😎 Lets not get too hung up on healthcare!
Mission Hospital is simply an excellent example of a highly successful and esteemed North Carolina institution which has changed its culture [BCBSNC is a similar case]. That change in culture is starting to play out and is creating many concerns for folks in Western North Carolina.
Mission moved from local ownership with local control to investor-ownership with national control; moved from not-for-profit to for-profit operations; and appears to have turned from a focus on people and quality to a focus on profit.
But those "cultural" issues are not unique to healthcare or not-for-profits! Boeing, the largest airplane manufacturer in the U.S., has confronted similar cultural issues. Entirely different business, exactly the same problems.
"The Atlantic Magazine" published an expose ["What’s Gone Wrong at Boeing" (authored by a UNC-CH grad)] last year after Boeing was found to be responsible for the deaths of 346 people in defective plane crashes. Here are a couple of excerpts about why culture matters:
"Boeing was once among the most respected American companies. It helped NASA put a man on the moon. It built the 747, the most famous passenger airplane of all time. The firm’s reputation for safety and excellence was such that people used to say, “If it’s not Boeing, I’m not going”."
In 1997, Boeing merged with another aircraft manufacturer, McDonnell Douglas, in what turned out to be a kind of reverse acquisition—executives from McDonnell Douglas ended up dominating and remaking Boeing. They turned Boeing from a company that was relentlessly focused on product and quality to one more focused on profit.
"Corporate culture can be a notoriously squishy topic—too readily subject to broad generalizations. But even if corporate cultures are hard to characterize accurately, they’re still real."
"As the management theorist Edgar Schein defined it, the essence of corporate culture is “the learned, shared, tacit assumptions on which people base their daily behavior.” That ethos is hard to instill using only financial incentives or the threat of firing." What’s really needed is a culture of professionalism—and that’s what Boeing seems to have lost over the past 20 or so years.
To me the struggle over the last 3 years at the credit union has been to ask, encourage, or force if necessary, the SECU Board "to come clean" with the member-owners about what their "new/new culture" means for us as members. It should not be too difficult to specifically respond to that 2022 Annual Meeting resolution. The SECU Board promised they would...
😎 Somehow, "We'll let you know when it happens" seems a little inadequate given our performance since 2021....
SECU, flying with Boeing into the future... by the seat of our pants?
