(Preist, 2007) The different issues that are affecting the facility are: directly tied to a lack of leadership inside the organization. This is problematic, because the staff members will often look to upper management and supervisors to determine how they should be interacting with patients. When they see that managers do not care, they will exhibit similar kinds of views as part of their job. This is the point that efficiency will decline and costs will increase. Once this occurs, it means that it is only a matter of time until this will lead to an erosion in the profit margins of the organization.

Evidence of this can be seen by looking at the different challenges that have been reported at California Hospital Medical Center to include: high employee turnover, a lack of follow up and poor customer service. These three factors are indications that the there is lack of leadership within the facility. This is troubling, because it means that unless some kind of action is taken this will eat away at the financial foundation of the organization.

As a result, management must give employees reasons to change their attitude. This means that some kind of shake up must take place and a new culture must be introduced. The basic approach will be to give employees a reason to want to embrace these changes voluntarily. If this kind of a strategy can be utilized, it will help to ensure that any kind of transformations will last. This is the key in being able to: address those issues that could be affecting the quality of care that is...

(Caldwell, 2008, pp. 124 -- 133)
Clearly, there a number of challenges that are affecting California Hospital Medical Center to include: a rigid management structure, the inability to embrace new changes, limited amounts of customers, inadequate capital funding / financing programs, fierce competition, high employee turnover, a lack of follow up and poor customer service. This is problematic, because these factors are signaling there is a lack of effective leadership at the facility. To address these issues, there needs to be a restructuring of management. The focus will be on finding those people who can help to encourage each staff member to: change their attitudes about treatment and kinds of services they are providing. If this kind of approach can be taken, it will help the hospital to address the root causes of the problems that they have been wrestling with. This significant, because it is illustrating how these types of issues can contribute to a number of secondary problems. As a result, addressing the leadership challenges will help to resolve these situations in the future.

Bibliography

With Hospitals. (2001). RWJ. Retrieved from: http://www.rwjf.org/reports/grr/028054.htm

Caldwell, D. (2008). Implementing Strategic Change. Health Care Management Review, 33 (2), 124- 133.

Preist, D. (2007). Soldiers Face Neglect. Washington Post. Retrieved from: http://www.washingtonpost.com/wp-dyn/content/article/2007/02/17/AR2007021701172.html