Organizational Development
The combined hospital system in the southeast region has been mandated to consolidate its resources and integrate the larger Metropolitan hospital with the five smaller rural hospitals. The terms of this merger has not been decided and the organizations are have been left to themselves to try to reach an agreement. If an agreement is not reached by the leadership of these organizations then a special administrator could be appointed who has the authority to decide and impose the conditions of the arrangement.
The primary problem is not each individual organization does not support the mandated integration. The smaller hospitals have voiced resistance while the larger Metropolitan hospital has said they support the move.
Root Causes
One of the primary root causes is that there are disagreements and different perceptions over funding. The smaller hospitals are all self-sufficient and are free of debt. They have achieved this through good management and fundraising. However, the larger hospital had a moderate sized accumulation of debt that the smaller hospitals viewed a symptom of mismanagement. Yet the larger hospital blames the rural hospitals of being overfunded and state that they handle more complex cases.
Jessica is a 47 hospital administrator with a stellar reputation and has been appointed as the lead in the task force to integrate the different hospitals. She faces a number of challenges although she has been identified as the most qualified to overcome these challenges. If she could not overcome...
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