There are some contextual factors specific to healthcare sector i.e. updated healthcare protocol, changing population demographics, enhanced standards of care and labor regulations. These factors have triggered the need for strategic changes within healthcare organization. It is observed that there are studies related to the strategic change management in the organization. According to Radnor, Holweg and Waring (2012), changes at the large scale needs careful planning along with the management initiatives. It is the accountability of health care administrators to successfully manage the changes initiatives in order to deliver high quality and effective patient care with the financially sustainable manner (Arbab Kash, Spaulding, Johnson & Gamm, 2014). This report focuses on the change management process in a healthcare organization named King Faisal Specialist Hospital & Research Center in Riyadh. This is the biggest and most famous hospital in Riyadh. The hospital is specialized in the complicated cases in all over the country. The hospital is the national referral center for organ transplantations, oncology, genetic disease, cardiac surgery, and more. The hospital has gained a worldwide reputation due to its dedication to advance medical science and research. This report identifies the core area of change in the hospital and provides suggestions to implement the change successfully.
Vision of King Faisal Specialist Hospital & Research Center is to be the leading healthcare institution on innovation and excellence in all over the world.
The mission of King Faisal Specialist Hospital & Research Center is to deliver maximum level of specialized medical services in the research and educational settings.
The strategic change initiatives in healthcare organization needs specific management competencies and it is the responsibility of healthcare administrator or CEO to manage the change process successfully while providing cost efficient, high quality patient care. Change process in the hospital may be related to the ability of the organization to accept and utilize new information in order to make sure successful initiatives. The study focuses on the area of changes in King Faisal Specialist Hospital & Research Center as there are some complexities in its business operations and implementing the change will be helpful in achieving the set organizational goals and objectives. This research identifies the area of the change in the hospital and provides the appropriate strategies to implement the changes (Hayes, 2014).
The objective of this research is to discover the need of change in King Faisal Specialist Hospital & Research Center. For the research and critical analysis, qualitative analysis will be done with the help of various literatures. The main purpose to conduct the study is to identify the need of change that is important to bring success in the operating area. This study is very important for this healthcare organization in terms of effective work environment. Enhancing the quality of care and employee regulations are the factors that drive changes in the organization. The administrator of the hospital like CEO is responsible for the changing initiatives and serves high quality healthcare services (Greshengorn, Kocher & Factor, 2013).
The corporate or organizational can be described as how the individual or group within a business is organized. For attaining the managerial objectives and purposes the individual work needs to be managed and coordinated in the organization. The organization can operate within number of various structures (Davies, Nutley and Mannion, 2000).
Figure 1: Organizational Structure
(Source: KFSH, 2018)
In order to function effectively and efficiently, organization needs various divisions. It is crucial to divide the divisions so that the work can be done in the responsible manner. The distribution of work is helpful in conveying specialty in different actions and cooperative in placing right person in right job. This can be done by hiring people for numerous departments based on their educations, experience and skills. This is also helpful in providing the jobs in proper manner that explains the roles of each person in the organization (Drucker, 2012). In case of King Faisal Specialist Hospital & Research Center, organization is following hierarchal structure. Key departments of the organization are described below:
The finance division of King Faisal Specialist Hospital & Research Center focuses on the acquisition and use of funds. The finance department in the hospital is responsible for floating and expending money and has important impact on the other activities. The key tasks are proper usage and distribution of capitals, taking effective economic decision and enhancing the profitability by proper financial controls.
King Faisal Specialist Hospital & Research Center is the big organization with many employees. There is the mixture of cultures in the organization. The hospital is on the renowned position of Saudi Arab and the best hospital powered by the most important resources i.e. people. The hospital provides an opportunity to work and career growth based on the performance. The organization hires employees mainly in the zones i.e. surgeons (all the specialists), Nurses, billing manager, economic supervisor, finance manager, financial analysis, computer engineers, and applicants for front office staff, and managing department etc. Along with this, the department is also responsible for providing training to the new employees (Littlechild & Smith, 2012).
The role of marketing department in King Faisal Specialist Hospital & Research Center is to generate consciousness about the medical services provided by the hospital, notify the patients about the healthcare services and welfares and to update the doctors outdoor the hospitals related to their domain in the hospital. Along with this, promotion division is focused on giving the advertisements in TV and newspapers. Further, the hospital conducts various campaigns in order to treat the individuals and generate consciousness among the public in various areas. Marketing department is responsible in creating and designing attractive and informational flyers and allot them among the people in order to generate awareness regarding facilities delivered by the organization (Kotler, 2012).
IT department in King Faisal Specialist Hospital & Research Center is responsible to manage all of the technology resources according to the needs and priorities. IT department in the hospital has functions to manage the patients’ database, manage billing chronicles, provide and solve complaints related to hardware and software system in the hospital, keep record of biometric presence, release summary, buy and sales registers and admittances.
Medical records include clinical, scientific managerial and lawful documents related to patient care which can be documented in the classification of procedures. In King Faisal Specialist Hospital & Research Center, medical record department keeps record of all in and out patients. This department has a significant part in the management of hospital. This is the backbone of the hospital. The department is accountable for the formation, collection, care, storage, code, issue and recovery of health information. Along with this, it also cooperates with the healthcare professionals for obtaining comprehensive patient records. MR is also responsible for informing communicable disease and important statistics to governmental authority.
At King Faisal Specialist Hospital & Research Center, there are counter of nurses and every nurse will be directed by the supervisors. For the nurses to be proficient, various informative programs are directed on the regular basis. Performance evaluation is also done annually for the consistent nurses and half-yearly for the newer nurses. The focus of hospital is towards the wellbeing of the nurses and staff by giving them consistent training programs. Organization supports them by providing transport facilities and safety.
Change in an organization is a continuous process and it is crucial for the organization to deal with the operations challenges and issues. Change can be implemented in any operation of the organization i.e. change in human resource department, change in behavior and attitude of the employees, change in the policies, and changes in the policies for business operations etc. Organizations that accomplish the change procedure efficiently have better advantages over its rivals. Efficient change procedure needs appropriate preparation so that employees of the organization will be prepared to adapt the changes. If the employees of the organizations adapt changes positively, it will lead to the success (Rune, 2005).
Further, the term ‘change management’ refers to manage the changes in the organization for gaining control over the resistance as well as approving the changes within the specific domain. According to Knielig and Leal Fiho (2013), change management is one of the key concerned in management of healthcare industry. Change management focuses on both acquire as well as maintain the organization in order to undertake the professional tasks. Along with this, change process monitors the performance growth of the organization and focuses on the organizational process to enhance the business objectives dramatically. Kotter (2012) suggested that change management is the key success process for the healthcare organization in order to handle the complex environment. Change process in the organization is helpful in managing, planning and evaluating the results that develops appropriate outcomes for the business. Effective change management is helpful in categorizing in unfreezing old behavior and introducing new ones in the organization (Waddell, Cummings & Worley, 2011). Therefore, in the healthcare system, change management allows the organization to prepare the unpredictable change. In the modern days of healthcare organizations, it is observed that majority of the organizations are changing their management process rapidly for achieving large customer base. With the change initiatives taken by healthcare organizations, there is the need of specific management in order to reduce the cost, provide high quality services with efficient healthcare services to patients. The strategic change in the organization comes with the differences that may be related to the ability of the organization to use the knowledge to achieve successful initiatives. In the healthcare organizations, there is the need of strong management in order to implement the change successfully. Most of the healthcare research is coming by the scholarly papers that suggest the great need for high quality and strong management (Connor, 2011).
Change programs in the healthcare organization includes the analysis the causes of the problem, designing the change program, implementing and evaluating it. Managers in King Faisal Specialist Hospital & Research Center need to generate awareness among the employees and stakeholders about the challenges and problems the hospital is facing. It is important to recognize the problems in adapting the changes. The management of the organization should focus on the implementation of required changes. The hospital needs to create its own change strategies and communicate with the whole administration and the employees so that they give their best in the attainment of the change purposes within the organization (Stoltzfus, Stohl, & Seibold, 2011).
King Faisal Specialist Hospital & Research Center has some business objectives but the strategies adopted the organizations are not so much effective to achieve those goals. There is lack of female staff, lack of punctuality and sincerity among the employees, grievance issues in order to insure the welfare of organizational values, issues related to quality and standards of patient care and special needs and specific issues of female staff etc. These are some reasons that prevent the organizations to attain the set aims. There is the requirement of some changes in the tactic of the organization so that the set objectives and purposes can be achieved in the efficient manner (Balogun & Hope Hailey, 2008).
Change management is about people and processes that work for people. It is about changing the position of an organization by the implementation of a vision and a strategy. Before analyzing the key areas for change, it is significant to understand that the change process includes various independent processes and that is called variables. In the healthcare organization, there are various key factors driving the changes i.e. technology advancement, legislative reforms, and political environment. In King Faisal Specialist Hospital & Research Center, the key areas that are causing changes in the organization i.e. costs, technological advancements, changing social attitudes, transformed expectations of public, increasing competition, ageing population and changed attitude of the stakeholders. These factors lead to changes in the organization, regulation, delivery of services and ownership. The key areas of changes in the hospitals are discussed below:
It is observed that there are some issues in King Faisal Specialist Hospital & Research Center related to the quality and standards of patient care. The organization is also seeking to enhance the customer or patient satisfaction, expand the operations for growth, increase profitability and increased specialization and effectiveness. These motives need to bring change in the work culture, administration and organizational framework in order to deal with the departmental barriers and enhance the professional alliances.
Changing health industry, restructuring healthcare centers and changed patterns of the service delivery system are the factors that impact on the work environment of the hospital. It is important to understand to what extent the building pressure from the internal and external factors that impact on the quality of the healthcare services. It needs a track of work-injuries, violence and work stress in the workplace which may cause of the staff sacking. This is the call for need for the changes in the health and safety measure of the staff (Cherry & Jacob, 2013). The quality of health and safety of the employees have direct or indirect impact on the organizational costs and patient care. Along with this, reductions in workdays and staff turnover also hamper the flow of care due to unavailability of trained staff. So, there is the need to implement some changes in the organization by taking proper care of the employees in the organization.
The management of the hospital has made various policies for dealing with the above discussed issues but they are not successful in taking appropriate decisions in order to implement those policies. Along with this, there are some CSR issues that impact the business operations of King Faisal Specialist Hospital & Research Center. Hospital is facing issues related to the work environment as management is receiving complaints related to the harassment and discrimination. So, there is the need to implement the change in the management policies to deal with all these issues in the organization (Herold, Fedor & Herold, 2008).
There can also be some factors i.e. social, political, legal aspects that can generate chances for the organization to implement the change. So, above conversed facts are the causes to implement the change in the healthcare organization.
King Faisal Specialist Hospital & Research Center is one of the leading healthcare organizations in Riyadh, Saudi Arab. The vision of the organization is to create the world-class integrated healthcare delivery system in the country, by the finest medical skills combined with compassionate care. There are well-experienced doctors, technicians, nurses and management professionals as the employees.
The organizational culture of King Faisal Specialist Hospital & Research Center can be analyzed by the management and human resource practices in the organization. The major aim of the organization is to be the world class healthcare service provider in quality and to be the leading organization in terms of innovations and market share. So, the management strategies are competition oriented that make the culture more competitive and open to change. Further, human resource policies in the organizations are also in same line. The reward and compensation system in the organization is performance oriented. Compensation of the staff varies with the reputation, seniority and specialty. Flexibility is one more characteristics of the culture of this organization. The structure of the organization is hierarchal along with moderately decentralized decision making at operational levels (Maon, Lindgreen & Swaen, 2010). The impact of King Faisal Specialist Hospital & Research Center’s culture on its performance can be analyzed by parameters like its patient service quality, financial strengths, market share, and employee turnover. By the analysis of the culture of the organization, it is observed that it is working well. However, there is the need of some improvements at the human resource level in order to deal with the issues available in the organization i.e. issues with female employee, discrimination issues, grievance issues and issues related to quality and patient care. Along with this, company is also yet to make a mark as exceptional quality healthcare service provider as stated in the vision statement (Tyler & Parker, 2010).
In order to implement successful change in the organization, change manager needs to adopt appropriate change management strategy. Change management is an important part of the change process of the organization. A structured and proper change management plan certifies the achievement of the organization. The change management plan will also include the approaches that will be useful in attaining the goals and objectives set by the organization. In order to implement the successful change, managers need to adopt some new and innovative strategies while implementing the change process (Beerel, 2009). Further, change management is the complex process as it needs adequate process and enough time to perform the change process. For this, managers should have proper information of the conditions that need changes. Proper information of the situation will be useful for the managers in making correct decisions. In the change management plan of King Faisal Specialist Hospital & Research Center, there are some techniques and analysis that require for the change process (Kirke, 2013).
The cost benefit analysis of the organization is described below:
Mandatory changes and opportunities |
Costs |
Benefits |
Hiring for female employees |
Need for female employees in the organization, discrimination based on gender |
Enhance the level of patient care, increase patient services, increase in the reputation among the patients |
New technologies |
Low level of knowledge among the employees related to new technologies, leaving jib by the employees due to employee discrimination |
Success in making new and advanced products, appealing new consumers, and challenging the rivals. |
Training and development conferences for workforces and employees |
High cost and time intense |
Qualified employees and staff members, aptitude to provide best healthcare services to the patients, high level of patient gratification |
This is the most vital task for King Faisal Specialist Hospital & Research Center to analyze the job of the employees. The key objective of the change process and strategies is to accept new approaches in order to attain the organizational goals and objectives. The change process will be useful to enhance the standard of the patient care in the organization. There is the need of female employees in the hospital so, job analysis for female employees and planning of the administrative organization is crucial to be done while executing the change procedure. In order to accomplish the organizational mission, vision and objectives of the company, managers need to encourage the personnel so that they can give their best in their job. In order to deal with the discrimination issue, managers in the organization must value of the employees. By giving value to them, organization will be able to make changes in the operations. It will also helpful in improving the performance of the organization. Managers in the healthcare organization need to recognize the methods by which female staffs can be involved in the change procedures and sustenance in the business processes (Neves, 2009).
The stakeholders are an important part of the organization. The stakeholders of King Faisal Specialist Hospital & Research Center are managers, employees, customers and shareholders. Stakeholders play an important part in the organization. Stakeholders can also provide new and effective thoughts to overwhelm from the barriers and issues in the hospitals. So, it is very crucial to converse with the shareholders while implementing change within the organization.
In order to perform a successful change process in the organization, the managers in King Faisal Specialist Hospital & Research Center requires developing an effective communication plan in order to connect with the staffs and patients for the change procedure. It is very crucial for the organization to inform the employees and patients regarding change process which are going to take place. By the information, patients as well as staff of the organization will be ready to adapt the changes. Communication can be done by some ways i.e. face to face meetings, emails, social media etc. Along with this, managers can also organize the mandatory capital for the implementation of communication and change management plan (Root, 2016).
Approaches for the change process
In order to improve the efficient change plan and to deal with the resistance to change, managers of King Faisal Specialist Hospital & Research Center need to implement some effective strategies. The approaches would be supportive to encourage the advantage of changes completed by the organization. In developing effective communication, three steps would be required i.e. organizational pre-posting, implementing change process and association and continuing procedure.
In is important to create awareness among the employees about the changes i.e. why the change are important and what the advantages will be associated with the change process. It would be helpful in enhancing the performance of the employees so that they can provide standard healthcare services to the patients. Organizational pre-posting is crucial to deliver the required knowledge to the healthcare employees and changing the strategies for the best outcomes (Szamosi & Duxbury, 2006). Further, the training plan will be designed to ensure that each and every employee in King Faisal Specialist Hospital & Research Center has complete information about the change management process. Along with this, the organizational goals of King Faisal Specialist Hospital & Research Center are the main area on which the change process will be focused.
In order to implement the change successfully in King Faisal Specialist Hospital & Research Center, Kotter’s integrative model of organizational dynamics will be effective. There are eight key elements in Kotter’s model related to implementation of change. These eight steps are important for the successful change. Those eight steps are-
Figure 2: Kotter’s Model of Change
(Source: Kotter, 2007)
In the above figure, the Kotter’s model is described. In case of King Faisal Specialist Hospital & Research Center, there is the need of change in the organization. In the organization, there is the issue in the human resource management as it is not able to deal with the discrimination issue and issues related to female employees, there is the need of female employees in the organization. Along with this, issues related to quality and standard of patient care is also not managed by the human resource management effectively. In order to address all these issues, the organization needs develop new strategies and new ways like conducting seminars and sessions in order to address the issues of discrimination. Along with this, organizations also need to develop new vision so that employees of the hospitals should also be able to adopt the change. New hiring for the female employees should also be done by ensuring their safety and security in the organization. Further, training and development sessions should be organized by the managers so that employees can deal with problems they are facing to adopt the changes. They would be able to learn about new strategies and prepare themselves in the new and changed environment (Jick & Peiperl, 2011).
In order to implement the change successfully in the organization, managers or change authorities required to interconnect with the employees by the appropriate communication methods. Communication of managers with the employees will be effective for the organization as by the proper communication, employees would be able to give their ideas and viewpoints related to the change process. According to Kotter’s model, the organization should develop a clear idea to attain the objectives. This model gives a structure to classify the arrangement of the organization. This includes some aspects of the organization for the examination i.e. new vision, new strategies, goals and objectives that are to be changed. After executing the required changes, organization should also observe and analyze the outcomes of the change process (Anderson & Anderson, 2010).
Conclusion
Based on above analysis, it is analyzed that King Faisal Specialist Hospital & Research Center is doing well in its operating area. There are different departments in the organization that are responsible for various functions related to healthcare services. From the overall analysis, it is observed that there are some issues in the hospital related to quality and standard of patient care, grievance issues to ensure the welfare and standard of organizational values, specific issues related to female staff and scarcity of the female employees in the organization etc. In order to deal with these specific issues, organization needs to implement some changes in the strategies of human resource department. Organization needs to redesign the job structure so that female employees can be hired. Further, organization should also conduct training sessions in order to deal with the issues related to standards. Meetings and sessions must be take places to deal with the discrimination issues so that female employees can also get equal chance in the organization.
References
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