Health Organization Evaluation: HCA Healthcare essay

Health Organization Evaluation: HCA Healthcare essay

Health Organization Evaluation: HCA Healthcare

Organization evaluation is a systematic process applied in exploring valid information about the performance and factors that affect the performance of an organization. It is a management activity applied in determining areas of improvement. As a management activity, it presents an awareness of organization performance in terms of how effective it is in functioning and addressing problems based on social and behavioral system perspective. In addition, it helps in determining the organization’s overall readiness for change, acting as a precursor for identifying and addressing critical problems (van Akens & Berend, 2018). This is important for health organizations since failing to conducted an organization evaluation and establish sufficient readiness for change could result in the organization being unsuccessful in its change efforts. Alongside the evaluation, there is a need to identify a change model that can be applied in helping the organization order change efforts, create motivation for change, and turn the motivation into action that results in improvements for the organization (van Akens & Berend, 2018). This paper presents the organization evaluation for HCA healthcare. Health Organization Evaluation: HCA Healthcare essay


Describe the health care organization or network.

HCA Healthcare is a publicly traded organization that manages health care facilities across the USA and UK. Founded in 1968, it operates as a holding company that owns and operates hospitals and related facilities through its subsidiaries. The organization manages approximately 186 hospitals and 2,300 facilities that include physician clinics, urgent care centers, freestanding emergency rooms, and surgery centers. It employs 235,000 personnel to manage its facilities in the USA and UK. The organization reported revenue of approximately $51.5 billion in 2020, and net income of approximately $3.76 billion. In addition, it spend $3.3 billion in capital investment, and $3.3 billion in uncompensated care to include charity care and uninsured discounts (HCA Healthcare, 2022).

Exploring HCA Healthcare business model reveals that it focuses on modernizing healthcare facilities while driving distinct returns for the society. Its business strategy is to improve health care facilities by modernizing and making them more effective and progressive. Its management approach is targeted at ensuring that the facility provides significant value to the society and builds healthier communities even as the patients enjoy improved quality of life. The organization applies clinical and business competencies in transforming health care, to include applying insights, clinical excellence and technology that reimagine health care on behalf of the society. HCA Healthcare has a unique business model that sees it acting as a holding company whose responsibility is managing the facilities. This implies that the organization acts as a “middleman” whose primary function is to make the facilities cost effective and efficient in delivering health care to the communities being served (White & Lavin, 2022). Health Organization Evaluation: HCA Healthcare essay

Describe the organization’s overall readiness based on your findings.

HCA Healthcare generates income by providing health care services to patients and participating in medical research. Towards this end, the organization has continued to expand its network of facilities across the USA and UK, while engaging more partners in medical research activities. These are business activities that speak of expansion, diversification and innovation. These activities help the organization to capture a growth market while acting as a growing and sustainable revenue source. Since the organization was founded in 1968 in Nashville, Tennessee, it has significantly grown and expanded its business portfolio, even as it diversified its operations and reported increasing revenues (HCA Healthcare, 2022).

Although the organization has reported favorable business performance figures, there are opportunities for additional growth. It can increase its customer base, market share and revenues. There have been significant reforms in health care systems in the USA and UK, all targeted at increasing health information technologies adoption, improving patient safety, improving health care quality, and increasing health care access (Shalowitz, 2019). The organization can turn these opportunities into business strengths with a focus on diversification to cushion its business portfolio from market shock. In addition, diversification would spread the business portfolio thereby allowing for greater integration of the care network, opportunities for business growth, and creating an attractive market. The business model applied by the organization indicates that it is change ready, a reflection supported by its business history of expansion, diversification and innovativeness (White & Lavin, 2022).

Prepare a strategic plan to address issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

The business model applied by HCA Healthcare shows that it is primed for continued growth of its portfolio. Although the organization has been performing well, there is a need for change in response to the available business opportunities, increasing competition, and changes in health care landscape. In essence, HCA Healthcare business model should be revised and improved. The strategic plan is presented for change to be made with a focus assessing the existing health care needs in communities in response to change health care landscape, determining what needs it can meet, and evaluating the impact of its business activities on the communities served. Implementing this strategic plan would allow the organization to improve resource management, facilitate network growth, increase market share, improve financial performance, and increase business portfolio (Buppert, 2020).

Identify any current or potential issues within the organizational culture and discuss how these issues may affect aspects of the strategic plan.

HCA Healthcare has a business model that is focused on improving health care access while ensuring that the products are availed at competitive prices. This business model has seen the organization include more facilities into its network even as it acts as a holding company. Through holding the controlling stocks and interests in the facilities in its network, the organization has been able to tailor the management approaches, organization culture, vision, mission and values of the facilities in the network. While the ideal situation is for HCA Healthcare to manage the network without resistance, that is not always the case. Some of the changes the organization initiates are met with resistance that negatively affect business performance. This is seen when there is a disconnect between the organization and facility culture such that the change efforts result in dysfunctional or non-optimized facility. Any negative performance would cause the shareholders to be discontented (White & Lavin, 2022). Health Organization Evaluation: HCA Healthcare essay


Propose a theory or model that could be used to support implementation of the strategic plan for this organization. Explain why this theory or model is best.

Lewin’s three-stage change model presents an appropriate change theory for guiding change at HCA Healthcare. This theory simplifies change management into three stages. First, unfreezing stage in which business practice and management problems are identified. This step verbalizes the problems at the organization and presents them to the stakeholders with a focus on getting their support and buy-in for the change. Second, change stage in which the organization applies the identified solution to address the problem. The focus is on availing resources needed to implement the change and achieve the intended/targeted outcomes. Third, refreezing stage in which the organization turns the change into the new organizational culture and standard practice even as the change is stabilized (Murray, 2022).


HCA Healthcare (2022). Who We Are.

Murray, E. (2022). Nursing Leadership and Management for Patient Safety and Quality Care (2nd ed.). F.A. Davis Company.

Shalowitz, J. I. (2019). The U.S. Healthcare System: Origins, Organization and Opportunities. Jossey-Bass.

van Aken, J. E., & Berends, H. (2018). Problem Solving in Organizations: A Methodological Handbook for Business and Management Students. Cambridge University Press.

White, M. A., & Lavin, G. (2022). Mastering the Processes of Strategic Management: Evaluation, Planning, Implementation, Control. Walter de Gruyter GmbH. Health Organization Evaluation: HCA Healthcare essay

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