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Case Study Background information: Whitlam Memorial Hospital (WMH), a 130 bed community hospital situated in the outer suburbs of Sydney, has provided general acute medical, surgical, obstetric and...

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Case Study

Background information:

Whitlam Memorial Hospital (WMH), 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 to include a much larger 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 WMH has the budget to redevelop the hospital facilities and restructure the organisation 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 services, trauma services, aged care and community services. The bed numbers will increase to 250, with an increase in the capacity for community based clinics in the specialties.

· 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”.

The existing hospital has a traditional, functional (bureaucratic) organisational structure but the management team is currently reviewing alternative organisational structures which might better suit the changing internal and external environments 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.


After reading the case study above and using the course materials and essential readings, develop a short (1500 word), critical essay-style discussion paper.

You may use the following topics to focus your discussion.

· The strengths and limitations of the current functional (traditional bureaucratic) structure.

· The importance of the organisational mission, vision and goals/objectives and the link between them and organisational structure.

· Identify a different organisational structure that might better suit the WMH as it restructures. Discuss the strengths and limitations of this organisational structure and explain why it might be a more suitable structure for the restructured WMH.

Remember, all information must be correctly referenced using the APA referencing conventions.

Assignments must have an introduction (with a thesis statement) and a conclusion.

General information about the assignment.

This assignment requires you to read and critically analyse the material from Module 1 of the Unit Learning Modules and the Study Guide, in order to understand organisations from the point of view of their purpose (the vision, mission and strategic goals); how organisational structures provide lines of authority and responsibility for achieving the mission and goals and the advantages and limitations of the various organisational structures commonly used in health care.

The analysis should critically examine the type of organisational structure that might be more suitable for this organisation as it undergoes the described change and explain the usefulness of that type of structure in helping the organisation to achieve their stated mission, strategy and goals.

Answered Same Day Apr 05, 2020


Soumi answered on Apr 07 2020
122 Votes
Table of Contents
Introduction    3
Strengths and Weaknesses of the Prevailing Bureaucratic Structure    3
Significance of the Organisational Vision, Mission and Goals and their Relationship to Organisational Structure    4
Alternative Organisational Structure appropriate for Whitlam Memorial Hospital (WMH), along with its Strengths, Weaknesses and Justifications    5
Conclusion    6
References    7
An organisation comprises of a number of entities, who might form either the authority or the individuals performing under them. This is a systematic a
angement that is achieved by the implementation of organisational structure. Organisational structure not only helps to a
ange the individuals of an organisation into a hierarchy or divisions, but also distributes the power, roles, regulations, responsibilities and accountability amongst them accordingly. Thus, it can be seen that the choice of a suitable organisational structure is a very responsible decision to be undertaken by the management of the organisation.
The present critical essay is a discussion on the case study of the Whitlam Memorial Hospital (WMH) of Sydney that plans to reconsider its existing organisational structure in order to cater to the growing service needs of the community members. Hence, the essay outlines the merits and demerits of their prevalent functional or bureaucratic organisational structure, relate it to their mission, goals as well as vision and critically suggest a better organisational structure for implementing all the desired service enhancements for the community.
Strengths and Weaknesses of the Prevailing Bureaucratic Structure
    Presently, the concerned hospital WMH has been mentioned to be following the functional bureaucratic structure. As defined by Josefy, Kuban, Ireland and Hitt (2015), a bureaucratic structure is the one that establishes the a
angements of the authority and the subordinates within an organisation in a very rigid manner. The regulations, policies and accountability are quietly firmly imposed. The format of the organisation is so staunch that the hierarchy of power and their restrictions are also unalterable. Therefore, as argued by Albers, Wohlgezogen and Zajac (2016), such an organisational structure does not provide enough space for inculcating any changes. Thus, it can be opined that the structure prevailing at WMH has both advantages and disadvantages.
Its strengths are that it allows working opportunity to highly eminent people, who are quite skilled in their discipline and the instructions of the central authority, is a key one, which cannot be violated at any instance. As supported by Nason, McKelvie and Lumpkin (2015), the majority of the employees within a bureaucratic structure are highly qualified and of high experiences, which is mainly because the work efficiency of such a structure is too high. Given its staunch nature, this structure also does not provide a wide scope to commit any mistake, which is why the need of highly efficient employees is inevitable. Moreover, as mentioned by Den Hond, De Bakker and Smith (2015), the accountability and firmness of this structure imparts the necessity of obeying to the strict instructions of the central authority that usually comprises of the senior management level of the organisation. Thus, it is evident that so far the WMH has implicated this structure for their a
angement of power, where their internal and external environments were integrated firmly into a single managerial accountability, power as well as control that was sufficient for managing and regulating their 130-bed small community hospital.
However, as contradicted by Bennis (2017), such an organisational structure is not sufficient for the situations, wherein changes are to be welcomed within the organisation or the employees are to perform in a flexible way that caters to the situations of emergency or the changing needs of the clients. In case of the WMH, the population of the Sydney...

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