HCA 645 Topic 1 Governance in Healthcare Organizations

HCA 645 Topic 1 Governance in Healthcare Organizations

HCA 645 Topic 1 Governance in Healthcare Organizations

Governance in Healthcare Organizations

Organizations in the modern world are highly focused on ensuring that their performance objectives are met with ease. They explore the different leadership and management approaches that can be used to enhance the performance of their employees. There is also an increased need for organizations to examine their structure of governance since researches have shown it to influence performance. According to Morgan & John (2014), structure in organization deals mainly with the manner in which operations are run. Effective organizational structures enhance the performance and competitiveness of organizations since employees are motivated to explore innovative ways of getting their assigned tasks done. Therefore, this essay examines the effect of corporate structure on effective governance, roles of governance in an organization, and factors to consider in developing as well as strengthening a team culture.

Effect of Corporate Structure on Corporate Governance

Corporate structure has been defined as the manner in which departments in an organization are organized. Corporate structures often differ across organizations based on their goals as well as industry in which an organization operates. There exist different corporate structures that influence corporate governance. They include functional, divisional, matrix, and hybrid corporate structures. A functional structure is characterized by the grouping of employees into departments due to the skills that they possess. Employees with similar skills, experience, or accountabilities are placed in the same department. The use of such structure has significant implications on corporate governance. Firstly, there is easy flow of communication between the management and the employees within a department. Decisions are easily made since there is minimal consultation between the organizational stakeholders (Ringel, Hiller & Zietsma, 2018). Therefore, governance issues such as rules, policies, decisions, and processes are easily implemented in the functional organizational structure.

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The other type of organizational structure that influences governance is divisional structure. In this structure, the activities within the organization are divided based on the products and services offered to specific market niches. The teams in this structure are organized in a manner that they duplicate the products or services that are offered to the target market. The use of this structure has some implications to corporate governance. The management can focus its interventions on improving the quality of products and services offered to the target markets. There is also easy flow of information from the managers to the employees (Albadri, Nasereddin & IGI Global, 2019). The structure provides organizations with benefits such as easy decision-making and implementation of policies and procedures.

The other corporate structure that has an influence on corporate governance is matrix organizational structure. This structure combines the use of both divisional and functional structures. The combination eases the governance in the organization since there is decentralization of decision-making. The employees also have a great sense of autonomy due to enhanced interdepartmental interactions. Consequently, there is enhanced productivity in this structure. However, corporate governance faces challenges that include high operational costs and conflicts caused by horizontal and vertical production lines. The last structure that influences corporate governance is hybrid organizational structure. This structure is similar to matrix structure since it combines both divisional and functional structures. However, the tasks are divided into divisional or functional departments (Ringel et al., 2018). The structure eases governance in organizations due to specialization in product and service provision.

Roles of Governance in Organizations and their interaction with Teams in Organizations

Governance plays a wide range of roles in an organization. One them is determining the gals as well as objectives of a firm. The goals and objectives are evidenced in the organization’s mission and vision. The set goals and objectives are achieved with the adoption of a defined strategic plan. Through it, organizations understand their purpose in their markets and the manner in which it can be achieved. The interventions of teams in an organization should aim at facilitating the realization of the set goals and objectives. The team members must be united towards ensuring that their efforts underpin the realization of the set goals and objectives (MALLIN, 2018). Therefore, open channels of communication should be created to foster sharing of ideas in an organization.

The other role of governance in an organization is determining the organizational ethics. Organizational performance and competitiveness is dependent on the behaviors demonstrated by its stakeholders. The governance ensures that a focus is placed on interventions that promote sustainability, stakeholder engagement, and corporate social responsibility. They ensure that organizations behave in a manner that protects the health and safety of its stakeholders. As a result, rules as well as standards that govern the behavior of the employees must be developed. The development of organizational behaviors should be done in with a consideration of team inputs (MALLIN, 2018). Organizational stakeholders should work together in exploring the desired behaviors that will promote the realization of the mission and vision of the organization.

The other role of governance is creating organizational culture and ensuring compliance with it. The governance comes up with culture that determines the organizational behaviors. It determines the manner in which the organizational environment should be supportive and tolerant to different stakeholder needs. The governance also comes up with mechanisms that will ensure that the employees work towards achieving the set goals and objectives. This includes coming up with rules, regulations, policies, and standards that would guide performance. It is important that the developed mechanisms that promote compliance align with the expectations of teams in an organization (Youde, 2018). This can be achieved by ensuring that the perceptions of the team members on the nature of the desired organizational culture, rules, policies, and standards are incorporated into decisions made by the governance.

Concerns to Consider when Developing and Strengthening a Team Culture

Developing a team culture takes into consideration a wide range of factors. One of them is open channels of communication for the team members. The team members should be able to express themselves to the leaders of the team without fear of being ridiculed. They should also be able to share their views, concerns, and ideas about the ways in which the goals of the team can be achieved. The other concern is active participation of the team members. They should play an active role in determining the interventions that need to be embraced in the team and the ways of their implementation. Their decisions should be prioritized by the team leaders. There should also be the aspect of respect and honesty among the team members. The members should respect the diversity among them. They should respect the views of others in the implementation of the team activities. Honesty should also be practiced by the team members. They should be truthful in what they do since it promotes transparency among them. The other concern is encouraging innovation. The team members should be actively involved in trying new ways in which the activities of the team can be done efficiently (Cockerham, 2018). Therefore, a consideration of these aspects will enhance the creation of the desired culture in a team.

In summary, organizational structure has a significant effect on governance structure used in a firm. The use of hybrid and matrix organizational structures has been shown to be associated with better governance when compared to functional and divisional structures. These structures encourage teamwork among the organizational stakeholders. Therefore, factors that influence teamwork and team culture should be considered in team formation process.


Albadri, F., Nasereddin, Y. A., & IGI Global,. (2019). Strategic thinking, planning, and management practice in the Arab world. Hershey, Pennsylvania: IGI Global.

Cockerham, G. B. (2018). Global governance and public health: Obstacles and opportunities. London; New York : Rowman & Littlefield International.


Morgan, J., & John Wiley & Sons. (2014). The future of work: Attract new talent, build better leaders, and create a competitive organization. Hoboken, New Jersey: Wiley.

Ringel, L., Hiller, P., & Zietsma, C. (2018). Toward permeable boundaries of organizations?. Bingley: Emerald Publishing Limited.

Youde, J. (2018). Global health governance and in international society. New York, NY: Oxford University Press.

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