Organizational Structure and Design

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Exhibit 22-6 stresses the importance of designing and implementing a
well-developed strategy as the foundation for creating a high-performing
organization. While most senior leaders recognize the importance of
strategic planning, across all industries, less than 10% of strategic plans
are executed and realized. Without a strategic plan, management has
little chance of realizing the directional strategy of an organization, which is typically reflected in the
vision, mission, and goals. Often the success of a strategic plan is dependent on a restructuring of the
organization. There are several factors that need to be taken into consideration when restructuring an
organization to drive performance and position the entity for long-term sustainability. These factors
include, but are not limited to, a) an analysis of management responsibilities to include a focus on the
strategic plan, organizational control structure, management responsibilities, and physician leadership;
b) design an organizational structure that promotes success; c) implement and monitor the structure;
and then d) make necessary changes to the structure in order to achieve strategic goals and objectives.

#1: Recommend the actions management might take in order to align the organizational
structure with the strategic plan in order to maximize the likelihood that the entity will achieve its
directional strategy. (CLO 1, 4, and 6)
ULO #2: Redesign the management structure of an organization in order to drive performance and
position the entity for long-term sustainability. (CLO 2, 4, and 6)
ULO #3: Measure “effective” service line management and leadership structures. (CLO 2, 3, and 5)
ULO #4: Recommend a tactical approach that managers may pursue to “hardwire” new reporting
relationships following an organizational restructuring. (CLO 4 and 6)

Sample Solution

For many years, there has been controversial stances regarding African-Americans, women, LGB members, and now transgenders given entry into the United States military service. Since this transition between genders may not be accepted by all, an overwhelming amount of discrimination has been evident when the thought of a transgender person serving our country is brought up. Being that the U.S. military is a 100% voluntary service, everybody has the right to join, no matter what race, ethnicity or gender you identify as.
Many U.S. citizens are not aware what the term transgender means. Transgender refers to someone who does not identify as the same sex that they were assigned at birth (usni.org). For example, an individual who was assigned female at birth, now goes by the pronouns he/him and identifies as a male. Many U.S. citizens also do not understand that this action is not a choice, and that people experiencing this identification switch seem to have been born into the incorrect bodies. Easily mistaken as emotional instability, The American Psychiatric Association makes it clear that “gender nonconformity is not in itself a mental disorder”, but instead, studies have shown that the transgender brains resemble more closely to the gender identified as, rather than the gender assigned at birth (usni.org). Clearly, all of these misconceptions of transgender persons can corrupt or influence one’s decision on whether or not they believe transgenders should be granted military service.
If a transgender person is ready, willing and capable of doing the job, why shouldn’t they be granted access into the U.S. military? Not including the United States, there are 18 running countries who allow transgender persons to serve in the military (usni.org). According to the RAND Corporation Study of 2016, studies have shown that around 2,000 to 11,000 transgender military personnel have already served in demanding jobs and have been deployed overseas (nytimes.com). Regarding the transgenders that are already serving for the military, Army, Marine, Navy, Air Force, and Coast Guard leaders have informed Congress that they have yet to see any issues with their transgender troops (nytimes.org). After interviews with superior military personnel, their statements should be enough to sway your opinion all together. General Robert Neller, commandant of the Marine Corps, stated, “As long as they can meet the standard of what their particular occupation was, I think we’ll move forward” (nytimes.com). While Captain J. Caputo of the United States Coast Guard preached, “Any person with a male body must meet male service standards; anyone with a female body must meet female standards. Transgender persons who can meet the standards of their physical body are fit for service” (usni.org). Additionally, despite the fact that transgenders serve without problems in police and fire departments, along with federal law enforcement, studies have shown that “…transgender individuals are about twice as likely as adults in the U.S. to have served their country in the armed forces” (Williams Institute). While reading this, you might be saying what about the stress that transgenders are exposed to? On top of the personal issues they might have, will they be able to fully func

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