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From discord to symphony? A case study of strategic reorientation 31. Annual EAIR Forum, Vilnius, 23.-26. August 2009. Dr. Jürgen Deeg Kirsten Hoeper. Overview Case Study Hannover Medical School 3 Stages: - State of discord - Turnaround – Strategic Reorientation - Results

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slide1

From discord to symphony?A case study of strategic reorientation

31. Annual EAIR Forum, Vilnius, 23.-26. August 2009

Dr. Jürgen Deeg

Kirsten Hoeper

slide2

Overview

  • Case Study Hannover Medical School

3 Stages:

- State of discord

- Turnaround – Strategic Reorientation

- Results

  • Key factors of strategic reorientation
slide3

Organisation Structure: Integrative Model

- Hannover Medical School -

Supervisory Board

Academic Senate

Internal Clinical Advisory Board

Executive Board

Vice-president

Department Patient Care

Vice-president

Department Economics and Administration

President

Department Research and Teaching

18 Centres with 70 Clinics and Institutes

slide4

Development of Crisis atHannover Medical School

Amount Mio €

Successful

Turnaround

0

20 Mio

40 Mio

Economical Crisis

t

1997

2003

Time frame?

slide5

Major causes

  • Fulltime position of management without structural independence
  • Lack of profile in research and medical facility
  • Lack of cost awareness, economic reasoning and behaviour of staff
  • No transparency between income, expenses, and output due to an insufficient controlling
slide6

Turnaround – Strategic ReorientationProfessionalization of Management

Based on Nickel, S. & Ziegele, F. (2006), pp. 2-7

slide7

Turnaround – Strategic ReorientationCultivation of a competitive profile

Characteristics of HEIs in contrast

slide11

Employee Attitude SurveyOverall Concept and Business Objective

3

1

2

Administrative staff

Physician

Scientist

Not true

true

Question 1: I am informed about concept and business objective of the institution

Question 2: I am informed about concept and business objective of my Department

Question 3: In our Department, we regulary get information about concept and business objective of the institution

slide12

Hierarchic StructureHospital and Research

Hierarchy Hospital

Department Level

Hierarchy Research

Department Level

Department Head

(= Medical Director = Scientist)

Department Head

(= Medical Director= Scientist)

Senior Physician

(= Assistant Medical Director = Scientist)

Senior Physician

(= Scientist)

Resident Physician

(= Scientist)

Biologist

etc.

Resident Physician

(= Scientist)

slide15

Most important changes: professionalization of management with dual qualification and profiling

  • Quick decision making process and adaptation to a changing environment
  • Changing definition of HEIs
  • Effects on academic freedom
slide16

Final Note

The inevitability of changes

„I don‘t know, whether things get better if they change, but I know that things have to change in order to get better. “

Georg Christoph Lichtenberg (1742-1799)

German Philosopher