Organizational Redesign Challenges: You are the HR business partner to a health care administrative executive of Care Now, a private sector urgent care provider in your state. Your supervisor is directly responsible for overseeing 52 facilities throughout the state. There are 9–30 employees in each Care Now medical facility. The largest facilities have three physicians, two physician assistants, eight registered nurses, and 17 allied health care professionals in assorted fields. These Type A organizations, as they are known at Care Now corporate headquarters, are flagships of the organization with extensive resources to enable them to provide non-emergency care to their communities. The testing done by Care Now headquarters only takes place in organizations of this size. Recently, headquarters came out with a continuous quality improvement program with extensive documentation and inspection requirements that will add more burdens to operations. The prototype new reorganized “quality” facility is a Type A organization across the street from the company’s headquarters in the capital city of another state.
There are two other types of Care Now facilities. Type B facilities are about half the size of Type A, with 11–15 employees. This smaller organization will be challenged by the new requirements but should be able to accomplish them with the recommended new organizational structure that the headquarters is directing you to make in all the Care Now facilities. In Type C facilities, there is one physician, one physician assistant, three nurses and four allied health care professionals. These smaller offices are spread in the rural areas of your state and there are seven of them.
During the planning for the quality reorganization, neither the Type B nor Type C organizations were pilot tested. While as the HR business partner you have had no problem getting the Type A and B organizations in your state to transition, all of your smaller organizations are failing to meet the milestones, complaining about too much work, and laughing about the reorganization where they have office sections with one person. Organizational performance is weakening, resignations are being threatened, and morale is very poor.
Please consider the following questions as you respond to the discussion situation described above.
• What are the major issues you are facing? Consider not just surface issues, but deeper concerns.
• What could the corporate headquarters do differently?
• What are the options to address the very complicated and messy organizational challenges you are facing? Which option will you choose to use to fix this problem?