
Understanding Business
12th Edition
ISBN: 9781259929434
Author: William Nickels
Publisher: McGraw-Hill Education
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Leadership Strategies: The article discusses four major strategies that Cowan used in leading SMHC listed in bullets below.Choose and describe the strategy that you think was most effective and why you believe it was the strategy that worked best for Cowan in SMHC's turnaround.
a. Get in their face
b. Offer to serve, rather than be served
c. Weed the garden
d. Give the credit away.

Transcribed Image Text:that set numerous precedents in Canadian health care This
2/8
100%
+
Dovepres
presents an example of a servant leader and tells the story of competition that carried on for many decades. This dispute
the remarkable change effort he led.
culminated in the demolition of St Michael's Hospital in
Kevin Cowan is the former CEO of St Michael's Health
Centre (SMHC) in Lethbridge, Alberta, Canada. From 2001 community members.
to 2008, Cowan led an effort that changed this health care
organization from one that was underperforming and on the
verge of bankruptey, to a thriving and innovative organization health care providers to provide services. These providers are
that set numerous precedents in Canadian health care. This
1997, against the wishes of its leaders, staff, and many
The Canadian health care system is primarily publicly
funded, but relies on many private for-profit and nonprófit
article describes the strategies used by Coman in thhn service contracts by government agencies and provide
effort. These are not grandiose theories but, rather, simple Hospital was solely reliant on the provincially funded
strategies that have become folklore in the organization. By Chinook Health Region (CHR) for funding. (The CHR
"simple," I mean that they are practical and attainable to merged with all other Alberta health regions to form Alberta
the majority of everyday managers. The simplest strategies
are sometimes the most ingenious, when mixed with hard
work and an intentional and intelligent methodology for
implementing them.
The research for this article was conducted through the hospital was demolished, the organization rebranded
article describes the strategies used by Cowan in this change services within those contracts. By the 1990s, St Michael's
that nave become i
Health Services in 2009; this same year, SMHC merged
with ten other Catholic health care organizations to form
Covenant Health. Cowan initially took on the role of vice
president and then consultant in this new organization.) After
the author's personal observations of Cowan's legacy and
folklore as an employee at
itself as SMHC. SMHC took over a nursing home and
SMHC (now Covenant Health) began forging its identity in seniors care. Partly to pacify
from 2009 to the present. The author interviewed seven
the SMHC community supporters, CHR agreed to build a
former counterparts of Cowan, including the former board long-term and palliative care facility on the old St Michael's
chairman and six of Cowan's former direct reports. These Hospital site, which opened in 2000. CHR then leased it to
interviewees also provided feedback on early drafts of this
article. The author reviewed every newspaper article pub- to provide services.
the SMHC organization with a funding agreement for SMHC
lished about Cowan and SMHC in The Lethbridge Herald
Throughout the 1990s, SMHC and CHR continually
(the local newspaper) from 2000 to 2008. As far as the battled over funding arrangements. SMHC finally appealed
author is aware, this is the first published research article
describing this change effort. Where possible, publically but he ruled against SMHC in August 1998. CHR served
accessible direct evidence of the information below is cited
to the Alberta Minister of Health to settle this dispute,
notice a few weeks later that it was terminating its funding
appropriately.
Background
Early organizational challenges
In 1929, the Sisters of St Martha bought an old hospital in
the prairie town of Lethbridge, Alberta, Canada and, in
1931, they built St Michael's Hospital on the outskirts of this
arrangement with SMHC, which would have dissolved
the SMHC organization. The SMHC board scrambled to
appease CHR leaders and negotiated a suitable arrangement
that kept the organization alive. In late 1998, the SMHC
board also separated from their long-time chief executive
officer (CEO). In an interview before he left, he stated he
town. It was run by the sisters for 56 years, and then turned
over to professional managers in 1985. While originally
was relieved to be laid off, and that "I no longer have to
put up with a lot of the garbage handed around here the last
while." An interim CEO took his place while the board
run on private donations and support, like most Canadian searched for a replacement.
hospitals, it continually became more reliant on govern-
ment tax dollars. In this way. St Michael's Hospital found
that it slowly forfeited its autonomy as it slowly grew more
dependent on government funding to operate. The Catholic one that was reiterated by a number of people who worked
hospital also immediately generated an ongoing dispute there. In May 2000, the licensed practical nurses (LPN5)
over the existence of a Catholic hospital in a city with many
non-Catholics; a dispute that carried on for many decades. at the facility seemed excited about providing seniors care
Further, the provincial government built a new hospital a
By 2000, SMHC may have been one of the worst places to
work in Canada in terms of labor relations, employee morale,
and management style. This is a subjective observation but
and health care aides went on strike at SMHC. Few people
and they longingly dreamed of the days of providing acute
few blocks away, which enraged another dispute and incited
care as a renowned hospital.
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Transcribed Image Text:om/Sd01252a127d8/28914?X-Blackboard-Expiration=16444512000008X-Blackboard-Signature=BUVoQDWyenILpEY
2 / 8
+ | E O
100%
Dovepe
presents an example of a servant leader and tells the story of
the remarkable change effort he led.
competition that carried on for many decades. This dispute
culminated in the demolition of St Michael's Hospital in
Kevin Cowan is the former CEO of St Michael's Health
Centre (SMHC) in Lethbridge, Alberta, Canada. From 2001
to 2008, Cowan led an effort that changed this health care
1997, against the wishes of its leaders, staff, and many
community members.
The Canadian health care system is primarily publicly
organization from one that was underperforming and on the funded, but relies on many private for-profit and nonprófit
verge of bankruptcy, to a thriving and innovative organization
health care providers to provide services. These providers are
that set numerous precedents in Canadian health care. This
article describes the strategies used by Cowan in this change
effort. These are not grandiose theories but, rather, simple Hospital was solely reliant on the provincially funded
strategies that have become folklore in the organization. By Chinook Health Region (CHR) for funding. (The CHR
"simple," I
the majority of everyday managers. The simplest strategies
are sometimes the most ingenious, when mixed with hard with ten other Catholic health care organizations to form
work and an intentional and intelligent methodology for
implementing them.
The research for this article was conducted through the hospital was demolished, the organization rebranded
given service contracts by government agencies and provide
services within those contracts. By the 1990s, St Michael's
I mean that they are practical and attainable to merged with all other Alberta health regions to form Alberta
Health Services in 2009; this same year, SMHC merged
Covenant Health. Cowan initially took on the role of vice
president and then consultant in this new organization.) After
the author's personal observations of Cowan's legacy and
itself as SMHC. SMHC took over a nursing home and
folklore as an employee at SMHC (now Covenant Health) began forging its identity in seniors care. Partly to pacify
from 2009 to the present. The author interviewed seven
the SMHC community supporters, CHR agreed to build a
former counterparts of Cowan, including the former board long-term and palliative care facility on the old St Michael's
chairman and six of Cowan's former direct reports. These Hospital site, which opened in 2000. CHR then leased it to
interviewees also provided feedback on carly drafts of this the SMHC organization with a funding agreement for SMHC
article. The author reviewed every newspaper article pub- to provide services.
lished about Cowan and SMHC in The Lethbridge Herald
Throughout the 1990s, SMHC and CHR continually
battled over funding arrangements. SMHC finally appealed
to the Alberta Minister of Health to settle this dispute,
(the local newspaper) from 2000 to 2008. As far as the
author is aware, this is the first published research article
describing this change effort. Where possible, publically but he ruled against SMHC in August 1998. CHR served
accessible direct evidence of the information below is cited
notice a few weeks later that it was terminating its funding
appropriately
arrangement with SMHC, which would have dissolved
the SMHC organization. The SMHC. board scrambled to
Background
Early organizational challenges
In 1929, the Sisters of St Martha bought an old hospital in board also separated from their long-time chief executive
appease CHR leaders and negotiated a suitable arrangement
that kept the organization alive. In late 1998, the SMHC
the prairie town of Lethbridge, Alberta, Canada and, in
1931, they built St Michael's Hospital on the outskirts of this
town. It was run by the sisters for 56 years, and then turned put up with a lot of the garbage handed around here the last
officer (CEO). In an interview before he left, he stated he
was relieved to be laid off, and that "I no longer have to
over to professional managers in 1985. While originally while." An interim CEO took his place while the board
run on private donations and support, like most Canadian
hospitals, it continually became more reliant on govern-
ment tax dollars.' In this way, St Michael's Hospital found
that it slowly forfeited its autonomy as it slowly grew more
searched for a replacement.
By 2000, SMHC may have been one of the worst places to
work in Canada in terms of labor relations, employce morale,
and management style. This is a subjective observation but
dependent on government funding to operate. The Catholic one that was reiterated by a number of people who worked
hospital also immediately generated an ongoing dispute there. In May 2000, the licensed practical nurses (LPNS)
and health care aides went on strike at SMHC. Few people
at the facility seemed excited about providing seniors care
and they longingly dreamed of the days of providing acute
over the existence of a Catholic hospital in a city with many
non-Catholics; a dispute that carried on for many decades.
Further, the provincial government built a new hospital a
few blocks away, which enraged another dispute and incited
care as a renowned hospital.
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