Page 106 - DMGT520_ORGANIZATION_CHANGE_AND_DEVELOPMENT
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Unit 7: OD Intervention




                                                                                                Notes
              

             Case Study  Reorganization as Rebirth

                  ike many organisations in the 1980’s, St. Francis Regional Medical Center of Wichita,
                  Kansas, tried downsizing. A layoff of 400 people was a horrible experience, both
             Lfor those who left and for those who stayed. The 1990’s brought a change in the
             health care environment, and the hospital’s administration needed to change the structure
             and culture in order to remain competitive.
             The management team re-mapped the ideal management structure to run things without
             regard to the structure that was actually in place. To make such radial change work, they
             defined specific job titles, but not specific people. They dissolved the old organisational
             chart and created a new one, unveiling a chart that had all the new titles on it with no
             names. Those who wanted to be part of the new organisation had to apply for whatever
             position they felt they were most qualified to fill. Imagine having to apply for whatever
             position they felt they were qualified to fill. Imagine having to apply to a company you’d
             been with for fifteen years! The restructuring also meant a rethinking of corporate culture.
             An examination of culture revealed that making decisions at the hospital become bogged
             down by management and dictated by policy.
             Eliminating old policies allowed the team to look at things as possibilities rather than
             restrictions. Two task forces were formed to look at service lines and functional realignment.
             A consulting firm was called in to help the hospital make the transition. The consulting
             firm helped strategize and create a time line for the changes.
             At  the reorganisation  meeting, each  employee was given an 80-page  bound  booklet
             complete with vision statement, the organisational chart,  timetable, reorganisation fact
             sheet, copies of all position descriptions, and a question and answer section. The result
             was terror, confusion, upheaval, and little by little, understanding cooperation and success.
             Instead of approaching the reorganisation as a shameful secret, the task forces highlighted
             the changes in the new culture and tied the internal changes to the changes in the health
             care industry. Each week “The Grapevine: Reorganisation Update” was distributed. In the
             first official day of the new organisation, employees were given flowers and a message
             stating “Today starts a new beginning focused on you”.
             The new corporate culture involves management by contract. The new VPs walk the
             hallways and touch base constantly with what’s going on. The result of the reorganisation
             is decision making at lower levels, which results  in faster  actions. No more ideas die
             because of red tape. The reorganisation is fluid and ongoing with employees and managers
             still incorporating the new  management philosophy  and corporate  culture into  their
             daily work lives.
             Questions
             1.  Had you been a part of such a situation, how had your initial reaction been and why?
             2.  After analysing the case, do you think that such massive change was indeed required
                 for St Francis Regional Medical Center or was there a mid way out?
          Source: M.S.  Egan, “Reorganisation  as Rebirth,”  HR Magazine (January 1995)  Page 84-88.










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