Directorship was not the answer because it focuses mission alignment too narrowly. Directorships can be effective if the directors understand how create alignment in their reports.
Joint venture was not the answer although it can be effective in creating alignment in a particular service area. However it is constructed, there will always be and “us and them” relationship. That “us and them” is a warning flag that alignment is superficial.
Exclusive contract was not the answer because those excluded from the contract are alienated to some extent by the mission.
So, the answer is “b”, physician employment. The employment approach allows alignment to occur on multiple levels in: recruiting, organization, tasking, goal setting, performance evaluation, compensation and professional development.
Was your answer different? Why?
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