STRATEGIC POSITIONING - A CASE-STUDY IN GOVERNANCE AND MANAGEMENT

This case describes the experience of the Detroit Medical Center (DMC) in restructuring its governance and management. It provides a backgro und on the DMC, examines the driving forces that led to modification o f its structure, identifies key principles in guiding the change and d escribes the strategies and specific steps taken in managing structura l change. Finally, the critical lessons learned about leadership style , communication, agenda development and relations with the board, medi cal staff, and management are discussed. This case study will help red uce the learning curve for any large, complex organization undertaking board and management restructuring to better meet its mission. At the time of DMC's restructuring there were no models to guide the effort. This case study attempts to reduce the gap in research on the managem ent of structural change.