From discord to symphony? A case study of strategic reorientation

1. From discord to symphony?A case study of strategic reorientation 31. Annual EAIR Forum, Vilnius, 23.-26. August 2009 Dr. Jürgen Deeg Kirsten Hoeper

2. Overview • Case Study Hannover Medical School 3 Stages: - State of discord - Turnaround – Strategic Reorientation - Results • Key factors of strategic reorientation

3. Organisation Structure: Integrative Model - Hannover Medical School - Supervisory Board Academic Senate Internal Clinical Advisory Board Executive Board Vice-president Department Patient Care Vice-president Department Economics and Administration President Department Research and Teaching 18 Centres with 70 Clinics and Institutes

4. Development of Crisis atHannover Medical School Amount Mio € Successful Turnaround 0 20 Mio 40 Mio Economical Crisis t 1997 2003 Time frame?

5. Major causes • Fulltime position of management without structural independence • Lack of profile in research and medical facility • Lack of cost awareness, economic reasoning and behaviour of staff • No transparency between income, expenses, and output due to an insufficient controlling

6. Turnaround – Strategic ReorientationProfessionalization of Management Based on Nickel, S. & Ziegele, F. (2006), pp. 2-7

7. Turnaround – Strategic ReorientationCultivation of a competitive profile Characteristics of HEIs in contrast

8. Results (I)Development of Grant Acquisition and Impact Factor

9. Results (II)Development of Net Profit of the year

10. Key factors of strategic reorientation

11. Employee Attitude SurveyOverall Concept and Business Objective 3 1 2 Administrative staff Physician Scientist Not true true Question 1: I am informed about concept and business objective of the institution Question 2: I am informed about concept and business objective of my Department Question 3: In our Department, we regulary get information about concept and business objective of the institution

12. Hierarchic StructureHospital and Research Hierarchy Hospital Department Level Hierarchy Research Department Level Department Head (= Medical Director = Scientist) Department Head (= Medical Director= Scientist) Senior Physician (= Assistant Medical Director = Scientist) Senior Physician (= Scientist) Resident Physician (= Scientist) Biologist etc. Resident Physician (= Scientist)

13. Impact of increased governance

14. Conclusions

15. Most important changes: professionalization of management with dual qualification and profiling • Quick decision making process and adaptation to a changing environment • Changing definition of HEIs • Effects on academic freedom

16. Final Note The inevitability of changes „I don‘t know, whether things get better if they change, but I know that things have to change in order to get better. “ Georg Christoph Lichtenberg (1742-1799) German Philosopher

17. Thank you for your attention!