Environmental Impact Essay

Sanchez and Hudson opened small pediatric office in Riverside, California is an example of having a dream come true without planning for the future. The building has become too large for the staffing that the Two Doctors /entruenpuers have been in for five years, Records are being lost, and waiting rooms packed medical records systems are overloaded with the possibility of patient’s records getting lost. Long lines cause patients to get in patients and staff to get stressed from their inability to serve their customers. The Two business men are spending most of their time now working on expanding the building hiring staff, talking to community services all important things with the except ion of continuing to fulfill their dream of excellent care for their patients. Sanchez and Hudson have to immediately implement immediate organizational change plan and organize for success. Some steps that could be taken to assist change would be to research other clinics of the same size or Hire a consultant firm. The company should research how the Economic, Political, Techno logical, legal and Social/Culture, Demographic trends impacts their continued growth in the community. There are many ways the company could move forward, they will have to look inside and take a complete inventory of the whole clinic, from the paper, the qualifications of employees, the job description of employees, how many employees will be needed or eliminated. Since cast study says they are busy working on the expansion, it’s safe to assume that they have either found a new location in the community and that they do have the financial backing of the banks and the stakes holders involved during the process. Managing the change for this company will be challenging for all that is involved, so there will definitely have be a Leader chosen to lead the transition team forward and to motivate the team during this time of change. The eight stage model for change used in our class room will be a go example of how Hudson and Sanchez should move forward. The first thing they should do is hire a consulting firm to manage the day to operation of the office. During this will free up Hudson and Sanchez to begin to develop a more in-depth business plan for future operations. The consulting firm will research the company’s operations to see how it can be improved, they will talk to the management team, and (if there is one in place) they will look at staffing and staffing schedules. Also they will talk to the clients to discussion their wants and needs. The consulting firm will also go outside through the community to find out how they feel about new improvements and thoughts of expansion. I had firsthand experience working with a team of consultants during an organization change at the University of Maryland. The team came 6 months before the present organization was to leave and revamped the entire system. The consulted did all of the things mentioned above plus they provided counseling, resume writing, interview procedures, and job search assistant for employees and managers that were not being retained. This consulting team tried to ensure that people remained motivated by holding classes, having lots of one conversation with staff and consistently informing the staff of almost every change that was going too happened before it happened. This would help the Hudson team because of their stress level and insecurities’ about the future of the company would motivate them. The consulting team system works even for the people who will not be retained in the company. Having a consulting team would let them always have a place to go for answers during the change. Using other people to create constructive change can only help team members feel better about the transition that is happening. (www. managing-change. net) when people don’t trust what is happening they become distrustful and resistant to the change which can cause a slowdown of events. Leaders must communicate the need for change widely and how that change will help everyone. Leaders need to be proactive and talk to and listen to what the employees have to say, this will help them feel involved and important doing the process. Researching how the Economic, Political, Techno logical, legal and Social/Culture, Demographic trends impacts their continued growth in the community. The economic trends if expanding the company is feasible at this time, financial concerns of the clients have a direct effect on the progress of the company. Such as what kind of disposable income are available, interest rates, inflation and the unemployment rates? All this reflect on the manner of how the company will received payment for services rendered. If unemployment is too high some previous clients will not be able to afford services, , but if inflation and interest rates drop there would be more money for surgery and other projects that could be done around the building. The political trends could involve official’s policies and the wants and needs of their constituents throughout the community. For instance if Hudson and Sanchez where to offered abortions and it wasn’t an excepted norm in that neighborhood it could cause a political hot spot with people for and against their expansion. At the same time if they offered a service the community badly needed like, free health screenings, of cancer, high blood pressure, or diabetes officials would jump on the brad wagon to help promote the expansion of the organization Technological trends will help identify the different resources available to improve the service given by Hudson and Sanchez. They can see what agencies/companies are using to keep medical records. At one hospital I worked they now keep all records on computer and no paper copies. At another Unit all medical records are stored using cloud technology where all information is sent to another location and pulled up on the computer when needed, which saves time, space and money. Technology can also provide quicker way to set-up appointments, review medicines the doctor has prescribed. Legal trends can help with knowledge about legal actions taken on the patient area; this will provide valuable information about compensation and liability cases. Social/Culture trends will indentify the culture and belief that are the norm in the area of the clinic. All of these trends will help Hudson and Sanchez to develop a better plan for the growth of their clinic and help with the change that will be occurring as they move forward. After the research is done Dr Harold s Resnick of worksystems suggests that there are 10 steps to change management, Confirming the compelling need for change, identifying the boundary conditions, creating the vision of the desired end state, developing the core work processes, defining key roles and responsibilities, modifying the organizational structure, establishing the key performance measure, reviewing system wide tools, develop training that enables performance ,aligning the reward system. http://worksystems. com) His steps correlates with the 8 stage model of planned organizational as outlined in our text manual. T o be successful should follow the procedures outlined in both. Stage one identify the problem Hudson, cannot provide service, they are not happy with the service provider, so this should be communicate to the staff. They should get the feedback from the staff and their feelings. Hudson and Sanchez should provide them with the research they have found. Stage 2 with this knowledge base they can get the consultant team they can get in this case indentify who should be managers, supervisors , team leaders so that they will be involved in the process moving forward. Here they can devise how new policies and procedures will be enacted and who perform what tasks. The consultant team I was involved with spoke to all managers daily to see if the implementation of new policies or procedures where going well or if there was problems. Problems where dealt with immediately. Stage 3.  Develop their Vision what kind of clinic do they want to be now, 5 years, ten years or 20 years from now. Developing a â€Å"Mission Statement â€Å"which is a summary of their Vision will help both the public and staff understand what the company striving for. When they first started it was â€Å"To provide excellent care to children† Now it might be to provide the best care possible children and families of the community meetings with ’. The Vision has to be where they want to take the practice. Stage 5: Empowering the employees to put the vision together and performance to level necessary to reach the goals. One way would be to have daily team meetings, monthly client meetings, and semi-annual town meetings for the whole community to express ideas, complaints and to get know one another better to develop a partnership. Stage 6 when something goes well let the team knows. One example My Shock trauma Team used was to mail Thank You notes to employee’s homes for jobs well done, birthday cards and when the budget allowed gift cards. This made team members feel special, motivated, they enjoy sharing with co-workers and family members. Stage 7.  When one thing is accomplished keep striving for the vision of the big picture. Stage 8 Inspect what you expect, people have a tendency to fall back on the old way doing things once the urgency seems to settle down. It is up the supervisors, manager not to fall bad into the habits of doing things. In closing the main changes I see that Hudson and Sanchez will have to do start their organizational change is Establish a unified set of policies and benefits, intergrate management structure and redefine all reporting relationships Establish best-in- industry cost structures. ross train employees to perform non-crictal tasks, add new computer system or invest in a networking system with other healthcare services in their area. Every new decision will need to be evaluated to determine if it will suit their operation, . All goals should be specific, attainable, realistic and measurable. If Hudson And Sanchez stand firm their company will grow and they will be force in the commun ity for years to come.