Case Study: Kaiser Permanente And Montefiore Health System

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As implementation of the US Affordable Care Act (ACA) advances, many domestic health systems are considering major changes in how the healthcare workforce is organized. The purpose of this study is to explore the dynamic processes and interactions by which workforce planning and development is evolving in this new environment.
Informed by the theory of loosely coupled systems (LCS), we use a case study design to examine how workforce changes are being managed in Kaiser Permanente and Montefiore Health System. We conducted site visits with in-depth interviews with 8 to 10 stakeholders in each organization.
Both systems prove a concern for the impact of change on their workforce and have made commitments to avoid outsourcing and layoffs. Central

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