Downsizing Digest          Saturday, 22 June 1996       Volume 01 : Number 002

In this issue:

	Downsizing List Digest Now Available!
	Healthcare Downsizing
	Downsizing information
	Reasons for Downsizing
	Re: Reasons for Downsizing
	Re: Reasons for Downsizing
	Downsizing Information
	Downsizing reasons

----------------------------------------------------------------------

From: "Bill Casti, CQA (Moderator)" 
Date: Thu, 20 Jun 1996 23:23:18 -0400 (EDT)
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------------------------------

From: "Platt.Charles" 
Date: Fri, 21 Jun 96 09:39:46 EST
Subject: Healthcare Downsizing

It looks like I am going to unsubscribe to the downsizing list 
and I wanted to share what other members of the Downsizing List 
said about Downsizing and healthcare.

See ya,
Charles
platt.charles@mail.mccg.org


Subject: Reply to: Healthcare Downsizing
Author:  RIVAS.GEORGE_A@HINES.VA.GOV at Internet
Date:    6/10/96 11:18 AM

Charles, having been the victim of healthcare downsizing-three 
times in the past eight years, I would be glad to establish 
dialogue concerning this issue.


Subject: Re: Healthcare Downsizing
Author:  "William J. Nowack"  at 
Internet
Date:    6/10/96 10:34 PM

I am interested in the interaction of downsizing and the quality 
of health care.  At this point I am more likely to listen to what 
others have to say than to put in my speculations on a thorny 
issue.  I would like to hear what others have to say on this 
point.

Subject: Re: Healthcare Downsizing
Author:  "HM1 G. A. Baum"  at 
Internet
Date:    6/11/96 3:00 PM

Yes, of great interest.  Over the last couple of years military 
hospitals are in the same boat so to speak.

HM1 G. A. Baum
Assistant Head, Navy Blood Program
Bureau of Medicine & Surgery
2300 E Street NW
Washington, DC  20372-5300


Subject: Re: Healthcare Downsizing
Author:  TMcK0128@aol.com at Internet
Date:    6/11/96 6:48 PM

Charles
In response to your question regarding downsizing in 
Hospitals/Healthcare.  I am extremely interested in what is 
happening to the healthcare delivery system.  My area of 
expertise is Home Heathcare, fortunately, this is one of the 
growth areas in this era of consolidation and re-configuration.
Unfortunately, there will be losers in this sector as well as the 
hospital
sector.

Tad McKeon
TMck0128@aol.com


Subject: Re: Healthcare Downsizing
Author:  "William J. Nowack"  at 
Internet
Date:    6/11/96 9:08 PM
Hello everyone!  I'm most interested in (and affected by) 
downsizing in the area of medical care.  Particularly, I am 
concerned about the interaction of the quality of medical care 
and the imperatives of downsizing.  It is easy to get up on a 
soapbox and declaim on the basis of anecdotal experience, but 
does anyone have any hard data?
I can recognize the economic factors which drive downsizing but 
am not sure it is an unalloyed good idea in this arena.


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------------------------------

From: 
Date: Sat, 22 Jun 1996 10:45:00 +12
Subject: Downsizing information

Fellow list members,

I recently asked if there were any positive examples of downsizing 
and there have been somegood  instances quoted which is heartening.
 (Sorry Joe for missing your previous post)

I also see Charles Platt about to depart the list seemingly in 
frustration in not seeing any constructive dialogue about issues - 
Did I get it right if you are still there Charles?  

It seems to me that in organisations of any size the subject is vast 
and complex and this may be the reason why some feel we are not 
able to get to down to the heart of the matter?

Having been through one downsizing on the management side (but not in 
strategic management) and another where I chose to be on the 
departers side I have a modicum of experience. As a consultant since 
(in Quality) I have seen others from the side lines.

How about talking about one aspect at a time of the subject. I humbly 
offer the following breakdown of topics. We could talk about each 
issue and how to control it, in the light of our collective experience.

1.    It seems to me that organisations decide to down size mostly
because they become 'currently disfunctional' so that survival is
threatened. How they got into that state is the first area of concern.

2.  In planning the event the next issue is how they handle it with
respect to staff, systems (quality) and customers.  The use of
consultants, how and what they tell/involve the staff etc all come here.

3.    It seems that there is often a DAY or WEEK when it all happens 
and many plans get changed so the execution (sorry - the way it is 
done) is important.

4.    The survivors 'are' the new company so how they are considered 
and subsequently 'nurtured' (or not) is critical to the success of 
the exercise.

5.    The reconstruction phase also was important in my experience 
for larger places as the initial plan could not be carried out in detail.

6.    The end result. Is the organisation better for the experience?

7.     Finally would they do it the same way again?  What were the 
alternatives in retrospect.

I apologise for soaking up bandwidth but when people start leaving 
a list that has/will affect so many people so strongly, I wanted to 
make faster progress.  I will post my personal answers to my own 
questions seperately.

Bill Radford
wradford@midland.co.nz

------------------------------

From: Ray Martin 
Date: Sat, 22 Jun 1996 12:53:49 -0500
Subject: Reasons for Downsizing

Bill Wradford, other Downsizing colleagues"

Bill, your 'Dowinsizing information' post is thoughtful.  Why firms 
downsize, e.g., "how they got into that state (where they had to or 
decided to downsize)," is crucial.  While you could be right--that firms 
become "'disfunctional'"--hopefully some downsizings are less knee-jerk, 
more thoughtful?  

Rational decisions would be based on the ratio of cost to effectiveness, 
with people part of the cost and key to the effectiveness.  Hopefully 
most downsizing decisions are rational?

There are, I believe, pressures in the international economy that make  
upsizings and downsizings more likely than in the past.  My dated list, 
from a US perspective, roughly rank ordered, includes:
  *  Increased international competition
  *  Decreased trade restrictions
  *  Increased taxes and government spending 
  *  Decreased management layers in US industry
  *  Increased government regulation
  *  Increased need for knowledge over manual work

Downsizing colleagues, are these valid?  Are there more?

Ray Martin, Ph.D.
Management Consultant
165 Palisades Drive, No. 936
Universal City, Texas  78148
210-659-8377 (tel/fax)
210-212-0783 (alphanumeric pager)
RMartin@texas.net

------------------------------

From: 
Date: Sat, 22 Jun 1996 15:59:31 -0400 (EDT)
Subject: Re: Reasons for Downsizing

Bill and Ray,

I just tuned in so I don't have the benefit of seeing Bill's comments.

I would like to address Ray's though.

Could you add some detail to your assumptions, like
>  *  Increased international competition
>  *  Decreased trade restrictions
>  *  Increased taxes and government spending 
      These increases and decrease lead to "x" which leads to "y" which
leads to         downsizing.

>  *  Decreased management layers in US industry
        Isn't this a result rather than a cause?

>  *  Increased government regulation
        Doesn't this usually lead to more effort rather than less?

>  *  Increased need for knowledge over manual work
        Does this mean knowledge instead of manual work? Work smarter?

Here I thought downsizing was due to finding ways to work faster and more
effectively with the "computer age" upon us. Have I been mislead?


Neil Steeman
Change Management Solutions
We solve tomorrow's problems.
CMSolver@scescape.net

Neil Steeman
Change Management Solutions
We solve tomorrow's problems.
CMSolver@scescape.net


------------------------------

From: Ray Martin 
Date: Sat, 22 Jun 1996 21:43:43 -0500
Subject: Re: Reasons for Downsizing

cmsolver@scescape.net wrote:
> 
> Bill and Ray,
> 
> I just tuned in so I don't have the benefit of seeing Bill's comments.
> 
> I would like to address Ray's though.
> 
> Could you add some detail to your assumptions, like
> >  *  Increased international competition
> >  *  Decreased trade restrictions
> >  *  Increased taxes and government spending
>       These increases and decrease lead to "x" which leads to "y" which
> leads to         downsizing.
> 
> >  *  Decreased management layers in US industry
>         Isn't this a result rather than a cause?
> 
> >  *  Increased government regulation
>         Doesn't this usually lead to more effort rather than less?
> 
> >  *  Increased need for knowledge over manual work
>         Does this mean knowledge instead of manual work? Work smarter?
> 
> Here I thought downsizing was due to finding ways to work faster and more
> effectively with the "computer age" upon us. Have I been mislead?
> 
> Neil Steeman
> Change Management Solutions
> We solve tomorrow's problems.
> CMSolver@scescape.net
> 
> Neil Steeman
> Change Management Solutions
> We solve tomorrow's problems.
> CMSolver@scescape.net

Bill Radford, Neil Steelman, Mike Townes, other Downsizing colleagues:

Bill, Neil, Mike, thanks for the thoughtful responses.  Especially 
yours Neil. I have not visited some of these items for a while.  It is 
enjoyable to rethink my reasons.

*  Increased taxes and government spending 
Neil:   These increases and decrease lead to "x" which leads to "y" which 
leads to downsizing.  
Ray: Yes, taxes are costs to firms.  (But people pay taxes.  Firms just do 
the bookkeeping and turn them in.)  Firms must maintain a favorable ratio of 
cost to effectiveness to survive and grow.  Some of the easiest costs to see 
are direct, say social security or payroll taxes.  Downsizing cuts cost far 
more than just salary and benefits the employee receives.

Ray:  *  Decreased management layers in US industry
Neil:  Isn't this a result rather than a cause? 
Ray:  Probably both.  But what I have in mind is the recognition and removal 
of low-value added management layers.  Organizations grew following largely 
functional, military-like, bureaucratic models--the private, corporal, 
sergeant . . . Commander-in-Chief.   Flatter organizations are more 
appropriate for modern knowledge workers, especially with modern 
communications and other technology.  As one young lady from a Fortune 500 
firm told me, "All he does (her middle manager) is follow me around to try 
to figure out what I am doing so he can take the credit."  She was a modern 
knowledge worker who could manage herself and her work quite well.  Her 
division "downsized" a few months after (front page, major papers).  The US 
military, incidently, has almost completely abandoned the historical layered 
structure when conducting operations (e.g., Desert Storm, exercises, when it 
matters).  The layers are still there, often with a even more complex maze 
superimposed for administrative matters.

Ray:  *  Increased government regulation
Neil:  Doesn't this usually lead to more effort rather than less? 
Ray: Yes, more effort, but less value added.  Human resources (HR), legal, 
accounting appear to have been growth areas--their previous value added 
diluted into myriad compliance and litigation-avoidance activities.  These 
people tend to cost the same, but they don't put fenders on cars.  Gives 
Japanese and others an advantage when relatively more people do value 
added (to the product or service).  Reason: Firms must still have a 
favorable ratio of cost to effectiveness to survive and grow.  The final 
downsizing occurs with all the government forms completed, all the 
government inspectors are gone,  and the firm is in receivership.

Ray:  *  Increased need for knowledge over manual work
Neil:  Does this mean knowledge instead of manual work? Work smarter?
Ray:  Yes, more knowledge work, less manual work.  This is a no-brainer 
because it is affecting virtually all areas of the advanced economies.  
Smarter?  Some firms are working smarter by not working at all--by 
outsourcing.   Some downsizings are actually outsourcings, sometimes 
disguised, sometimes not.  Outsourcing, hiring consultants and the like can 
allow firms to better focus on their core business--the things they have to 
be good at to survive.  Hospitals are outsourcing, security for example.  
Not so long ago hospitals favored having their own security staff.  But 
security is no longer just a couple of big guys to restrain an unruly 
visitor.  It is communications, sensors, security cameras, weapon and bomb 
detection, drug accountability--knowledge work over manual.  Taxes, 
regulations, other people-costs tend to be the same for security people as 
health-care specialists.  But health care is core.  Downsizing/outsourcing 
will more likely occur in security.  

Mike Townes: current stock prices create a sense of terror in the minds of 
many key executives (leading to downsizing).
Ray: Certainly seems to be the case?  Bloated US CEO compensation (in my 
opinion) relative to other advanced countries help emphasize short term 
performance, perhaps over other considerations?  I've seen similar 
conclusions of people I trust on this, but have not looked at it carefully 
myself.  But downsizing can almost certainly be a prescription for poorer 
performance, even in the short run.  Eliminating dead weight or superfluous 
layers, on the other hand, should make good economic sense anytime.   Anyone 
else?

Bill, as I recall, thought someone had left the Downsizing list already?  
This list hasn't been around long enough to have done anything wrong!  I 
think this list is off to a good start.  We could solve some problems here? 
 Or at least understand them?

Ray Martin, Ph.D.
Management Consultant
165 Palisades Drive, No. 936
Universal City, Texas  78148
210-659-8377 (tel/fax) 
210-212-0783 (alphanumeric pager)
RMartin@texas.net

------------------------------

From: 
Date: Sun, 23 Jun 1996 16:38:08 +12
Subject: Downsizing Information

Fellow List members,

I said I would answer my own questions in my recent post. This is 
my personal experience and observation.

As background I should say that in New Zealand the government owned 
all the electricity generation and the high voltage distribution 
network since the 1920s.  The organisation charged with that work was 
a department of state and staffed by career public servants.  This 
lasted until 1987 when government changed the structure and appointed 
a board to manage the organisation labelled a 'State Owned 
Enterprise' and charged with providing a commercial rate of return to 
the government who were (and are still) the only shareholder.  This 
change was part of a major change in the philosophy of government and 
many other governments went through the same process.

<1.    It seems to me that organisations decide to down size mostly

Date: Sun, 23 Jun 1996 16:38:08 +12
Subject: Downsizing reasons

In Ray Martins post he asks:"