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Sunnybrook's matrix organizational model--moving ahead.

P H Ellis, P M Gaskin

    Healthcare Management Forum
    |February 3, 1989
    PubMed
    Summary
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    Sunnybrook's information system: "doing the right thing".

    Dimensions in health service·1986

    Sunnybrook Hospital improved organizational complexity by implementing three independent dimensions. This enhances accountability for departmental efficiency, physician resource use, and alignment with hospital mission.

    Area of Science:

    • Healthcare Management
    • Organizational Theory
    • Hospital Administration

    Background:

    • Traditional hospital structures often oversimplify complex organizational relationships.
    • A single reporting structure can hinder effective management and accountability.
    • Hospitals face challenges in aligning departmental activities with their core mission.

    Purpose of the Study:

    • To introduce and evaluate a novel organizational model at Sunnybrook Health Sciences Centre.
    • To address the limitations of traditional, single-dimension hospital organizational structures.
    • To improve accountability and operational efficiency within a complex healthcare setting.

    Main Methods:

    • Development of three independent, yet interrelated, organizational dimensions: traditional, clinical unit, and programmatic.

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  • Implementation of a multi-dimensional organizational framework to redefine reporting relationships.
  • Analysis of accountability structures for departments, physicians, and overall hospital mission alignment.

    • Main Results:

    • The new model enhances accountability by linking departments to operational efficiency.
    • Physicians are held accountable for the resource implications of patient volume and case mix.
    • Ensures better alignment of departmental and clinical unit activities with the hospital's mission and programs.

    Conclusions:

    • Sunnybrook's three-dimensional organizational model offers a more accurate representation of hospital complexity.
    • This approach improves accountability across various hospital functions.
    • The model facilitates better alignment of operations with strategic organizational goals.