THE HEALTHCARE INDUSTRY 1 The Healthcare Industry Students Name Institution THE HEALTHCARE INDUSTRY 2 1. Managing Multidisciplinary Professionals by Combining Assets and Activities Describe the vertical and horizontal dimensions of this organization, and authority and responsibility relationships. The vertical dimensions of this organization are characterized by the emanation of power from the top to the bottom personnel. Every personnelare made responsible for specific areas with specific duties. This is evident where the three major physicians have chosen a specific individual to act as an office manager, and oversee all specific support activities in the organizations. Various personnel have also been allocated the roles of; scheduling, insurance activities and office duties such as billing(Fischer, 2013). The horizontal structure, which is characterized by role sharing, is evidenced by the partnership and authority sharing in medical practice by the physicians. The authority and responsibility relationships present are identified by promising teamwork activities, as well as responsibility in the organization. Should this practice become centralized, decentralized, mechanistic, or organic? In a centralized design, managers, especially the executive team is left with the responsibility of making decisions, which might be risky for the organization. The decentralized design would be more effective, considering the simpler representations which would be effected with this form of structure. The mechanistic design is also a good chose of practice, considering the stability of the work environment. Organic designs are suitable in organizations which operate under dynamic environments. In the long run, the centralized design would be good for medical practice in the organization. Importance of differentiation, integration, and managing complexity, interdependence, and boundary spanning activities for this organization. THE HEALTHCARE INDUSTRY 3 Management of boundaries is the major determinant of relationship the relationship between organizational differentiation and integration aspects. Differentiation is important in influencing boundaries to ensure system integration and more so determine the relationship between various systems in the organization. Differentiation is important in fostering diversity, which gives room to interaction and healthy innovation. Integration is important to allow interaction among systems and hence a sure way to productivity. Finally, managing complexity and interdependence all relate to decisions made for medical practice in the organization, and determines the consequences faced due to embraced operations. Organization chart for this organization and form of departmentalization that best fits. The diagram below shows the organization chart for the organization, where the top most executives are the three partners; the three physicians. PHYSICIANS OFFICE MANAGER CLINICAL NURSES OBSTETRICIAN CLINICAL NURSES CLINICAL NURSES The form of departmentalization that best serves this organization is the functional departmentalization(Brewer, 2006). This is because it encompasses the organization of activities, personnel and all other duties according to their functions in the organization. THE HEALTHCARE INDUSTRY 4 References Baack, D. E. & Fischer, A. (2013). The essentials of managing in the healthcare industry. San Diego, CA: Bridgepoint Education, Inc. Khatri, N., Wells, J., McKune, J., & Brewer, M. (2006). Strategic human resource management issues in hospitals: A study of a university and a community hospital. Hospital Topics, 84(4), 920. Retrieved from EBSCOhost. 2. Human Resources: Debbie's Dilemma Use Herzberg’s two factor theory to explain Debbie’s level of motivation. The Herzberg’s two factor theory is based on the presence of two major sides of employee contentment at work. While there may be causes of job satisfaction, those that cause dissatisfaction are also present in the workplace. Hygiene factors, as described by Herzberg, such as dissatisfactory salary and poor relationship with workmates, as well as motivation factors such as the work itself. These describeDebbie's causes for lack of workplace motivation. Use Adams’ equity theory to explain Debbie’s decision to look for work elsewhere. Adams equity theory describes how the sort of treatment and challenges make an individual discover more options, become stronger and above all discover potential within them. In this case, Debbie’s treatment by both colleagues, and her dissatisfying pay highly influenced her decisions to look for another place, considering the realization of her abilities(Fargerstorm, 2009). The measurement of fairness reflects back to the equity theory. Use Vroom’s expectancy theory to explain this situation. THE HEALTHCARE INDUSTRY 5 Vrooms expectancy theory recognizes that the level at which employees ismotivated should be a reflection of their productivity, assessed with the likelihood that their efforts will definitely yield the expected performance. Debbie’s situation can be viewed as a hopeless case, especially considering that she expected a high pay and recognition. The management at her job does not consider the dissatisfaction caused to other employees, while at the same time trying to please the rest. If you were advising the three physicians in the organization, what would you tell them they should have done when confronted by the two LPNs? Defend your advice. Making the correct decisions with no aspects of compromise is the best way to counter organization conflicts and rebellion from employees(Shepeard, 2011). For instance, if I was to advice the three physicians in the organization, I would advise them to abide by the organization stipulations on salary increment and most especially draft compensation groups for various levels of employees. This will help all employees understand their positions, eliminate feelings of disregard among others, avoidunnecessaryconfrontations such as in the case of the LPNs and ensure satisfaction in the workplace. References Fagerstrom, L. (2009). Evidence-based human resource management: A study of nurse leaders' resource allocation. Journal of Nursing Management, 17(4), 415-425. Retrieved from EBSCOhost Shepheard, J. (2011). Industrial relations and human resources: Management challenges for health information managers. Health Information Management Journal, 40(1), 4-6. Retrieved from EBSCOhost. THE HEALTHCARE INDUSTRY 6 Assignment 3: S.W.O.T. (Strengths, Weaknesses, Opportunities, Threats) a) SWOT Needs for Community South Medical Center. Community South Medical Centre faces various challenges, and one major need for the organization is an increase in the staff members. For quite a while, there has been a shortage of clinical staff. This group comprises of registered nurses, medical technologists and respiratory therapists. Strength The major strengths for this organization in conquering the need are the good reputation for the hospital. With the well-built public image, personnel problem is bound to be eliminated. Most workers will want to have an experience in working in this well-known institution, which will in turn employ more registered nurses, medical technologists and respiratory therapists. Weakness A major weakness to finding a solution to the need for more staff is the shift to the organizations financial mix. For employee satisfaction and loyalty, job satisfaction is a necessary aspect(Mello, 2014). Current and incoming personnel need to be adequately reimbursed for their services. The organization however, is at a loss, considering the lack of this provision due to inadequate financial resources. Opportunity THE HEALTHCARE INDUSTRY 7 An opportunity towards finding a solution to the need for more staff at community south medical Centreis the increased demand for medical care by the population, considering the majority being the aged people. Most of these people require consistency in provision medical services. Threat The urban Centre being in an older urban area does not attract a high level of staffing the medical field to work in organizations around the area.Most staff is limited in this field and would prefer working in urban and more modernized areas. This is the major threat facing neutralization of the need for more personnel at Community Medical Centre. b) Revising the strategic mission and plan of the organization. Based on the hardships found in Community Medical Centre, it is important for the management to be accountable for the activities taking place in the healthcare facility. Procrastinating may end up being detrimental to the facility’s effectiveness. The CEO should address various issues as soon as possible, to counter all the challenges that may arise in future due to postponing various problems. In the case of community medical Centre, strategic goals should be adequately set. This will in turn allow the top level managers to embrace the responsibility for developing and implementing all the goals set for the facility(Shepeard, 2011). Market share, innovation opportunities and all productivity efforts should be adequately embraced for the sake of community medical Centre. Revising the strategic mission and plan of the organization from three years ago should be considered an urgent matter. Continuing as originally planned is not a good decision(Brewer, 2006). With the situation at the facility, the plans need to be changed, new strategies embraced, new management systems developed and operational effectiveness emphasized. The chief THE HEALTHCARE INDUSTRY 8 executive officer should therefore address the issues confronting community south medical Centre. The financial instability and lack of personnel are critical issues. These should not be shunned to be dealt with in another year. The earlier the organization of systems is done the better for the facility, especially to facilitate improvement in operational effectiveness. The strategic plan would be as follows; i. Analysis of the strengths and weaknesses of factors affecting the facility. ii. Generating alternatives for the organization. iii. Evaluating selected alternatives to improve patient care and service delivery. iv. Implementing goals arrived at and decisions made for the good of community medical Centre. c) What leadership positions would be a part of your strategic management team? Why? What would each of their responsibilities entail? With the numerous challenges facing south community medical Centre, as the chief executive officer, I would consider specific appointments for my management team. These positions are such as; the position of a chief financing officer, which is critical in ensuring that the financial constraints are highly solved and dealt with within no time. The director of marketing would be in charge of compelling clients to seek Medicare services from the institution through improving the public image as well as organization effectiveness in the market. The human resource director and the technology officer would play the role of handling staff and technology systems respectively(Mello, 2014). With these members in the management team, efficiency will be restored, and this will facilitate effectiveness in operations. In the long run, effectiveness, operational consistency will be achieved. THE HEALTHCARE INDUSTRY 9 d) What are some of the market trends you can identify in this area? How might they affect Community South Medical Center? How would you prepare for them? Major market trends I can identify in this area include; changes in technology, fluctuating demands for healthcare services especially in the case of south community medical Centre, changes in economic factors which affect the organization financing abilities as well as changing demographics. These affect the community medical Centre in both positive and negative ways. With most being negative aspects, the facility faced hardships in implementing most of its objectives. To counter these market trends, I would prepare for them through adequate market research, and this will be in the quest to determine proper ways to deal with consumers for the facility’s services. THE HEALTHCARE INDUSTRY 10 References Fagerstrom, L. (2009). Evidence-based human resource management: A study of nurse leaders' resource allocation. Journal of Nursing Management, 17(4), 415-425. Retrieved from EBSCOhost Khatri, N., Wells, J., McKune, J., & Brewer, M. (2006). Strategic human resource management issues in hospitals: A study of a university and a community hospital. Hospital Topics, 84(4), 920. Retrieved from EBSCOhost. Mello, J. (2014). Strategic Human Resource Management. New York: Cengage learning Shepheard, J. (2011). Industrial relations and human resources: Management challenges for health information managers. Health Information Management Journal, 40(1), 4-6. Retrieved from EBSCOhost. Baack, D. E. & Fischer, A. (2013). The essentials of managing in the healthcare industry. San Diego, CA: Bridgepoint Education, Inc. This text is a Constellation™ course digital materials (CDM) title.