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The purpose of this study was to analyse the document originating from the technical report of the current management of the Cassiano Campolina Hospital in order to demonstrate the fundamental steps taken to implement a more dynamic people management system, capable of guaranteeing the sustainability of the organisation and the accreditation of the population in user care. To this end, a qualitative descriptive and analytical study was carried out. The analysis of the technical report, built together with the employees of the Cassiano Campolina Hospital, showed that it was possible to implement an efficient management system, regardless of the type of organisational culture, as long as people management is used as a strategy and based on the entrepreneurial profile of the management/leadership.