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Biomedical subjects

F H Kerr

Publications and source records attributed to F H Kerr.

8 recordsLinked to original sources

Nurturing mission. A case study of a hospital's cultural growth.

Recognizing the need to enhance his hospital's fulfillment of its mission as a religious organization, the chief executive officer of Lutheran Hospital of Indiana, Inc., Fort Wayne, initiated a process to change the institution's corporate culture to reflect the mission. After assessing hospital managers' perceptions of the hospital's mission, a planning committee drafted a mission statement. The statement was condensed into an easily remembered motto, "Reach out and reflect God's love!" to guide employees' actions. The hospital expanded its position descriptions to include the facility's expectations for employee behavior that is consistent with the mission. An orientation program for new employees emphasizes incorporating the mission concepts of courtesy and compassion into all activities. To establish the mission firmly as part of the corporate culture, the hospital established three recognition programs and redesigned its pay plan to recognize performance that reflects the hospital's mission. Redecorating the drab facility has improved employees' attitudes toward their work environment. Five years into the change process, the hospital now has clear direction for strategic decisions, a more cooperative atmosphere, and increased admissions. The process continues, and assessment of the mission establishment process will lead to the initiation of continuous quality improvement concepts.

Chief Executive Officers, Hospital↗

Have boards refocused governance functions?

In a previous issue of Trustee the author wrote that hospitals must re-examine board structure, size, and composition, as well as management authority and CEO/board relationships if they are to emulate the business world. (See "If Boards Mean Business, They'll Refocus the Governance Function," April 1983.) This article brings the earlier work up to date and reports the results of a survey that shows the status of those changes in one major state: Ohio.

Governing Board↗

If boards mean business, they'll refocus the governance function.

Emulating the business world will require hospitals to examine board structure, size, and composition. It also will require a reexamination of hospital management's structure, especially lines of authority and the relationships among organizational units. This article provides guidelines to facilitate such examinations.

Governing Board↗

The myth and the reality of shared services.

Shared service arrangements can reduce hospital costs, upgrade the quality of care, and initiate a more cooperative approach to health care delivery, while also serving as a viable alternative to more fundamental reorganization. To get the most from a sharing arrangement, a hospital should avoid being influenced by the mystique surrounding shared services. Any decision to adopt a sharing arrangement should be preceded by careful analysis of the six shared services options and other alternatives.

Cost Control↗