to rely on take orders from a higher corporate office and providing training for the PRMC management positions could be costly. Also, having a co-CEO structure is not known to be the most effective.
Equally important, the hospital board and medical leadership positions need to develop and an effective leadership style. If they were to choose one of the preexisting leadership style, it would make more sense to implement BRMCs participative style since it was used during a rebuilding phase of their hospital which relates to this merger unlike PRMCs style that was more structured due to taking orders from MHC which is not the case anymore. Another option would be to agree on and develop a new leadership style that seems fit for the newly combined staff. A new leadership style would be the best option because a new staff behavior requires a different way of leading and motivating even if it would take much more time.