Main discussion post: The purpose of this week's discussion is to reflect on our own organizations and describe their organizational structure, including location, size, degree of integration, type of care provided, health needs in community services, availability of providers, and penetration of managed care. Next I will identify an element of organizational development that my organization would benefit from. Finally I will describe what actions I would take to implement the organizational element and the expected results. The organizational structure of our healthcare organization would be described as a large organization involving four other healthcare institutions in the Tampa Bay area. Our healthcare facility is the largest of the four hospitals. Our organization is a 431-bed facility that is "home to five centers of excellence that focus on major disease areas, including cancer treatment, women's health, pediatrics, diabetes management and orthopedics." (University Community Health, 2011). The type of services we provide are community outreach programs, inpatient and outpatient services, clinics and centers, rehabilitation centers, imaging services and robotic services. “Our mission is to provide patients with access to the most advanced technologies and treatment options available” (University Community Health, 2011). I would describe our organizational structure as decentralized between individual hospitals as well as within each healthcare facility. Responsibility for decision making is delegated to those who carry out the work and are responsible for the results (Danna, 2009). Interdisciplinary committees exist between facilities and within each facility. Thus improving communication, collaboration and organizational issues. The bottleneck theory of decision making is avoided, thus faster implementation of decisions and better communication (Linder, 2005). Decision-making power flows in both directions, from top to bottom and from bottom to top. Works Cited Coutu, D. L. (2003, April). Reason and Reliability: A Conversation with Renowned Psychologist Karl E. Weick. Havard Business Review, 81(4), 84-90.Danna, D. (2009). Organizational structure and analysis. In L. Roussel, R. C. Swansburg, & R. J. Swansburg (Eds.), Management and leadership for nurse administrators (pp. 184-248). Sudbury, Ma: Jones and Bartlett Publishers.Linder, J. (2005). How do things really work around here? Cross-sectionally, 42(6), 24-29.University Community Health. (2011). Welcome to University Community Hospital. Retrieved from http://www.universitycommunityhospital.org/Default.aspx