{"id":668,"date":"2019-04-15T15:39:28","date_gmt":"2019-04-15T19:39:28","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-mhcdsolutions\/submission\/how-to-encourage-decentralized-decision-making-and-guardrails\/"},"modified":"2019-04-15T15:39:28","modified_gmt":"2019-04-15T19:39:28","slug":"how-to-encourage-decentralized-decision-making-with-guardrails","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/how-to-encourage-decentralized-decision-making-with-guardrails\/","title":{"rendered":"How to Encourage Decentralized Decision Making; With Guardrails"},"content":{"rendered":"<p>Prior to 2013, Confluence Health was two separate organizations that were micro-managed by executive teams (approximatley 2,500 total employees).\u00a0 After merging organzations, we&#8217;ve grown significantly (approximatly 4,000 employees) and it&#8217;s impossible for a small executive team to micro-manage the organization.\u00a0 What strategies have others used to help push decision making down to a service-line \/ department level but also maintain guardrails that help ensure the sum of these decisions isn&#8217;t harmful to the organization.\u00a0 A few years ago we allowed service lines and departments to make staffing decisions and the organization started struggling financially becuase of excessive FTE adds.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Decentralized decision making. <\/p>\n","protected":false},"author":12200,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[432],"class_list":["post-668","hck-submission","type-hck-submission","status-publish","hentry","category-management","hck-taxonomy-industry-health","hck-taxonomy-country-united-states"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mhcd-solutions\/","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to Encourage Decentralized Decision Making; 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