Organizational Case Study Review
The problems that are occurring at the Centerville Public Health Clinic (CPHC) run very deep and there are substantial issues that need to be addressed to correct the organizational behavior that is causing unnecessary distress and becoming a distraction to the essence of health care and healing. As the Administrator of this clinic I have decided that there needs to be a somewhat drastic shift of attitude towards the quality of work being performed at this clinic.
The root issue of the problem deals with an overall disapproval of the collective job performance of the clinic as a whole. The recent problems dealing with absenteeism suggest that the issue at hand deals with the attitude that work is not fulfilling and the only reason why we come to the clinic is to receive a monetary reward. This understanding of the health care industry is problematic; however there are practical and pragmatic solutions that with the assistance of a strong leadership core, the clinic can transform the debilitating attitudes that are at the root of this issue.
It is leadership's job in any organization to take the collective temperature of the attitudes, skills and outlooks of those that fall under their guidance. Leadership is not simply telling someone what to do, or conduct a lottery-based scheme that distracts from the core issues at hand. Rather, through the guidance and willingness of the leadership of the CPHC, the attitude transformation will be conducted through the most valuable resource our clinic shares which is the human resource.
Major Problems and Secondary Issues
A sure symptom of a poor organizational health is the rise of absenteeism. The message delivered by this statistic could mean many things, but essentially it means that people really don't want to do what it takes to come to work, or view their job in high enough esteem that they regard keeping themselves healthy as a necessary duty of the health care profession. This trend was also explored by Patton & Johns (2013) when they wrote "among the topics that figure prominently in the fields of organizational behavior and human resource management, absenteeism has one of the oldest and richest research traditions. Also, unlike many topics in the field, almost all individuals have experienced absenteeism at some point, beginning at a young age and continuing throughout their adult working lives."
The primary major issue identified in the events of the past months at the clinic is that that many of the workers have lost the meaning in their work and view their profession as a drag on their personal business. There are many side issues as well that also contribute to the problem at hand. The baby boomer generation becoming more dependent on the health care system in addition to the implementation of the Affordable Care Act in recent years has stressed the profession in many new and challenging ways. In retrospect, the quick hiring and rapid educational leaps that have become more commonplace in the health care arena are a detriment in some ways.
This fact is backed up by Petterson et al. (2012) when they argued "an expanding and aging population would consume more resources. Others contend that current primary care scarcities are due to geographic maldistribution, which may not improve even if the supply increases without specific policies regarding training, recruitment, and retention. Regardless, as insurance expands, use of primary care physicians will change, raising concerns about the adequacy of the current workforce."
As an administrator the leadership has also seemed to have lost its way as well. The lottery idea in retrospect was not an effective method of displaying some of the major tenets that are important in the health care industry. A lottery system is akin to bribery in some ways and the short-term effectiveness will no doubt wear off as the core issue is not being met. Money plays a role in this problem but only as a means to measure the significance of the problems. Before the lottery, many of the workers would be more than willing to forgo payment for personal time. This suggests that these people are not finding meaning in their work for many different reasons as well.
A more disturbing symptom has arisen that can be viewed in many different lights. The fact that in the current months, work attendance has drastically increased due in much part of the HR's lottery system. Workers are now attending work unprepared for...
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