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Kamla Nehru Memorial Hospital: Which Way Forward? Negotiation Strategy / MBA Resources

Introduction to Negotiation Strategy

Negotiation Strategy solution for Kamla Nehru Memorial Hospital: Which Way Forward? case study


At Oak Spring University, we provide corporate level professional Negotiation Strategy and other business case study solution. Kamla Nehru Memorial Hospital: Which Way Forward? case study is a Harvard Business School (HBR) case study written by Naga Lakshmi Damaraju, Prafulla Rawal, Bavneet Singh, Himanshu Jain. The Kamla Nehru Memorial Hospital: Which Way Forward? (referred as “Hospital Nehru” from here on) case study provides evaluation & decision scenario in field of Strategy & Execution. It also touches upon business topics such as - negotiation strategy , negotiation framework, Organizational structure.

Negotiation strategy solution for case study Kamla Nehru Memorial Hospital: Which Way Forward? ” provides a comprehensive framework to analyse all issues at hand and reach a unambiguous negotiated agreement. At Oak Spring University, we provide comprehensive negotiation strategies that have proven their worth both in the academic sphere and corporate world.


BATNA in Negotiation Strategy


Three questions every negotiator should ask before entering into a negotiation process-

What’s my BATNA (Best Alternative To a Negotiated Agreement) – my walkaway option if the deal fails?

What are my most important interests, in ranked order?

What is the other side’s BATNA, and what are his interests?



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Case Description of Kamla Nehru Memorial Hospital: Which Way Forward? Case Study


Kamla Nehru Memorial Hospital (KNMH) is a non-profit, non-government trust organization that is managed by the Gandhi-Nehru family, India's premier political family which gave the country three generations of prime ministers. Members of the family continue to be at the helm of the board. The hospital specializes in the areas of Obstetrics and Gynecology (O&G) and Oncology and has several supporting departments. It is a very reputed hospital in Allahabad, in the highly populated state of Uttar Pradesh in Northern India, and draws patients from nearby states, primarily from the Eastern part of India where infrastructure is largely underdeveloped, and from other developing countries such as Nepal and Bhutan. The hospital is endowed by the Trust. Due to its reach, it attracts funds from governmental and non-governmental agencies as an implementing agency for several of their health schemes and initiatives. The hospital operated independently and without a formal administrative structure for many years. Consequently, the governance as well as the efficiency of hospital operations had been going downhill for some time, with the result that patients were choosing other hospitals and nursing homes over KNMH. Decreasing revenues and inefficient operations led to operational losses. After the next generation of the Gandhi-Nehru family joined the governing board, there was some rethinking at the top about the way forward for the hospital. They decided that the time had come to manage the hospital professionally in order to be able to serve patients in a more efficient and effective manner. It was in this setting that Dr. Madhu Chandra, a pathologist and PhD, who had served at a corporate hospital (Yashoda Hospitals, Hyderabad), was appointed Chief Executive Officer of KNMH. Her goal was to streamline hospital operations and put it back on a growth trajectory.


Case Authors : Naga Lakshmi Damaraju, Prafulla Rawal, Bavneet Singh, Himanshu Jain

Topic : Strategy & Execution

Related Areas : Organizational structure




Seven Elemental Tools of Negotiation that can be used in Kamla Nehru Memorial Hospital: Which Way Forward? solution


1. Satisfies everyone’s core interests (yours and theirs)


By interests, we do not mean the preconceived demands or positions that you or the other party may have, but rather the underlying needs, aims, fears, and concerns that shape what you want. Negotiation is more than getting what you want. It is not winning at all cost. Number of times Win-Win is better option that outright winning or getting what you want.





2. Is the best of many options

Options are the solutions you generate that could meet your and your counterpart’s interests . Often people come to negotiations with very fixed ideas and things they want to achieve. This strategy leaves unexplored options which might be even better than the one that one party wanted to achieve. So always try to provide as many options as possible during the negotiation process . The best outcome should be out of many options rather than few options.


3. Meets legitimate, fair standards

When soft bargainers meet hard bargainers there is always the danger of soft bargainers ceding more than what is necessary. To avoid this scenario you should always focus on legitimate standards or expectations, clearly understanding the arbitrage . Standards are often external and objective measures to assess the fairness such as rules and regulations, financial values & resources , market prices etc. If the negotiated agreement is going beyond the industry norms or established standards of fairness then it is prudent to get out of the negotiation.


4. Is better than your alternatives or BATNA

Every negotiators going into the negotiations should always work out the “what if” scenario. The negotiating parties in the “Kamla Nehru Memorial Hospital: Which Way Forward?” has three to four plausible scenarios. The negotiating protagonist needs to have clear idea of – what will happen if the negotiations fail. To put it in the negotiating literature – BATNA - Best Alternative to a Negotiated Agreement. If the negotiated agreement is not better than BATNA (Negotiations options), then there is no point in accepting the negotiated solution.


5. Is comprised of clear, realistic commitments

One of the biggest problems in implementing the negotiated agreements in corporate world is – the ambiguity in the negotiated agreement. Sometimes the negotiated agreements are not realistic or various parties interpret the outcomes based on their understanding of the situation. It is critical to do negotiations as water tight as possible so that there is less scope for ambiguity.


6. Is the result of effective communication?

Many negotiators make the mistake of focusing only on the substance of the negotiation (interests, options, standards, and so on). How you communicate about that substance, however, can make all the difference. The language you use and the way that you build understanding, jointly solve problems, and together determine the process of the negotiation with your counterpart make your negotiation more efficient, yield clear agreements that each party understands, and help you build better relationships.


7. Managing relationship with counterparty

Another critical factor in the success of your negotiation is how you manage your relationship with your counterpart and other people doing the mediation. According to “Naga Lakshmi Damaraju, Prafulla Rawal, Bavneet Singh, Himanshu Jain”, the protagonist may want to establish a new connection or repair a damaged one; in any case, you want to build a strong working relationship built on mutual respect, well-established trust, and a side-by-side problem- solving approach.




Different types of negotiators – what is your style of negotiation

According to Harvard Business Review , there are three types of negotiators – Hard Bargainers, Soft Bargainers, and Principled Bargainers.

Hard Bargainers – These people see negotiations as an activity that they need to win. They are less focused less on the real objectives of the negotiations but more on winning. In the “Kamla Nehru Memorial Hospital: Which Way Forward? ”, do you think a hard bargaining strategy will deliver desired results? Hard bargainers are easy to negotiate with as they often have a very predictable strategy

Soft Bargainers – These people are focused on relationship rather than hard outcomes of the negotiations. It doesn’t mean they are pushovers. These negotiators often scribe to long term relationship rather than immediate bargain.

Principled Bargainers – As explained in the seven elemental tools of negotiations above, these negotiators are more concern about the standards and norms of fairness. They often have inclusive approach to negotiations and like to work on numerous solutions that can improve the BATNA of both parties.

Open lines of communication between parties in the case study “Kamla Nehru Memorial Hospital: Which Way Forward?” can make for an effective negotiation strategy and will make it easier to negotiate with this party the next time as well.





NPV Analysis of Kamla Nehru Memorial Hospital: Which Way Forward?



References & Further Readings

Naga Lakshmi Damaraju, Prafulla Rawal, Bavneet Singh, Himanshu Jain (2018), "Kamla Nehru Memorial Hospital: Which Way Forward? Harvard Business Review Case Study. Published by HBR Publications.


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