The document discusses strategic direction and organizational design. It covers:
1) Top management determines goals, strategy, and design to adapt the organization to its environment. Organizational design implements goals and strategies. 
2) Strategies define how organizations will achieve goals. Porter's model describes low-cost, differentiation, and focus strategies. Miles and Snow's model includes prospector, defender, analyzer, and reactor strategies. 
3) Effectiveness measures goal achievement, while efficiency measures input-output ratios. Contingency approaches measure specific parts, while balanced approaches integrate multiple parts. Common approaches examine resources, internal processes, and goals.