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Responding to a Crisis: A Stakeholder Analysis of Community Health Organizations

JHHSA, Vol. 26 No. 4, (2004)

On May 11, 2001, the Bureau of Primary Health Care notified West
Alabama Health Services, doing business as Family HealthCare of
Alabama, that it was terminating $6 million in grants due to non-com-
pliance and amid allegations of financial mismanagement and fraud.
West Alabama Health Services, a not-for-profit organization, operated
19 community health centers that provided preventive and primary care
services for 17 counties in Alabama. This disruption of health services
engendered considerable stakeholder debate. Within this context, the
authors examine how a small, newly established rural health center and
a well-established, federally qualified community health center res-
ponded to this crisis. The authors use a stakeholder analysis framework
to highlight how key relationships with stakeholders may change with
the perceived credibility of the organizational leaders and the legiti-
macy of their actions.

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