Case Study

Organizational Design for Growth

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Case Study

Organizational Design for Growth

SETTING

Health System

Key Services

Organizational Assessment
Functional Prioritization
Structure Design
Leadership Alignment
Implementation Planning
Executive Search
Change Management

Helping an enterprise scale with confidence.

Challenge

The arrival of new sites, services, and people outpaced the system’s established ways of working. Leadership and frontline staff wanted to connect more consistently, and the organization needed a structure that could grow with it.

Solution

We worked with key stakeholders to rethink how the enterprise operates, then designed a flexible structure with clear accountability. To fill critical gaps, we led the search and vetting for executive roles. Finally, we built a phased implementation plan so teams could adapt to change while staying focused on care.

Results

HIRING THE RIGHT LEADERS

$1.28M

in replacement costs protected

A wrong hire at the executive level can cost up to 213% of the leader’s annual salary. We ran the full search and vetting for two executive roles and placed the right leaders the first time.

Source: Center for American Progress.

Additional Outcomes

Leaders aligned on priorities.

Replaced function-by-function agendas with one clear approach, grounded in the system’s mission and resources.

Accountability increased across the organization.

Gave every team clarity on roles and who decides what, so coordination moved faster.

Phased path kept patients at the center.

Sequenced changes allowed teams to adopt new ways of working without losing focus on day-to-day care.

The structure facilitated growth.

The enterprise could add sites, services, and people without renegotiating how work gets done each time.

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