Sample Essay on:
Hospital Downsizing/Change Initiatives

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Essay / Research Paper Abstract

A 3 page research paper that addresses the fact that many hospitals struggle to survive in today’s dramatically changed health care delivery system, and that change initiatives that are designed to cope with fiscal survival include downsizing their number of employees and by eliminating or limiting services (Apker, 2002). Examining these change initiatives reveals implications for their short- and long-term effects. Bibliography lists 4 sources.

Page Count:

3 pages (~225 words per page)

File: D0_khhdsize.rtf

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Unformatted sample text from the term paper:

and by eliminating or limiting services (Apker, 2002). Examining these change initiatives reveals implications for their short- and long-term effects. The student researching this topic will note that the writer does not directly address the assignments hypothetical scenario. This is because the student purchased only 3 pages, that is, 675 words. Therefore, the writer/tutor tried to convey as much research as possible in the allotted pages. In writing his or her own paper, the student should relate the following research to the proposed assignment scenario. The student should also note that the topic was complicated and difficult to address in such a limited space. The student should also please note that this message was not counted as part of the pages purchased. Many organizations are "flattening," as a means of downsizing, that is, removing levels in their hierarchical structure (McConnell, 2005). This change strategy is particularly evident in healthcare organizations. Hospitals are "trimming down," becoming both smaller in themselves and also combining with larger entities (McConnell, 2005). First-line supervisors and middle managers are particularly affected by the change initiative of "flattening," and those that who remain after this change is implemented will find their job descriptions altered significantly to include more responsibility, the supervision of more employees and simply "more territory to cover overall" (McConnell, 2005, p. 177). In response to this downsizing trend, the best defense that a manager can develop against being a victim of downsizing is to become multifaceted, that is, to realize that the future lies not in "constancy and specialization, but rather in flexibility and adaptability" (McConnell, 2005, p. 177). Hospitals may downsize to "prune an ineffective bureaucracy, lower overhead costs, hasten decision-making, smooth communication, increase entrepreneurship or improve productivity" (Rondeau and Wagar, 2002, p. 12). However, achieving these short-term ...

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