The future of the GRC Applied research into the developments in the GRC and the redesign of the infrastructure for implementing the new strategic goal

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The GRC (Geriatric Rehabilitation Care) is a specialism in elderly care. The goal of the GRC is to rehabilitate elderly people in several circumstances. This research consists of two parts. In part one of this research a strategic external analysis is performed in order to examine the development in the GRC. The research question devoted to this part of the research is: What strategic scenarios can be developed based on the strategic analysis and which scenario fits Attent Zorg en Behandeling best? This external analysis is performed on the basis of selected dimensions that contribute to the analysis of the external environment. The results of this strategic analysis are used to formulate different scenarios. One of the scenarios, Ambulatory GRC, is selected by the organization to implement. This scenario has become the new strategic goal of the organization. In part two of this research an infrastructural redesign is created. This redesign contains the infrastructural conditions which are necessary to implement Ambulatory GRC. The research question devoted to this part of the research is: What is the required organizational structure and human resource management and what design can be developed in order to successfully implement the strategic decision? In this redesign we focussed on the infrastructural conditions in the area of the structure and the HR. The redesign is created on the basis of theory about organizational structures and human resource management. Based on the information from the focus groups and the theory about these two areas a redesign of the production structure, control structure and a redesign of the human resource management are created. Since this research is applied research and part of an intervention, intervention methods are performed in both parts of the research to reach the goals of both parts. In the redesign of the production structure two team options are formulated. Team option 1: The classical team formation: Multidisciplinary team with classical task division and team option 2: The classical team formation, but with different division of tasks. Broad healthcare providers supported by therapists. In both team options five main action can be distinguished: Intake, preparation of treatment plan, carrying out rehabilitation programme, client dismissal and after care. As regards the control structure it is important to determine one healthcare provider who is in control of the care a particular client receives and it is important to work with a case manager, who has an overview of all the parties involved. As to the human resource management the focus is on the merging of the home care department and the GRC department of the organization. During the inflow stage new healthcare providers have to be selected on the basis of the right knowledge, skills and motivation. During the flow stage healthcare providers that lack of the right knowledge and skills will be educated and trained.
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