The CEO appears to still not want to take much responsibility for looking at the problem and the solutions that may be needed, and this indicates a lack of desire to really manage the staff.
However, it must also be considered that the CEO has been in his job for 10 years, so he must be doing something right. If he were not performing up to the expectations of the Board of Directors, he likely would have been replaced. Despite this, though, there are clearly problems at the hospital that have to be dealt with and should have been dealt with some time ago. The media has caused some problems by relating stories that painted the hospital in a bad light, so the CEO must also be very careful what is said at the meeting, since the media will be in attendance. He must indicate what direction he wants to take the hospital in and how it will continue to survive even though the cost of doing business is going up. More patients are needed, or fewer costs must be incurred. Ideally, more patients and lower costs would be the best choice, but this may not come to pass.
Cutting costs is something else that the CEO and his executive assistant might want to look at, but there are only so many ways to do this, and only so many places where it can occur before there are problems with supplies, salaries, and the quality of patient care. These things must not be compromised, and this is especially true where caring for the patient is concerned, since this is the ultimate goal of the hospital. Regardless of this, however, there should be other areas where costs can be cut and where the staff is able to reduce how much money goes out without harming the care...
By integrating aspects of transformational leadership into his leadership, Alonso would have inspired his crew to follow him while also becoming leaders by themselves. However, this could have only been made possible if his thoughts, feelings, and actions were consistent. As a leader of change Alfonso should have shown some element of connection to himself, the world, and the people around him and be grounded in reality. He ought
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