Orange Door Health Center, (ODHC), has changed from a primary-care clinic to one that provides chronic care. This clinic now offers special care, including public and private health care, as well mental, dental, and social therapy. Patients claim that the clinic has evolved from an interconnected “jungle”, with many medical professionals, to become a single-stop shop (Filipovitch 2006). After the completion of the program, four clinical illness management clinics were opened at the clinic. They also offered rehabilitation dental care and the clinic became a facility that provided medical care for Latino families and immigrant children.
Filipovitch (2006) states that the ODHC’s primary purpose is to “create a home for those who are medically in need” (p. 112). It has been immutable and used by the clinic to direct its actions. Clinic’s success is dependent on its ability to respect a process of decision making that allows for greater flexibility and progress. The senior management recognized that there was wisdom and experience at all levels of the organization. This recognition also encouraged the idea that changes do not have to originate from the top.
While many of the actions taken were different from those proposed, there were still others. One example is the implementation of a computerized information systems (CIS) without any input from the community (Filipovitch (2006)). The recruitment of multilingual staff members and volunteers during the hiring process helped to create cultural diversity. Although it was easier to teach than learning, language instruction was offered to all staff (Filipovitch (2006)). The clinic had expanded across all sectors of healthcare, but no plans to expand mental health and dental services.
Hafsi & Thomas (2006) conducted a groundbreaking study that identified how technology and the surrounding environment can increase uncertainty and create variations within businesses. According to their findings, most businesses have now been designed to minimize the effects of unpredictability. A majority of businesses can survive by ensuring that their operations and organisation are able to handle these uncertain times. One can reduce the risk of a company being influenced by external forces and isolate it from them. As the ability to reduce its dependency on the environment, the process of organizing and planning the company to minimize the effects of uncertainty external to the business is called “Planning and Organization”.