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Consulting for the Caring Angel Hospital

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This research paper is aimed at analyzing the state of Caring Angelhospital and coming up with a strategy and a framework that willenable the facility to develop and compete with other health carefacilities. The paper aims at improving the delivery of health careby providing Caring Angel Hospital a strategic framework to improveon management weaknesses. The paper will delve into issues ofmanagement and how the facility managers can make the best use ofavailable resources to create a competitive advantage. Caring Angelhospital is also going through a terrible financial situation andcannot access a bank loan due to facility losses. The institution hasalso been making losses after loss this paper will analyze and comeup with a solution to this problem.

Health care is vital to any society and hence requires monitoringand development so as to improve the quality of life. The health careindustry has seen an increase in the number of investors meaning andgrowth in competition. Health care is also an expensive industry toventure into and is faced with challenges such as loss of humanrecourse to competition. Caring Angel Hospital is one of the manystruggling health care facilities in the world, and this paper willtake a look into ways the management can improve the facility`ssituation.

Quality of Health Care

Healthcare is a global necessity and is delivered by governments andthe private sector health care is accessible in virtually allcountries in the world. The main difference is the quality of healthcare. Health being an important aspect of healthy human life allindividuals deserve to receive high-quality health care. This beingthe case, the question on what is quality health care arises.According to the international organization for quality ISO, qualityhealth care is archived when a level of increased characteristics ofthe products or services offered satisfy or exceed the expectedrequirements. In the health care industry quality of health care thedefining factor, so much so that the World Health Organization WHOpolicy for the 21st century is the improvement of high-quality healthcare(Valentine, 2015).

The quality of health care is segmented into six essential elements,equality, relevance, accessibility, acceptability, effectiveness andefficiency. Equality refers to providing similar health care to allpersons regardless of their social or another status. Relevance meanshaving the right health care at the right time. Accessibilitytranslates to availability in the required geographical, functionaland time sense. Acceptability says the health care is suited for thepopulation. Efficiency is making use of the available resources in amanner based on reason. Effectiveness means gaining the best resultsfrom the effort (Kongstvedt, 2012).

Recommendation for Angel Hospital to Gain a Competitive Advantagein Health Care

For a facility to achieve competitive advantage, it must improve thequality of health care and electronic systems are one of the mostsuitable resources to improve on quality. Installing an electronicsystem such as electronic medical records (EMR) does not provide thecompetitive edge by itself. The system itself has to be implementedproperly and the staff trained on how to effectively and efficientlyuse the system. Health workers can create communities of experts andcommunicate through information systems. The information system mustalso be aligned with the provision of health care as it will changethe atmosphere of the facility. Practitioners will only fill ininformation from their end of the system, and the management can viewand make decisions from another end. Factors that influence thecompetitive advantage gained from computer systems include economic,political and legal triggers. Seeing that the Angel hospital cannotacquire funds to put up an elaborate marketing campaign, the paperrecommends they make use of social media. Another aspect oftechnology is social media which has proven for other companies anexcellent marketing platform would also work in advertising the AngelHospital (McFadden, 2015).

Leadership and Management Frameworks Most Applicable To AngelHospital

Leadership and management are both key factors in the success of anyorganization. Leadership and management are two faces of the samecoin. Leaders are tasked with ensuring commitment, coherence, anddirection. An organization with direction can then create a vision,strategies, and values. Much is asked of leaders, and good leadersneed to have some characteristics to ensure success as a leader. Aproficient leader must be technically competent, have conceptualskills and have great interpersonal skills. Technical competencemeans that a leader requires having a deep knowledge of theoperations, strategies, and health care. Conceptual skills refer tothe ability to analyze both the in-house and peripheral factors thathave an effect on the facility and make smart decisions. Conceptualskills mean a leader never thinks a situation is too complicated butrather analyzes it and makes sense of it all. Interpersonal skillsenable a leader to express the human aspect of leadership. It means aleader should be able to read and inspire the emotional status of hisor her followers. A leader should also evaluate his or her behaviormodifying to serve the purpose (Huber, 2013).

There exist multiple leadership theories in the health careindustry, one theory is the authentic leadership theory which followsleader legitimacy and the transformational leadership theory. Theauthentic leadership theory places emphasis on creating leaderlegitimacy and good relations with staff. Leader legitimacy and goodrelations build to trust and when employees trust their leader theyperform better. The alternative theory is the transformationalleadership theory which is what the paper recommends for Angelhospital. The theory entails leadership based on continual growth andimprovement (Huber, 2013).

Management Framework and Risk Mitigation

Enterprise risk management (ERP) is a business technique used bymanagers to analyze uncertainty and manage it. Traditionally riskmanagement was all about preserving assets but with ERM the analysisis aimed at making the most of the risk opportunities. Enterpriserisk management is a process and has several steps, some include riskand opportunity identification, evaluation and monitoring.Uncertainty is a part of any business including the Angel hospitalERM offers the managers an opportunity to look at the uncertainty andrisks and try to convert them into opportunities. A risk list is alist where all the risks facing the organization are written down andstored(Kongstvedt, P. R., 2012). Once the risks have been listed,they are segmented into groups called domains or risk domains whichmake management easier. A step further is taken as the risk managersalso identify risk drivers and list them. Risk drivers are factorseither internal or external that may lead to risk. As the risks areanalyzed a risk inventory or register is created, provide moredetailed analysis of risk. At this point, the managers can prioritizerisks according to the likelihood of occurrence, the impact of riskamong others and create strategies (Kongstvedt, 2012).

A risk score can be awarded to each risk so as to determine thehighest priority. The risk score is calculated by the likelihood ofoccurrence multiplied by the impact. A decision analysis is finallyconducted to come up the way forward. Decision analysis is thecapability to make rational resolutions from understanding thebenefit or advantage weighed against the cost or disadvantage. Theenterprise risk management program mentioned is a flexible frameworkfor the health care industry and would work perfectly for Angelhospital. The framework identifies the main structural components andif implemented will help in value protection and creation (Swayne,2012).

Politics Motivate or De-Motivate Employees in Health Care

Motivated and competent human resource is necessary for theprovision of adequate high-quality health care. Shortage of motivatedhuman resource is on the rise, especially in the health care sector.Angel hospital staff has been noted as an unmotivated workforce,never smiling or taking pride in their work. Some of the majorfactors that lead to de-motivation in the health care industryinclude the political, socioeconomic and cultural environment of theworker. Availability of health care workers is a large problem as anabsent employee cannot even perform the task a de-motivated workerwould perform(Kongstvedt, P. R., 2012). When the worker is available,their performance can be measured by responsiveness, competence, andproductivity. Interrelated factors such as absenteeism, workconditions, job satisfaction, skills, attitude, and training all addup to the work environment and some part of it to personal issues.Factors that influence job performance can be segmented into twopersonal and lifestyle factors and work-related factors. Personal andlifestyle factors include values, gender, and beliefs to name a few.Managers may not have much control on the personal factors but canconcentrate on work-related factors (Valentine, 2015).

The major work-related factor is pre-employment trainingstaff that has undergone this training often performs better and aremore motivated than workers who have had no pre-service training. Jobsatisfaction is another work-related factor and encompasses thequality of working life, professional development, and careeradvancement opportunities. Workers who experience high jobsatisfaction are always more motivated and perform better thanworkers who are unsatisfied with their jobs. The functioning of thehealth care facility will determine worker performance. Thefunctioning of the health care facility determines workload, numberof available staff and other factors that influence the jobenvironment (Valentine, 2015).

A proven method of increasing staff performance is byimplementing teamwork and staff relations. Teams have been observedto be more responsive to client needs and are also more costeffective. Teams and good staff relations also increase jobsatisfaction and a friendlier work environment. Teams, however,require goals and team leadership to achieve this objective. TheAngel hospital can also provide incentive packages to its workers toensure high motivation. Both financial and nonfinancial incentivesexist and can be used. Nonfinancial incentives such as a vacation orposition at a board can motivate workers to perform better. Financialincentives such as promotions and increased salary are also majorincentives to workers to perform optimally (Kongstvedt, P. R., 2012).


The Caring Angel hospital is making losses due to poor managementand leadership. The staff is de-motivated by this and hence performpoorly at work with others even abstaining from work. Caring AngelHospital in adopting the management framework covered earlier in thispaper will motivate workers to perform optimally in response to thenew management framework. The staff also requires further training onimproved performance and quality of health care. Technology is one ofthe elements that have provided a competitive advantage for otherinstitutions. The Caring Angel requires adopting technology in theform of ERMs among others. The implementation of technology has to bemonitored and managed so as to provide the competitive advantage.Wrongly implemented technology will likely cause more problems ratherthan help the institution.


Huber, D. (2013). Leadership and nursing care management.Elsevier Health Sciences.

Kongstvedt, P. R. (2012). Essentials of managed health care.Jones &amp Bartlett Publishers.

McFadden, K. L., Stock, G. N., &amp Gowen III, C. R. (2015).Leadership, safety climate, and continuous quality improvement:Impact on process quality and patient safety. Health caremanagement review, 40(1), 24-34.

Swayne, L. E., Duncan, W. J., &amp Ginter, P. M. (2012). Strategicmanagement of healthCare organizations.John Wiley &amp Sons.

Valentine, M. A., Nembhard, I. M., &amp Edmondson, A. C. (2015).Measuring teamwork in healthCare settings: a review of surveyinstruments.Medical Care, 53(4), e16-e30.