ORGANIZATIONAL RESTRUCTURING STRATEGIES AND PERFORMANCE OF THE AGA-KHAN HOSPITAL MOMBASA

KIMBERLEY MIRIAM MAGAK, DR. LINDA KIMENCU (PhD)

Abstract


The aim of this research was to examine the organizational restructuring strategies and performance of the Aga-Khan Hospital Mombasa. The study was anchored on the following theories: The Lewin’s Change Management theory, Kotter’s change Management theory and ADKAR model. Descriptive study approach was used. Target population for the study was 78 management staff from the hospital. To ensure efficiency, validity and reliability of the data collection instrument was tested. Reliability was measured using Cronbach Alpha. A pilot study was conducted in the Aga-Khan hospital so as to ensure reliability of the research instruments. Data was collected using primary source with the aid of Likert scale questionnaire, which were grouped in relation to its themes of studying organizational restructuring strategies and hospital performance. Collected data for analysis was supplemented by the multiple regression analysis model using the “Statistical Package for Social Sciences.” Simple random sampling technique was employed for the study. Findings showed that IT, downsizing and downscoping, were positively correlated with performance of the hospital. Turnaround strategy on the other hand was found to be negatively correlated with the performance of the hospital. The study found out the hospital faced challenges of the employees resisting change in how they do things, which caused about the negative effect of the turnaround strategy. The study recommended that the management of the hospital should motivate its employees with incentives, so that they can work harder and improve on the performance. It was also recommended that the hospital should train its employees so as to increase their skills when working. A further recommendation was given that further studies should be conducted by other researchers and scholars, to come up with other study variables that would help the hospital to improve on its performance.

Key Words: Downsizing Restructuring, Information Technology, Down Scoping, Turnaround Restructuring

CITATION: Magak, K. M., & Kimencu, L. (2021). Organizational restructuring strategies and performance of the Aga-Khan Hospital Mombasa. The Strategic Journal of Business & Change Management, 8 (4), 288 – 305.


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References


Abwod. (1990). Does Perfomance Based Componsation affect corporate Perfomance? Industrial and Labour Relations Review, 43(3):52-73.

Aga-Khan, T. (2003, June). Retrived from the Aga-Khan Hospitals. Retrieved from www,agakhanhospitals.org/ Home/AboutUs

Allard. (2004). Business as war Battling for Competitive advantage. Hoboken: John Wiley & Sons, Inc.

Allard. (2004). Business as war:Battling for competitive advantage. Hoboken: John Wiley&Sons, Inc.

Almquist&Lee. (2009). What do customers really want? Harvad Business Review.

Amato. (2009). Changing retail power and performance in distribution channels. International journal of Retail & Distribution Management, 1057-1076.

Amit&Zott. (2012). Strategic assets and Organizational rent. Strategic Management Journal, 13-46.

Anabelle. (2010). Platforms, markets and Innovations. Cheltenham: Edward Elgar Publishing.

Arsene, C. (2020). How IoT has changed the Pharma Industry. Bit Rebels.

Arvey, K. &. (2001). Downsizing and Organizational Perfomance. A review of the Literature of the literature form a stakeholder approach: Research in Personnel andHuman Resource Management, 269-329.

Balogun, J. (2007). The Practise of Organizational Restructuring: From Design to Reality. European Management Journal, 81-91.

Barnes, M. &. (2015). Designing a Successful KM strategy, a guide for the knowledge management professional. Medford: Information Today , Inc.

Barney. (1991). Firm Resources and sustained competitive advantage. Journal of Management, 99-120.

Becker. (2019, October). Becker's Hospital Review. Retrieved from 6th Annual Health IT+ Revenue Cycle Conference: beckershospitalreview.com/health-it-revenue-cycleconference/

Bhasin, H. (2007, June). Organization Restructuring - Definition and Strategies. USA: Marketing G91. Retrieved from Marketing G91.

Bradlow, R. W. (2007). Relationship between Medicare's Hospital Compare Performance measures and Mortatlity Rates. J Am Med Assoc.

Burke. (1998). DOwnsizing and Restructuring in an Organization. Research FIndings and Lessons learned-Introduction, Canadian Journal of Administrative Sciences, 15.

Cascio, W. F. (2002, August !st ). Strategies for Responsible Restructuring. Retrieved from Academy of Management: https://doi.org/10.5465/ame.2002.8540331

Casico. (1993). Dowsizing. What do we know? What have we learned? Academy of Executive Management, 7, 1.

Christopher, A. (1964). Notes on the Synthesis of form. Cambridge: Havard University Press.

Clark. (2012). Strategic Management tool usage. A comparative study, Strategic change. Nairobi: Mcmillan.

Daintith. (2012). "IT" A Dictionary of Physics. USA: Oxford University Press.

Davenport, T. (1997). Information Ecology: Mastering the information and knowledge Environment. New York: Oxfoed University Press.

Dawson. (1996). Analysing Organizations. Hamshire: MacMillan.

Duncan Angwin & John McGee, T. S. (2015, January 15). Wiley Online Library. Retrieved from Turnaround Strategy: https://doi.org/10.1002/9781118785317.weom120049

Edmunds, S. A. (2016, June). The implications of restructuring on organizations. Retrieved from Huston Chronicle: http://smallbusiness.chron.com/implications-restructuringorganization-67023.html,11.06.2016

Erkama, N. ((2010)). Power and Resistance in a multinational organization: Discursive struggles over organizational restructuring. Scandinavian Journal of Management, 151-165.

Fisher. (1999). The Genetical Theory of Natural Selection. USA: Oxford University Press.

Freeman, S. &. (1993). Organizational Downsizing. A convergence and reorientation framework. Organization Science, 10-29.

Greger, H. (1994). Competeing for the Futer. USA: Harvad Business School Press.

Hamel, G. &. (1994). Competing for the Future. USA: Harvad Business School Press.

Hayes, J. (2004). The theory and Practise of Change Management. London: Palgrave Macmillan.

Healthfied, S. (2003). How to Reduce Resisitance to Change. UK: Word Press.

Heskett, K. (2012). Leading Change. Boston, USA: Harvad Business Review Press.

Hiatt&Creasey. (2012). Change management. The people side of change.

Hiatt, J. (2006). ADKAR. A Model for Change in Business, Governments and our Community, 146.

Hofer, C. (1980). TURNAROUND STRATEGIES. Journal of Business Strategy, 19-31.

Jeffery, L. V. (2009). Good Communication. The other Social Network for Successful IT Organizations, 90-92.

Kezar&Eckel. (2002). The effect of Institutional culture on changestrategies in higher education: Universal principles or culturally responsive concepts? Journal of Higher Education, 435-460.

King&Anderson. (1995). Innovations and Change in the Organization. United Kingdom: Routledge.

Klein, F. &. (2010). Deliberate Performance. Accelerating Expertice in Natural Settings; Performance Improvement, 49, 5-15.

Korten, P. (2010). Managing Transitions: Making the most of Change. Wesley Publishing Company.

Kothari. (2008). Research Methodology. In C. R. Kothari, Methods and Techniques (pp. 109-110). New Dheli: New Age International Limited.

Kotter. (1987). Choosing Strategies for Change. LA: Harvad Business School.

Lorsch, L. (1967). Differentiation and Integration In Comples Organizations . Academic Science Quartely, 12.

Luscher&Lewis. (2008). Organizational Change and managerial sense making working through paradox. Academy of managerial journal, 221-240.

Lyndon, S. J. (2007). A Practitioner's Guide to Corporate restructuring. US: CIty Financial Publishing.

Mahmoud Ajlouni, R. S. (2017). Analysing Case Studies in Hospital Performance Management. International Journal of Health Economis and Policy, 104-110.

Maslow. (1962). Toward a psychology of being. New York: Van Nostrand.

McKay&Naswall. (2013). The effect of affective commitment, communication and participation on resistance to change:The Role of Change readiness. NewZealand journal of psychology, 42(2), 29-40.

Mintzberg. (1991). The Strategy Process Concepts, Contexts and Cases. New Jersey: Prentice-Hall Englewood Cliffs.

Montana, C. (2008). Management. NY: Barrons Educational Series Hauppauge.

Narasimhan. (2012). Organizational Design. Inviting the Outside In, International Institute for Management Development, No. 9.

Norton, R. S. (1992). The Balance Score Card Measures that Drive Perfomance. Boston: Harvad Business Review.

Perterson, C. (1982). Building Commitment to Organizational Change. Training and Development Journal, 36(4)18-30.

Rana, A. &. (2020, May 06). Selection of Private or Public hospital care. Retrieved from Examining the care-seeking behaviour of patients with private health insurance: https://doi.org/10.1186/s12913-020-05253-y

Rangan, A. &. (1997). Strategic Channel Design. Solan Management Review, 59-69.

Richter, K. &. (2014). Restructuring of Organizations and Poterntial implications for thier staff. 1-11.

Ritchie, L. N. (2013). Qualitative Research Practice: A guide for social science students and researchers. Thousand Oaks, CA: Sage Publications.

Rodgers, S. &. (2012, January 10). Developing People and Organizations. Charterd Institute of Personnel and Development, pp. 2-35.

Rothman, e. a. (2008). Modern Epidemiology. Lippincott Williams & Wilkins.

Schein, E. (1964). The Mechanics of Change-Interpersonal Dyamics. Bennis: Dorsey Press.

Schilling. (2016). Strategic management of technological development. Boston: McGraw-Hill Education.

Schilling, M. (2001). The use of modular organizational forms. An Industry level analysis, 1149-1168.

Schoenbaun. (1995). Outcomes measurement, End or the beginninng? Measuring Clinical Care, 169.

Shenton. (2004). Strategies for ensuring trustworthiness in qualitative Research Projects: Education for Information. 63-75.

Skyrme. (1989). The planning and marketing of the market intelligence function. Market Intelligence and Planning, 5-10.

Stanley, M. T. (2005). Employee cynicisim and resistiance to organizational change. Journal of Business and Psychology, 429-459.

Talwar. (1994). Re-engineering-A Wonder Drug for the 90's? in Coulson- Thomas(ed). Business Process Re-engineering-myth or reality?, Kogan Page.

Taylor. (1965). Is marketing a science? Journal of marketing, 49-53.

Teo, G. L. (2005). Organizational Restructuring . Impact on Trust and Work Satisfaction, 22, 23-39.

The Aga-Khan. (2003, June). Retrieved from The Aga-Khan Hospitals: www.agakhanhospitals.org/Home/AboutUs

Theissen. (2004). Impact of employee Restructuring on employee commitmment to the Otago Polytechnic. Retrieved from Master Thesis:

https://ourarchive.otago.ac.nz/bitstream/handle/10523/1440/TheissenCOer.pdf(MANT591)

Thomas, H. (1998). Rescuing Prometheus.Change the modern world. New York: Pantheon Books.

Tom, D. (1999). Peopleware:Productive projects and teams. New York: Dorset House Publishing Company.

Trowler, B. T. (1989). Academic tribes and territories: Intelectual inquiry and the culture of the disiplines. The society for research into higher education and open University Press.

Von, L. (1976). General Systems Theory: Foundations, Developments Applications. George Brazziler.

Waterman, P. (1982). In Search of Excellence. Lessons from America's Best-Run Companies, Harper & Row.

Waweru, S. W. (2009). Corporate restructuring and Organizational performance of national police service in Kenya. International Academinc Journal of Human Resource and Business Administration, 3(6) 55-70.

Williams, C. (2015). Effect if Information Technology on Hospital Performance. RockVille Pike: National Center for BioTechnology Information.

Wischnevsky. (2004). Change as the Winds Change. The Impact of Organizational Transformation on Firm Survival in a Shifting environment, Organizational analysis, 12, No.4, 361-377.

Zana, B. N. (2016). Successful implementation of Turnaround strategies in the manufacturing sector in Harare, Zimbabwe-impediments and challenges faced. International journal of Accounting, Finance and RIsk management vol.1, 1-10.




DOI: http://dx.doi.org/10.61426/sjbcm.v8i4.2100

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