You are the supervisor at a home health agency. There are 22 RNs in your span of control. In a meeting today, John Dao, the CNO, tells you that your span of control needs adjustment to be effective. Therefore, the CNO has decided to flatten the organization an decentralize the department. To accomplish this, he plans to designate three of your staff as shift coordinators. These shift coordinators will schedule patient visits for all the staff on their shift and be accountable for the staff that they supervisor. The CNO believes that this restructuring will give you more time for implementing a continuous quality improvement program and promoting staff development.
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