ABSTRACT
The rapidly evolving role and stature of the executive role of Chief Medical Information Officer (CMIO)/Chief Health Information Officer (CHIO) often comes with budgetary responsibility and direct oversight of personnel, creating the opportunity to design and influence informatics and IT organization structures. This chapter discusses the four basic guiding principles of organizational design. The first principle is to use the goals and purpose of people informatics organization as the North Star. The second principle deals with the kind of organizational structure to choose from. The third principle is of design fit or validity. The final and fourth principle deals with essentials of communication, branding, and collaboration. The field of informatics lends itself delightfully well to the concept of service lines with Electronic Health Record applications, data-analytics, variation reduction, and efficiency-training as potential "teams". Essentially, all organizational redesign efforts are initiated with recognition of the communication challenges the current design and human behaviors have fostered.
