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It is evident that every agency is governed by a certain code of conduct. However, analyzing in terms of workplace analysis it definitely needs a specific tool to suffice it. The Seven School of Administration is a very useful tool in analyzing an agency. The agency can be dissected into parts that are understandable for common people. The Seven School of Administration also gives an insight on how the agency runs. This can also provide insights to internal problems of the agency, and as well recommend solutions to it. This paper aims to apply the seven school of administration to the United States Department of Health and Human Services.
An agency established by the United States government to provide healthcare to its citizen. The agency has been modified ever since its existence. They are made to address national problems of healthcare needs. They are given authority to administer and regulate the operation of healthcare agencies. The agency also caters to public and private healthcare services. Thus, it needs to be analyzed for us to have a better understanding of the services they offered to the American Citizens. Through this workplace analysis using the Seven School of Administration the proponents can understand the totality of the agency.
The agency is under the federal government of the United States. The department of Health and Human Services was designed to address healthcare concerns of the American citizens and is led by the Secretary of Health and Human Services. The Secretary is appointed by the President along with the approval of the Senate. The deputy secretary is also appointed along with the seven assistant secretaries. These secretaries serve as departmental administrators (DHHS, 2014).
The Budget for the agency is proposed by the budgetary office to the Senate and is approved by the President. The organization is a formal bureaucracy governed by different departments under appointed assistant secretaries. The president appoints the officials however it also needs the approval of the senate. The agency could be directed as a pyramid. With the top officials on the top and the lower ranking officials’ ranks below by degree of tasks, the agency is a pyramid formal bureaucracy. The conflict is within the agencies covered by the department of Health and Human Service.
This School of administration gives insight to the ways of the agency on how it manages it constituents. The emphasis is on the on the employee motivation, coordination and secured services.
It is much known that the Department runs a website that enables common people to see the performance of the agency. Private and Public Healthcare agencies are under the department and the national budget is allocated to them proportionally. However, the main problem to the employee satisfaction becomes a burden to the aim of the department to provide high quality services to the American System. This resulted to the decreased number of employees serving the agency. It was revealed on a study by Martins (2010), that the number of staff nurses decreased by 37% by the year of 2010. Evidently, the government’s action to this is by outsourcing overseas workers from other countries.
According to Maslow’s Hierarchy of Needs, The pyramid of needs of an individual is directly related to the satisfaction of the individual. The intrinsic and extrinsic factors that could affect the satisfaction of the employee need to be achieved by the agency to have a more dedicated and well-motivated employee.
However, the department has been offering positive reinforcements to their current employees by giving incentives yearly. This is to avoid the loss of personnel in the agency. The agency is a combination of X and Y.
It is much seen that the chain of command is directly connected to the positive reinforcements given by the agency to their employees.
The Department of Health and Human Services is made up of many healthcare agencies underneath it. They are collectively called as family of agencies. The Social System refers to the dynamics of the agency and how it is handling the people covered by its sovereignty.
Applying the analogy of a small town, the Secretary of health is the leading officer or the mayor. And the underlying agencies under it are another community lead by other official that is under the power of the mayor. They are the assistant secretaries to every department. The leadership of the secretary needs to be followed by the assistant secretaries under formal bureaucracy. However, the department in which the assistant secretaries are serving is slightly autonomous to the secretary of health.
The conflict of the group can be seen on the private and public healthcare agencies under. The public healthcare agencies can only have payments coming from the government. While the private ones can be paid by patients that are looking for healthcare by consultation. Additionally, both faction of the healthcare service offers an insurance. The Medicare insurance is governed by the Senate and the President with a proposal coming from the DHHS. Meanwhile, private ones can have insurance for their clients on a different basis. The insurance fee of most private healthcare agencies are quite expensive than the public ones.
Evidently, the government needs to impose incentives and clarity for both sides to clear conflicts. It might be wrong for a staff to be jealous of coworkers but the need to imposed camaraderie between them must emerge.
The United States has been improving its scope of service in terms of healthcare for its citizen globally and to protect them willfully with the best service they could give. The DHHS aims to have global collaboration with other agencies outside US and to commit for the common good of the public. General wellbeing readiness broadens past general wellbeing reconnaissance, arrangement for bioterrorism, and political policy. Understanding the platform of the21st-century world—its changing illness load, its evolving demographics, and its changing political and ecological substrates are one way of being a healthcare prepared nation (Novotny, 2006).
Thus, politically the leaders of the DHHS need to exert effort in introducing new policies to cater the growing population of the Americans, and the services they could offer to Americans working or residing outside the country. To build consensus from other countries, the DHHS need to have negotiations among multinational and bilateral group. This would lead to a stronger foundation and improved ways of addressing the major global health challenges. Additionally, it is a moral responsibility of the United States to address such problems. In the month of June, year 2005, a Global health Summit was conducted for the US Public Health Service towards the effort to have peace, sustainability and welfare of the humanity.
In conclusion, the department has the responsibility to control its constituents and if ever they are going to implement a law then the Senate and the president will approve it. Following formal bureaucracy, the department is held accountable to the executive part of the state. There are no current issues regarding political aspect of the department. But reforms are needed to have sustainable, empowering and reliable healthcare services.
It is evident that every department conducts meeting to address present issues within it. Thus, the majority of the personnel are held liable for every decision they make. The department of Health and Human services has 7 assistant secretaries, a surgeon general and a secretary of health.
The assistants are liable to decisions made within its department. It could be on different aspects that include ethical issues, compensation or employee satisfaction. After that the secretary of health is the focal point of decision for every policy formulated by its subordinates. The president and the senate approve every policy mandated by the agency.
Below is the decision making flowchart of the agency:
There are numerous policies implemented by the agency. It is much known that the major goal of the agency is to provide high quality healthcare to American citizens regardless of their economic status.
The Medicare, as one of the well appreciated policy implemented by the agency has been under fired for having expensive insurance cost. An expected $2.3 trillion was spent on social insurance in the United States in 2007, and the expense of medicinal services keeps on growwing at a cosmic rate. The $432 billion spent on Medicare in 2007 represented more than 3 percent of the U.S. terrible residential item (GDP).
Developing worry about the rate of social insurance spending has constrained policymakers and outsider payors to assess new cost-control arrangements. Numerous expense cutting measures being entertained by officials including pay for execution, increase imparting, and obligation change will have a huge effect on the customary conveyance of health awareness.
Major policy issues also include the medical reimbursement of Medicare. However, the focus of the issues is mainly on the agencies not getting the supposed payment for their services. Recently, in the year 2014 the Medicare program has been revamped in order to see much difference to the level of trust issues between the agency and clients as well as the rest of American citizen (Ranawat, 2014).
The agency is divided into the public and private health sector. Both are autonomous and have different policies from each other. Additionally, they are allocated with budget different from each other. The employee salary rate is also different for this public and private sector.
Different policies are existent between this two sectors and it cast a wall to the factions. The employees are held back by government incentives if they are in the private sector. As a matter of fact about 57% of the healthcare agencies are under the private sector. About 21% are public and another 21% are for nonprofit (DHHS, 2014).
Novotny, Thomas E. "US Department of Health and Human Services: A Need for Global Health Leadership in Preparedness and Health Diplomacy." American Journal of Public Health 96.1 (2006): 11-13. Print.
Ranawat, Anil. "Issues Facing America: Medicare." American Academy of Orthopaedic Surgeons. N.p., 2014. Web. 7 Feb. 2015. <http://www.aaos.org/news/aaosnow/aug08/reimbursement1.asp>.
U.S. Department of Health and Human Services. "HHS Family of Agencies | HHS.gov." United States Department of Health and Human Services | HHS.gov. N.p., 2014. Web. 7 Feb. 2015. <http://www.hhs.gov/about/foa/index.html>.
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