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Quality - (PJutras) Jane Goodwin newly appointed Vice President of Operations for Midwest Health Care was excited about her new position yet concerned about the current management and structure of the Chicago based HC organization. The MWHC organization was continuing to grow by adding a new HC center about every two years. Currently, they consisted of Center City, North Central/ South and most recently West HC. With the recent expansion to a new center in East Chicago Jane saw an opportunity to bring in new management perspectives and to change the present way of operating. James Chang a recent MBA graduate introduced a number of progressive structures and operating procedures in his new center. He recruited staff from the other Midwest centers and also a number of outsiders. As a departure from the tradition of hiring from within she selected Chang from Albany New York to serve as the director of the new center. One of James' first actions was to ask his new": staff to name the East Center. They chose the name, Quality One HC. Chang soon created project teams in areas of operation such as pharmaceuticals, emergency services and preventative medicine. From the beginning moral was high and in the first year the results demonstrated steady, gradual improvement. Tensions among current centers began to surface. The staff at these centers referred to the employees leaving to join Ql as agitators. When Jane encouraged center directors to visit the new HC center. All of the directors participated in the visits except for the West Center director. These directors and their staff were sometimes critical of the Quality One HC Center. They questioned the so called team work as too chummy and not always professional. Some said the frequent meetings at QI were unnecessary The visits and interaction between the existing centers staff and the staff at Ql began to tail off, Rumors and criticism around QI continued and Jane Goodwin became concerned about her strategy for organization wide improvement at Midwest HC.. When Jane received a call from the CEO Tom Billings she contacted your management consulting firm for advice. 1. Your consulting groups should discuss the case for helping and hindering factors. 2. Write a brief diagnosis of the problem. 3. In writing, provide a set of recommendations for Jane Goodwin