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Imagine yourself among the executives and managers of a large, urban hospital. Your hospital is a private, nonprofit hospital that serves a number of low-income neighborhoods. The long-standing mission of the hospital has been to provide quality service to the community, regardless of an individual's ability to pay. However, changes and turmoil in the health care industry have raised concerns about your hospital's ability to remain viable and financially solvent. As a top management team, you have decided to maintain your commitment to your existing clients. However, you also wish to attract more clients with the means (or insurance packages) to pay for your services. Add to this situation the fact that you are about to move into a new facility, which includes a new computer system designed to improve the overall efficiency of your hospital. The question has come up about the advisability of offering a management training program. You might address the various changes and challenges in your external environment, for example, with so many other hospitals to choose from, how do you become the preferred health care alternative for this "new" population of clients? You are also thinking of ways to improve the internal environment, that is, how you can be more efficient by making the best use of the new technology that will be available in your new facility. ISCUSSION QUESTIONS: 1. If you are part of this top management team, do you think it is a good idea to offer management training at this time? If so, where would you start? What would be your focus? 2. What particular challenges would you expect to face as you moved into this new facility

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