The document discusses the role of strategic decision making in organizational design. It states that organizational design involves creating roles, processes, and structures to achieve organizational goals. While organizational design includes defining reporting lines, it is more than just positioning roles on an organizational chart. Developing a solid strategic direction provides guidance like a map and helps increase profitability and reduce stress. There are different levels of organizational goals, including strategic goals set by top management to provide overall direction, tactical goals for middle managers, and operational goals for front-line managers.