Describe what you think is the greatest challenge for the health care manager when it comes to managing productivity. What methods would you use to overcome resistance from coworkers? Solution The greatest challenge for the health care manager when it comes to managing productivity are absenteeism, presenteeism and employee turnover or replacement costs. Absenteeism is generally defined as the number of days missed from the workplace.Reasons for absenteeism include workers\' compensation, short-term disability, long-term disability, sick leave, family medical leave, personal time off, and unpaid leave. Presenteeism is defined as time not on task, Quality of work, instances and magnitude of mistakes, capacity for peak performance, injury rates, Quantity of work.work capacity or output, factors such as personal , mental, social, physical, emotional, functional status etc. Employee turnover and replacement costs include the decreased productivity output associated with the cost of hiring and training new employees. Methods To use to overcome resistance Moreover Supervisors who directly manage employees are prime change agents. They must be won over, trained to manage the change, with their feedback evaluated as change moves forward. Such communication is important for employees as well, since full disclosure breeds security, a remedy for resistance. Leaders should address individual concerns employees might have about job security, wages and loss of control. Eroding resistance means giving employees reasons to lower defenses..