My Assignment Help

400846 Issues With Current Organisational Structure of CDH Assessment 1 Answer

400846 Building Organisational Capacity in Health Care

Essay: Short critical analysis

Type of Collaboration:
This is a formal academic essay (see essay writing guidelines on the vUWS site under 
APA referencing is required and all ideas are to be acknowledged, using this referencing style (see style guide under assessment tab.
1,500 words
Curriculum Mode:

Assessment 1: Short Critical Discussion Paper

Aim of assessment: This first assessment requires students to critically discuss the organisational structure of the Chifley District Hospital ( CDH) in the following case study.

The module 1 readings are the framework for this assignment and are the support theories for the next two modules

Case Study The Chifley District Hospital (CDH), a 130 bed community hospital situated in the outer suburbs of Sydney, has provided general acute medical, surgical, obstetric and emergency services to the local community. Over the last 10 years, the population of the area has increased significantly t o i nclude a m uchlarger proportion of young families and a significant number of retirement villages.

The hospital has reviewed the needs of this growing community and is changing its range of services in response to that review.

To deal with these changes the CDH has a plan to redevelop the hospital facilities and restructure the organisa- tion to provide a focus on the health needs of the growing population and to provide a number of specialty services including cancer, paediatric, cardiovascular, renal, trauma, aged care and community services. The bed number will increase to 300, with an increase in the capacity for community based clinics in the specialty services.

·The Vision statement of the hospital is to Provide health experiences that are able to respond to the changing needs of the community.

·The stated mission of the restructured hospital is to provide highest quality, specialist health care in partnership with patients, carers, the community at large and other health care providers.

·The overall strategic goals of the new organisation are to develop high performing, multidisciplinary teams within the specialist services in order to provide high quality, patient-centred care that is effective, efficient and able to respond to the changing health needs of the population. Currently, CDH has a traditional, functional (bureaucratic) organisational structure but the management team is reviewing alternative organisational structures which might better suit the changing internal and external environ- ments of the organisation and have the potential to improve communication and collaboration across teams and accountability for resource utilisation, quality of care and patient outcomes.

Assignment 1 Instructions:

After reading the case study above use the course materials and essential readings to develop a short (1500 word), critical essay-style paper that discusses the strengths and limitations of the current organisational structure in relation to the vision, mission and goals of the Chifley District Hospital (CDH).

Students are required to identify an organisational structure that might better support the vision, mission and goals of the CDH, detailing the strengths and weaknesses of this new organisational structure and why it might be a better fit for this hospital.


Organisational structure is the hierarchy and the functioning of an organisation. The way activities and roles are determined among the different position in a company is decided according to it. This would outline how the different functions would take place in a company. With respect to this, Chifley District Hospital (CDHwould be taken into consideration in this report. Organisational structure is the foundation of an organisation that focuses on the working of the organisation leading to the accomplishment of the objectives and goals of the company (Montgomery et al., 2019). Alignment of organisational goal is done by aligning the business objectives with the interest of the stakeholders for CDH is a community hospital based in Sydney. In this study, the issues with the current organisational structure of CDH would be stated along with suggestive organisational structure that can help in the smooth functioning of the organisation.

Continuous growth and an increase in the hospital capacity are planned for the future. The changes in this regard would help to change the current functional organisational structure to the one which focuses on the improved and reformed vision and mission of CDH. The change in the business atmosphere of the hospital, along with the expansion of the hospital to 300 beds states that it can function on the traditional bureaucratic structure (Courtney et al., 2002). This is a clear indication that a change in the organisational structure is required at CDH. Hence, the motive behind this is to provide more responsive health care by fulfilling the mission and vision of the hospital.

An organisational structure is an integral element of any organisation. It sets the way the hierarchy or the structure is set in the company in order to achieve the organisational objectives. It states the way in which a group is formed in an organisation and how the flow of information and communication takes place. It states the direction that needs to be followed for the achievement of organisational objectives in an organisation. One can see numerous types of organisational structure available as per the need and requirement of the business (Marquis & Huston, 2009).But, few of these are functional structure, divisional structure, service-line structure and matrix structure. 

Organisational structure holds great importance for an organisation. It helps in developing an understanding of the relationship among the employees in a company. It builds clarity in the roles and responsibilities of the members in an organisation along with a delegation of authority. Good organisational structure can lead to better decision making and more consistency in working. It is the prime reason for identifying and implementing the right organisational structure in the business.

The organisational structure that is currently in practice at Chifley District Hospital (CDH) is the traditional functional structure. It is the old school type structure which was based on the different functions of the hospital. This means that similar functions were grouped together under one department which was managed and represented by the respective head of those departments at the hospital. There are various departments and divisions such as cancer, trauma, cardiovascular, aged care, community services and paediatric care, which require different functions to be performed (Taylor, 2018). Therefore, it follows the typical hierarchy which is based on the standardisation based on specialisation of the jobs of the people working in the hospital.

The strength of the functional structure with regards to the CDH is that every employee working at the hospital is well aware of their roles and responsibilities. Also, as jobs and tasks with similar nature are brought together, there are fewer chances of duplication of tasks. Therefore, this means that there is less wastage of resources for the hospital (San Cristóbal et al., 2018). There is constant change in the requirement of the hospital. It can be very difficult to implement it with a functional structure. The hospital aims to offer specialised services to the patient (Sullivan & Decker, 1998). In a functional organisational structure, the major focus is on each function or department is people are more focused on their own growth rather than the benefit to the patient. Therefore, this creates a gap in what is best for the patient and what is provided to them. This can lead to poor patient care creating a bad name and image for CDH. This is the prime reason that the hospital is thinking of reforming the organisational structure as per the needs and requirement of the hospital. Thus, it is vital to assess the requirement of the hospital to select the optimal structure.

In understanding and requirement of the Chifley District Hospital case study, the organisational structure that can be apt for the hospital is the service-line structure. It is the most popular and used form of organisational structure in a healthcare organisation. It can be said that this structure is focused on crossing various disciplines in order to take proper care of the patient when there is a need (Johnson, McPhail, 2016). As per the CDH case study, this method would be most suitable, as with the increase in the beds at the hospital, and the need and requirements of the patients and the healthcare services would be bound to increase. This structure would help in meeting the increasing needs of the patients.and This will also help in bringing about efficiency in the organisation. Efficiency and coordination in the organisation would be given tremendous assistance as different units for say nursing, diagnostic, and other services will work together to offer the best results to the patient. Though, there are certain challenges that this type of organisational structure may possess over the operations of CDH. Thus, the largest challenge of them being the duplication of efforts and tasks. Plethora of people would be working towards the care of a patient from different departments; there is a high possibility of duplication of tasks such as basic procedure of the patient or advertising about a new job opening (Westphal, 2005). There is also a significant chance that multiple demands are created with respect to support areas, and there might be a difference in the expectations in relation to what is being delivered creating a lot of confusion and inefficiencies for CDH. Therefore, this can hamper with the reputation of the hospital.

A highly recommended and suitable organisational structure as per the requirement and the case study of CDH is a matrix organisational structure. It is the type of organisational structure that is unlike the traditional organisational structure. In this type of structure, people holding similar skills and assignmentswork together, leading to the reduction in the duplication of efforts. As CDH would be increasing its occupancy and working roles which would entitle a lot of other functions, and this organisational structure would be suitable stated as per the CDH case study. Confusion and chaos can be noticed if one needs to perform some activities which might be performed by someone else as well(Maddern et al., 2006). One needs to have strong interrelationship in order for matrix organisational structure to be successful, which might not be possible all the time at CDH. Thus, a proper analysis of the strengths and weaknesses should be done before selecting the right organisational structure.

The mission of CDH states the business goals and philosophies of the hospital. The Vision is the statement, which describes the future position of the organisation or what it would like to achieve in the future. Goals are the ideas or the results that a person plans and desires to achieve (Mickan& Boyce, 2006). All of them form an integral part in the planning and growth of a company as the strategy and working is structured in a way that leads to the fulfilment of them. The old traditional functional structure of CDH would help in the fulfilment of the strategic goals of the hospital, which is focused in developing efficient, multidisciplinary teams. This would be done by stating one head of every department who specialises in the respective field, leading to offer top quality and best services to the patients (Amelung, 2019). Therefore, by offering clarity CDH can help in the efficient functioning of the hospital.

The desired MVG of CDH would require a matrix organisational structure as it would be suitable about the changes in the working of the hospital. It would be convenient to offer premium quality health care in association with others in focus, maintaining a balance between all. Also, the change in the occupancy of the hospital along with the health requirements of society would be possible through matrix organisational structure as this would lead to an increase in the efficiency of the employees (Willis et al., 2018). Hence, it can be stated that it would also help in maximising the organisational resources helping CDH in fulfilling its MVG. 

In conclusion, organisational structure consists of the activities which state the roles and responsibilities in an organisation. The current functional organisational structure is no more suitable as per the changing inside and outside business setting and situation, which are focused on the success of the organisational mission and goals of CDH. Matrix organisational structure is an appropriate organisational structure that aligns with the MVG (mission, vision and goals) of CDH, leading to the achievement of the organisational goals. If implemented in the correct way, organisational structure can help in fulfilling the strategic objectives by ensuring that all the activities of the hospital are aligned in order to improve the efficiency of the organisation by balancing the prime and major stakeholders of the hospital. This can align the goals with the overall plans leading to best outcome for the organisation.

Customer Testimonials