Running head: INTERNAL FACTORS AND PERFORMANCE Department internal factors and their relationship to a business unit’s performance Organizational Behavior OM 8004 October 19, 2008 Table of Contents Abstract 3 Introduction 4 Background of Problem 4 Research Questions 7 Employee Groups 8 Disruptive Behaviors 9 Horizontal Violence 11 Implications 12 Recommendations 13 Conclusion 14 References 16 Abstract Companies are in business to make a profit and maintain market share. Obviously, healthcare institutions have the same goal. Hospitals, a part of the healthcare industry, like other companies, no longer just operate on a small scale. They are forced to perform globally. Patients, a …show more content…
To compound the problem, in a recent federal JCAHO audit the department was cited in several areas that must be rectified within the next 90 days. Overall, employee morale is at an all time low. This educator is willing to try anything to resolve these issues. Her aim is to have a strong and cohesive unit. She would love to have the unit employees become willing to operate as a functional team. The director of the department is aware of the problem and has given her support to Ms. Ewen in this matter. She has the authority to implement any program that will improve the performance deficiencies. However, any major changes will have to be approved by the Director, Chief Nursing Officer, and ultimately the President of the Hospital. Companies in the United States of America operate in a free market system. This allows for intense competition to occur between rivaling companies. Quite often major corporations maintain their competitive edge by lobbying for the government to enact barriers to entry into their segment of the market. If companies are forbidden to enter into desired market segments, then the ideals of a free market system will be derailed (Kaserman, Mayo, Blank, Kahai, 1999). Therefore, according to Boone (2008) in order to increase competition in markets it is necessary
The free marketplace represents a superlative model of capitalism, since it denotes the most proficient and profitable way of production. In a free market, economic actors are capable of conducting business devoid of political interferences, such as the burden of a minimum wage, or trade in tariffs. Without these limits, economic actors are abridged to a state of clean competition, driving costs downstairs and resulting in senior quality and lower price products.
A rating scale was completed by a Parker Elementary school teacher, Mrs. Smith for 8 year old Andrea. The Disruptive Behavior Rating Scale (DBRS) consisted of 50 questions with responses with zero representing rarely/hardly ever, one representing occasionally, two representing frequently, and three representing most of the time. The scale utilized is used by clinical professionals for diagnostic purposes of four different areas for behavior concerns these include: distractible, oppositional, impulsive-hyperactivity, and antisocial conduct. The rating scale was completed on 1/31/1992.
Some industry companies are in agreement and supports the need for change. “Hospital industry were generally in favor of health care reform as it was developing, based on its expectation that the large increase in the insured population would lead to increased financial returns
Moreover, If you’re a company owner and you make a product you don’t want competition. But once about only ten percent of people in America own a business or company there is gonna be competition. As a consumer you want competition it forces the companies to make better goods and provide better services for cheaper more fair prices. Which then allows you to be able to buy more goods and services. Which then allows you to be more successful in life and achieve more goals and those goals faster.
Rudeness is indeed a growing problem and it is only getting worst. As you mentioned, rudeness comes in a variety of ways, such as, annoying behavior, intolerable actions, sarcastic and degrading remarks, shouting and even the use of swearwords. "Rudeness breeds more rudeness and metastasizes into social ugliness" (Hama, 2011). Rudeness can become a domino effect where people feed off that negative energy and retaliate rather than be an employee or customer. I personally been on the receiving end of rudeness as an employee and as a customer and I sometimes been a victim of feeding into the negativity. My biggest pet peeves is respect me as long as I am respecting you. I do not care if you do not like be because of my race, gender, height, or nail color, but as long as I am treating you like a human being, I deserve to be treated in that same manner.
Nonprofit hospitals have become a common characteristic of the hospital sector because they can be found across the country because of their presence in almost every corner, they never decline to provide treatment, and offer several community-based health programs. On the contrary, the for-profit health facilities are regarded as the corporate model of health care services as they seek to make profit first. They enjoy huge capital that enables them to develop state-of-the-art facilities and purchase the latest clinical technologies.
Businesses are not only faced with competition within the industry they operate in. They also face competition from businesses in other industries.
Hospitals also attempt to provide every available service to their patients, some say in an attempt to do everything they can as a medical professional, others as a way to squeeze every last penny from a sick individual and even others a means to ensure patients do not sue the hospital for not carrying out their duties to the fullest. The major problem with hospitals and how they relate to healthcare however is the fact that your local hospital basically runs a monopoly system. In an emergency an American does not have the luxury to shop around the area hospitals looking for the best price they can, they are rushed to the nearest emergency room and are subject to the costs of care given. Americans have no say on the price of procedures, operations and medicines because they cannot use a market system to hold hospitals accountable for their prices. Furthermore, hospitals like any other business may merge to consolidate their power and financial influence. For example, the 1993 merger between two eminent Harvard-affiliated hospitals, Massachusetts General Hospital and Brigham and Women’s Hospital created a city wide influence on healthcare costs. When the two most prestigious hospitals in the state pooled their resources and merged, insurers and by extension their patients, had incredibly fewer options inside the city to take their money to. This new massive healthcare corporation, Partners HealthCare, could
A free market is a type of market that the government is not involved in. Since the government does not care about what happens, the free market is also called “hands-off” or “let it be economics”. The government is limited to protect the citizens from the danger and that is the major goal for the government. In the free market economy, there are three components of the free market economy: competition, active but limited government, and the self-interest. Competition is one of the main components of the free market economy. Competition means that the companies compete with one another to make more benefits to themselves. According to the concept of the free market economy, the competition means a good thing because it is a basic
Through the Internet, massive amounts of information are just a click away. Healthcare professionals, media, and government agencies encourage people to make informed decisions pertaining to their health. Therefore, people may choose their hospitals through reported statistics. Governing organizations motivate hospitals by what they required to report. Hospitals are analyzing expenses to cut costs and improve the quality of care. Consequently, institutions inspire hospitals through financial awards or prestigious designations to move forward.
The nurse manager stated that her vision for her unit was to have her entire staff be clinically sound and function confidently under adverse client load. She expects upmost teamwork from her staff and expects the unit to operate efficiently with upmost regard for staff and client safety.
There are many different forms of competition among health care organizations. Some of them are the prices of services, different co-pays someone will have to pay out of pocket, lower premiums, they have to be competitive in the quality of the service in which they perform daily. The health care competition is being advertised every day. The competitive nature of business cause them to reach out to the community. The health care industry has to fight for the approval of the community, the government, the insurance companies, the pharmaceutical companies and of course the stake holders as well as future investors.
Hospitals also compete for physicians by offering more highly trained supportive staff and/or better equipment. Hospitals are more likely to compete for patients by providing more services, better amenities, or discounted prices. There is a strong competition for cutting edge technology and medical talent locally and globally. Hospitals also have to compete for inclusion in insurer’s provider networks. Insurance plans compete for cost to payers, quality of provider networks, credentialing screening, and quality assessment procedures.
students. She sets out to learn how to effectively teach and provide an interesting, stimulating,
As nurse manager Barbara is responsible for managing the staff, scheduling and budgeting for the unit. Her staff includes twenty-five registered nurses and eight patient care assistants (PCA’s). The unit is known for its culture of confrontation, blaming, and favoritism. The staff is dissatisfied, unmotivated, and not functioning as a team to deliver quality patient care. In Barbara’s first month she has lost two RN’s and due to a hiring freeze at EMU Barbara was not able to replace the positions. The unit is short staffed, stress levels are high and employee morale is low. Barbara meets individually with twenty or so staff members and comes to the conclusion that no one is happy and she has a lot of work to do. There are multiple groups that Barbara has identified issues with and she must come up with an action plan to manage the discrepancies. She has found issues in downward management which involves senior nurses, newer nurses, and patient care assistants, and in upward management including administrators and physicians,