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Scenario:The Memorial Hospital is a community-based hospital in an urban area plans to expand its patient care delivery model from focusing extensively on inpatient care to becoming a leader in ambulatory care. The mission of Memorial Healthcare is serving humanity by providing exceptional and cost-effective health care accessible to all. Furthermore, the vision is for Memorial Hospital to be a magnet-status health care provider, continually raising the standards of performance excellence and advancing the health status of the community. In doing so, Memorial Hospital acknowledges its values of compassionate service, ownership/pride, privacy, safety, accountability, teamwork, attitude, appearance, communication, and fun.

Current state:

· 300-bed hospital

· 1,000 employees

· Limited ambulatory focus, which is primarily supported by free-standing independent physician practices

· Declining revenues from inpatient admissions

Considering closing as many as 100 beds, as it transitions from an inpatient focused organization to an outpatient

How will staffing, compensation, employee relations, training, and performance management need to be accounted for differently in the HR plan?

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