Organizational Planning and Change in Health Administration

OrganizationalPlanning and Change in Health Administration

OrganizationalPlanning and Change in Health Administration



Thegovernment plays an active role in the operations of the Missourithrough local tax assessments for the activities that are takingplace currently. Likewise, the state provides public health grantsand contracts to support the health department. These endowments areprovided annually. Apart from the entries mentioned above, othersources of income and operations are managed locally.


Thisaspect includes economic growth, interest, revenues and other factorsthat affect how the organization operates especially concerningdecision making. In Rural Missouri, the department of healthgenerates income from both local taxes as well as revenues from thehealth facilities and government grants. In the past year, a netincome of $15 million was generated. Out of this amount, 1% isbudgeted for running various operations. Additionally, 80% of thebudget is allocated to services regarding salaries and benefits tothe employees. The employee number currently stands at 75 individualsin total including healthcare staff such as nurses, doctors,sanitation workers, community workers, clerks, and administrators.


Culturalaspects and health awareness is critical in the process of analyzingthis organization. Starting from the internal structure, the board oftrustees is composed of five members of which two are male, and threeare female. All the five people are residents of the county andrepresent different occupations such as business, employedindividuals and the retired persons. Outside the department, thecommunity has an estimated population of 35000 citizens. The ethniccomposition is structured into 40%, 45%, 14&amp and 1% forCaucasian, African-American, Hispanic and others respectively.Government statistics show that the mean income per household isapproximately 30% below the standard. Furthermore, 35% of thehouseholds above have incomes lower than the 100% level stipulated bythe State. The overall health status is deemed inferior by manyobservers, and this is supported by the rise in the incidence oflifestyle diseases such as cancer, obesity and cardiovasculardiseases among others. A common outlook on the staff compositionindicates that 91% are Caucasian, 7% are colored, and 2% falls underother races. When looking at the healthcare seeking behavior, anoutstanding 75% of the visits are by adults, 65% of whom are women.About insurance of patients, 65% are insured either by Medicaid,Medicare or by their employers while 35% are uninsured and pay forservices out of pocket. Last but not least, the workers herein havean average tenure of 14 years with 32 of them having worked in thedepartment for more than two decades.


Thisaspect takes an in-depth outlook on the use of technological devices,incentives and level of automation and innovations. As such, the useof technology, in this case, is quite below par. While the use ofcomputers for data storage purposes is available, there is no othertechnology applied in the process of record keeping and retrieval,first of all, the model used is quite old, especially owing to theadvancements that have taken place recently. Likewise, scanning isnot the best way to keep materials. Another observation is thatmedical records are not stored electronically which is indeed asignificant setback when it comes to the collaboration with otherorganizations.



Theseinclude the characteristics that are advantageous to the department.First and foremost, there is a constant source of funding for theoperations which come from the state, payment by the people whoreceive services and the grants. Secondly, the staff has worked for along time hence they have the necessary knowledge and experienceconcerning the community needs, composition, and behavior.Furthermore, the presence of a computer is a step ahead towardsautomated record-keeping although the system could as well beoutdated. Socially, the presence of several ethnic and culturalsocieties make the region more diverse providing a platform forsocial interaction and knowledge sharing.


Despitethe numerous positive factors, the area is also hampered by severalsetbacks ranging from economic to social and technological spheres.Affording health care seems to be a huge problem for the residents asa considerable number of the households live in poverty. Likewise, alarge population is not insured against health making the overallwell-being of the community substantially low. Socially, there hasbeen an outcry that the minority groups have not been wellrepresented regarding employment and care delivery. A good number ofstaff have worked for a very long time which means that the youth arealso not well represented in the workplace. Technologically, lack ofnew and current methods of data collection, storage, and caredelivery constitute one of the greatest weakness.


Notwithstandingthe strengths and weaknesses evaluated above, various openings andprospects can facilitate the improvement of the current situation todetectable levels. For starters, the presence of representatives fromdifferent sectors provides a platform for the identification of theneeds of people in those parts. Additionally, the State Departmenthas indicated that there is a possibility of allocating more financeson child services, emergency preparedness while shifting slightlyaway from the communicable diseases. This could be an opportunity toincorporate infant and disaster management, an area that has beenneglected for long. The availability of insurance policies can beapplied to encompass all the people so that healthcare can be moreaffordable. Finally, the presence of diverse cultures can also beintegrated into staffing as a means of improving healthcare andcommunity cohesion.


Thevarious elements that could cause trouble to the department includethe discontent of the community members especially those who questionthe provision of services. Threats from within have been identifiedto include the lack of cooperation among staff coupled with littleenthusiasm and commitment to the various responsibilities. On top ofthat, there is rising pressure regarding the increase in patients yetthe access to health care limited and the appropriate methods forquality treatment are not available. The person in charge ofimplementing the plan faces possible rejection and lack of support byindividuals who may not be willing to embrace change.

Strategiesto Enhance the Value of the Health Department

Basedon the analysis of the case above, the areas that need to beaddressed have been identified. It is, therefore, important to comeup with strategies that will eventually give rise to a more efficientand sustainable department. The following approaches could be ofsignificant impacts.

Properand Timely Communication, Education and Information

Disseminationof knowledge is a key factor in the establishment of an activeorganization. As such, the strategy focuses on a broad range ofevents such as patient education, staff training, communitysensitization and information dissemination. To inform, variousplatforms can be implemented such as the use of websites, factsheets, magazine articles, supporting telephone inquiries, use oftransition workshops and most of all setting up live call andinformation centers. Enabling the access to information for both theresidents and the employees will facilitate the development of aworking consultation system. Healthcare providers will be wellinformed, and the community will also be able to receive importantmessages concerning any health issues such as disease outbreaks,advice on healthy foods as well as possible ways of healthy living.One of the ways in which consultation can take place is throughattending public seminars, meetings, and forums while trainedindividuals can attend professional workshops and conferencesdepending on the topic being presented [ CITATION Aus15 l 1033 ].The employees of the health department can also refer to residentsfor more information about their needs and problems throughconsultative groups, one on one discussions, surveys and collectionof conference papers for public comments. Having such a network notonly empowers the community with the necessary knowledgebut also enables the department to identify the needs of theirstakeholders hence prioritizing on the most important and putting inplace the necessary measures.

Collaborationand Teamwork

Inthis era, improvement of service provision can only be achievedproficiently when people with various skills and abilities cometogether and direct their energies towards a common goal. To reachthis status, the plan will include conduction of workshops that bringpeople together as well as working groups and committees. Consensusbuilding events are important for making agreements that deal withvarious proposals. Encouraging teamwork and collaboration are alsodone by allowing the support of memorandums of understanding andthose of agreements. There is a need to incorporate bothprofessionals and non-professionals in representational consultativegroups where all the people can participate and input their concernsand ideas. Furthermore, pilot projects may have to be rolled out toverify the rationale behind the suggestions and advice. Not only doesteamwork foster healthy working relationships, better servicedelivery, and improved responsibility but also empowers thestakeholders with available opportunities to take active roles indecision-making hence being consistent contributors to the outcomes[ CITATION Aus15 l 1033 ].

InternalEnvironment’s Response and Effect on the Proposed StrategicInitiatives

Currently,the culture is deeply embedded without change for quite an extendedperiod. The implementation of these strategies will see a newbeginning to the otherwise monotonous tradition. There is alikelihood that the healthcare workforce will be more balancedthrough the inclusion of youth, reshuffling and allocation ofleadership responsibilities among the employees. The organization ofthe health department which was earlier in shambles will also benefitgreatly from these approaches, education and participation willimprove the minority representation, likewise the agreement andconsensus forums are likely to create cohesion and positive workingrelationships between and among the healthcare staff. By attainingsuch conditions, then the employees will be satisfied with their joband in return offer their services with vigor and commitment. Serviceprovision to the population is a fundamental element in thedepartment. As such, the process of delivery will be more efficientand innovative as there are timely communication and collaborationboth within the staff and also from other institutions. By comingtogether with a common goal, teams of health professionals will offerquality care in the best way possible and assure better patientoutcomes. Improving the technology by putting in place currentcomputing devices will not only facilitate better record keeping andretrieval but also create a platform for the dissemination ofinformation as well as communication and sharing of data forcollaboration purposes. The procedures experienced by the patientwill thus be much faster and accurate compared to the previoussituation.

Itis quite clear that previously, resources were not allocated as perthe needs. The strategies explained are focused on identifying theneeds of the population followed by prioritization. Both financialand human resources will be assigned to the areas that are wanting.Other better zones can wait until the critical issues are handled.The implementation process does not stop here. Information must, andwill be passed down to the staff through professional trainingsessions to increase their skills. The community will also be able toreceive relevant information. Moving forward, the healthcareproviders will freely interact with the patients and their families,identifying their needs such as lack of insurance, nutritionalrequirements, poverty and so on. These issues can then be tabled inmeetings that include representatives of the stakeholders to offerworking solutions through policies, state petitions, and grants.Furthermore, in totality, the whole population will be betterrepresented through a democratic selection process. All the ethnicgroups will benefit from being included in decision-making forums toair their grievances as well as advice the department. The issue ofincreasing incidence of non-communicable diseases will hence betackled through the combined efforts of both staff and the citizens.


Australian Government Department of Health. (2015). Stakeholder Engagement Plan: Hearing Services New Plan. Canberra: Australian Government.