analyze the effectiveness of human resource management in the health care settin

St. Vincent’s Hospital is a 200-bed hospital in a northeastern city. The institution was

established in 1908 by the Sisters of Charity, a Roman Catholic religious order. The hospital

has been known for providing humane patient care in a Christian environment. In 1999, the

hospital joined a nonprofit, Catholic, multiunit system based in the Northeast called Health

care Services, Inc. The reasons for the merger were to achieve economies of scale and

lower purchasing costs and to obtain greater managerial expertise in certain areas.

Recently, however, St. Vincent’s has been receiving pressure from the home office to reduce

patient lengths of stay and total costs per case, both of which are above the average for the

city. Sister Elizabeth, the administrator of the hospital, has spoken with Dr. Thurston,

president of the medical staff, about the problem. His response was that he would discuss

the issue, but was “reluctant to push too hard” because it might be viewed as “infringing on

the physician’s right to practice good medicine.” After meeting with the medical staff, Dr.

Thurston reported strong resistance to “any type of controls on the practice of medicine.”

The staff also asked him to express disappointment that Sister Elizabeth would even raise 

the issue. In their view, each case is unique, and only the attending physician can determine

what length of stay or total expenditure is reasonable. The staff also stated that

bureaucratic standards on averages for large numbers of dissimilar cases are irrelevant

and that Christian institutions, above all others, should support the principle that patient

care comes first. Several months went by, and the performance level of the facility did not

improve. As occupancy rates declined, the hospital began to develop deficits. Pressure on

Sister Elizabeth increased, and she knew she had to do something. Although she

sympathizes with the medical staff in terms of their concern for patient care, she is also

disturbed by their unwillingness to curb their use of resources and their support of one

another.

1. What is the major problem? How did it develop?

2. What alternatives does Sister Elizabeth have? What are the advantages and

disadvantages of each?

3. What solution would you propose? Why? Provide a step- by-step plan for

implementation of your proposal.

4. How could such a problem be avoided in the future?

This project will be presented in PowerPoint style, as you will be submitting your proposal

to the hospital implementing a systematic plan.

Create a 10–12 slide PowerPoint presentation that discusses your planned proposal. Each

process should be outlined in 2–4 slides. Include detailed speaker’s notes that describe

your program, which should include your answer to the above questions. Be sure to include

references and citations from at least four sources. Your PowerPoint presentation needs to

be visually appealing, to catch your audience’s attention, as your goal is to promote your

program to the health care organization committee.

Requirements

   Writer addresses how health care executives might develop strong cultures that

support organizational goals, match the organizational strategy to the culture, and

relate cultural values to such human resource functions as selection, orientation,

onboarding, training, performance appraisal, and compensation.