Preparing for the Downsizing and Closure of Letterman Army Medical Center: A Case Study
Final rept. Jul 1990-Jul 1991
LETTERMAN ARMY MEDICAL CENTER SAN FRANCISCO CA
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Letterman Army Medical Center LAMC is scheduled for a phased downsizing beginning in July 1991 leading to closure by 30 June 1994. An analysis of the information gathered during downsizing and closure activities can serve as an invaluable resource for medical treatment facilities facing closure as the Department of Defense reshapes to a smaller force structure. By review and analysis of documentation and a survey of key personnel, this case study extracted and interpreted pertinent information from historical records and from personnel involved in planning for downsizing and closure. The study quantified contacts between LAMC and external entities and internal employee groups, and quantified each issue and its relative impact on LAMC. Issues identified in the document review were qualitatively evaluated by surveying LAMC managers and other employees. The information in this study provides managers of a military hospitals facing closure with a summary of issues for planning, compiled by their relative importance. Effective communication with employees and with beneficiaries was the most important and time-consuming task faced by LAMC managers.... Hospital downsizing, Hospital closure, Medical center.
- Personnel Management and Labor Relations
- Medicine and Medical Research