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Bonus Scheme 2014

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CareGroup is a company that had been formed as a merger of three health-care professional teams providing the best quality care to patients in a highly organized manner. CareGroup is a large company with more than 13.000 employees and 2.000 medical staff, which focuses on primary care and a wide range of specialty services.
Among their main strengths of CareGroup would definitely belong the total size of the company producing revenue with $1.6 billion with strong balance sheet. This factor will allow them to better deal with health maintenance organizations (HMO’s) and negotiate better prices (higher bargaining power). This power could also be used against the HMO’s while discussing new contracts. And finally strong balance sheet would allow them to spend more financial resources in developing integrated services within all their hospitals that can further improve the quality of provided services and care with possibility to reduce operational costs. Second key strength that I found within CareGroup is the integrated technology system that enabled this large and quite complex organization together. Another strengths was their integrated technology system which was providing the most advanced email system, data center, voice/wireless system and including personal health records. This integration led to significant reduction of IT operating expenses.
On the other hand to manage such a large organization with high complexity and diversity offering many different health services seems to be a bit of weakness in terms of managing entire business and from the organizational point of view. To run such a company means dealing with many unpredictable situations like the case with Waltham hospital that had to be closed and those cases might affect the financial situation, though their looks very solid.
From IT perspective, new common system with integrated Meditech software played important role as one of the key strengths of Caregroup. This system was providing excellent services for all operational tasks and secondly enabled the company to reduce IT costs significantly. The data and tasks that new system was providing were really outstanding and perceived as one of the best within whole industry. Another strength of this system was that all applications were Web enabled.
Though the integrated system was providing excellent services the whole platform was again very complex and difficult to manage or maintain. There were missing regular updates of all elements of IT environment and there were no back-up scenarios, if something goes wrong within the system. System knowledge dependence on one person only can also be perceived as another weak point of this setup and actually this led to their problem with the network collapse.
The network collapse was indeed very serious issue which caused significant troubles and also financial costs but at the end it also brought clear learnings that the company has to take into account for the future. If I was a stockholder, I would go straight to the CEO and his management that they should be and in this case must be involved as the IT environment, which plays significant role in this business, belongs to their management agenda and they must consider it’s strengths and weaknesses for any further business decisions and the company vision. The main responsibility of this caused situation belong to the CIO which should foresee those risks by having risk analysis with all possible scenarios and that should be regularly updated. Lastly, the fact that whole system relies on one single employee is very risky and should be at least properly backed up. This also belongs to the CIO responsibilities.

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