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Corporate culture and structure affect performance
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Aetna is “an American managed health care company, which sells traditional and consumer directed health care insurance plans and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans” (Wikipedia, 2016). Aetna is a company that has experienced a turnaround in many areas due to a change in corporate culture.
In 2000, Aetna could be described as a company plagued by inefficient processes, huge overhead and unrealistic mergers. At this point, the company was losing $1M per day. The organization had seen four CEO’s in five years and expecting the same inconsistent results when welcoming the latest. John W. Rowe, MD was that fourth CEO and what he brought to the company was not what anyone
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The mission of Aetna would now be to gain a position in the marketplace by becoming a strong force in the industry and providing superior service to patients and physicians.
2. The next step in the shift in culture involves focusing on a select few behavioral changes.
Rowe had the Aetna team focus on two specific areas. First, each and every team member focused on the commitment to his or her customer and secondly, all employees were encouraged to commit to their loyalty and pride in the organization. Rowe used the sense of pride felt in the organization as the very reason for the culture shift.
3. The third aspect of the change process was to emphasize what was right with the organization before the change had taken hold. This helped to increase morale and assured team members that they have been successful in the past and proved their capabilities and competencies. It sent the employees a strong message of belief in some aspects of the organization and intercepted as a positive. In the beginning of the change process, Rowe focused on Aetna’s ability to care well for patients and physicians, the company’s loyal team of employees, the company’s long standing history and
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It is the fastest way to put employees into fear mode, resulting in resistance to change and less productivity. Aetna would have been better off finding an alternative to dismissing such a large number of workers and might have restructured job responsibilities as an alternative. The lack of morale as a result of job eliminations greatly hampers the change process resulting in a lack of efficiency.
Recommendations
The changes that have been made at Aetna are monumental in the long term as the company continues to improve on an ongoing basis. This is evident in the continuing increase in revenue and gross profit and diminished employee turnover rate. The most successful aspect of Aetna’s culture shift process was the inclusion of employees, an inclusion that remains strong to this day.
This is the number one aspect a company facing a high turnover rate could learn from. Because
Rowe investigated where the company and beliefs of employees was during his introduction to the organization, included them in the changes and made that a priority, his changes took a stronghold and resulted in success. Aetna is a leader in the insurance industry and an
Quint Studer’s Hardwiring Excellence: Purpose, Worthwhile Work, and Making a Difference is a Business Week National Bestseller and is highly regarded by healthcare professionals across the country. The following document describes Studer’s key points, including the Five Pillars and Nine Principles that motivate and direct transformation in an organization. It also provides a critique of Studer’s text and analyzes appropriate applications for summer residency positions.
The CEO’s Day Overview This case examines the multiple duties that the President and CEO of Midvale Community Hospital, Terry Blaze, participated in throughout the day to ensure that the hospital is running effectively. Throughout the day, Blaze attends numerous meetings, which are directed towards improvements, changes, or concerns that will overall affect the hospital. During several of them, he is required to make final decisions; however, he often directs other personnel to make that final judgment call. It was evident that Blaze wore many hats as the President and CEO of the hospital, which made it evident that his time was stretched thin. This could result in tasks going unfinished or completed incorrectly.
... with the change is critical for accurate job performance. I have fulfillment in knowing the new nurses I precept, the companies that I have managed, the nursing assistant classes I have taught and the countless number of peer I come in contact with, understand the importance of spreading knowledge onto others to help them benefit along their way.
Leading Change was named the top management book of the year by Management General. There are three major sections in this book. The first section is ¡§the change of problem and its solution¡¨ ; which discusses why firms fail. The second one is ¡§the eight-stage process¡¨ that deals with methods of performing changes. Lastly, ¡§implications for the twenty-first century¡¨ is discussed as the conclusion. The eight stages of process are as followed: (1) Establishing a sense of urgency. (2) Creating the guiding coalition. (3) Developing a vision and a strategy. (4) Communicating the change of vision. (5) Empowering employees for broad-based action. (6) Generating short-term wins. (7) Consolidating gains and producing more changes. (8) Anchoring new approaches in the culture.
Anthem is one of the United States’ largest health insurance companies. It is the largest managed health care company in the Blue Cross and Blue Shield Association. In February of 2015, hackers stole the names, social security numbers, medical IDs, physical addresses, e-mail addresses, employment information, income data, birth dates and other personal information of about 80 million Anthem and other Blue Cross and Blue Shield members and former members. It is believed to be the largest cyber-attack that has ever occurred in health care history. It has been described as a very sophisticated attack. The source of this attack is still unknown, but several reports have linked it to Chinese hackers. All the company’s product lines were affected including Anthem Blue Cross, Anthem Blue Cross and Blue Shield, and others. Anthem has 37.5 million members enrolled in its affiliated health plans and serves 68.5 million people through all its subsidiary businesses, which includes Medicaid. The CEO Joseph Swedish wrote to its members "I want to personally apologize to each of you for what has happened, as I know you expect us to protect your information. We will continue to do everything in our power to make our systems and security
In today’s ever changing world people must adapt to change. If an organization wants to be successful or remain successful they must embrace change. This book helps us identify why people succeed and or fail at large scale change. A lot of companies have a problem with integrating change, The Heart of Change, outlines ways a company can integrate change. The text book Ivanceich’s Organizational Behavior and Kotter and Cohen’s The Heart of Change outlines how change can be a good thing within an organization. The Heart of Change introduces its readers to eight steps the authors feel are important in introducing a large scale organizational change. Today’s organizations have to deal with leadership change, change in the economy,
... organization to do so. Leaders galvanize commitment to embrace change through three interrelated activities: more usefulying strategic intent, building an organization, and shaping organizational culture.”(Pearce, 2004)
Mr. Nardelli could have spent more time demonstrating why the changes were necessary and why the urgency. Taking a look at the communication strategies (discussed later in this paper), there appeared to have been a great deal of one way communication, but less collaboration and some employees could have felt their opinions did not matter. As such, not everyone agreed with the changes, however, he did place a sense of urgency.
This paper will be broken down into six sections profiling each critical part of implementing and managing change in an organization. The sections included are; outline for plan creating urgency, the approach to attracting a guiding team, a critique of the organizational profile, the components of change, and how to empower the organization.
The experienced change was as a reaction to the external environment and influenced organizational strategy, the company’s leadership, and culture. This large-scale change led to a new state of being (thinking and acting).
Managing Change: Who Moved my Cheese? Darrin Ruble National University Managing Change: Who Moved my Cheese? Rashid-Al-Abri (2007) claims that change in the healthcare industry has been a dramatic phenomenon that requires the personnel to accept changes or they will be surpassed by them. Therefore, there is the need to follow the steps of change: evaluation, planning, implementation, and management. The characters are different, but the individual control that these characters display plays a fundamental role in the acceptance and the administration of change.
Change usually comes with resistance in any workplace because change disrupts the employees’ sense of safety and control (Lewis, 2012). Kurt Lewin (1951) created a three step process for assisting employees with organizational Change (Lewis, 2012). The three stages are Unfreeze, Change and Refreeze. These are the steps to a smooth transition for change within organizations. Further, these steps are not possible without good communication from upper Management through line staff. Communication was consistently listed as an issue in surveys conducted by the department.
It brought organisational culture to the performance of a company, which has become a critical topic in management department. In addition to organisational culture, organisations need to be aware and prepared for changes in the expanding workforce as business grows. Companies are faced with maximizing benefits as well as profits while minimizing negative factors that come from those changes. There is no one answer to the issue, but some of the guidelines are clear. Awareness of organisational culture, teamwork, individual performance, external environment adaptation, leadership, and measurement of organisational culture are key factors that lead a company to perform better.
In an effort to successfully implement organizational change while increasing employee engagement, Vail Health is wise to heed an educated strategy. Embarking on organizational change can be overwhelming and a proper plan of action is imperative. Vail Health will initiate successful change through the necessary channels to include the initial diagnosis and ending with an after-action review to ensure the change has been successfully implemented. Diagnsosis, Formulas and Solutions When embarking upon an organizational shift, diagnosing the situation at hand is the first and most important step. As all the other aspects of the change will follow the proper diagnosis, this step is paramount in its accuracy.
The change process within any organization can prove to be difficult and very stressful, not only for the employees but also for the management team. Hayes (2014), highlights seven core activities that must take place in order for change to be effective: recognizing the need for change, diagnosing the change and formulating a future state, planning the desired change, implementing the strategies, sustaining the implemented change, managing all those involved and learning from the change. Individually, these steps are comprised of key actions and decisions that must be properly addressed in order to move on to the next step. This paper is going to examine how change managers manage the implementation of change and strategies used