Description
The purpose of this assignment is to discuss how organizational development (OD) methods impact organizational change. In 1,000-1,250 words:
Complete case study 19-5, “Gateway Hospital,” located in Chapter 19 of Organizational Behavior in Health Care.
Include your rationale when answering each question.
Include an introduction and conclusion to your paper.
Support your paper using a minimum of two scholarly sources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Reference for case study: Borkowski, N., and Meese, K. A. (2021). Organizational behavior in health care (4th ed.). Jones and Bartlett Learning. ISBN-13: 9781284183245
Unformatted Attachment Preview
358
Chapter 19 Or
Organization
ganization Development
CASE ST
STUD
UDY
Y 19-5 Gate
Gatewa
way
y Hospital
Gateway Hospital is a 500-bed tertiary-car
tertiary-care
e hospital loc
located
ated in a busy metropolitan ar
area.
ea. In a recent
employee
emplo
yee satisfaction survey
survey,, the hospital scor
scored
ed well below the national norms on mos
mostt scales. It
has been experiencing higher than average turno
turnover
ver and vacancy rates. Recruitment for prof
professional
essional
positions is very difficult because the hospital has gained a reputation as a bad place to work, especially
for new empl
employees;
oyees; the term “eat their young” seems to be a prev
prevalent
alent description. Salaries ar
are
e below the
local mark
market,
et, as are annual pay incr
increases.
eases. Many departments seem to have a critical shortage of staff,
and closing servic
services
es has been a rec
recent
ent topic of discussion.
Additionallyy, the financial picture of the or
Additionall
organization
ganization is bleak. The payor mix has changed; Medic
Medicare
are
cutbacks ar
are
e affected the bottom line, as ar
are
e changes in private insuranc
insurance
e funding. Key physicians are
beginning to take their servic
services
es elsewhere as the
theyy sense the inefficiency of the hospital proc
processes.
esses.
The various str
stresses
esses appear to be having a significant impact on the ov
overall
erall moral
morale
e of employees.
Poor teamwork is rampant, and communication br
breakdowns
eakdowns seem to occur oft
often.
en. Several leaders have
been let go in an eff
effort
ort to addres
addresss issues.
The leader
leadership
ship of Gateway Hospital is extr
extremely
emely concerned about the or
organization
ganization’’s pr
prognosis
ognosis
and has decided to begin to addr
address
ess the issues by enlisting the assist
assistance
ance of a consulting team. One
member of the team is a financial expert who has been hir
hired
ed to addres
addresss the significant financial issues
affecting the hospi
hospital
tal in a short timeframe. Bec
Because
ause the environment is changing rapidl
rapidlyy, the consul
consul-tant must get a handl
handle
e on how to help the hospital operate suc
successfull
cessfullyy, given the curr
current
ent financial
downslide.
A second member of the team has been hir
hired
ed to addr
address
ess the moral
morale
e and employee is
issues.
sues. A revie
review
w
of the emplo
employee
yee opinion survey is conducted, and trends ar
are
e identified in exit interviews. Empl
Employee
oyee inter
inter-views and focus gr
groups
oups ar
are
e held in an attempt to determine the root cause of the morale is
issues
sues and the
reasons for the br
breakdown
eakdown in teamwork and communic
communication.
ation.
After the data have been collected and anal
analyzed,
yzed, the team pr
presents
esents the results to the hospital lead
ead-ership. After a series of discussions, leadership admits that many of the financial pr
pressures
essures hav
have
e created
a knee-jerk reaction to staffing issues. Emplo
Employee
yee hours ar
are
e often cut back dramaticall
dramaticallyy, which creates
a crisis mode and the need to ask emplo
employees
yees to work har
harder
der.. This has created a significant lack of trus
trustt
from
fr
om the employees
employees’’ perspective, coupled with the fact that empl
employees
oyees hav
have
e not felt that they have been
apprised of the reasons for the roller
ollercoaster
coaster changes and hav
have
e not been offer
offered
ed any words of appr
appreciation
eciation
when they have either reduced their hour
hourss or worked in a crisis.
The consultant team and the leadership agr
agree
ee that in order to fix the “people
people”” issues of theor
organization,
ganization,
there
ther
e will need to be a culture shift in leadership and emplo
employee
yee interactions so that trust can be rebuilt.
Discussion Questions
1.
2.
3.
4.
On the basis of these issues, what OD interventions do you think should be utilized to addr
address
ess the
problems
pr
oblems this hospital is facing?
How would you pr
proceed
oceed if you wer
were
e the consultant in this case?
What skill set do you think the OD practitioner will need in or
order
der to be effectiv
effective
e in this organization?
What timeline would you establish if you wer
were
e this consultant?
CASE ST
STUD
UDY
Y 19-6 City Hospital
City Hospital is a gr
growing
owing hospital in a large metr
metropolitan
opolitan city
city.. The hospital is currentl
currentlyy experiencing
an issue that many other or
organizations
ganizations also face: that of the multigenerational workfor
workforce.
ce. The senior
leaderss of this hospital are almos
leader
almostt all Baby Boomers, but the population of employ
employees
ees is slowl
slowlyy becoming
a younger workf
workforc
orce.
e. The leadership is struggling to deal with issues such as social media use at work,
texting during important meetings, requests for remote-working arrangements, exces
xcessive
sive non-workrelated Internet use, tattoos, body piercings, and so on. Equall
Equallyy troubl
troublesome
esome is a differ
different
ent perc
perceived
eived
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12/16/23, 1:50 PM
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Gateway Hospital Case Study – Rubric
Organizational Development Intervention
25 points
Criteria Description
Organizational Development Intervention
5. Target
25 points
A discussion of the organizational development intervention that should
be used to address the problems in the organization is complete and
thorough.
4. Acceptable
21.75 points
A discussion of the organizational development intervention that should
be used to address the problems in the organization is detailed.
3. Approaching
19.75 points
A discussion of the organizational development intervention that should
be used to address the problems in the organization is present.
2. Insufficient
18.5 points
A discussion of the organizational development intervention that should
be used to address the problems in the organization is present but lacks
detail or is incomplete.
1. Unsatisfactory
0 points
A discussion of the organizational development intervention that should
be used to address the problems in the organization is not present or
inaccurate.
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Role of the Consultant and Next Steps
30 points
Criteria Description
Role of the Consultant and Next Steps
5. Target
30 points
The proposed next steps and rationale from the perspective of a
consultant are complete and thorough.
4. Acceptable
26.1 points
The proposed next steps and rationale from the perspective of a
consultant are detailed.
3. Approaching
23.7 points
The proposed next steps and rationale from the perspective of a
consultant are present.
2. Insufficient
22.2 points
The proposed next steps and rationale from the perspective of a
consultant are present but lacks detail or is incomplete.
1. Unsatisfactory
0 points
The proposed next steps and rationale from the perspective of a
consultant are not present.
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Necessary Skill Set(s) to be E!ective
15 points
Criteria Description
Necessary Skill Set(s) to be Effective
5. Target
15 points
A discussion of necessary skill set(s) to be effective in the organization is
complete and thorough.
4. Acceptable
13.05 points
A discussion of necessary skill set(s) to be effective in the organization is
detailed.
3. Approaching
11.85 points
A discussion of necessary skill set(s) to be effective in the organization is
present.
2. Insufficient
11.1 points
A discussion of necessary skill set(s) to be effective in the organization is
present but lacks detail or is incomplete.
1. Unsatisfactory
0 points
A discussion of necessary skill set(s) to be effective in the organization is
not present.
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Proposed Timeline
10 points
Criteria Description
Proposed Timeline
5. Target
10 points
The proposed timeline to address the problems in the organization from
the perspective of a consultant is complete and thorough.
4. Acceptable
8.7 points
The proposed timeline to address the problems in the organization from
the perspective of a consultant is detailed.
3. Approaching
7.9 points
The proposed timeline to address the problems in the organization from
the perspective of a consultant is present.
2. Insufficient
7.4 points
The proposed timeline to address the problems in the organization from
the perspective of a consultant is present but lacks detail or is
incomplete.
1. Unsatisfactory
0 points
The proposed timeline to address the problems in the organization from
the perspective of a consultant is not present.
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Thesis, Position, or Purpose
5 points
Criteria Description
Communicates reason for writing and demonstrates awareness of audience.
5. Target
5 points
The thesis, position, or purpose is persuasively developed throughout
and skillfully directed to a specific audience.
4. Acceptable
4.35 points
The thesis, position, or purpose is clearly communicated throughout and
clearly directed to a specific audience.
3. Approaching
3.95 points
The thesis, position, or purpose is adequately developed. An awareness
of the appropriate audience is demonstrated.
2. Insufficient
3.7 points
The thesis, position, or purpose is discernable in most aspects but is
occasionally weak or unclear. There is limited awareness of the
appropriate audience.
1. Unsatisfactory
0 points
The thesis, position, or purpose is not discernible. No awareness of the
appropriate audience is evident.
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Development, Structure, and Conclusion
5 points
Criteria Description
Advances position or purpose throughout writing; conclusion aligns to and
evolves from development.
5. Target
5 points
The thesis, position, or purpose is coherently and cohesively advanced
throughout. The progression of ideas is coherent and unified. A
convincing and unambiguous conclusion aligns to the development of
the purpose.
4. Acceptable
4.35 points
The thesis, position, or purpose is logically advanced throughout. The
progression of ideas is coherent and unified. A clear and plausible
conclusion aligns to the development of the purpose.
3. Approaching
3.95 points
The thesis, position, or purpose is advanced in most aspects. Ideas
clearly build on each other. Conclusion aligns to the development of the
purpose.
2. Insufficient
3.7 points
Limited advancement of thesis, position, or purpose is discernable.
There are inconsistencies in organization or the relationship of ideas.
Conclusion is simplistic and not fully aligned to the development of the
purpose.
1. Unsatisfactory
0 points
No advancement of the thesis, position, or purpose is evident.
Connections between paragraphs are missing or inappropriate. No
conclusion is offered.
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Evidence
5 points
Criteria Description
Selects and integrates evidence to support and advance position/purpose;
considers other perspectives.
5. Target
5 points
Comprehensive and compelling evidence is included. Multiple other
perspectives are integrated effectively.
4. Acceptable
4.35 points
Specific and appropriate evidence is included. Other perspectives are
integrated.
3. Approaching
3.95 points
Relevant evidence that includes other perspectives is used.
2. Insufficient
3.7 points
Evidence is used but is insufficient or of limited relevance. Simplistic
explanation or integration of other perspectives is present.
1. Unsatisfactory
0 points
Evidence to support the thesis, position, or purpose is absent. The
writing relies entirely on the perspective of the writer.
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Mechanics of Writing
3 points
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use,
sentence structure, etc.
5. Target
3 points
No mechanical errors are present. Skilled control of language choice and
sentence structure are used throughout.
4. Acceptable
2.61 points
Few mechanical errors are present. Suitable language choice and
sentence structure are used.
3. Approaching
2.37 points
Occasional mechanical errors are present. Language choice is generally
appropriate. Varied sentence structure is attempted.
2. Insufficient
2.22 points
Frequent and repetitive mechanical errors are present. Inconsistencies in
language choice or sentence structure are recurrent.
1. Unsatisfactory
0 points
Errors in grammar or syntax are pervasive and impede meaning.
Incorrect language choice or sentence structure errors are found
throughout.
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Format/Documentation
2 points
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and
level; documents sources using citations, footnotes, references,
bibliography, etc., appropriate to assignment and discipline.
5. Target
2 points
No errors in formatting or documentation are present. Selectivity in the
use of direct quotations and synthesis of sources is demonstrated.
4. Acceptable
1.74 points
Appropriate format and documentation are used with only minor errors.
3. Approaching
1.58 points
Appropriate format and documentation are used, although there are
some obvious errors.
2. Insufficient
1.48 points
Appropriate format is attempted, but some elements are missing.
Frequent errors in documentation of sources are evident.
1. Unsatisfactory
0 points
Appropriate format is not used. No documentation of sources is
provided.
Total 100 points
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