Part 1 - Kaplan?s Goal and Rationale in Adopting TPSDr. Gary Kaplan  rattling  much believed in the corporate culture of Virginia  mason medical Center (VMMC) and in the case study states that it was the  cooperative  aggroup approach that attracted him to VMMC.  However, when he took over as  chief executive officer in 2000, the medical center was losing money for its first  prison term in history.  Kaplan had to move VMMC to  start out a  knowledge  presidency that could be lean, and compete within a in truth competitive  fabrication during a period of poor   sparingal conditions.  Transforming any organization is a formidable task and in VMMC?s situation,   there were two major impediments.  First, VMCC had well  intrench practices of doing things the way they  concord always been done referred to as ?routines?.1  From the heuristic rule perspective, the routines and minor incremental changes to the routines had worked well for the VMMC through the years with the physicians retain   ing their  consciousness of entitlement and autonomy without much involvement in setting  organizational goals and little  fatality to work for the greater good  instead than themselves.   However, now there was a change in the economic and competitive surround that required a new  business sector model that could  aline to its  environs.  Second, VMMC was a  fully grown  set and large organizations can be slow to change and become  acquisition organizations.

 The technological environment in health care had changed cursorily and Kaplan recognized that VMMC had become inefficient.  For example, improvements were needed in overall layout of th   e facility?s  preaching areas and in vital s!   ervices as lab and pharmacy.    chthonic contingency theory, technology and task mutualness factors best describes why VMMC had become stagnant ? the homogeneous and  changeless environment of the  former(prenominal) was gone and VMMC was not adapting to the new environment. 2    Kanter believes that  larger companies...                                        If you  need to get a full essay, order it on our website: 
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