The creation of Grampians Health – a case study focusing on lessons learned from a health service merger
Stephen Duckett A , Rob Grenfell B * and Sharon Sykes BA
B
Abstract
This case study of the merger of four hospitals in western Victoria reports on the views of participants affected by the merger – as staff or from the communities – about 2 years after the merger. Respondents reported that many of the sought-after benefits of the merger were being delivered. However, the merger process itself attracted criticism, and it is here that this merger can provide lessons for others. Although there was a long lead time of consultation prior to the formal decision to merge, there was very little time to plan the next steps of implementation – there were only days between the decision and the merger taking effect. Future mergers should manage that differently. There is also a lot of literature on mergers which might provide a check list to enhance the likelihood of success in future mergers.
Keywords: governance, hospitals, implementation, rural.
References
1 Gerrish K, Mawson S. Research, audit, practice development and service evaluation: implications for research and clinical governance. Pract Dev Health Care 2005; 4(1): 33-9.
| Crossref | Google Scholar |
2 Mawson S, Gerrish K, Schofield J, Debbage S, Somers A. A pragmatic governance framework for differentiating between research, audit and service review activities. Clin Manage 2007; 15(1): 29-35.
| Google Scholar |
3 Schmitt M. Do hospital mergers reduce costs? J Health Econ 2017; 52: 74-94.
| Crossref | Google Scholar | PubMed |
4 Walia B, Boudreaux CJ. Hospital mergers, acquisitions and regulatory policy implications. Manag Financ 2019; 45(10/11): 1354-62.
| Crossref | Google Scholar |
5 Mariani M, Sisti LG, Isonne C, Nardi A, Mete R, Ricciardi W, et al. Impact of hospital mergers: a systematic review focusing on healthcare quality measures. Eur J Public Health 2022; 32(2): 191-9.
| Crossref | Google Scholar | PubMed |
6 Vaughan L, Edwards N. The problems of smaller, rural and remote hospitals: Separating facts from fiction. Future Healthc J 2020; 7(1): 38-45.
| Crossref | Google Scholar | PubMed |
7 Carroll C, Euhus R, Beaulieu N, Chernew ME. Hospital Survival in Rural Markets: Closures, Mergers, and Profitability: Study examines rural market hospital closures, mergers, and profitability. Health Aff 2023; 42(4): 498-507.
| Crossref | Google Scholar | PubMed |
8 Maile EJ, Mitra M, Ovseiko P, Dopson S. Merger and post-merger integration at Oxford University Hospitals: mixed-methods evaluation and lessons learned. J Health Organ Manag 2022; 36(4): 503-20.
| Crossref | Google Scholar | PubMed |
9 Chesley CG. Merging Cultures: Organizational Culture and Leadership in a Health System Merger. J Healthc Manag 2020; 65(2): 135-50.
| Crossref | Google Scholar | PubMed |
10 Westra D, Angeli F, Kemp R, Batterink M, Reitsma J. If you say so: A mixed-method study of hospital mergers and quality of care. Health Care Manage Rev 2022; 47(1): 37-48.
| Crossref | Google Scholar | PubMed |
11 Piquer-Martinez C, Urionagüena A, Benrimoj SI, Calvo B, Dineen-Griffin S, Garcia-Cardenas V, et al. Theories, models and frameworks for health systems integration. A scoping review. Health Policy 2024; 141: 104997.
| Crossref | Google Scholar | PubMed |
