A large government ministry with over 30 programs/ services, 5,000 employees and estimated budget of $36 billion
Restructure and re-engineer programs/ services to support the ministry’s devolution of accountability and overall health care system transformation
3 yrs post-launch: Reduction from 6-7% to 2.5% of the annual fiscal growth rate
Organizational Design for better health outcomes
A government ministry had embarked on a transformation journey in devolving accountability to local health intermediaries, shifting from primarily a service delivery organization to a policy development and program management organization. It was committed to finding new and smarter ways of improving health outcomes while meeting the government’s fiscal commitments. The evolution included structuring a more nimble public service that could focus on its core businesses of legislation and regulation.
What We Did
Design by Design completed three comprehensive divisional analysis and over a dozen program reviews providing future state design recommendations. We led organizational design sessions to fully understand the gaps and needs of each program, service, delivery vehicle and funding model. We assessed existing mandates, governance structures, core processes, branch/ divisional design, roles, workforce capacity, skill set capability, policy directives, program outputs and reporting relationships.
We worked with the senior leaders and the ministry’s Transition Office to socialize, solicit feedback and implement the new functional operating model.
Through our ongoing partnership with the Transition Office, the ministry has been able to transform the way health care is delivered, allowing the focus to be on outcomes and ensuring the health care system is sustainable. This increased efficiency has enabled the ministry realize a reduced fiscal growth rate, build internal capacity, leverage partnerships and horizontal integration.