Modifications would be targeted by identifying functions that do appear to operate at less than optimal effectiveness or efficiency. Pros Cons Political achievability. Limited silo busting. Minimal preparation for managed care. Buys time to build infrastructure and other foundational issues.
Many tasks remain narrowly divided.
May be perceived as not addressing the problems identified by staff and stakeholders. This option does not change structures, rather it builds linkages to connect structures. However, it does require clearly defined structures and systems in the form of temporary or matrix reporting relationships that support linkages, and performance indicators specifically tied to these initiatives. Some of the initiatives currently underway are consistent with this model, and those include the managed care group, the efforts to improve the budget process, and Administration's efforts to refine the fiscal note process. The current initiatives generally do not go far enough to be wholly consistent with this option because reporting relationship changes or performance indicators are not clearly defined during the early stages of the project.