This is a series on Teal and Levels of Work. Here is the backstory for the series in case you are interested in the context. The purpose for the series is to explore the tenets of Teal through the lens of Levels of Work.
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My last post on Hidden Hierarchy, took a close look at Buurtzorg, where nurses in self-managed groups of 10-12 make decisions related to intake, scheduling, planning, holiday and vacation coverage. These are all decisions well within the timespan capability of each team. This slice of the organization has clear accountability for those issues and with that accountability must come the authority to make those decisions.

Laloux describes the authority exists because there is no managerial hierarchy with oversight that might question or reverse a decision made collectively by the team. Elliott Jaques, in the schema of levels of work would describe the authority as “timespan of discretion.” Each team has full discretion to make decisions and solve problems related to tasks identified at that level of work. The authority doesn’t exist in the absence of management, the authority is expressly assigned to the team.

With authority must come accountability. Laloux describes the nursing teams as accountable for their own output, without managerial oversight. This appears to work well, until it doesn’t.

When, it doesn’t, there are “coaches.”

Elliott would always be looking for “who is the manager?” He would not be looking for the mandated manager, but the observable manager. Who is bringing value to the problem solving and decision making of the team? At Buurtzorg, there are coaches who provide facilitation along defined problem solving models (I am reminded of Eli Goldratt’s Conflict Resolution Cloud).

It is incumbent on the coach to set context (in the form of questions), seek clarity in the issue or problem and bring the team to its own resolution. I think we just found the manager.

In short, the founder of Buurtzorg, Jos de Blok, found a way to grow the organization by driving decisions down to the appropriate level of work, organizing small teams to do that work. The design is perfectly scale-able to the current tune of approximately 10,000 nurses.

There is a hierarchy, not a hierarchy of power, but a hierarchy of accountability.