Describe a possible change in one of the domains of analysis in the framework for understanding health care systems and one likely result of that change. Explain your rationale. How do these changes impact marketing?
Analyze the two working models (Anderson and Roemer) for understanding different health care systems and determine which model would be most useful to you in your current (or future) position in the health care industry. Provide specific examples to support your response.

Characters
For XYZ Union
For RST Company
President
Chief Negotiator/team leader = Bill Sharp
Grievance Chairperson
Shop Steward
Shop Steward #2 = Ravi
Rank & File
Strike Replacements: Marley, Juan, Rich, Frank
Grieving Employee = Barbara Stone
CEO
Vice President of Finance (VPF)
HR Director
Labor Relations Specialist = Paula
The president of the XYZ union (Union) convened a special meeting of the members to discuss the new contract with its private-sector employer, the RST company (Company). Bill Sharp, the union’s chief negotiator, stepped to the front of the room.
“Let me begin by saying that our negotiating team has been well prepared for this bargaining. We’ve known that it would not be an easy task and have anticipated the major issues. We’ve been meeting twice a week at the table for the last two months and have secured several of the demands that you wanted, such as standard 2-shift, advanced scheduling.
Delores, who plans to retire soon, interrupted: “What did they do for the retirees? The retirees didn’t get a single increase in their pension benefits over the last three years. They should get a at least a 5% bump to help them keep up with inflation.”
Bill replied: “Just like 3 years ago, the company has again refused to negotiate about that; so, no, we’re still working on it. When we have a complete contract that is ready for ratification, we’ll go over all of the provisions with you. For tonight, we need to talk to you about an impasse.”
As the murmurs in the room subsided, Bill shifted his body weight to his other leg and leaned toward the group. “At this point in the process, we’re negotiating the critical elements—keeping the work at our site if they open a new location and health care benefits. The work-to-rule days we had and the informational picketing we already tried were useful, but they are still digging in their heels on both of these important issues. We’re not likely to have a new contract agreed upon when our existing contract expires at the end of this month. We need to start building for a strike. That means work all the overtime you can now and start saving. We’ll have to get a campaign going in the shop, but also talk about a press and customer strategy. But at the end of the day, I think we’ll need to strike the company if we’re going to get them to give us a fair contract. You know striking isn’t the way most contracts are settled, but we need to prepare for the possibility. Tonight, we need to hear your questions and comments. Remember that anything said in this meeting should stay here; we don’t want to tip them off about our plans plus the information could change during the rest of the process.”
Here are questions the rank and file asked that evening. You need to provide the answer to each one. Write concisely, limiting the answer to each to a maximum of one-half page. Use the specific statutory provisions, terms and concepts covered in this course to support your analysis. Use APA to reference any borrowed material.
1. If we do strike, I heard the company can hire new people to do our work. Will I lose my job?
2. I have a family and bills to pay. I heard there is a strike fund. Where does that money come from?
After another 3 weeks of negotiation, all of the issues had been settled except for the following items. Several proposals crossed the bargaining table from both sides. The most recent ones were:
Union Recognition clause
Company’s proposal = The company recognizes the Union as the sole and exclusive bargaining representative of all production, maintenance, and product control employees in the New York facilities. This excludes office and clerical employees, technical employees, sales staff, professionals, and security staff. Supervisors, as defined by the National Labor Relations Act, are also excluded.
Union’s proposal = Remove “New York” from the company’s paragraph.
Management Right’s clause
Company’s proposal = The Union recognizes that management has full and sole rights to direct the workforce, including the right to hire, transfer, discipline, suspend or discharge employees. It includes the right to determine working hours, to assign overtime, to modify jobs, and to transfer work to any other company location or to subcontract work.
Union’s proposal = The Union recognizes that management has full and sole rights to direct the workforce, including the right to hire, transfer, discipline, suspend or discharge employees. It includes the right to determine working hours, to assign overtime, and to modify jobs. Exercising these management rights cannot violate any other term of this contract.
The union also proposes to add this provision in the contract: Reassignment of Work
Work that is transferred to any other company location or subcontracted must be offered first to the New York employees. If the first-refusal offer is not made, the company will pay both the NY employees and the workers who perform the work for the time. If the NY employees decline the offer, no penalty will apply.
Health care premiums
Company’s proposal = Employees will pay 20% of their health care premiums in the second and third years of the contract.
Union’s proposal = The company will pay 100% of the health care premiums in all years of the contract.
The president of the union, who is planning to run for re-election next year, scheduled a meeting with the union’s negotiation team leader, Bill.
President: So what are we going to do? What are the options?
Bill: They won’t budge on these. We think they’re planning to open a new facility in a RTW state. If we don’t have protection of our jobs, they will shift the work there and we’ll eventually disappear. We have to raise the pressure.
President: Can we file an unfair labor practice claim with the Board about how they are refusing to negotiate?
3. Bill looks to you for guidance. In a short paragraph, explain whether this is a good strategy. Under what provision would that be done? What is the likelihood that the union would win a case about the company’s bargaining conduct? Why? Write concisely, limiting the answer to a maximum of one-half page. Use the specific statutory provisions, terms and concepts covered in this course to support your analysis. Use APA to reference any borrowed material.
At the same time, the Vice President of Finance for the company, who has a bonus clause in his performance plan which is based on cost reduction, meets with Paula, the Labor Relations Specialist who is leading the company’s negotiations.
VPF: So where are we now?
Paula: Down to the final wire. They might not have reached their resistance point and still be willing to discuss the health care cost, but they are adamant about any language that suggests we could assign their work elsewhere. I’m pretty sure they are preparing for a strike.
VPF: Can they do that? I thought it was illegal.
4. Paula has explained strikes to the VPF before but realizes that it can be hard to remember which ones are legal and which are not. Briefly explain again whether this particular strike is legal and why. Write concisely, limiting the answer to a maximum of one-half page. Use the specific statutory provisions, terms and concepts covered in this course to support your analysis. Use APA to reference any borrowed material.
VPF: Well, what is our Best Alternative to a Negotiated Agreement? BATNA, isn’t that the right word? What else can we do?
Paula: Yes, it is. Legally, in our circumstances, we likely can unilaterally implement our last proposal. As soon as we do, however, the picket line will go up.
VPF: Is that horrible?
Paula: The operation managers tell me we’ll have trouble filling our orders. Even strike replacements, which is a major effort to put in place, won’t be a total solution since they don’t know the work. Some of the jobs have a long learning curve. We’ll need to bolster security measures to minimize the chances of physical damage to property and people. Then, there is the media. When we’re trying to expand our operations and convince the county to give us tax breaks, bad press won’t help. And, there may be damage to our long-term relationship that could result in costly grievances throughout the life of the contract.
VPF: Well then? We have to get a handle on these constant overtime costs. They are blowing the budget every quarter. Shifting the work to a lower-cost option is essential.
Paula: We might invite a mediator from the FMCS to see if there is any wiggle room.
VPF: We had one decide the last contract dispute with one of our vendors. I wasn’t thrilled with the answer, and we’re stuck with it. How can we make sure we don’t get stuck with something we don’t want in this case?
5. Briefly answer the VPF’s concern. Write concisely, limiting the answer to a maximum of one-half page. Use the specific statutory provisions, terms and concepts covered in this course to support your analysis. Use APA to reference any borrowed material.
After four weeks of mediation without any significant change, the union members authorized their leadership to call a strike. In a confidential ballot vote, stipulated by the union’s by-laws, the decision was 95% for a strike and 5% against. The strike began on July 20. It was a peak production period for the company, and the competition had become keen since global corporations had entered the U.S. market. Believing any loss of market share would hurt the company’s long-term financial status, the company had done some preparation for this possibility. In addition to stockpiling more inventory, it had prepared to employ strike replacements; and, on August 6, it hired 100 of them to cross the picket line to do the work of the employees in the bargaining unit. “Scab!” the picketing employees yelled. Heckling and jeers ensued each morning as the new employees went to work. Fists occasionally slugged the air, but no physical violence occurred. Some replacements found the environment so hostile that they quit. Local news reports began covering the dispute. Community leaders became concerned that any loss of employment would hurt the tax base and stress the available social services. The strike replacement workers were not as efficient yet at the tasks involved, creating quality problems.
Eventually, the two sides found enough common ground to come to agreement. The union negotiating team submitted the new contract to the membership for ratification. The Company CEO issued a press release that said:
We are pleased to announce an agreement with the Union bargaining committee and hope that all Union members will give this contract a full and fair consideration. These were very tough negotiations. Both sides worked very hard and compromised. The result is a very positive offer for the employees that also protects the long-term competitive position of the Company.
The union members knew it was not exactly what they had demanded, but the strike fund was depleting and people were tired after manning the picket line 24/7. The members voted by 75% to 25% to adopt the new agreement, which met the criteria in the union’s by-laws. Thus, the new contract was ratified on September 1, 2017.
During the final stages of the strike the parties negotiated the conditions under which the strikers might return to work. They agreed to the following language as part of a Strike Settlement Agreement, which was signed the same day the new contract was ratified:
The strike against the Company by its employees who are members of the Union is terminated as of the date of this Agreement, September 1, 2017. Striking employees shall be returned to work, to openings in the classifications occupied by an employee on May 31, 2017, in accordance with his/her respective seniority.
In addition to the above agreed upon language, the Company proposed that the Strike Settlement Agreement contain the following section (Paragraph 2), to which the union objected:
2. Jobs filled by employees hired by the Company on or after August 6, 2017 as strike replacements (new hires) for striking employees shall not be considered vacancies to which returning strikers shall be returned unless and until such jobs are vacated by the strike replacements. Such new hires shall not be bumped or displaced by the return of strikers. Such newly hired employees shall become members of the Union as stated in the collective bargaining agreement and their respective seniority shall be measured from their individual hire date.
Because the parties did not agree to the Company’s proposal concerning Paragraph 2, the parties determined that while Paragraph 2 would physically remain in the printed Agreement, the following marginal notation would be added reflecting the parties’ failure to agree to this particular provision. This marginal note read:
Paragraph 2 represents the position of the Company and is not agreed to by the Union or waived by the Company.
During the plan to resume normal operations, the company determined that it had too many workers in the first level positions. It terminated 10 of the strike replacements since they were no longer needed.
On September 12, Marley, Juan, and Rich, three of the ten terminated strike replacements, made an appointment with the union’s Grievance Chairperson (GC) to file a complaint.
GC: You need to speak with the Shop Steward first.
Marley: We tried. He wouldn’t listen to us—kept calling us “scabby.”
GC: What is the problem then?
Marley: I was fired yesterday. HR told me last week that this would be a permanent job. I’m entitled to some protection.
GC, looking at Juan: What about you?
Juan: Me, too. I’ve been fired.
GC: When were you terminated?
Juan: Two days ago.
GC: Why were you fired?
Juan: One of the strikers was recalled, so I was pushed out.
GC: Wasn’t that the arrangement when you hired in?
Juan: Then they said they would see if they could keep me.
GC, turning to Rich: What about you?
Rich: I was fired on August 31. They told me I’d have the job after the strike was over. I asked that in the interview because I had another part-time job offer closer to home. I was going to take that instead if this job didn’t last very long.
GC: Ok, I understand. I need to pull together a couple things. I’ll call you tomorrow to let you know what, if anything, we can do about getting your jobs back.
The next morning, the Grievance Chairperson received a visit from another strike replacement
worker.
GC: What seems to be the problem?
Frank: I heard that you might be able to get my job back.
GC: When were you fired?
Frank: August 29 was my last day.
GC: Why were you fired?
Frank: I’m not sure. They indicated that the work ran out, but I heard one of the strikers took over the job again.
GC: What did they tell you when they hired you?
Frank: Nothing really. They just said they needed someone right away.
The Grievance Chairperson collected all his notes and pulled the new contractual documents out of his file drawer. He flipped the pages and ran his finger down the paragraphs. He tagged the union shop arrangement:
Article II
Section 1 Any employee who is a member of the Union on the effective date of this Agreement shall, as a condition of employment, maintain his/her membership in the Union to the extent of tendering uniform initiation fees (if any) and periodic dues.
Section 2 Any person hired as a new employee and any employee who is hereafter transferred into the bargaining unit on or after the effective date of this Agreement shall, as a condition of employment, become a member of the Union (to the extent of tendering uniform initiation fees (if any) and periodic dues) on and after the thirty-first day following the date of employment or transfer, and shall maintain such membership in the Union.
He also earmarked:
Article 13 – Section 3
Management has the sole right to discipline employees according to the progressive process described in Section 5 and to discharge employees for just cause.
Article 13 – Section 4
Causes for immediate discharge are: possession or use of drugs or alcohol on company property, theft or damage of company property, workplace violence, and any other threat to the safety of the facilities and workforce.
He also checked with the union’s Secretary/Treasurer to learn the status of the workers’ dues. He was told the following:
Dues Status
Marley
Paid on September 3
Juan
Not paid
Rich
Paid August 20
Frank
Not paid
#6 –9 – After preliminary investigation, the Grievance Chairperson finds that the information about the termination dates each man gave seems accurate. Use the information gathered in the meetings, the contract provisions, and the record of dues as well as specific statutory provisions, terms and concepts covered in this course, to identify which, if any, of them is entitled to retain employment and whether the union is legally obligated to represent him in a grievance to restore his job. The chart should help you organize the information you need. For your answer, briefly state and explain the response you would give to each of them. The chart is just to help you organize your thinking.
Write concisely, limiting the total answer for all 4 to a maximum of one page. Use APA to reference any borrowed material.
Was he illegally terminated?
Why?
Legally, must the union represent him?
Why?
6.
Marley
7.
Juan
8.
Rich
9.
Frank
It was a busy week for the Grievance Chairperson. Another Shop Steward, Ravi, made an appointment to discuss a grievance he couldn’t resolve with the employee’s supervisor, Paul Hawkman.
GC: Hi, Ravi. I saw the grievance form for Barbara Stone. Isn’t she the woman who held the picket sign in the County Courier’s front page coverage of the strike?
Ravi: Yes, she is. Nice photo. The paper used a fair shot this time.
GC: Well, what about this? In the first step, what did they tell you?
Ravi: Hawkman took over from Dick Fleming when he retired. I don’t know why they appointed him. He hasn’t been with the company very long; he has no experience working with unions is what I hear. When I talked to him, he was arrogant—said he was fully within his rights to dismiss her.
GC: So what happened? What does Barbara say?
Ravi: Barbara had borrowed a company moving dolly. She said Dick had given her permission to use it. She was relocating across town and needed it to move some boxes to her new house. The dolly was in the back of her Chevy truck in the parking lot. It was covered up, for protection, but the handle, with the company tag, was sticking out. Hawkman saw it when he came to work. He couldn’t find any written permission slip on file for her to have it. Barbara said Dick didn’t ask for one this time. She had used it before to help with a community food drive that both she and Dick had volunteered to assist. She was bringing it back but just hadn’t unloaded it yet. Hawkman said she was stealing it and fired her.
The GC pulled out the contractual provisions for termination again. He also flipped to the section about company property. It read:
Article 17 – Section 8
Employees in good standing may occasionally borrow non-essential company equipment, provided they complete the authorization form and have it signed by their supervisor. A specific timeframe must be stipulated and failure to return the property in good condition by that deadline will be grounds for reprimand.
GC: How long has she been here? What does her performance record look like?
Ravi: About 2 years. Dick wasn’t one to record an issue unless it was something really serious. So, there isn’t anything during his time. Hawkman has marked her for being late twice in the last month, but there isn’t any formal warning.
10. In the meantime, Paul Hawkman has come to see the HR Director about the matter. He hands over the paperwork for her termination. By addressing Hawkman and the GC separately, explain how the Director should handle this case and why. Write concisely and limit your response to a maximum of 1 page for both.
a. Hawkman

Critical thinking skills are important for a manager to be successful and be able to handle different situation. Biases is one trait a manager must avoid because they need to reflective and make quick decision. They must be able to summarize their team performance.
The vital arrangement includes characterizing and controlling the business’ future, just as its present status. An attentively arranged vital arrangement causes the association to contend with its opposition while controlling its budgetary point of view and makes strides towards accomplishing its main goal. The association’s central goal and vision decides the accomplishment of the key arrangement. Without the mission or vision explanations, the key arrangement has no extreme objective to endeavor and needs quantifiability. While an association can have a key arrangement without a mission or vision articulation, the arrangement is certain to be fruitless because it will need course which will lessen the association’s potential for an upper hand.
There are many segments of the procedure someone spread which throughout vital arranging stages. For a clearer understanding, this article speaks to 5 phases of vital arranging process:
Starting Assessment
Circumstance Analysis
Technique Formulation
Technique Implementation
Technique Monitoring
Starting Assessment
Parts: Vision articulation and Mission explanation
Apparatuses used: Creating a Vision and Mission articulations.
The beginning stage of the procedure is starting an evaluation of the firm. At this stage supervisors should plainly recognize the organization’s vision and statements of purpose.
Business’ vision responds to the inquiry: What does an association need to turn into? Without envisioning the organization’s future, supervisors wouldn’t know where they need to go and what they need to accomplish. Vision is a definitive aim for the firm and the heading for its representatives.

250 wordsIn healthcare, the ethical principle of justice refers to the equal and fair distribution of resources. An example would be a community hospital that implements a project to provide flu-shots to elderly members of the community at no cost. There are only 60 openings per month for this service, and the program will only run from November to March. Justice requires a fair method that is free of bias to determine which elderly adults would receive the flu shot.The first question is based on your own experience so that you can begin the discussion immediately without having completed all of your readings. Can you provide an example of a situation when there was injustice in healthcare?The following questions will be based upon the following:Ryan White was an American teenager, who had hemophilia and contracted HIV/AIDS from a needed blood transfusion. Because of his HIV/AIDS diagnosis, he was expelled from middle school. Together with his Mother, he fought AIDS-related discrimination and his right to attend school. His determination gained national attention and the importance of public education about the disease.By using the ethical principle of justice, discuss how a healthcare professional is legally and ethically bound to provide care for a patient who has been diagnosed with HIV/AIDS.What conflicts could occur in the healthcare setting and how would they be resolved? Base your post on your readings and the website provided.