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Western Surgical Specialist Incorporated Does Business As Coastal Surgical Institute ( Csi ) Essay

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Coastal Surgical Specialist Incorporated does business as Coastal Surgical Institute (CSI). CSI operates in conjunction with Dignity Health (which runs the hospital in Arroyo Grande) and the governing body or board (comprised of 49% [22-23] physicians who work within CSI and 51% shareholders from Dignity). The Medical Executive Committee (comprised of five board member physicians, among them the Medical Director and Anesthesia Director) answers to the board, and beneath the Medical Executive Committee is the medical staff. Medical Staff includes the Administrator: Director of Nursing, the Pathology Lab, and the Anesthesia Services. The structure of CSI follows Mintzberg’s five-sector model (Bolman & Deal, 2008) in that it is a top-down organization with a clear strategic apex consisting of the governing body of CSI. This administrative component funnels down to the Medical Executive Committee and ultimately the Director of Nursing who is directly in charge of the operating core, which consists of the nursing staff. The technostructure seems to be those specialists such as pathology and anesthesia services, while the support staff is comprised of front office and medical records personnel.
The top-down organizational structure of Coastal Surgical Institute further models that of a professional bureaucracy as CSI employs roughly 40 full-time employees and as Bolman and Deal explain, in a professional bureaucracy the operating core is “large relative to its other structural

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