The Practice (Scenario) Rana Works for an Ophthalmologist's Office Where She Has Been

The Practice (Scenario)
Rana works for an ophthalmologist's office where she has been employed as a technician for approximately one year. Rana has been promoted to the position of clinic coordinator where she is responsible for ensuring operational efficiency and effectiveness by managing and training other technicians, overseeing the doctor's schedules, and coordinating activities between the scheduling desk, the technicians, the insurance office, and the optical shop. Upon her promotion she was given a mandate by the doctors to "clean house" in an effort to make fundamental changes to enhance productivity.
-If Rana were to consider enhancing productivity by giving greater authority to other technicians and increasing formalization, she would be considering ________ changes.

A) technological
B) people
C) automatic
D) structural