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1) Imagine that you are a first-line manager of a department in a relatively small hospital...

1) Imagine that you are a first-line manager of a department in a relatively small hospital located in a semi-rural area. For many months there had been rumors of a possible merger with another semi-rural hospital half again the size of yours located about 12 miles away. Both administration and the board of directors had been declining to comment on the rumors although it was apparent that some kind of negotiations were underway. In about mid-November all managers were officially notified that the merger would take place effective the first of January. The two hospitals were to become a single corporate entity with two locations, and functions and services would be consolidated wherever practical. Describe in detail the possible effects of the merger and all that it entails on you and your position. 2) It is stated in the chapter that the three ways of getting employees to implement change are: Tell them what to do; Sell them on what must be done; and Involve them in determining the substance and direction of the change. For each of the three means, describe an instance in which it is a preferred or even essential approach and an instance in which it is an inappropriate or perhaps even harmful approach. 3) If you were hiring a new employee in your work unit, how would you rank the importance of the following qualities? That is, how much weight would you assign to each in making your decision? Explain. Personal values (ex. work ethic and integrity) Individual intelligence Conscientiousness in performing the job Some employers use integrity tests as part of the screening process. Are there problems with integrity tests? Can you test for integrity? If you were a work unit supervisor, which of the following do you think is more important to improving organizational performance? Explain. Encouraging employees to participate in work and organizational decisions Setting clear, challenging work goals As a manager you realize the supervisors who report to you make errors when they rate their employees (e.g., too lenient, rate everyone the same, etc.). You notice a consultant is offering a training session on how to avoid appraisal rating errors. How successful do you think such a course would be in eliminating these errors? As a supervisor, if you asked or surveyed your employees about the importance of pay as a factor in making job decisions, do you think employees would over-state or understate its value to them?

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A merger is the process of merging the facilities, services and resources of the two organizations to achieve better outcomes. In this situation the merger is taking place for two semi structured rural facilities. Here the impact of this merger can be sensed on all the stakeholders as well as services. The positive impact of merger includes better utilization of resources, high quality care, effective integration of services and better access to all services. This will help the patients and health service user to utilize the services in better manner and have efficient value for money. This merger would have impact on me being the first lime manager as the responsibilities will enhance, the team members will increase and the organization culture and structure will be influenced. Moreover, this merger can lead to some impact on team working skills, interpersonal communication and leadership.

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