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Stakeholder Case Study
As Bob walked into his office, he thought about his last meeting. The meeting had gone well. His
executive team had presented an ambitious plan to the board and gained their approval to move
ahead. After six months of analysis and discussion, the executive team had proposed a major
restructuring and process improvement initiative. In order to save the hospital system, they would
close two buildings, going from seven to five. They would create new standardized processes across
all the hospitals for things like registering patients and ordering lab work. This initiative would help
them become financially solvent. It also would set the foundation for improved patient service.
Their current situation could no longer be tolerated. Being an urban healthcare system, they were
heavily dependent on Medicare and Medicaid reimbursement. That reimbursement had continued
to decline and they needed a way to cut costs and work more efficiently. Every month they spent
more than they took in. In addition, each of the seven hospitals worked independent of the others.
Each had their own unique processes and systems. Some worked better than others.
A few employees knew something was amiss. They’d seen the consultants roaming the halls. Some
had been interviewed about their work. Managers, close to the executive team, knew about some
of the basic recommendations. Communication up to this point had mostly been hearsay and
rumors. Now, there was finally a decision to communicate.
This ambitious initiative would take several years to complete. A lot of people would be affected
and it would take a lot of people for it to succeed. As Bob sat at his desk reflecting on the work
ahead, his phone rang. One of his executives, Amy, was on the other end. Amy was concerned
about the physicians’ reaction. They were not employees of the hospital but their support was
critical. Some physicians would need to move out of one building and into another. Their offices,
staff and equipment would be moved. What if they protested? He understood Amy’s concern and
told her they would meet soon to think ab
out all the groups
impacted by this project. As he hung up
the phone, he wondered about Dr. Jones. They had kept her informed during this process, and she
Bob sent an email to the executive team. Luckily, the executive team represented all divisions of the
hospital system. He was sure that they would bring diverse perspectives on who would be
impacted. He needed their ideas on who would be affected and how to get them on board.
Bob started to think about who would be impacted. Their healthcare system was a large employer
in the city. Anything this big would get people’s attention, both inside and outside the system.
After he hung up the phone, he started to make a list of individuals and groups that might have
unique concerns and questions.