Lincoln Hospital Case Study Essay

IntroductionThis case describes a crisis situation that unfolds at the Lincoln Hospital, a 400-bed for-profit facility. At the root of the crisis is a dysfunctional kind between the red-hotly elected chief of surgery, come in, and the Operating Room (OR) conductor of 13-years, bloody shame. As a result of their discord, multiple exacerbated issues argon occurring through give away the infirmary. These issues be impacting the ability of the hospital to successfully perform the planned surgeries without incurring strong issues. The hospital has lost forty percent of the experienced OR nursing staff during the previous eight months, lessor experienced OR nurses argon inefficiently replacing the more experienced nurses, physicians be threatening to conduct their surgeries in different hospitals, physicians be arriving late for scheduled surgeries, the staff is divided, and the necessary equipment is any non available or not the correct size resulting in delays and impacts to pe rforming the surgeries.The hot seat of the hospital is facing a daunting quandary in trying to figure out how to bring this discord to blockage and remedy the perturbating effects of this hostile relationship. He believes the discord is responsible for the primeval(a)wise systematic issues becharmn throughout the hospital. He considers firing Mary but chop-chop realizes she is an invaluable asset that he cannot afford to let go. At the same cadence, he realizes he needs to be accommodating to the surgeons or they every(prenominal)ow for take their patients to another hospital. The competitive market adds complexity to the situation since the hospital is facing escalating costs, changes in regulations, and strict accreditation standards. The chairwoman realizes the surgeons are loyal to the new chief of surgery and that he cannot afford to alienate or make up the fresh elected chief of surgery for fear of losing the surgeons to his competition. The president conducts his deliver initial investigation by speaking with both nurses and doctors.He tells Mary and beginner that they must reply their impinge by meeting with separately other until they fragmentize their issues the meetings would begin immediately. To hold in Mary and sire adopt through with his mandate, the president selects an im roleial observer, the new executive vice president and chief operating office, Terry, to mediate the meetings. Both Mary and take on in addition ask their respective vice presidents to sit in on the meetings to ensure fairness in the border. Neither Mary nor Don wants to enter in these meetings and as such, the results of the meeting are less than fruitful. The initial meeting results in a hostile free-for-all. The president of Lincoln Hospital ultimately contracts with an organizational Development (OD) advisor to remedy the situation. The OD advisor meets with Mary and Don separately to obtain answers to the following three questions1) What do es he or she do vigorous?2) What do I think I do that bugs him or her?3) What does he or she do that bugs me?Mary and Don were able to see the positive characteristics about the other person through the passage of state the questions. Neither Mary nor Don had openly attributed their respect and admiration for the skills of the other person. Prior to participating in this exercise, their answers revealed the existence of ongoing and escalating frustrations concerning their inability to install good social skills. As Mary and Don continue to participate in these meetings, they become better equipped to address their confrontational issues. They are better positioned and able to follow through with identifying specific problems, altering their reactions and their behaviors to found co-existence in a productive way.Contracting and Diagnosis StagesThe case did not elaborate ofttimes on the contracting show between the president and the OD consultant. The case stated the presi dent was in communication with the OD consultant. The president described a high level over estimate of the problem and later hired the OD consultant with the expectation that the consultant would champion colonisation of the dysfunction between Mary and Don. The OD consultant did not chip in the opportunity to talk with either Mary or Don antecedent to establishing a contract with the president. There was no agreement regarding the time to resolve the issues, or the throwable solutions versus unacceptable solutions, other than the solution must include ongoing employment for both Mary and Don. The output of the contracting military operation is make a good decision about how to carry out the safari, define the resources needed to accomplish the tasks and document the assumptions, risks, and constraints. The contract ensures all parties are in agreement regarding the necessary commitments, support, and resources. Suggestions for establishing an effective contract would inclu de conservatively approaching the contracting process by laying out a model of how the OD process should flow.The contracting process should include all parties, which would be inclusive of Mary and Don. This ensures they all have an input into establishing expectations for the process in terms of the desired outcomes, establish ground rules that all parties could confirm by, and agree upon the time and resources that would be devoted to completing the goals within the minded(p) constraints. In addition, the OD consultant should state what his expectations are regarding the process. All parties problematic need to be clear about their commitment of time and resources to the effort. In addition, Mary, Don, and the OD consultant should agree upon how they go away hightail it together. Some conversations whitethorn require confidential conversations or information. This type of information should be part of the contract.The diagnosing process began largely from the description gi ven to the OD consultant by the president and not as a collaborative effort among all touch on stakeholders. As stated earlier, Mary and Don, as well as other affected members of the organization, were not engaged in the early meetings. The OD consultant may have a skewed view of the problem since he did not diagnose the problem but quite received the information second hand. His ability to identify the issues to focus on, how to dupe data to measure the progress of a proposed implementation, and how to obtain agreement upon the process for assigning action steps is largely from the presidents view.Suggestions for implementing a better diagnosing process would include engaging all affected parties, in a collaborative fashion, to understand all the issues, analyze them, and cast off conclusions for action planning and interference. They should be involved in actively create appropriate handlings and implementations. An assessment, of the current state of the organization, will identify ways to conjure up the organizations existing functioning. A symptomatic model will point out what areas to examine and what questions to ask in assessing how they are operating. The diagnostic model should include inputs, design components, and outputs.Third-Party or Other Types of InterventionThe third-party preventative is an appropriate intervention. It successfully generated positive results and reduced the friction between the two parties. However an element of tension pipe down exists between Mary and Don. The consultant was able to get Mary and Don see past their differences and work together to resolve the issues in a productive way. This allows Mary and Don to see a side of each other they did not whap existed, which allows the tensions to subside between the two. This also allows the organization to benefit since Mary and Don appear to be the catalyst for subsequent symptoms appearing throughout the organization.Since much of the information, for diagno sing the situation, came from Mary, Don, and the other people affected by the discord, the diagnosis stage is utilizing accurate data to implement resolutions to the problems. This data is the basis of the intervention and as such it allows Mary and Don to make commitments regarding resolution of their issues. Mary and Don also have a new tool they can aim in future meetings and interactions. Other possible interventions may include physical exertion of process consultations and team building flushts. Process consultations focus on the interpersonal relations and the social dynamics between groups. The team building intervention assists groups in working to evaluate their processes as well as establishing solutions to resolve problems.Third-Party Effectivity and Next StepsThe third-party intervention is an effective intervention even though not all of the problems were completely resolved perturbating effects still exist and fuel the discord between Mary and Don. Other issues are still present that need to be resolved throughout the organization. This intervention allows both parties, Mary and Don, to take ownership for the issues that resulted and changes the way they relate and interact with each other. It allows Mary and Don the ability to collaborate in the solutions and accept mutual responsibility for their part in the situation. In addition, they are forthwith able to focus on solutions versus their problems.Although there continues to be some conflict between Mary and Don, they are trying to work through their issues in a productive way. Process consultation should occur to ensure they are still making the needed progress. This method would allow flexibility regarding time commitments for all involved. In addition, repetitive practice in exercising these newly learned behaviors will result in institutionalized behaviors.ReferencesCummings, T. & Worley, C., (2009). formation development & change. In (Eds.), Mason, OH South-Western Cengage Learning.