Healthcare Management Practices Research Articles

Buffalo calf health care management practices followed by the farmers in Namakkal districts of Tamil Nadu

Buffalo calf health care management practices followed by the farmers in Namakkal districts of Tamil Nadu

Breeding and Healthcare Practices Followed by the Rajbanshi Dairy Farmers in Coochbehar District of West Bengal

Breeding and healthcare management play a significant role in utilizing the full potential of dairy animals. Constant breeding and healthcare development are essential to provide better conditions and improve dairy production and welfare. This study explores the breeding and healthcare management practices adopted by Rajbanshi dairy owners in West Bengal’s Coochbehar district. Utilizing a pre-tested interview schedule, data was collected and subsequently analyzed in terms of frequency and percentage. The findings shed light on key patterns and practices, contributing to a better understanding of dairy management within this specific community. A strong preference (77.00%) for crossbreed cattle emerges in breeding practices meanwhile, heat detection predominantly relies on bellowing and mucus discharge (86.00%) and the pregnancy diagnosis was mostly done by Prani Bondhu (88.64 %). Within healthcare practices, dairy farm families vaccinated their animals by 98.50%, 19.50%, 16.50% and 52.50% of their animals with FMD, HS, BQ and Brucellosis vaccines respectively. Half of the dairy farm families (49.50%) followed deworming practices occasionally. The findings highlight the need for specific training within the dairy farming community on reproductive techniques and disease prevention methods. Also, promoting hygienic practices in animal housing and expanding access to veterinary care can improve overall animal health and farm sustainability.

IMPLICATIONS OF ARTIFICIAL INTELLIGENCE IN HEALTHCARE IN DEVELOPING COUNTRIES: PERSPECTIVES AND CHALLENGES

The integration of Artificial Intelligence (AI) and Machine Learning (ML) technologies into the healthcare sector has catalyzed transformative changes across the globe. This comprehensive article delves into the multifaceted impact of AI and ML on healthcare quality, data management, and clinical practices. Moreover, it examines these trends within both a global context and the specific framework of the Republic of Georgia. The purpose of this study was to specify the most important implications of AI in healthcare for developing countries and to assess perspectives and challenges of implementation. At the first stage, desk research was performed. Fifty relevant scientific articles and reports were identified, by key words, with utilization of various scientific bases and analyzed. Moreover, the major findings of the desk research, regarding implications of AI in healthcare in developing countries and challenges were used for the qualitative research. More specifically, in-depth interviews (overall 10) were conducted with various stakeholders of Georgia’s healthcare system and two focus-group discussions (FGD) were moderated with medical professionals and specialists. The purpose of in-depth interviews and FGDs was assessment of attitudes and perceptions of major stakeholders about AI implementation and utilization. According to the reviewed literature, perceptions and attitudes of stakeholders are very important for the successful implementation. However, this issue is not evaluated sufficiently, especially in developing countries. According to the results of the study AI can have substantial economic benefit for the developing countries, with consideration of the monetary savings, improved level of healthcare quality and increased patient safety. As the findings of the qualitative research demonstrate attitudes and perceptions of the doctors and important stakeholders represent a challenge for the successful implementation of AI. Consequently, it is strongly recommended to centralize and prioritize this issue on a system’s level in the process of policy and strategy design.

ADOPTION OF HEALTH CARE MANAGEMENT PRACTICES IN GOAT BY TRIBAL GOAT KEEPERS

Tapi is a tribal dominated district of Gujarat state and their traditional occupation in livestock aspect is to rearing cattle, buffaloes, goats and desi fowls. The present study was carried out in Tapi district to find out the adoption of health care management practices in goat followed by tribal in Tapi district. Two blocks of Tapi district namely Songadh and Uchchal had been selected purposively. Total 100 respondents had been selected for this study. Nearly half of the respondents were in the young age, nearly two fifth of the respondents possessed primary level of education and more than two fifth of the respondents having small family size, slightly more than three fifth of the respondents had medium family income, more than three fifth respondents belonged tolow land holding category, more than two fifth of respondents had large goat possession, half of the respondents had large farming experience. Extent of adoption regarding treatment of sick goat ranked first while zero adoption was observed for navel disinfection and dehorning in kid. Major constrain faced by tribal people was lack of availability of veterinary services at door step.

Measuring healthcare payor management practices in England

Good management practice in healthcare payors and providers is considered central to ensuring health systems respond to population needs, contain costs, and improve both quality and outcomes. However, the evidence to support this assertion is sparce. While a quantitative link between better management practice and improved patient outcomes has been demonstrated for healthcare providers, no such link has been identified for healthcare payors. The lack of a robust tool to assess the management practices of healthcare payors has impeded such quantitative assessments. We report upon a novel tool developed to measure and assess 11 management practices in all 152 healthcare payors within England's National Health Service in 2010. We have tested the acceptability, reliability and validity of this tool using rigorous analytic methods and present four key findings. First, performance of the tool is strong and comparable to management practice scorecards used in other settings. Second, exploratory factor analysis indicates the tool measures two distinct latent factors of healthcare payor management practice with high internal consistency and reliability. Third, there is evidence of assessment and score validity. Fourth, payor management practice variations are associated with the degree of supervisory oversight. While deploying such a tool is challenging, these results suggest that healthcare payor management practices can be measured and assessed robustly. This could enable governments, and others, to identify how payor management practices influence health system performance and to estimate what health system performance improvements they should expect from interventions designed to improve the management practices of their local healthcare payors.

Семантический анализ развития тем «Управление» и «Управление больницами» с 1945 по 2021 годы.

The results of the study showed that the subject area on the topic of «Management» and «Hospital Management» has been developing since 1945, but it becomes wider from 1982 to 2021 and acquires clear boundaries of the object of research. The analysis of verbs allowed us to come to the conclusion that their number remains approximately at the same level. However, there are differences in the verbs used, so on the topic of «Management», first of all, actions related to the evaluation of the object of study are used, then actions related to the basis of management and then the impact on the object in order to change its state. While researchers on the topic of «Hospital management» are primarily interested in the impact on the object in order to change its condition, then an assessment of the condition of the object, at what stage this object of research is located and then its processing. Today, there is a growing interest not only in the general processes of hospital management and management, the stages of its implementation, but also in knowledge in narrow subject areas: cardiology, emergency medical care, medical technologies. It also highlights the continuous evolution of management practices in healthcare, exploring new ideas, strategies and practices to improve the efficiency and quality of «hospital management». P u r p o s e o f t h e s t u d y is to study the subject area on the topic of management and management of hospitals using semantic analysis. M a t e r i a l s a n d m e t h o d s . The works in which the application of semantic analysis, classification of verbs and nouns is directly reflected are studied. Articles were selected based on the presence of terms related to the subject of the study, keywords in the most cited articles were selected. The lexico-semantic analysis of L. M. Vasiliev was used for the analysis of keywords. 10 groups of verbs are defined. R e s u l t s . It was found that initially such areas as «Demography», «Gender Sociology», «Obstetrics», «Journalism» were leading in the topic of «Hospital Management». However, by the third period, the leading positions are occupied by «Cardiology», «Emergency medical care», «Medical Technologies». This dynamic indicates a growing interest in both general management processes and specialized knowledge in this area. Also, when analyzing verbs, it was revealed that in the topic «Management» and «Hospital Management» attention is differently focused on their categories. The field of research on the topics of «Management» and «Hospital Management» was divided into health sciences, sociology and business. F i n d i n g s . Thus, the results of the study led to the conclusion that today there is a growing interest not only in general management processes, but also in knowledge about management, narrow specialties and features of gender management.

Adapt and Overcome: Unraveling the Dynamics of Job Stressors and Coping Mechanisms among Nurses in the UK

This study provides a comprehensive exploration of the multifaceted stressors encountered by nurses working within the UK healthcare system and the coping strategies they deploy in response. As the backbone of healthcare provision, nurses confront numerous occupational stressors, exacerbated by the inherent demands of their profession. These stressors range from high patient loads, long working hours, emotional strain, to evolving professional responsibilities. In the face of these challenges, this research adopts a mixed-method approach, combining quantitative data analysis with in-depth qualitative interviews to offer an illuminating perspective on the stress-coping patterns among nurses. The findings reveal that while these stressors can have deleterious effects on nurses' physical and mental health, they also possess an impressive array of adaptive strategies, involving a blend of problem-focused and emotion-focused coping techniques. These coping mechanisms span from collegial support, personal resilience building, stress management training, use of reflective practices, to organizational strategies such as balanced rosters and enhanced professional development opportunities. The results underscore the critical role of a supportive work environment and proactive personal initiatives in fostering resilience among nurses, while also shedding light on the need for healthcare systems to better recognize and mitigate the unique stressors experienced by nurses. Importantly, the study advances our understanding of how nurses' stress and coping mechanisms interact in a dynamic and reciprocal manner, offering important implications for healthcare policy, nurse education, and management practices. The research emphasizes that strengthening coping mechanisms and reducing job stressors should be seen as dual priorities to promote nurses' well-being, job satisfaction, and ultimately, to enhance patient care. In conclusion, this study offers novel insights into the interplay between job stressors and coping mechanisms among nurses in the UK, urging both individual and institutional responses to promote a more sustainable and resilient nursing workforce. Key words: Job Stressors, Coping Mechanisms, UK Nurses, Healthcare System, Occupational Resilience

Facilitators of Multiple Myeloma Treatment: A Qualitative Study.

To examine factors that lead to the facilitation of multiple myeloma (MM) treatment. 29 patients who had been diagnosed with MM at Mount Sinai Hospital in New York City. Semistructured qualitative interviews were administered by trained research staff. Interview topics included illness beliefs, illness experiences, treatment experiences, and treatment decision-making. Interviews were audio recorded and transcribed verbatim. Four coders independently coded the transcripts, and the authors analyzed data using interpretive description. The following facilitators of treatment were identified: (a) healthcare team trust and support, (b) personal resilience and initiative-taking, and (c) external support (emotional/social support and instrumental/organizational support). Healthcare team trust and support were established through rapport-building and compassion, accessibility and time spent with the patient, shared decision-making, and provider reputation. Personal resilience was manifested by patients through positive attitudes, taking control of their illness, and self-advocacy. Understanding factors that facilitate MM treatment may lead to better patient outcomes and can potentially inform oncology nursing practice by providing a framework for tailored health education and care management practices for patients with MM.

Global best practices in recruiting and retaining healthcare workers in rural areas (literature review)

A significant issue for global healthcare is recruitment and retention of doctors and nurses, especially in rural areas. It threatens continuity and accessibility of medical care for a large segment of the population.The aim of this article was to summarize currently available data on healthcare recruitment practices, particularly in rural areas, and key factors influencing retention of healthcare professionals. This will allow to develop evidencebased strategies for recruitment and retention of healthcare workers in the Russian Federation and reduce personnel shortage. International and Russian full-text articles were searched for in PubMed, ScienceDirect, Cochrane Library, Google Scholar, and eLibrary databases.All the studied factors influencing recruitment and retention of healthcare professionals in rural areas were grouped into four main categories: financial, social, professional, and personal. Modern healthcare recruitment strategies were divided into three groups: financial, organizational, and instructional.The review results suggest that the Russian Federation uses the majority of global strategies to recruit and retain healthcare professionals in rural areas. However, there are some activities that have not been adopted in our country. They may be included in healthcare management practices to increase the effectiveness of regional programs for development of human capital in healthcare.

Efficient parameter tuning of neural foundation models for drug perspective prediction from unstructured socio-medical data

The phenomenal popularity of social media platforms over the past decade has accelerated the development of intelligent applications that leverage social media data for informed decision-making in diverse domains like finance, education, public policy and healthcare management practices. While understanding the colloquial language of users on social media remains a challenging problem, access to users’ medical perspectives that conversationally divulge healthcare-related experiences and insights can help reshape healthcare ecosystems like chronic disease management, pandemics, public health, pharmacovigilance and more. Most existing models are constrained to a particular dataset while neglecting model adaptability across data sources and domains. Model generalization across variable data sizes also has received very little research attention. Conventional foundation models can be fine-tuned by adding additional model heads or by appending contributing network layers, however, there has been very little focus on effective parameter calibration for adapting neural foundation models to a specific task. In this study, an Adaptive Learning mechanism for Socio-Medical data (AL4SM) built on generic foundation neural models with efficient parameter learning is proposed, to categorize users’ perspectives on prescription drug-related experiences and adapt to diverse socio-medical data sources of variable sizes. AL4SM aims to lighten the over-parameterized mechanisms adopted by existing foundational techniques by efficiently learning latent medical information based on optimized parameter calibration and weight reinitialization techniques. Comprehensive cross-domain and cross-data analyses are undertaken to explore specific user perspectives related to prescription effectiveness and side effects. Validation experiments conducted on standard datasets obtained from Drugs.com and Druglib.com revealed that the proposed AL4SM outperformed state-of-the-art models, achieving an improvement of 6.06% in accuracy and 7.62% in F1-score for 3-class and 2% in F1-score for 10-class drug perspective categorization. The cross-data experiments further emphasized the superiority of the proposed model, with improved accuracy of 17% on Drugs.com and 9% on Druglib.com datasets, respectively.

A Holistic View on the Adoption and Cost-Effectiveness of Technology-Driven Supply Chain Management Practices in Healthcare

Healthcare supply chains are complex systems facing challenges in delivering high-quality care while maintaining cost-effectiveness. Research on inventory management and control, the heart of the healthcare supply system, has demonstrated that these targets can be reached by managing inventories efficiently while aiming at desired service levels. Although this can be enabled by adopting various supply chain management practices, the healthcare sector appears to lag compared to other industries. Seeking to investigate these aspects, this study draws on operations management literature, identifies and categorizes technology-driven supply chain management practices that are applied in hospital operations, develops a holistic conceptual framework delineating the key factors influencing their adoption in healthcare facilities, and examines their aggregated impact on financial performance. The research model is tested using structural equation modeling with survey data collected from Greek public hospitals. The study results indicate that technological readiness, organizational readiness, perceived benefits, and hospital size significantly influence the adoption of these practices in hospital supply chains. Moreover, they show a statistically significant association between the supply chain management practices applied and improved hospital cost performance, suggesting greater urgency for hospitals to exploit them fully. Theoretical and practical implications of the findings are discussed.

General healthcare policy and its influence on management practices: A review

This review paper explores the intricate relationship between healthcare policy and management practices within the healthcare sector, highlighting how policies shape management strategies and impact the operational realities of healthcare organizations. It delves into the challenges of aligning management practices with evolving healthcare policies and the vital role of healthcare managers in policy advocacy and implementation. Through a comprehensive analysis, the paper discusses emerging trends in healthcare policy, including the shift towards value-based care, digital health expansion, and the emphasis on health equity and their implications for management practices. Recommendations for healthcare managers and policy-makers are provided, emphasizing the importance of strategic alignment, innovation, and stakeholder engagement in enhancing healthcare delivery and outcomes. This paper offers insights into navigating the dynamic healthcare environment, leveraging policy changes as opportunities for improvement, and ensuring the effective implementation of healthcare policies.

A Comparative Effectiveness Study in Health Care Management of Neurosurgery Patients by Bangkok International Hospital Case Manager Nurse

OBJECTIVES: To compare effective health care management practices, with a focus on three dimensions consisting of internal process, utilization management (UM) and financial management (FM) between patients who received clinical coordination interventions by case management (CM) nurse and usual standard of care of neurosurgery patients at Bangkok International Hospital (BIH). MATERIALS AND METHODS: This study is a retrospective chart review. This research collected data from neurosurgical patients, namely confirmed cases by neurosurgeons. They have undergone brain surgery procedures and have been admitted to BIH during a period of 3 years from 1st January 2019 - 30th June 2022. We compared the outcome variables between two groups (The control group received usual care and the post-intervention group received clinical coordination by CM nurse) to assess the effectiveness of health care management. This consisted of the internal process, UM and FM. These data were analyzed using statistics with descriptive statistics and the independent t-test. RESULTS: Of a total of 372 neurosurgical cases, 235 cases (63.2%) met the inclusion criteria. More than half of cases were male (58.3%). The mean age was 60.6 ± 16.6 years. Most of them 181 (77.0%) were admitted to the neuro ward. The diagnosis included Stroke 100 (42.5%), Brain Tumor 86 (36.6%) and Traumatic Brain Injury (TBI) 27 (11.5%), respectively. The post-intervention group presented obviously higher compliance rates of 87.2% with a patient/family care team meeting and 79.2% discharge planning, respectively. The post-intervention group had lower costs (0.1%) of Risk Management than the control group (0.4%). Meanwhile, the control group had lower cost of bad debts expenses per year than the post-intervention group. That may have been an effect of some patients in the post-intervention group not having an insurance coverage of 100% of medical costs and could not afford the care. The comparison of the LoS in the control group showed significant differences, and less than those in the post-intervention group (p < 0.05). CONCLUSION: These results indicate that CM nurses can decrease risk management costs. Although, this study does have limitations. We have seen a positive trend towards using our CM model as this can assist in the improvement of quality in health care management through an effective care team meeting and discharge planning for our neurosurgical patients and their family. However, future studies should control confounding variables and more study is needed into other factors that may affect clinical outcomes.

A grounded theory study of alarm fatigue among nurses in intensive care units

ObjectivesThe aim of this study was to explore the process of how nurses experienced and dealt with alarm fatigue in intensive care units based on Iranian nurses' perceptions and experiences. BackgroundAlarm fatigue is the overstimulation of senses due to the constant ringing of alarms in intensive care units. It is associated with nurses’ desensitization to critical alarms that can directly influence patient safety and quality of care. MethodsA qualitative exploratory study using the grounded theory approach by Strauss and Corbin was carried out. Participants were 20 nurses working in intensive care units. The sampling process was started purposively and continued theoretically. Data were collected using semi-structured, in-depth, and individual interviews and continued to data saturation. The constant comparative analysis approach was used consisting of the following steps: open coding, developing concepts, analysing the context, entering the process into data analysis, integrating categories. FindingsThe participants' main concern in the exposure to alarm fatigue was ‘threat to personal balance’. The core category in this research was ‘trying to create a holistic balance’, which reflected a set of strategies that the nurses consistently and continuously used to deal with alarm fatigue and consisted of four main categories as follows: ‘smart care’, ‘deliberate balancing’, ‘conditional prioritisation’, and ‘negligent performance’. Threat to personal balance was strengthened by ‘inappropriate circuit of individual roles’, ‘distortion of the organisational structure’, and ‘insecurity of the infrastructure’. The consequences of this process was harm to the patient, burnout among nurse, and damage to the healthcare organisation. ConclusionsThe research findings have practical implications for healthcare management, policymaking, nursing education, research, and clinical practice. Mitigating staff shortages, improving staff competencies, enhancing nurses’ authority for responding to alarms, modifying care routines, improving the physical environment, and removing problems related to alarm equipment can prevent alarm fatigue and its unappropriated consequences.

The role of facilities management in fighting COVID-19 outbreak: Evidence from Malaysian public hospitals.

The aim of this study is to provide a holistic review of the fight against COVID-19 in developing countries, particularly Malaysia. Specifically, the study aims to determine how facilities management delivery in public hospitals can be improved to ensure readiness in handling COVID-19 cases. We conducted a review of the literature and reliable media updates on COVID-19 and services management. A critical synthesis of COVID-19 information was conducted to scrutinise the technical aspects and highlight how facilities management can be improved to ensure hospital readiness in managing COVID-19 cases. The data and information used in the present study were collected up to the time of writing this paper, which leaves a room for further studies. Nonetheless, this study's recommendations are useful for understanding the present and future pandemics. This study is a first attempt to summarise the data on facilities management in relation to the COVID-19 pandemic in the Malaysian context. The study's findings are suitable for the developing countries in managing healthcare management practices in the fight against COVID-19. This study aims to highlight current issues in order to provide a more objective assessment of facilities management to ensure hospital readiness in handling COVID-19 cases.

Breeding and healthcare management practices of dairy animals followed by farmers in Varanasi district of Uttar Pradesh

A field survey was conducted in the Varanasi district to find out the status of existing breeding and health care management practices followed by dairy farmers. A total of 80farmers were selected from the 4 randomly selected blocks of the district and survey was done with the help of prepared interview schedule throughout November 2021 to April 2022. Majority of the farmers (73.75%) always practised Artificial Insemination (A.I.)as a method of breeding for their dairy animals while mucus discharge was mostly used for detecting heat. About 24.00 percent of farmers always followed deworming and 26.25 per cent always vaccinated their dairy animals against FMD and HS. Repeat breeding was a major reproductive problem in dairy animals faced always by about 75.00 per cent of the farmers and pregnancy diagnosis of dairy animals was practised by only about42.50 per cent of the farmers.

Indigenous technical knowledge used in dairying by pastoralists of Jammuand Kashmir

The study was carried out in current Union Territory of Jammu & Kashmir (erstwhile state of Jammu & Kashmir). Two districts, namely Rajouri & Poonch from Jammu division were selected purposively because of being the districts of highest Gujjar (transhumants primarily rearing cattle and buffaloes)population; whereas, two districts, namely Anantnag & Baramullafrom Kashmir division were selected purposively because of beingthe districts of highest Bakarwal (transhumants primarilyrearing sheep and goats) population. Sixty respondents (Gujjars)from migratory tracts of district Rajouri & Poonch from Jammudivision were selected randomly and sixty respondents(Bakarwal) from migratory tract of districts Anantnag &Baramulla from Kashmir division were selected randomly comprising a total of 120 respondents. Those pastoralists who were rearing at least 10 milch animals were selected for the study. Focus group discussion method was used for collection of data related to Indigenous Technical Knowledges (ITKs). The discussion revealed that the respondents were using ITKs primarily in breeding, feeding and health-care management practices. With regard to the induction of heat, thirty per cent of the respondents used chapatti of a mixture of Gur and ghee inthe ratio of 2:1 in wheat flour and fed to animal once a day toinduce heat. For retention of placenta, 34.17 per cent of therespondents fed extract obtained from tea leaves (Camelliasinensis) on boiling after sieving to animals. As far as ITKsregarding feeding practices are concerned 40.83 per cent of therespondents fed boiled Ber leaves (Ziziphus mauritiana) onceaday to increase milk production. The study reveals that 42.50 percent of respondents fed10-12 leaves of Katori(Xylosonalongifolium) plant to animals having diarrhoea and15.83 per cent fed fruits of bel (Aegle marmelos) to animals having diarrhoea.

Analyzing The Impact Of Covid-19 On Information Technology And Its Applications With Healthcare Management Practices

Analyzing The Impact Of Covid-19 On Information Technology And Its Applications With Healthcare Management Practices

Commissioned reports in Swedish healthcare governance – descriptive mapping and a content analysis

BackgroundIn order to support decisions regarding governance, organization and control models of the healthcare system, the Swedish government, as well as regional-level agencies, regularly commissions expert reports that are supposed to form the basis for decisions on new steering forms in healthcare.AimThe aim of this study was a) to perform a descriptive mapping of commissioned reports on Swedish healthcare governance and b) to pursue an in-depth content analysis of a strategic sample of such reports.MethodInitially, 106 reports from both national and regional levels were gathered and analysed. A matrix was constructed, consisting of questions on who had commissioned the report, who had produced it, what problems the report set out to solve and what solutions were suggested. Further, questions were posed on whether the report was research-based and whether ethical assumptions and arguments were presented. Thereafter, a strategic sample of 36 reports was selected for an in-depth analysis, using inductive content analysis.ResultsThe descriptive mapping showed that the aim of the analysed reports differed in form and content, and that they varied from giving an overview and investigating effects and consequences of new control models to more concrete goals, such as suggesting improvement measures. Academic experts involved in creating the reports often represented economics or business studies. The content analysis revealed examples of standardization in care, characterized by requirements to follow national guidelines, but also examples of requests for increased respect for professionals’ competence and experience. Further, the analysis showed how the definition of equity in care had changed, from a focus on equity in access to care in the reports produced in the 1990s to an emphasis of arguments for geographical sameness and equity in quality of care in the later reports.DiscussionTwo dominant trends were identified in the material, namely increased standardization and arguments for trust in the system. The great number of reports implies that the system risks requesting more information than it can handle and result in documents where the same message is recurrently repeated or create conflicts of interest and value tensions between different suggestions.ConclusionCommissioned reports can have substantial consequences for new reforms of management practices in healthcare. It is therefore important to investigate them critically. The results of our investigation may contribute to a more comprehensive and adequate model for acquiring and using expert reports regarding healthcare governance, both in Sweden and in similar healthcare systems.

Organizational Development Focused on Improving Job Satisfaction for Healthcare Organizations With Pharmacists

Pharmacists are accessible healthcare providers who also gatekeep between drug manufacturers, healthcare providers, and patients. Pharmacists are responsible for safe, effective, and rational use of medicine in the communities they serve; therefore, they play important roles in global healthcare delivery. This paper explores a pharmacy where there was high turnover of pharmacists. The average tenure for employees was 18 months. As a result, organizational development consultants were brought in to provide recommendations to review and make recommendations to resolve misalignments. Essentially, organizational success is dependent upon employee performance and employee retention. This paper aims to address this issue in a manner strictly focused on the world of practice in health administration and healthcare management with of goal of implementing real-world approaches.