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1
Implementation of a Health Care Management Plan for gLeaf
Chelsea English
The University of Arizona Global Campus
MHA 601: Principles of Health Care Administration
Dr. Yvonne Lozano
11/20/2023
2
Implementation of a Health Care Management Plan for gLeaf
gLeaf is a medical dispensary located in a few states. Specifically for this paper I will
focus on the entity of the organization that has four locations local to Richmond, Virginia. The
four locations are in the cities of Colonial Heights, Carytown, Manchester (Southside
Richmond), and Glen Allen (Short Pump) areas. The mission of the company is to display a
higher standard, higher knowledge, and higher calling. Operating under this mission allows for
staff to focus on better products and services by providing patients with an experience that
cannot be found anywhere else, have access to extensive training that will provide them with
answers to question through compassionate conversations and the love for cannabis to connect
with patients deeper, and to inspire those that set foot through the doors to see what cannabis can
offer (The Cannabist Company, 2023). Currently in Virgnia retail spaces that intend to sell
cannabis must operate as a medical facility. The served products consists of flowers (actual plan),
vape cartridges (3 different types of extractions), edibles (various forms and flavors), oil tinctures
(sublingual), topicals, and concentrates (hard wax). These products have various component
combos like THC only, THC/CBD, or CBD only.
Tetrahydrocannabinol (THC) is the substance in the products that is primarily responsible
for the effects on an individual’s mental state (Hopp et al, 2019). Cannabidiol (CBD) is a
cannabinoid within the plant that doesn’t present any mental impairment. CBD is primarily based
around the relief of pain around a chronic illness or simple temporary pains like headaches or an
upset stomach (Cox-Georgian et al.,2019). Along with these combos there is also the presence of
terpenes that are mostly found in plants that have a wide range of medicinal uses that provide
medical benefits. With the information provided above, the customers served are considered
patients that have been medically evaluated from qualified healthcare professionals that provide
3
certifications allowing patients to enter and purchase products from the dispensary at no risk.
This paper will address the identification of a key problem within the organization, solutions that
will resolve the problem identified, identification of SMART goals, anticipated obstacles and
opportunities from the proposed solutions, and a strategic plan to accomplish goals and solutions.
Key Problem Within the Organization
Employee morale is the biggest problem at the organizational and departmental level
currently that has a huge impact on operational efficiency, patient care, and customer
satisfaction.
The factors contributing to the low morale of the employees is communication, lack
of respect, heavy workloads, lack of support and training, and management styles. These factors
shed light upon the negative perceptions individuals have that work for the company. They also
emphasize the reason behind the need for management to acquire the skills needed to listen in
order to understand instead of listening to abruptly respond.
Poor communication has been blamed for the flaws and failures of healthcare systems
that has resulted in about 30 percent of malpractice cases (Johnson & Walston, 2021). It is a
foundational skill for any organization that regardless of the type of services that are rendered. At
gLeaf internally 95 percent of communication is done through Microsoft teams. Teams is a
communication app that allows individuals to hold conversation one on one or with a group of
people. Operating under this app within an organization allows individuals the ability to search
for specific individuals within different departments from the CEO down to the supporting staff.
The problem with communication through this app is that some conversations held are not
distinctively about business leading certain comments or messages to end up in the wrong chats.
According to Lilian (2014), face to face communication is superior compared to computer
mediated communication. Virtual communication can lead to loss of information due to the mass
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amounts of messages. It can also lose social or contextual information that can lead someone to
receive a message differently than what the sender intended to say.
Individual respect of higher authority is forced and not earned resulting in poor word
choices and misplaced emotions. Since this company handles what is considered a narcotic in the
state there is a lot of paperwork involved that needs to be obtained in order to distribute to the
patients. Most of the time obtaining paperwork internally and externally from other vendors is a
headache due to the lack of respect of position. It is the responsibility of the general manager to
reach out or investigate any issues with products to keep the process of workflow moving so
products can be distributed. Since this information is important to obtain it would make sense for
it to become a priority task so it can be resolved in a reasonable time frame. At gLeaf these
things seem to carry no importance making the response time lack any urgency. This leads to the
supporting staff feel like management have no idea what they are doing and that they can do
whatever they feel is befitting to them.
The amount of daily workload between management and supporting staff is not equally
distributed to accomplish task in a timely manner. Due to the high volume of products received
weekly there is not enough staff able to place barcode labels on products that need to be moved
to the shelves. When this type of problem arises staff start to encounter irritated patients that start
to disrespect them or discredit their knowledge as an employee leading them to question whether
they still want to be associated with the organization.
The amount of support and training is very minimal. Since the cannabis industry is a
consistent learning-based industry it requires individuals to do research about what they want to
know on their own. At gLeaf the best way to learn is through shadowing but it is really
ineffective if the process feels rushed making a new hire feel uncomfortable or “thrown to the
5
wolves” in a new job environment. An example would be someone that just started at gLeaf 5
days ago on the 7
th
day it is an expectation that new hires understand their job role to an extent
that they will be able to hold their own ground. This raises as a problem because the new hire
may not feel comfortable having one on one interaction with a patient to suggest problems and
can result in them leaving before their probationary period is over. These types of situations then
start to disrupt others that do have a good handle on their responsibilities. Disruptions of any
kind can lead to reduced productivity of the workflow process and cause frustrations to others
leading to the possibility of an unsafe work environment.
Management styles throughout the company is not cohesive. Each store has their own
way of doing things. According to Osei et al., (2022), destructive leadership styles such as
abusive supervision have been associated with adverse outcomes. Employees within the
organization at gLeaf see constant displays of negative emotions from upper management.
Sometimes these displays of emotion either leave the staff to not speak to anyone or displaying
the same type of emotions that lead to poor customer service.
These factors play a current impact on the morale at gLeaf and the reason behind the high
turnover. These contributing factors are important to boost the morale of the organization.
Without a positive trend from each factor the state of current customer satisfaction will decline
bringing a negative reputation of the organization.
Two Solutions to Resolve the Problem
Two solutions to resolve the identified problem can be addressed by applying a theory
developed by Douglas McGregor (Johnson & Walston, 2021) or applying an experienced based
co-design framework. The first solution is known as Theory X and Theory Y. Theory X focuses
on controlling workers whereas Theory Y focuses on engaging and empowering workers
6
(Johnson & Walston, 2021). This theory would be great to apply based on the structure of
different departments. For example, Theory X can be applied at the distribution plant in the
packaging and lab departments where the products are created. Theory Y can be applied at the
retail stores where the staff are consistently engaging with customers.
The second solution that would help bring some resolve is an experienced based co-design.
Experienced based co-design allows for deeper insight into employee and patient narratives (Bird
et al., 2021). This design will allow for input from all the staff to be considered and collaborated
to put into practice to make their work experience more enjoyable. These two theories address
the contributing factors that are impacting morale and how they can change the direction of the
current state of it within the gLeaf organization.
Implementing on of these possible solutions can
boost the morale and increase involvement not only employees’ but patients’ as well.
S.M.A.R.T Goals
The acronym S.M.A.R.T stands for specific, measurable, attainable, realistic, and timely
clear written goals that are set to be accomplished in a period. There are three S.M.A.R.T goal
objectives that need to be accomplished to boost the morale of the company. The first goal is to
update and transform employee training manuals and guidelines by February 15, 2024. The
second goal is to boost the morale of all staff under the organization by April 20, 2024, by way of
restructuring daily management. The third goal is to implement a better system of product
deliveries to lighten workload by February 15, 2024. By setting a clear standard of goals to
accomplish everyone will be fully understand the task that needs to be accomplished and the way
of going about it.
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Anticipated Obstacles and Opportunities
Anticipated obstacles and opportunities can arise from the implementation of these
strategies and solutions. From these suggestions and resolutions, there could be the possibility of
rejection. Trying to evolve and transform departmental structure is not an easy task and can
obviously have subordinates questioning decisions of management. Other rejections involved
could be lack of commitment and responsibility. In order for the strategies and solutions to come
together it is necessary for everyone involved to be responsible for themselves and for the
betterment of the team. Within this industry it takes a lot of creative ideas and feedback in order
to understand the day-to-day risks or issues that may arise. Without proper participation of the
staff within the organization to evolve the morale the company will continue to decline and
develop a bad reputation.
Opportunities that may arise are the possibilities of increased revenue due to coherent
acceptance of new guidelines and strategies. This can lead to possibility of new contracts with
other vendors or better wholesale price points due to better product knowledge. Other
opportunities that will arise are better patient-employee relationships that will help form bonds of
trust.
8
Strategic Plan
Goals
Required Tasks
Individuals
involved
Resources
Needed
Timeline
Measurements
Increase
employee
morale by
April 20,
2024
1. Plan 1 on 1
meetings with staff
to listen to concerns
2. Organize team
outings every 3 – 6
months
3. Implement daily
round checkups on
staff
4. Implement a
recognition and
reward system
5. Create a drop-
box for those who
want to be
anonymous
Regional
Manager,
Manager of each
building,
Manager of
staff, HR
Manager and
General
Manager of the
4 locations
Money allocated
for team outings,
time for
observance, and
training of the new
system
11-23-23
to 4-20-24
Observe the time
it takes for
employees to
warm up to
higher authority,
analyze if their
perceptions
change about
their daily work
tasks, morale
should be going
in a positive
direction
Update and
transform
employee
training by
1. Analyze older
training checklist
2. Get budget
approval
HR Manager,
General
Manager, and
Managers of
Money for new
tools and
resources, time to
conduct training
11/23/23
to
02/15/202
4
Observe
productivity of
new training and
resources tools
9
February 15,
2024
3. Organize a plan
to conduct training
on specific days
throughout the year
4. Implement new
techniques in
workflow
5. Go live for
patient care
each building
provided (eg.
Customer service,
patient
recommendations
, product
knowledge)
Implement
better system
of product
deliveries to
lighten
workload by
February 15,
2024
1. Restructure days
of deliveries
2. organize a
meeting with
outside vendors
3. determine
availability of
drivers
4. conduct a test run
4. go live
General
manager,
outside vendors,
delivery drivers,
Regional
managers
Money for gas
needed to travel,
allocation for the
possibility of
lodging,
telecommunicatio
n and gps to keep
track of each
driver and their
route
11/23/23
to
2/15/2024
Observe
workload
alleviation on
staff and outside
vendors, analyze
amount of time it
takes to deliver,
receive, label, and
present products
to the floor
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10
Conclusion
gLeaf could be a more enjoyable place to work for its employees. Without taking the
proper steps to identify the key issues and risks within the organization the morale will not be
ideal. To fix these issues its best to identify possible resolutions or strategies that will help
transform or restructure the current issue while understanding risks and opportunities that may
arise. Clearly written well thought out goals and strategic planning will help implement the new
suggested strategies and avoid possible risks. Committing to this new system and really putting
in an effort to show employees that they are valued will bring the company a better reputation of
perception internally and externally.
References
Bird, M., McGillion, M., Chambers, E. M., Dix, J., Fajardo, C. J., Gilmour, M., Levesque, K.,
Lim, A., Mierdel, S., Ouellette, C., Polanski, A. N., Reaume, S. V., Whitmore, C., &
Carter, N. (2021). A generative co-design framework for healthcare innovation:
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development and application of an end-user engagement framework.
Research
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(1), 12.
https://doi.org/10.1186/s40900-021-00252-7
Chambers, K., & Honeycutt, A. (2009). Telecommunications Mega-Mergers: Impact On
Employee Morale And Turnover Intention.
Journal of Business & Economics Research
(JBER)
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(2).
https://doi.org/10.19030/jber.v7i2.2260
Cox-Georgian, D., Ramadoss, N., Dona, C., & Basu, C. (2019). Therapeutic and Medicinal Uses
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Medicinal Plants: From Farm to Pharmacy
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https://doi.org/10.1007/978-3-030-31269-5_15
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%E2%80%9D%20refers%20to,on%20a%20person’s%20mental%20state
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Osei, H. V., Ofori, H., Otsen, E., Adjei, T., & Odoom, L. (2022). The effects of leaders’ abusive
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12
The Cannabist Company. (2023). About us - CANNABIST - a higher experience. Cannabist.
https://gocannabist.com/about-us/
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