Individual Assignment: “ Diagnosis Paper ’’ (Organizational Behavior)

‘‘ Problem within the organization and its managenment ’’

Submitted by,

Gaurav Raj Poudel

Submitted to,

KFA Business School & IT

(Affiliated to Lincoln University College)

Mid-Baneshwor, Kathmandu.

Teacher : Prof. Dr. Sanjeev Pradhan

ACKNKOWLEDGEMENT

I am grateful for KFA college for giving me an opportunity to pursue my master’s degree in
business administration. I am thankful for the faculty members of the university for supporting
my academic choices. I am truly grateful to Professor Dr. Sanjeev Pradhan whose guidance has
been my great source of inspiration and who never back down for providing the required
knowledge and information even after the academic classes.

ABSTRACT

These paper describes about the organizational problem within the health care in Nepal.
Likewise, it also addresses the issues and its management by using the topic related with the
organizational behavior. The references also has been used to define some of the major
definitions and its problem with solution.

OBJECTIVES AND AIM

All the people in the organization forms the culture. Organization that are blessed with good
culture are always one step ahead of competition. However, many organization fail to adapt
such values and culture. Therefore, the purpose of this report is to know the detail problem that
exists in the working environment or organization and diagnosing it by using the concepts from
the course. It also includes outlining the factors that contributed to the situation and how that
concepts helped personally and other management teams to deal with the situation more
effectively.
NEPAL’S HEALTH CARE AND ITS OVERVIEW

The health system in Nepal is characterized by a wide network of health facilities and
community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a
fundamental right, stating that every citizen has the right to basic health services free of cost. But
the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities
within 30 min, with significant urban (85.9%) and rural (59%) discrepancy. Addressing barriers
to health services needs urgent interventions at the population level. Recently (February 2015),
the Government of Nepal formed a Social Health Security Development Committee as a legal
framework to start implementing a social health security scheme (SHS) after the National Health
Insurance Policy came out in 2013. The program has aimed to increase the access of health
services to the poor and the marginalized, and people in hard to reach areas of the country,
though challenges remain with financing. Several aspects should be considered in design,
learning from earlier community-based health insurance schemes that suffered from low
enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built
for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be
crafted to include coverage of major health services including non-communicable diseases. A
healthy job is likely to be one where the pressures on employees are appropriate in relation to
their abilities and resources, to the amount of control they have over their work, and to the
support they receive from people who matter to them. As health is not merely the absence of
disease or infirmity but a positive state of complete physical, mental and social well-being , a
healthy working environment is one in which there is not only an absence of harmful conditions
but an abundance of health-promoting ones.  Improving the efficiency of hospital, motivating the
health workers, and using appropriate technology can improve the quality of health services.
Also, as currently a constitution drafting is being finalized, careful planning and deliberation is
necessary about what insurance structure may suit the proposed future federal structure in Nepal.

Summarize

1. The problems associated with the model of private insurance that characterizes the
Nepalese health system.
2. Explain how and why mistakes and infections occur in hospitals.
3. Other problems in Nepal health care other than the lack of health insurance.
Diagnosis Of The Problem

As the continuing debate over health care in the Nepal reminds us, the practice of medicine
raises many important issues about its cost and quality. We now turn to some of these issues.

The existence of various professions in hospitals can increase specialization and horizontal
differentiation and may cause conflicts in communication and coordination.

“It is difficult to coordinate people in such diverse sections, as each of them considers the
problems differently. For example, the way the accounting staff looks at the problems is different
from the way the nursing personnel or physicians consider them…. The emergency physician
considers a series of experiments immediate, but the laboratory staff has the opposite idea. This
great diversity of expertise results in many conflicts.”

Managers’ insufficient authority to recruit, relocate, promote, and dismiss the personnel,
as well as their limited authorities to apply motivational and welfare programs, decreases
their power and influence. On the other hand, it limits the efforts to improve leader-
follower relationship and minimizes job satisfaction.

“Sometimes, I have to work with people who are not a good match for the system and their job,
but I don’t have enough authority to relocate them .In addition, most of the time, I don’t have the
power to promote a competent employee.”

Vague and inadequate job descriptions and specifications is another structural challenge.

“Job specification has not been developed properly and a large number of people are not fit for
their jobs in terms of both their characters and abilities; and this causes stress, tension, and
conflicts with coworkers and supervisors. More conflicts seen between my employees are
because of vague job descriptions, as there are overlaps and conflicts in job descriptions..”

Participants stated that the lack of financial resources and its negative effects on the
activities of the hospital and also on bonus and welfare facilities has led to conflicts of
interests and inconsistencies.

“If adequate financial resources are injected on time, jobs are done much better, subordinates
will have no problems with each other, and we can have better plans for remuneration and
welfare programs. As the saying goes “money brings power and influence.”

Old buildings with unfavorable conditions in terms of light, space, and location, as well as
the lack of equipment and accessories have caused stress and conflict. They were
considered physical resources challenges by the participants due to their impacts on work
process and personnel’s satisfaction.
“The hospital building is old and small; owing to its bad plan, connection and coordination is
difficult. This problem along with the lack of equipment slows down work and causes many
conflicts. Personnel’s morale is bad because of working in this old and boring place.... The best
incentive is to make working places safe and appropriate..

Bureaucracy in hospital wastes personnel and managers’ time and reduces the time spent
for adequate and appropriate communication among employees, leaders, and followers.

“Especially after the implementation of the hospital accreditation, we have so much

documentation and paperwork to do, and thus the staffs, especially, the nurses do not have time
to do their main work.. I myself have so much paperwork to do that I can’t find time to have
face-to-face meetings with my personnel.”

Organizational Culture refers to the belief, principles and values that the individuals of an
organization share. Culture is a determining factor in the success of organization. Ways in which
culture theory helps in developing organizational effectiveness are:

Involvement:

Effective organizations empower their people, build teams and develop human capability at all
levels. Executives, managers and employees are committed to their work. People at all levels feel
that their work is directly connected to the goals enterprise. This is because, if the information
with respect to the given factors will not be gathered at that time effectiveness of the firm will be
impacted in a negative way.

Consistency:

Organizations also tend to be effective because the have a healthy culture that is highly
consistent, well coordinated and well integrated that helps employees to work with higher
productivity. This type of coordination helps the organization to achieve its goals effectively and
efficiently. However, for the firm it became difficult to maintain consistency within firm if some
changes will occur in the external environment. This is because, in the given circumstance the
corporation will have to change its working pattern as per the factors which are prevailing in the
external environment.

Adaptability:

Organizations that are well integrated are often the most difficult ones to change. Internal
integration and external adaptation both are important. Adaptable organizations are motivated by
their customers, take risks and learn from their mistakes along with the capability and experience
at creating change. Organizations can facilitate innovation and creativity: Effective managers
facilitate and promote the innovation in an organization.
Unnecessary use of Services
When free health care policy is
introduced, cost to
users falls to zero. It might
increases the tendency of
unnecessary and over utilization
of health care.2 It would
result in increase in demand of
health care unnecessarily
with decreasing quality of care
and increasing cost of care.
Therefore, a clear policy,
increment in the infrastructure
and human resource
management would be of
outmost
important before widespread
implementation of this
program.
Unnecessary use of Services
When free health care policy is
introduced, cost to
users falls to zero. It might
increases the tendency of
unnecessary and over utilization
of health care.2 It would
result in increase in demand of
health care unnecessarily
with decreasing quality of care
and increasing cost of care.
Therefore, a clear policy,
increment in the infrastructure
and human resource
management would be of
outmost
important before widespread
implementation of this
program.
Unnecessary use of Services
When free health care policy is
introduced, cost to
users falls to zero. It might
increases the tendency of
unnecessary and over utilization
of health care.2 It would
result in increase in demand of
health care unnecessarily
with decreasing quality of care
and increasing cost of care.
Therefore, a clear policy,
increment in the infrastructure
and human resource
management would be of
outmost
important before widespread
implementation of this
program
Unnecessary use of Services
When free health care policy is
introduced, cost to
users falls to zero. It might
increases the tendency of
unnecessary and over utilization
of health care.2 It would
result in increase in demand of
health care unnecessarily
with decreasing quality of care
and increasing cost of care.
Therefore, a clear policy,
increment in the infrastructure
and human resource
management would be of
outmost
important before widespread
implementation of this
program

Unnecessary use of Services

When free health care policy is
introduced, cost to
users falls to zero. It might
increases the tendency of
unnecessary and over utilization
of health care.2 It would
result in increase in demand of
health care unnecessarily
with decreasing quality of care
and increasing cost of care.
Therefore, a clear policy,
increment in the infrastructure
and human resource
management would be of
outmost
important before widespread
implementation of this
program
Effectiveness of team working
Team has an impressive effect on the organizational performance. An effective team can help the
organization to achieve fabulous results and the resources present in company provide the base in
conducting operations which enhance the business efficiency. An effective team is able to gather
the information from each member and such data can be easily used for conducting crucial
operations of the firm.

Importance of team work is:

 Teamwork is important in an organization because it provides employees with an

opportunity to create bond with each other which will improve their relations among
themselves.
 Work groups and team develop systems that allow them to complete the tasks efficiently
and quickly.
 Working in teams allows the staff member to feel comfortable in giving ideas and
suggestions.
 Teams help each other to improve the performance and work together to improve their
professional development.

Besides this, there are some disadvantages associated with the team working type of approach
which is being practiced by many firms. Lack of recognition of work which is being performed
by individual employees is being regarded as the major disadvantage of team working. This
leads to reduce the satisfaction level among workers and due to this direct impact will be seen
upon the sales and profits of enterprise. Furthermore, difference in the working method of
different individual is being regarded as another limitation of team working. This is because, the
given thing will lead to develop conflicting situation between team members and because of this
goal of team will be hampered.

Effective management of change in organization

Change management plays an important role in the organization since the task of managing
change in the firm is not an easy one. Managing the change refers to making changes in a
planned and systematic manner. Change management provides a way to evaluate the challenges
and respond to these efficiently. It allows the organization to measure overall impact of the
change on its performance. Change management clarifies the roles and responsibilities of all
those people who are participating in the change effort. Employees who have freely adopted the
change management without any resistance are allotted with additional responsibility of guiding
and supporting others. This will help the firm to run properly. A good management system
increase the employee’s morale and there will be reduction in the recruitment and holding costs.

Conclusion
Healthcare managers must be able to provide direction and guidance to organizations about roles,
responsibilities, and functions. The leader must devise and revise strategies everyone can
understand and follow. Thompson et al. (2011) argue “decisions made by healthcare managers
not only focus on ensuring that the patient receives the most appropriate, timely, and effective
services possible, but also address achievement of desired performance targets.” Ultimately,
decisions made by an individual manager affect the organization’s overall performance.

Leaders should not take on the many challenges “posed by complex health care systems”
therefore, it takes “a shared, distributed, or collective approach to address complex problems
with diverse perspectives, talents, and skills”. Leaders must build a collaborative environment
whereby everyone is involved in the process of developing strategies to help overcome the
challenges as they arise. Staying abreast of the changes and implementing a plan of action will
create successes for healthcare leaders and their organization for years to follow.

Call to Action

With so many changes on the horizon healthcare leaders must meet others where they are to
positively impact those around them. They must continue to engage in new research, develop and
assess issues to create the best approach and delivery system that meets the needs of their staff
and patients. No one approach works best always, therefore leaders must routinely explore
models and methodologies to help them tackle challenges, including building partnership with
other leaders; self-development; recruiting and implementing continuously training programs for
staff; research alternatives and promoting information awareness for everyone involve.

Reference:
1. https://www.researchgate.net/publication Global Health Action.
2. Government of Nepal Ministry of Health And Population & Nepal Health Research Council .
3. https://www.who.int/occupational_health/topics/stressatwp/en WHO (World Health
Organization).