St. Vincent’s Hospital is a 200-bed hospital in a northeastern city. The institution was
established in 1908 by the Sisters of Charity, a Roman Catholic religious order. The hospital
has been known for providing humane patient care in a Christian environment. In 1999, the
hospital joined a nonprofit, Catholic, multiunit system based in the Northeast called Health
care Services, Inc. The reasons for the merger were to achieve economies of scale and
lower purchasing costs and to obtain greater managerial expertise in certain areas.
Recently, however, St. Vincent’s has been receiving pressure from the home office to reduce
patient lengths of stay and total costs per case, both of which are above the average for the
city. Sister Elizabeth, the administrator of the hospital, has spoken with Dr. Thurston,
president of the medical staff, about the problem. His response was that he would discuss
the issue, but was “reluctant to push too hard” because it might be viewed as “infringing on
the physician’s right to practice good medicine.” After meeting with the medical staff, Dr.
Thurston reported strong resistance to “any type of controls on the practice of medicine.”
The staff also asked him to express disappointment that Sister Elizabeth would even raise
the issue. In their view, each case is unique, and only the attending physician can determine
what length of stay or total expenditure is reasonable. The staff also stated that
bureaucratic standards on averages for large numbers of dissimilar cases are irrelevant
and that Christian institutions, above all others, should support the principle that patient
care comes first. Several months went by, and the performance level of the facility did not
improve. As occupancy rates declined, the hospital began to develop deficits. Pressure on
Sister Elizabeth increased, and she knew she had to do something. Although she
sympathizes with the medical staff in terms of their concern for patient care, she is also
disturbed by their unwillingness to curb their use of resources and their support of one
1. What is the major problem? How did it develop?
2. What alternatives does Sister Elizabeth have? What are the advantages and
disadvantages of each?
3. What solution would you propose? Why? Provide a step- by-step plan for
implementation of your proposal.
4. How could such a problem be avoided in the future?
This project will be presented in PowerPoint style, as you will be submitting your proposal
to the hospital implementing a systematic plan.
Create a 10–12 slide PowerPoint presentation that discusses your planned proposal. Each
process should be outlined in 2–4 slides. Include detailed speaker’s notes that describe
your program, which should include your answer to the above questions. Be sure to include
references and citations from at least four sources. Your PowerPoint presentation needs to
be visually appealing, to catch your audience's attention, as your goal is to promote your
program to the health care organization committee.
Writer addresses how health care executives might develop strong cultures that
support organizational goals, match the organizational strategy to the culture, and
relate cultural values to such human resource functions as selection, orientation,
onboarding, training, performance appraisal, and compensation.