Change and Culture Case Study 1

Topics: Management, Employment, Job description Pages: 5 (1451 words) Published: September 25, 2011
Maricopa County Regional Hospital has recently completed negotiations to purchase St. Andrews Hospital. Maricopa County Regional Hospital has long been known as the preferred hospital in the area because of its high level of quality of care. St. Andrews does not rank as highly in quality of care however it does provide several inpatient and outpatient services that Maricopa County Regional Hospital does not provide.

During the course of the sale of St. Andrews Hospital to Maricopa County Regional Hospital, it was indentified that the working relationships of the employees of two facilities would need special attention. The management of Maricopa County Regional Hospital and St. Andrews Hospital identified several key areas that will be impacted during the merger. As a middle manager at Maricopa County Regional Hospital, my job is to ensure that the combined staff will work together without taking on a competitive stance. Taking into consideration the key areas that will be impacted in the merger, new hierarchies and job descriptions will need to be made for many of the employees.

This essay will discuss the transition of the employees and the impact the merger will have on the culture of the new combined organization and will address how systems will be developed as the new organization takes shape. Impact of Sale on the Culture of the Organization

The culture and working conditions for the employees of both organizations will be impacted during and after the merger. Each organization currently has its own way of doing business. Employees are used to the way their organization currently works. As the two organizations merge employees and management will possibly need to get used to a new set of policies and procedures as well as new expectations and a new order of business.

The job descriptions and roles of many of the employees will change. Many of the employees of St. Andrews Hospital will now be managed by staff members from Maricopa County Regional Hospital and, due to the fact that St. Andrews has inpatient and outpatient services that Maricopa County Regional Hospital does not have, many of the employees of Maricopa County Regional Hospital will be managed and trained by St. Andrews Hospital employees. Management has already identified that the current relationship between the two organizations has been competitive and adversarial in the past and the flow of communication in the new organization will likely be hindered. Allegiance to one manager or team member may be preferred versus working with another manger or team member. Two employees may now have identical job descriptions but one will have to move into a new or changed position to accommodate for changes in the new organization. Job analyses and classifications will have to be rewritten or new job positions added as well as a new hierarchy of order and management. Some current jobs within each of the hospitals will be absorbed into the new job analyses which will serve as a ‘master” for a family of jobs in each department” (Liebler & McConnell, 2008, p 199). Some employees may resent the changes in the new organization or having to transfer to a different job within the organization. Team work among the newly formed units could be hampered.

With new job descriptions some employees will find they will have to physically move to the other hospital leaving their formed relationships and possibly have longer commuting times to work. This could be difficult for some employees and may require a period of adjustment. Ensuring the Combined Staff will Work Together without a Competitive Stance

Communication between all the members of both organizations will be key to a smooth transition among the staff. Because the organizations currently have different hierarchies of management and processes, communication needs to be made uniform between the two organizations so that all members have equal access to instructions, memos, policies,...

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Castaneda-Hidalgo, H, Acevedo, G., Garza, R., Melendez, C., Rangel, S., Aguilera, A. (2009). Translation and adaptation of an instrument to measure nurse job satisfaction. Hispanic Health Care International. 7(3). Retrieved from
Liebler, J.G. & McConnell (2008). Management Principles for Health Professionals (5th ed.). Sudbury, MA: Jones and Bartlett. (Ch.6,13) Retrieved from
Morgan, G.B., Sherlock, J.J., Ritchie, W.J. & Righi. (2010, January/February). Job satisfaction in the home health care context: Validating a customized instrument for application/PRACTITIONER APPLICATION. Journal of HealthcareMmanagement 55(1). Retrieved form
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