Healthcare

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week4.doc

QUESTION 1

"Team Dynamics and Effective Organizational Communication in Health Care, and Cultural Competence in Health Care"  Please respond to the following:

· From the first e-Activity, suggest the major reasons why a well-integrated communication process is important for the performance of any organization and the major reasons why such a process is particularly important in health care organizations. Support your response with at least (2) examples of communication methods used within the researched health care facility in your community.

· From the second e-Activity, explore the concept of “cultural competence”, and justify its necessity as a permanent structure of the U.S. health care system. Support your response with at least (2) examples of the possible adverse effects on a health care facility of not practicing cultural competence.

eActivity

· Use the Internet or Strayer databases to research various teams within a health care facility in your community and the communication methods the facility uses among these teams. Be prepared to discuss.

· Use the Internet to research the concept of “cultural competence.” Be prepared to discuss.

QUESTION 2

"Power Plays and the Abuse of Power in Health Care Organizations"  Please respond to the following:

· Suggest the major issues that you believe are the basis for most of the organizational power struggles within health care facilities. Propose a method that a health care facility could use to alleviate power imbalances within the organization.

· Assess the importance of preventing power abuse within health care organizations. Propose two (2) effective negotiation approaches that the leadership within a health care organization could use to move situations involving power abuse to a productive conclusion. Justify your response.

QUESTION 3

"Complex Systems, Organizational Learning, and Improving the Quality of Care"  Please respond to the following:

· Elaborate on the major reasons why, according to the text, health care systems can be considered complex. Next, argue a case for double-loop against single-loop learning in organizational learning. Support your response with at least one (1) example of the advantages of double-loop learning.

· Common industry knowledge dictates that in order to achieve desired outcomes in quality improvement in health care organizations, the leadership must consider multiple factors. Speculate on the main reasons why focusing on “people” processes is a highly regarded practice for improving the performance of health care organizations. Support your response with at least two (2) examples of increased value and / or performance in the researched hospital from the e-Activity.

eActivity

· Use the Internet or Strayer databases to research the actions that your local hospital is taking to increase the value of its health care delivery and the performance of the organization as a whole. Take note of the “people” processes that the hospital employs. Be prepared to discuss.

PART 2

Case Study: Motivating Employees Imagine that you have been appointed the Director of Health at the Kaluyu Memorial Hospital in Nairobi, Kenya – a for-profit hospital. The facility is also a referral hospital and receives severe cases of accidents, chronicle / communicable diseases and houses an HIV / AIDS ward. As you settle into your position, you realize that the employees always act scared as they approach their superiors. Some of the employees even deliver files and leave your office in a hurry. As you make your routine departmental visits, you realize that there are tensions between nurses and doctors, and there is a sentiment that the nurses tend to do the majority of the work within patient care but the doctors get all the credit. You realize that the employees are always looking forward to the end of their shifts to go home. Some employees even come back to work wearing the same unwashed clothes as the previous day. Too many employees are calling in sick, and many of them give weak reasons for their tardiness. There is also a sense that employees and nurses dominate other employees in similar positions. In meetings and conference calls some employees are always quiet and never participate. You notice that people with families tend to gather and talk quietly on breaks. The new mothers working for the hospital have to use bathrooms to pump breast milk for their infants and the refrigerators do not work well. Looking at the financial statements of the hospital, you realize that the hospital expenses are higher than the industry standard, and it makes losses year after year. Note: You may create and / or make all necessary assumptions needed for the completion of this assignment. Write a four to six (4-6) page paper in which you:

1. Investigate the major demotivational factors at Kaluyu Memorial Hospital. Assess the level of impact that the identified factors could have on specific areas of service and business if the administration does not address the situation. Support your response with at least two (2) examples of the potential negative impact of the identified demotivational factors on the hospital.

2. Choose Maslow’s, Herzberg’s, or McClelland’s model of motivation, and argue the primary reasons why it is applicable to the Kaluyu Memorial Hospital scenario.

3. Formulate a communication system that will have the greatest impact on improving the situation, and specify the major reasons why your system will influence the employee behaviors for the better. Justify your response.

4. Use four (4) recent (within the last five [5] years) quality academic resources in this assignment. Note: Wikipedia and other websites do not qualify as quality academic resources. 

Your assignment must follow these formatting requirements:

· Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.

· Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

· Propose methodologies that have been proven to increase value in health care delivery systems.

· Examine the impact of motivation on quality, safety, and legal risks associated with health care organizations.

· Assess how politics in a health care organization motivates and demotivates employees and recommend strategies to mitigate the challenges presented with each aspect.

· Create a communication strategy to address an ethical dilemma within a health care organization regarding the quality of service and cost.

· Use technology and information resources to research issues in health care management.

· Write clearly and concisely about health care management using proper writing mechanics.