title: A circular organization chart promotes a hospital-wide focus on teams.
abstract: Our Lady of the Way Hospital, like most hospitals in the late 1980s and early 1990s, exemplified the bureaucratic organization represented by the traditional "line and box organization chart." Additionally, as in most small hospitals, the CEO of Our Lady of the Way Hospital--a 39-bed, JCAHO accredited, general, acute care hospital in Martin, Kentucky--had direct management responsibility for several functional departments. In 1992, administration replaced the traditional, hierarchical organization chart with a circular structure that reflected its increased reliance on team processes throughout the organization. The new structure also significantly reduced the number of reporting assignments to the CEO. This article describes the hospital's transition to a team-based organization, illustrates the application of a circular organization chart, and assesses its value and limitations.
authors.forename: M M
authors.initials: MM
authors.lastname: Fanning
mesh_terms: D003159:Community-Institutional Relations; D006075:Governing Board; D006743:Hospital Bed Capacity, under 100; D006754:Hospital Restructuring / Q000458:organization & administration*; D016519:Hospitals, Religious / Q000458:organization & administration / Q000592:standards; D006801:Humans; D007324:Institutional Management Teams; D015274:Interdepartmental Relations; D007629:Kentucky; D008332:Management Quality Circles; D017146:Models, Organizational; D018802:Patient-Centered Care; D011367:Professional Staff Committees; D017749:Total Quality Management; D000078329:Workforce