organization
and within one department or unit in particular, noting relevant attributes of
centralized/decentralized decision making. Explain the influence of formal and
informal leadership on decision making within this department or unit.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different
days using one or more of the following approaches:
Ask a probing question, substantiated with additional
background information, evidence, or research.
Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional
research.
Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.
Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post your message.
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