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  1. Question
  2.  Developing a Shared Vision
    View Rubric
    Due Date: Mar 17, 2019 23:59:59 Max Points: 200

    Choose two issues or challenges that the leaders of today’s health care organizations face. Select from among the following topics:

    Staff Shortage (Physicians, Nurses, Allied Health Providers, Ancillary Services)
    Reorganization in Response to Merger or Consolidation of Services
    Layoffs as a Result of Declining Revenues
    Influx of Registry, Part-Time, and Temporary Contract Staff
    Poor Performance Outcomes Leading to a Reduction in Medicare Reimbursement Dollars
    Poor Job Satisfaction Rates Resulting in Turnover
    You are the manager of an ancillary service department at a large, 500+ bed hospital. Develop a proposal (750-1,200 words) that is directed toward your staff, in which you address the following:

    Inform the staff of the two issues (from the topics provided) your organization is facing.
    Describe the impact of these issues on your department.
    Describe how improved communication, collaboration, and teamwork can improve conditions in your department.
    Identify at least two examples from the required or recommended readings of techniques found to foster inclusion and improve communication and collaboration.
    A minimum of three academic references from credible sources are required for this assignment.

    Unsatisfactory 0-71%
    Less Than Satisfactory 72-75%
    Satisfactory 76-79%
    Good 80-89%
    Excellent 90-100%
    80.0 %Content

    10.0 %Selection of Two Issues or Challenges From Among Those Provided in the Assignment Instructions
    Identification /Challenges in health care organizations are not identified.
    Issues /Challenges identified are not among those listed in the assignment instructions.
    Issues /Challenges are identified but description is unclear or incomplete.
    One issue/challenge is identified from among those listed in the assignment instructions.
    Two issues/challenges are identified from among those listed in the assignment instructions.
    70.0 %Compelling Memo Describing the Issues, Their Impact on the Organization, Opportunities for Improvement, and Recommendations
    Memo addressed to ancillary staff is not provided or is incomplete.
    Discussion of issues, their impact on the organization, and recommendations is unclear or disorganized.
    Discussion of issues includes a brief description of organizational impact and recommendations.
    Description of issues includes detailed information regarding organizational impact and opportunities for improvement but recommendations are lacking.
    Comprehensive and compelling discussion regarding organizational issues, their impact, opportunities for improvement, and recommendations to foster a shared vision is offered.
    15.0 %Organization and Effectiveness

    5.0 %Thesis Development and Purpose
    Paper lacks any discernible overall purpose or organizing claim.
    Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
    Thesis and/or main claim are apparent and appropriate to purpose.
    Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.
    Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
    5.0 %Paragraph Development and Transitions
    Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
    Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
    Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
    A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
    There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.
    Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
    Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
    Writer is clearly in command of standard, written, academic English.
    5.0 %Format

    2.0 %Paper Format (Use of appropriate style for the major and assignment)
    Template is not used appropriately or documentation format is rarely followed correctly.
    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
    Template is used, and formatting is correct, although some minor errors may be present.
    Template is fully used; There are virtually no errors in formatting style.
    All format elements are correct.
    3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
    No reference page is included. No citations are used.
    Reference page is present. Citations are inconsistently used.
    Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
    Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style is usually correct.
    In-text citations and a reference page are complete. The documentation of cited sources is free of error.
    100 %Total Weightage


Subject Functional Writing Pages 5 Style APA



To:          Staff Members, Ancillary Service Department

From:    Oliver Burrows, Departmental Manager

Date:     17/3/19.


In the contemporary healthcare environment, effective leadership has become a fundamental element of healthcare systems especially for organizations which want to improve their organizational efficiency and effectiveness. Leaders have focused on influencing people towards the attainment of the mission and specific goals of their organization (Ghiasipour et al., 2017). However, in the quest to ensure the delivery of quality care services, leaders have faced various challenges which have impeded their mandates. The challenges of staff shortage especially not only in our department of allied service provision but also in others as well as layoffs due to dwindling revenues in our healthcare organizations have impeded our ability to ensure the attainment of shared mission, vision, and goals. This paper provides a description of the issues of staff shortage and layoffs in the department, ways they affect the department, opportunities for improvement, and recommendation for improvement.

Description of The Issues

                Staff shortage in healthcare is a real problem which has made the provision of patient-centered care a difficult task. Notably, the United States will need to hire more than 2.3 million hew healthcare workers by 2015 if they are to have a possibility of taking care of the country’s aging population in a qualitative manner (Combes, Elliott, & Skåtun, 2018). In our ancillary service department, the number of ancillary service providers has been way below the recommended ratio to the number of patients. A variety of positions have remained empty because our department has been understaffed. Even when we are well staffed, I have found it hard to manage the supply of staff members especially during the busy seasons because of the demanding patient load.

                In our department, I have resorted to cutting jobs/layoffs due to a whirlwind of financial pressures. Notably, the declining revenues in our healthcare facility as forced the layoff for some of the workers which have further resulted in the problem of staff shortage (Ross, 2017). For instance, in March 2018, we had to lay off more than 10 healthcare workers and even closed one of our units; the pediatric inpatient unit. The layoffs are a reflection of the financial problems that we face. In specific, the existence of flat reimbursements, escalating costs of medicines, supplies, and salaries have affected all our departments, and the ancillary service department is no exception.

Impact of These Issues on My Department

                In our department, the challenge of staff shortage has resulted in a reduction in the quality of care provided. In specific, although the department has focused on the provision of patient-centered care, such a goal has been impossible because of the number being insufficient to provide such type of care. Additionally, staff members, in the department, have suffered from worker burnout as they have had to work for long hours due to the shortage of members of staff (Combes, Elliott, & Skåtun, 2018). Eventually, the quality of care has been compromised because of reduced staff satisfaction and a reduction in the satisfaction of the patients.

                The issue of layoffs has served to reduce the number of staff members in our department which has exacerbated the problem of staff shortage. Notably, with the existing number of staff members being insufficient, layoffs have served to increase the problem and further become detrimental to the quality of care provided (Ross, 2017). With a reduced number of staff members; because the department has had to let some of us go due to financial pressure, the goals of providing quality care have been abandoned. Members of staff have had to work for long hours which has not only resulted in burnouts but also in reduced productivity and failure to attain the organizational mission and goals.

Opportunities for Improvement

We have various opportunities for improvement in our department especially in the adoption of communication, collaboration, and teamwork. In our department, there have been problems in the manner in which communications have been exchanged between staff members and the patients as well as other healthcare professionals. As such, we have an opportunity to use communication in the provision of patient care as well as the improvement of patient satisfaction. The absence of poor communication among members of staff and between the patients and staff members have resulted in low patient satisfaction scores and illnesses (Ghiasipour et al., 2017). However, we have the opportunity to improve our communication skills.

Each of the staff members has worked as individuals and have failed to collaborate in the provision of quality care. As such, the physicians, nursing practitioners, and us; the ancillary service providers have functioned individually. The net effect of such discordances has been a reduction in the rates of satisfaction of the patients coupled with the decreased quality of care provided. However, we have a perfect opportunity to collaborate with other departments and healthcare professionals to ensure improved quality of care.

An opportunity exists for us to improve on the manner in which we work in the quest to deliver ancillary services. Some of us have viewed themselves as more important and thus have failed to unite with others towards the attainment of a common vision. The effect of disunity and individualism has been the failure to achieve common goals and the setting of different targets. As a result, our department has not managed to achieve its set goals. We, therefore, have to seek ways to improve and become a team geared towards the attainment of a common/shared vision.


Based on the various opportunities for improvement stated especially those to do with communication, collaboration, and teamwork, various recommended solutions should be adopted in our department. One of those is that we should continue to gain communication skills which will enable us to have effective communication with our patients and effective interpersonal relationships (Foronda, MacWilliams, & McArthur, 2016). Additionally, we should collaborate with other professionals in healthcare such as the physicians and the nurses to ensure the provision of quality care. Moreover, we should work as a team and avoid acting as individuals if we are to achieve a shared vision of quality care for our patients. Deploying open communication, mutual trust and respect will also be vital techniques towards collaboration and teamwork in the attainment of a common vision.

In sum, staff shortage, as well as layoffs, have affected the ability of our department to achieve is the core mandate of providing patient-centered care. Both issues have seen a reduction in the number of ancillary service providers which has led to burnouts. Some of the opportunities we have are on how we can deploy communication, collaboration, and teamwork in the quest to achieve our shared vision. Through effective communication and collaboration with other practitioners, we can ensure quality care services. Additionally, teamwork can ensure that we a united front in the quest to attain our shared vision of quality patient care.




Combes, J. B., Elliott, R. F., & Skåtun, D. (2018). Hospital staff shortage: the role of the competitiveness of pay of different groups of nursing staff on staff shortage. Applied Economics50(60), 6547-6552.

Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare: an integrative review. Nurse education in practice19, 36-40.

Ghiasipour, M., Mosadeghrad, A. M., Arab, M., & Jaafaripooyan, E. (2017). Leadership challenges in health care organizations: The case of Iranian hospitals. Medical journal of the Islamic Republic of Iran31, 96.

Ross, C. (2017). Facing A Financial Squeeze, Hospitals Nationwide Are Cutting Jobs. Retrieved from https://www.statnews.com/2017/04/30/hospitals-layoffs-national/



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