Decisions in Paradise Business Scenario, Part 3

Implementation of a decision is necessary for any organization to move in the direction of accomplishing its planned objective. Monitoring and evaluation of the decision is also needed to have an effective implementation. What improves the performance of an organization is evaluating decisions. Evaluating decisions will inform the organization if the solution that was implemented met the objectives of the organization. This paper will discuss the logic and strategy for implementing a solution to Kaiser Permanente establishing a presence on the Island of Kava. The paper will also discussed is the influence of implementing and evaluating the resources and procedures vital for decision making, and evaluates the ethical implications of a solution from the perspective of stakeholders.

The mission of Kaiser Permanente is to provide high quality, affordable healthcare services and to improve the health of our members and the communities we serve (Crane, 2002). Kaiser feels the essential components for an organization to be successful on the Island of Kava is the commitment to satisfying their customers, increase the value of their shareholder, and boosting initiatives of the community are. Kaiser’s top and mid level management team have approved the proposal to build a first-rate medical facility on Kava. Creating a greater presence on Kava is one of the main goals to the resolution that Kaiser will put into action. The success of this resolution will be measured against the mission statement of Kaiser Permanente and the main goal. This is to ensure that Kaiser can accomplish its main goal, and meet the founder’s visualization and pledge to give back to the Island of Kava.

In order for the endeavor to be successful Kaiser needs to execute a comprehensive plan that will implement their decisions into action. A strategy and timeline will needed, a plan to inform the stakeholder of the decisions that will be made. Kaiser will also need to develop a communication strategy to inform the stakeholders of its decision and identify and assign the resources in order to be successful on Kava. The group that will be implementing the strategy will consist of Alex, the director of strategic planning, and Nik the manager in training. The group has been given direction from the top management to have full authorization of allocating resources and finances. A systematic approach will be implemented to delegate every stage of the process. Kaiser will officially integrate the new organization on the island. Nik will make arrangements for the hospital to operate in Kava. He will also make arrangements for a corporate bank account to be established on the island. Kaiser will make sure that all laws and legal requirements are filed it and followed according to the law of Kava.

While waiting for the construction of the new hospital a facility will be leased for several months. Alex expertise will provide supervision of the construction of the new facility. The facility will be located in the central part of the island where both citizen and tourist easily get to in case of an emergency and low operating cost. The location will alleviate the concerns of the stakeholder who were apprehensive about natural disasters that plague the island. Arrangements will also be made to purchase the necessary medical and office equipment, furniture and supplies once the leased facility negotiated and finalized. Insurance for inventory, equipment, and workman’s compensation for the employees will be purchased for the leased and new facilities.

A meeting will be held between Alex, Nik, and top officials of the island. The discussion will establish multiple points of contact (email, web, and phone), an approach to medical planning (registries and protocols), and coordinate patient identification throughout the medical system. In the course of an observant analysis, Kaiser can be a complete medical facility that will enhance the quality of patient care, which will give Kaiser a competitive edge over the outside medical facilities. The Island of Kava will not have to rely on outside sources or clinics that are not fully equipped for proper medical care and emergencies. Kaiser will have meeting with business leaders and government officials of Kava to inform them of the organizations strategies for Kava. This would also be a tremendous opportunity to invite the business community to learn about the many services that hospital will provide to the citizens of the island.

Alex will start the hiring process once the leased facility has been furnished. Kaiser will employ healthcare providers (physician, nurses, and technicians), administration (human resources, information technology, managerial and clerical) staff. Kaiser is an equal opportunity employer looking to employ the best for the positions available. Integrity and competency are valued highly by top management. Since greatest assets are employees that work for Kaiser, the organization will offer a basic healthcare coverage, fair and competitive pay package for all their employees.

An orientation will be given to all new hires to learn about the mission statement, Code of Conduct, and values of the organization. Specific job training will be required for all new employees to improve their skill levels. There will also be Key Performance Indicators set for all new employees that they will have to meet. The Key Performance Indicators determines future promotions and advancement opportunities at Kaiser.

Professional development is one of the corporate responsibilities of Kaiser Permanente. Kaiser provides various online courses on an extensive variety of subjects from the organization’s website for the employees to take. The web also provides opportunities for the employees to communicate openly, integrate the clinical record with appointments share best practices, and solve problems. Alex will be accountable for all Kaiser Employees, and the financial performances of the organization.

“If you don’t measure it ? you can’t manage it,” Peter Drucker declared (Carlson, 2004, p.10). Key Performance Indicators will measure the performance of the Kaiser Permanente. Key Performance Indicators allows management to measure progress of each business unit within the company. This approach will allow the growth potential and profitability of the organization and increase the achieved measurable mission, and vision, strategic goals, and outcomes of the organization. Kaiser will be using metrics to track and improve productivity among the employee and a time metric track and reduce supply chain response time.

Kaiser is an equal opportunity employer that will respect and provide employees, training and competitive pay. Kaiser will also bring business skills and culture to train the young workforce in Kava. Kaiser will increase the standard of living of the employees, citizens; contribute to the economic development and the main purpose of establishing a greater presence on the Island of Kava. The founder’s vision and commitment has been fulfilled. The citizens of Kava and employees of Kaiser know that the organization is socially responsible that has influence on his or her social and economic health of the island. Kaiser’s shareholders will be glad that the organization has taken on the social responsibility issues while maximizing profit.

To get a good outcome it is essential to implement decisions. This requires an extensive implementation plan from the organization to summarize the strategy, timeline, and communication the stakeholders. Evaluating a decision is essential to the decision-making process. Key Metrics and Key Performance Indicators to evaluate the decisions and resources, which will test the effectiveness of the proposed solution and guarantee goals, have been accomplished. The organization needs to also evaluate and incorporate the ethical implications into the decision-making process to maintain long-term prosperity.

Carlson, Ph.D., Kevin D. (2004). The Importance of Metrics (ROI) Before and After Implementation. Virginia Polytechnic Institute and State University. Retrieved July 7, 2009, from
Crane, Robert M. (2002).Introduction to Kaiser Permanente. Kaiser Permanente. Retrieved January19, 2002, from