1. SABATOGE- In a very successful, 120-physician group practice, all patient app
ID: 128557 • Letter: 1
Question
1. SABATOGE- In a very successful, 120-physician group practice, all patient appointments for return visits are handled by the office assistant in each physician’s office. The office assistant also is responsible for coordinating patient visits with other consultants in the group and for all laboratory, radiology, and special test requisitions. Six months ago a computerized system was installed to provide centralized scheduling. The office assistant no longer has to make telephone calls to coordinate the schedule because the schedule of the physician needed or the test ordered can be called up on the computer screen. Members of the department of medicine fought the installation of computerized scheduling because they felt it was an invasion of their scheduling prerogatives. They did not want someone else to determine how they spent their time in the office. To sabotage the new system, a handful of physicians decided to reserve many appointment times on their computers. As a result, the creditability of the system is suffering.
a. Assume you are the administrator of this practice. What steps would you take to resolve this problem?
Explanation / Answer
As an Administrator of the hospital perform a SWOT analysis
Strength: A responsive , vertical organisation structure always need a change in marketing for increased patient flow. A change in appointment strategy may improve the patient flow leading to Increased financial gain.
Weakness: Physicians are the key stake holders to provide care in a hospital. Avoiding them in discussion before implementing a new change brings failure by making them resistant to change.
Calling for a meeting discussion on merits and demerits may help to accept change.
Opportunities: Computerised scheduling reduces workload for staff, can streamline admission and discharge, increase inpatients admission,Increase hospital revenues and improve patient access to hospital from distant.
Threat: There may be huge turnover of staff if they are resistant to accept change, lead to shortage of staff, burnout, Overtime for retained staff can be encountered.
Remedial measures:
Call for a board meeting to discuss about their views.
Communicate SWOT analysis findings.
Involve the Health team in taking decisions.
Provide assurance on their jobs and financial benefits.
Formulate policies relevant to change and communicate to the team.
Get full cooperation and proceed with the change of Computerised scheduling .
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