ECG Management Consultants

Organizational Design & Development

As the landscape for the delivery of healthcare services evolves, so too must organizations. Whether competitive forces, growth of the organization, or other factors necessitate organizational evolution, one reality is for certain, organizational change is fraught with political hurdles.

In addressing organizational design and development issues, ECG partners with executive leaders to define the optimal structure that meets the client’s strategic, operational, and financial goals, while remaining mindful of the economic and political realities facing the organization.

Our clients have benefited from a variety of organizational design and development services, including:

  • Merger integration planning.
  • Joint venture planning.
  • Leadership retreat facilitation.
  • Proprietary governance surveys and studies.
  • Labor planning and span-of-control studies.

ECG’s depth and breadth of experience in organizational design and development positions us as a sound resource in addressing your organization’s specific issues.


Selected Projects


Merging a community hospital with a large physician practice. Expand Minimize

ECG assisted in the planning efforts for the integration of a large multi-specialty physician practice with a community hospital. A key focus of this planning effort involved evaluating current staff roles and responsibilities and determining the best way to configure them after the merger transaction. The outcome of the analysis was a merger plan with a structure considered optimal by the merging entities.

Evaluating a hospital’s joint venture options with affiliated radiation oncologists. Expand Minimize

ECG identified and evaluated potential joint venture options for a hospital and a group of radiation oncologists, by modeling the financial impact of reimbursement, ownership, and referral pattern changes to the existing cancer center for each viable option. Once a preferred joint venture approach was identified, ECG built consensus for the JV option among the stakeholders.

Analyzing a community hospital’s management span-of-control. Expand Minimize

ECG analyzed the span of control for managers at a community hospital as part of a larger labor benchmarking analysis. Using the benchmarking data to inform our analysis, we worked with the client to redesign the organizational structure. As a result, the client was able to reduce unnecessary layers of management and ensure greater consistency in the number of direct reports to each management position.