This communication tends to be more formal. Horizontal communication can be both formal and informal. Brainstorming decision making and communication patterns are often the way organizations set ideas into motion without a forma review process. This is an example of communication that takes place in staff meetings, etc. You will find that most major decisions will be formal.
Smaller decisions tend to be informal.
E.How major policy decisions are made. In part, you can refer to the information described in the section above. However, I want you to give detail as to how major decisions are made. Chain owned organizations may have decision making policies established at a corporate and local level. In a physician's office, the decisions are usually determined by the partners or by the owner of the company.