This article, a companion piece to Fuszard's “Adhocracy in Health Care Institutions?” also appearing in this issue, describes a health care organization that was restructured from a traditional bureaucracy to become a functioning adhocracy. Bishop discusses in depth how adhocracy is applied at the administrative and operating levels. A dressing such critical elements as authority and responsibility, communication and coordination, and project team functioning, she recognizes barriers to adhocracy, and gives readers a real-life view of how adhocracy can work in a health care organization.