The Quality of Communication in the Scenario

Consider the following scenario:

The patient access staff at an internal medicine practice are discussing a significant trend of no-show and cancellation appointments. One receptionist stated that she was told by the coordinator to never schedule patients who call for same-day appointments unless it is an emergency, such as medication reactions, so patients would value their appointments and discourage them from not showing up or canceling. The coordinator also indicated that the change was approved by the CEO. A receptionist became emotional and stated, “This is not right. We are here to help patients. Your plan does not seem to be working, and I think we should try something else.”

The coordinator then asked the staff how the patient recall list and the confirmation of appointments were managed. At this point, another receptionist indicated she thought the patient contact software was not working correctly. It was displaying confirmation icons for scheduled patients, but a few patients called to confirm their appointments on their own. She said, “We need to do something about this now and stop talking about it. I reported my suspicion several times to management, but nothing was checked. I think patients calling to confirm their appointments is proof that the software does not work correctly.”

The coordinator continued to ignore the direct statements of the staff. Instead, she suggested she would study the relationship between patient gender, age, payer, and the date appointments were set to determine if there were any patterns. “It’s about time you become involved in the solution,” a scheduler said. “Okay,” the coordinator said, “I am trying to solve this dilemma. We will accomplish nothing by complaining.” The first receptionist replied, “We will never solve the problem if you do not process our input.”

The coordinator smiled politely and nodded in agreement. In addition, everyone agreed that the data she would study could be helpful as a starting point. The coordinator further indicated she would have IT investigate issues with the patient contact software. A few days later, the coordinator met with all the staff and shared her findings. Her finding revealed there was no relationship between date scheduled and cancelled appointments or no-shows. She also indicated that IT found 893 patient portal messages unopened. The messages included requests to reschedule and text replies to cancel.

The group developed a consensus to follow the original scheduling protocol, which was patients are scheduled on a first-call basis and the artificial barrier of two weeks was terminated. The coordinator accepted responsibility for the lack of follow-up on patient messages, but then assigned another scheduler the daily task of checking and responding to messages. The coordinator thanked everyone for their feedback, ideas, and support. She quipped, “emotions are okay. Passion should be evident in all of us every day.”

Write a 350- to 700-word paper in which you:

Describe the quality of communication in the scenario.
Describe the type of conflict illustrated in the scenario.
Explain how the defensive climate created by the conflict will affect the team members’ ability to collaborate and communicate in the future.
Identify strategies the manager could use to resolve the conflict between the team members to create a supportive climate again.
Identify strategies the manager could use for improving communication and collaboration between the team members in the future.
Explain how the manager can measure the performance of the team. How can he or she determine if they are progressing or meeting their objectives?

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Sample Answer

 

The Quality of Communication in the Scenario

In the given scenario, the quality of communication among the patient access staff at the internal medicine practice is less than optimal. The coordinator appears to be dismissive of the staff’s concerns and suggestions, which creates a defensive climate. The staff members, on the other hand, express their frustrations and emotions openly, but their concerns seem to go unheard or unaddressed.

The coordinator’s approach to communication is one-sided and lacks active listening. Instead of engaging with the staff’s input, she focuses on her own ideas and dismisses their suggestions. This creates a sense of frustration and disengagement among the staff members, leading to a breakdown in effective communication.

The staff members, although emotional, express valid concerns about the existing protocols and software issues. However, their emotional responses may hinder effective communication and problem-solving. It is important for all parties involved to remain calm and open-minded, actively listen to each other’s perspectives, and work collaboratively towards finding solutions.

Type of Conflict Illustrated in the Scenario

The conflict illustrated in the scenario can be characterized as both task-related and relational conflict. Task-related conflict arises from differences in opinions and approaches regarding how to address the issue of no-show and cancellation appointments. The coordinator’s decision to restrict same-day appointments and focus on data analysis creates tension among the staff members who believe that a different approach is needed.

Relational conflict emerges from the defensive climate created by the coordinator’s dismissive attitude towards the staff’s concerns. The staff members feel unheard, leading to a breakdown in trust and collaboration.

Impact of Defensive Climate on Collaboration and Communication

The defensive climate created by the conflict will significantly affect the team members’ ability to collaborate and communicate in the future. When employees feel dismissed or unheard, they are less likely to actively participate in discussions or share their ideas openly. This can lead to reduced engagement, lower morale, and decreased productivity.

The defensive climate also hinders effective communication. When individuals do not feel safe to express their opinions or concerns, misunderstandings can occur, leading to miscommunication and further conflicts. It erodes trust and creates a culture where information is not freely shared, hindering effective problem-solving and decision-making.

Strategies to Resolve the Conflict and Create a Supportive Climate

To resolve the conflict between team members and create a supportive climate, the manager can employ several strategies:

Active listening: The manager should actively listen to each team member’s concerns and ideas without interrupting or dismissing them. By valuing their input, the manager can create an environment where everyone feels heard and respected.

Mediation: The manager can facilitate a mediation session where all team members come together to express their perspectives and find common ground. This allows for open dialogue, understanding of different viewpoints, and promotes collaboration.

Clear expectations: The manager should establish clear expectations for communication and collaboration within the team. This includes setting guidelines for respectful communication, encouraging open dialogue, and fostering an environment where diverse opinions are valued.

Team-building activities: Organizing team-building activities can help improve relationships among team members. These activities can promote trust, enhance communication skills, and foster a sense of camaraderie.

Strategies for Improving Communication and Collaboration in the Future

To improve communication and collaboration between team members in the future, the manager can employ the following strategies:

Effective communication training: Providing training on effective communication techniques can enhance the team’s ability to express their thoughts, actively listen, and engage in productive discussions.

Regular team meetings: Regular team meetings provide an opportunity for open communication, sharing updates, addressing concerns, and brainstorming solutions collectively. These meetings should be structured to encourage active participation from all team members.

Feedback mechanisms: Establishing feedback mechanisms such as anonymous suggestion boxes or regular one-on-one meetings with the manager can encourage team members to share their ideas, concerns, and suggestions without fear of reprisal.

Clear roles and responsibilities: Clearly defining roles and responsibilities within the team helps minimize confusion and conflicts arising from overlapping tasks. This clarity enables smoother collaboration, effective coordination, and improved communication.

Measuring Team Performance and Progress

The manager can measure the performance of the team by setting clear objectives and regularly assessing progress towards those objectives. This can be done through various methods such as:

Key performance indicators (KPIs): Establishing specific KPIs related to appointment scheduling, patient satisfaction, and reduction in no-show or cancellation rates can help measure the team’s performance objectively.

Patient feedback surveys: Conducting patient feedback surveys can provide insights into the quality of service provided by the team. This feedback can help identify areas for improvement and measure progress over time.

Regular performance reviews: Conducting regular performance reviews allows for individual feedback and assessment of each team member’s contributions towards meeting objectives. It also provides an opportunity for goal setting and professional development.

Data analysis: Analyzing data related to appointment scheduling, patient contacts, and outcomes can provide valuable insights into trends, areas of improvement, and overall team performance.

By implementing these strategies and measurement methods, the manager can ensure that the team is progressing towards their objectives while fostering a supportive climate that encourages effective communication and collaboration.

 

 

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