Organizational Design

Organizational design in health care consists of many components. These components derive from internal and external factors. An organization may follow different designs at different stages of the organization. According to Carroll and Rudolph (2006), “clinicians and managers must design and redesign for their organizations at different organizational stages” (p. i8). The organization this paper will focus on is a non-profit organization operated by a local volunteer board of trustees. Southeastern Health has 452 beds, treats 14,000 inpatients and 76,000 emergency patients annually, consisting of acute, intensive, and behavioral health services. The following paper will identify the type of organizational design of Southeastern health, the internal and external factors defining and shaping this organization in terms of size, organizational structure and processes, and how the demand for more accountability is affecting the behavior of this organization.

Internal Factors

Internal factors affecting the design of Southeastern Health are the mission and vision, structure, policies and procedures, organizational strategies, and services. The mission and vision of this organization represents its dedication to the community it serves. The vision is to be recognized as the regional health care provider of choice and the mission is to provide quality regional health care in a safe, compassionate, and efficient environment (Southeastern Health, 2013). All internal operations are in line with the mission and vision of the organization.

Structure

The organizational design of this hospital overall follows a departmental structure with the President and Chief Executive Officer as the first line of authority. The organizational structure of the nursing department is relationship oriented. It