Leadership Proposal


Theleaders in health care organizations are experiencing challenges fromthe various issues that are affecting the effectiveness of healthcare in their delivery of services to patients. Examples of issuesfaced by leaders in health care include staff shortage, layoffs thatresult from the decline in revenues, poor performance outcomes thatlead to reduced Medicare reimbursement dollars, influx registry,reorganizations as a result of mergers and poor job satisfaction thatleads to high turnover rates.

Thispaper seeks to discuss staff shortage and layoffs as major challengesthat the managers in the ancillary service department areexperiencing and develop solutions for addressing these issues.

Issuesthe Organization is Facing

Theancillary service department is experiencing staff shortage andlayoffs problems. The department is currently experiencing a shortageof nurses, physicians, and ancillary services. The lack of staff iscontributed to by lack of advancement in medical professionals.Despite the expansion of the hospital, in the past years, very fewstaff members have been added to our department and thus cannot meetthe increasing demand for ancillary services. Additionally, staffshortage has been contributed to by the low unemployment and theincreased aging population in the healthcare workforce (McKechnie,2016).

Thelayoffs problems have resulted from the decline in revenues in thepast years. The department and the hospital, in general, areexperiencing layoff problems due to the economic crisis that hasresulted in the decline of revenue generation. The decrease inrevenues has made it difficult for departments to manage the existingemployees effectively. The only solution available presently is toconduct layoffs to save enough money for other essential services(Hamad,Modrek &amp Cullen, 2015).

Impactof the Issues to the Department

Staffshortage has severe impacts on the delivery of ancillary services topatients. It would result in the available staff to work longer hoursto cover for the shortage. Long working hours causes the team toexperience increased stress. Increased rates of stress, in turn, canlead to lower the patient’s quality because of increased cases ofmedical errors, poor health outcomes, and reduced ancillary services.Moreover, the increased workload can prompt some staff members toquit their profession thus affecting the quality of care in thedepartment (Grandey, Chuen Foo, Groth &amp Goodwin, 2012).

Layoffswould impact negatively on the ancillary department. It would affectthe quality of patient’s care and delivery of ancillary services,which will, in turn, have an impact on the economy. Additionally,layoffs would affect the physical and economic well-being of thedepartment. Moreover, it would increase workforce shortages infuture. Furthermore, layoffs would result in loss of confidence inleadership among employees due to fear of job insecurity and this,therefore, affects healthy outcomes (Hamad,Modrek &amp Cullen, 2015).

Impactof Improved Communication on the Department

Improvedcommunication, teamwork and collaboration foster improvement ofconditions in the ancillary service department. These aspects promotecollective responsibility of working to achieve quality health care.Effective communication improves the delivery of ancillary servicesbecause of accurate communication with health care providers. Forinstance, improved communication minimizes cases of medical errorsbecause information has been communicated clearly and adequately thusnot allow room for misinterpretation or lack of critical information.Team collaboration enhances patient’s safety and improves thequality of care in the ancillary department. It fosters sharing ofcomplementary roles and working in cooperation to achieve the desiredhealth outcomes. Additionally, it promotes cooperative decisionsmaking and problem-solving in patient’s care (Wong,Gang, Szyld &amp Mahoney, 2016).Similarly, collaboration increases awareness among health careproviders thus improving their knowledge and skills that contributeto the delivery of high-quality services. Coordination of carefosters patient-centered approach towards patient care that improvesperformance of the primary health care system (Sheridan,2013).Teamworkpromotes respect, trust and facilitates collaboration. It enables thenursing staff to work towards achieving the common goal in healthcarefor both patient care and the teams. Team based healthcare promoteintegrated interventions that improve the quality of care (Mitchell,Wynia, Golden, McNellis, Okun, Webb &amp Von Kohorn, 2012).

ExamplesthatFoster Inclusion and Improve Communication and Collaboration

Astudy byRosenstein(2002) indicates that structures such as organizational, relationaland social, facilitates failure in communication. Rosenstein pointsout that failure in communication is a major contributor to negativeoutcomes and events in the clinical practice. This study thus showsthat inclusion and improvement of communication and collaboration areimportant in contributing to improved conditions in health caresystem.

Asimilar study by Rosensteinalso shows that inconsistency in verbal communication between staffmembers adversely affects patient outcome. Poor communication hasresulted in conflicting information among staff members, affectsstaff satisfaction and patient outcomes. Additionally, poorcommunication contributes to poor quality of care, affects patientsafety and increased medical errors. It is evident that ineffectiveteamwork, collaboration, and communication affect effectiveness inthe delivery of care. Therefore, the study shows that inclusion andimproved communication and collaboration would promote delivery ofquality care (Rosenstein, 2002).


Itis evident that healthcare organizations have issues that posechallenges to the leaders. Staff shortage and layoffs have an adverseimpact on the delivery of care services. They affect theeffectiveness of health care organization by impacting on thedelivery of care. Staff shortage results in increased workload andstresses the nursing staff, which affects the quality of care.Layoffs affect the confidence of the staff on leadership thusaffecting patient care. Improved communication, collaboration, andteamwork contribute significantly towards improving the conditions inthe ancillary department. Improved communication minimizes cases ofmedical errors, and team collaboration promotes sharedresponsibility, decision making, and increased awareness thusenhancing patient safety and quality.


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Hamad,R., Modrek, S., &amp Cullen, M. R. (2015). The Effects of JobInsecurity on Health Care Utilization: Findings from a Panel of USWorkers. Healthservices research.

McKechnie,T. (2016). CALL FOR NURSES: The Multi-Dimensional Manifestation ofNursing Shortage on Patient Care. QIHIJournal of Healthcare Improvement and Patient Safety,(2).

Mitchell,P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., … &ampVon Kohorn, I. (2012). Core principles &amp values of effectiveteam-based health care. Washington,DC: Institute of Medicine.

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