The facility has one civilian physician and three physician assistants (PAs). Now, since implementing this strategy, Kenner has lost suppliers and has been unable to replace them. Due to staff shortages, several employees get away with breaking protocol and refusing to do their jobs. Furthermore, since the clinic cannot function without a doctor, and the doctor is aware of this, he manipulates the system to get what he wants or threatens to leave. As can be seen, adopting this strategy did not add any value to the process, but hindered the patient care and satisfaction process. Unfortunately, the clinic is in disarray and the quality of care is