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Defining Issues in Terms of Competition, Technology, Community Service, Funding, and Workforce
So far, the Orange Door Health Center was considered a non-profit organization offering health care to under-insured people with low incomes in Minnesota. However, the situation has recently been changed. In particular, Filipovitch (2006) presents the case of the clinic transformation from a voluntary run center to a paid clinic.
The shifts to be made should touch upon different levels of the hospital organization, including managerial approaches, staff development and training, and technological advances. In this respect, the non-profit center should integrate paid staff which is followed by certain changes in the sphere of human resource management. At this point, the managers should define accurately the working hours, shifts, and introduce perspectives for creating a strong retention nurse culture.
Introducing a new management information system evolved from a paper recording system is imperative for meeting the challenges of transformation. Approaches to patient treatment should also be altered due to the staff network development. The environmental factors have a great influence on hospital organization because sustaining competition is possible only in case of the hospital readiness to the organizational change.
Indicating Specific Examples of the Issue
Funding and resources allocation is presented as the major problem at the hospital because it predetermines the success of restructure of the nurse department. Despite the fact that the services are monitored by volunteers, there are financial issues to be managed, including bills for equipment, money spent on medication, etc. In this respect, the transformation should be consistent and multidimensional to ensure a proper re-organization because both external and internal environmental factors should be considered (Kovner et al., 2006).
In addition to financial shifts, alteration should also be introduced to the technological basis and culture of nurse retention. Certainly, volunteer system also presupposed effective retention techniques since employees worked at their will. However, to keep abreast of the competition challenges along with other profit hospital, these aspects must be reconsidered as well.
Providing a Rational from Peer-Reviewed Literature
As it has been previously mentioned, human resource management system should undergo change to be able to confront the competitive environment. However, significant changes should also touch upon information management system because it directly influences the quality of patient therapy, as well as delivery of health care services.
In this regard, “the integration of performance improvement models and techniques from industry into health care has been accelerated” because nurse professionals should possess background knowledge about social and cultural peculiarities of both patients and nurses” (Hall et al., 2008, p. 417). Integrating of theoretical approaches to practical domains is paramount because it will enhance the overall discipline at the hospital.
The transition at the Orange Door Health Center is closely intertwined with the analysis of cultural and social backgrounds of both nurses and patients. Therefore, an overview of various industrial models, particular social health insurance schemes should come to the forth (Michielsen et al., 2010).
Thus, the novel approach has become a significant factor influencing the internal workplace, as well as information management system. In general, introduced changes to the organizational structure should come before a consistent and detailed plan for reconstruction. Specific, a strategic plan should be worked out with regard to existing challenges and problems to define the main strengths and weaknesses of the transformation.
References
Filipovitch, A.J. (2006). Organizational transformation of a community-based clinic. Nonprofit Management & Leadership, 17(1), 103-115.
Hall, L.W., Moore, S.M., & Barnsteiner, J.H. (2008). Quality and nursing: Moving from concept to a core competency. Urologic Nursing, 28(6), 417-425.
Kovner, A., R., McAlearney, A. S., & Neuhauser, D. (2009). Health Services Management: Cases, Readings, and Commentary. US: Health Administration Press.
Michielsen, J. A., Meulemans, H., Soors, W., Ndiaye, P., Devadasan, N., De Herdt, T., &… Criel, B. (2010, June). Social protection in health: the need for a transformative dimension. Tropical Medicine & International Health. pp. 654-658.
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