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Health care, and the relationship with the customer, is changing. The insurance provider and market is also changing in the wake of recent health care reforms. Reevaluation and assessment of a health systems strengths, weaknesses, opportunities and threats, as well as the relationship with the external and internal stakeholders is a productive and positive way promote a positive future for the health system organization. Goals and priorities must be held in a collaborative state with providers and sources of payers in order to stay valuable in today's market. Appropriate implementation planning and evaluation of this partnership can ensure the future success of not only the health system, insurance company, nursing staff, but also the patient. Strategic planning "is a process by which the guiding members of the organization envision their future and develop the necessary and appropriate procedures and operations to actualize that future” (Yoder-Wise, 2011, p. 312). This is an important concept in today’s unpredictable healthcare market. Strengths, Weaknesses, Opportunities and Threats Assessed This nurse's health system focuses on the LEO method known as the Listen, Enrich, and Optimize process improvement support system (swedishamercan.org). This provides an appropriate environment for process improvement within the organization. Process improvements are pogoing and cover all facets of the organizations functioning. Whether as a staff nurse, or a part of the administration, individuals within the organization are encouraged to seek out opportunities to improve care and enrich the healthcare environment. The Strengths, Weakness, Opportunities and Threats assessment (SWOT) analysis as featured in Yoder-Wise (2011) shows the p... ... middle of paper ... ... (2012). Family and community health nursing: Challenges and moving forward. Contemporary Nurse: A Journal for the Australian Nursing Profession, 41(1), 141-144. Lemak, C., Cohen, G. R., & Erb, N. (2013). Engaging primary care physicians in quality improvement: Lessons from a payer-provider partnership. Journal of Healthcare Management, 58(6), 429-443. Nugent, M. (2012). Implementing clinical and financial collaboration between payers and providers. Healthcare Financial Management, 66(10), 62. Schmidt, R., & Altus, G. (2010). Reshaping the healthcare delivery network. Healthcare Financial Management, 64(1), 100-104. What is a stakeholder? Definition and meaning. (2014). BusinessDictionary.com. Retrieved June 16, 2014, from http://www.businessdictionary.com/definition/stakeholder.html Yoder-Wise, P. (2011). Leading and managing in nursing (5th ed.). St. Louis: Mosby.
Background Information In implementing a strategic plan for Coastal Medical Center, our consulting team has conducted many analyses and formed numerous strategies in order for Coastal Medical Center to be successful. Such assessments include an internal analysis, external analysis, gap analysis, and SWOT analysis. In conducting these analyses, our consulting team was able to better understand the internal environment, external environment, where the organization currently stands in terms of performance, and the major strengths, weaknesses, opportunities and threats that oppose the Coastal Medical Center. From our inquiry, we will be able to establish a strategic plan that best fits the organization’s needs.
Determined healthcare systems routinely examine their environments internally and externally to locate significant trends and forces in the present and for the future which will have an effect on their performance goals and mission efforts. These healthcare systems understand who their stakeholders are, their needs and how best to meet those expectations and needs. These systems give attention to specific efforts on accomplishing goals that acquire opportunities in the whole environment while they continue to adjust their internal structures and functions. Precise aims are dealt with by uninterrupted sequences for performance improvements. Strategic directions for systems originate from the mission and directives. Strategic directions are identified by observing key stakeholders, addressing their interests and being proactive about responding to current, as well as, future shifts and trends in the systems’ entire environment (Skinner, 2001).
To guarantee that its members receive appropriate, high level quality care in a cost-effective manner, each managed care organization (MCO) tailors its networks according to the characteristics of the providers, consumers, and competitors in a specific market. Other considerations for creating the network are the managed care organization's own goals for quality, accessibility, cost savings, and member satisfaction. Strategic planning for networks is a continuing process. In addition to an initial evaluation of its markets and goals, the managed care organization must periodically reevaluate its target markets and objectives. After reviewing the markets, then the organization must modify its network strategies accordingly to remain competitive in the rapidly changing healthcare industry. Coventry Health Care, Inc and its affiliated companies recognize the importance of developing and managing an adequate network of qualified providers to serve the need of customers and enrolled members (Coventry Health Care Intranet, Creasy and Spath, http://cvtynet/ ). "A central goal of managed care is containing the costs of delivering care, but the wide variety of organizations typically lumped together under the umbrella of managed care pursue this goal using combination of numerous strategies that vary from market to market and from organization to organization" (Baker , 2000, p.2).
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
In order for a health care organization to maintain optimal function, the promotion of change is continuously necessary. Within the health care delivery system, there are a number of different techniques that nurses can use to determine where changes need to be made. One technique is called a SWOT analysis, which involves an evaluation of an organization’s strengths, weaknesses, opportunities and threats (Harrison, 2010).
The current health care system can be difficult to navigate and often medical centers need management tools to help them develop strategic plans within their organizations. The SWOT-Analysis is one strategic tool that health care centers can use to formulate a roadmap for their organizations. The SWOT-Analysis examines internal capabilities (strengths and weaknesses) and external developments (opportunities and threats) when determining a strategic plan for an organization (Van Wijngaarden, Scholten, & Van Wijk, 2012). Van Wijngaarden et al. (2012) explains for SWOT-Analysis to prove meaningful throughout an organization, it is important for stakeholders to be part of the brainstorming to identify its’ internal capabilities and external developments. However, there are a few drawbacks to the using the SWOT-analysis tool that are important for health care centers to remain cognizant of when developing their strategic blueprints. Helms and Nixon (2010) state the SWOT-Analysis can be vague and too simplistic when developing a strategic course for an organization; it can be difficult to classify variables into the four SWOT quadrants; and no definite strategic path is identified after the SWOT-analysis is completed. For these reasons, they explain it can be helpful to use additional analysis tools in addition to the SWOT-analysis. One such tool the U.S. Army Medical System uses is the balanced-score card. The balanced-score card can assist health care centers in the clarification of their strategic objectives and goals, and facilitates communication throughout the organization (Chan, 2006). Chan (2006) also reveals balanced-score cards allow for constructive employee feedback l...
According to the Food and Agriculture Organization of the United Nations (2014), “Planning is the process of setting goals, creating organizational strategies and/or outlining tasks and innovative ways to accomplish the goals you have set in order to be a successful organization.” In the world of management or healthcare management planning is a vital importance in that it helps to focus, prepare and clarify the daily projects and assignments that may help an organization become a successful entity. Planning can also be very important in many other ways such as, saving time...
Yiu, L. (2012). Community care. In L. Stamler & L. Yiu (Eds.), Community health nursing: A Canadian perspective (3rd ed., p. 213, 219, 227). Toronto, Canada: Pearson Canada Inc.
Varkey, P., Reller, M., & Resar, R. (2007). Basics of quality improvement in health care. Mayo Clinic Proceedings, 82(6), 735-739.
“An integrated physician model is the result of a series of partnerships between hospitals and physicians developed over time. Essentially, it is a joint venture that has become many joint ventures, and all these joint ventures are connected through congruent goals (Harrison, 2016).” It is a business model with defining elements of assigned roles and tasks. As well as the core functions of patient advocacy, quality management and productivity management within the (PMU) Performance Management Unit. By achieving this, the integrated-physician-model does not only create value for doctors and hospitals, but also for patients. It was determined that only those physicians and hospital providers who focus primarily on the patient will emerge strengthened
A strategic plan is a tool that delivers guidance in achieving a mission or goal with maximum proficiency and control for an organization. Strategic planning is used to transform and revitalize organizations. The plan helps provide an inclusive understanding of opportunities and challenges both internally and externally for the organization. The plan delivers an assessment of the strengths and limitations that are realistic within the company. A well-developed strategic plan will offer a comprehensive approach and empowerment for the stakeholders involved. It is an opportunity for learning and understanding priorities that will drive the business to succeed. Jones (2010), describes how in health care organizations, strategic plans characteristically concentrate on operational and organizational goals such as when to obtain new technology, how to meet competitive challenges, and what staffing, tools, or facilities are needed to ensure organizational survival. The mission and value statements are significant in determining the quality of a strategic initiative. Forcing the organization to look toward the future creates proactive objectives in which both short-term and long-terms plans and goals are necessary in order to succeed.
The benefits attributed to integrated delivery systems are the fact that patients are kept in the corporate network of services; providers have access to managerial and functional specialists, such as reimbursement and marketing professionals; Information systems that track all aspects of patient care, as well as insurance and other data, can be developed more easily than under a disjointed care model, and the costs to develop them can be shared; Larger, multipurpose organizations have better access to capital; The ability to recruit and retain management and professional staff is enhanced; Healthcare insurers can be offered a complete package of services; A full range of healthcare services, including chronic disease management and health status improvement programs, can be better planned and delivered to meet the needs of a defined population. Many of these population-based efforts typically are not offered by stand-alone providers (Gapenski,
The proposed remedy for a coordinated patient-provider relationship is that physicians should focus on patient-centered care (PCC). The focus of PCC is that physicians make each treatment meaningful and valuable. Patients that receive this type of care are more satisfied, stay healthier, and can also heal more quickly. PCC can also improve a patient’s quality of life. When physicians prioritize the patient’s opinion regarding treatment, then the care experience is more beneficial, and the medical outcomes of treatment are more effective long-term. Also, PCC can save money for the healthcare system and patients. If a medical practice does not center on PCC, then patients are more likely to be in their physician’s office frequently resulting
Williams, G., Mabon, J., & Heim-Myers, B. (2006). Best practice: Strategic planning in a complex environment: The health-care example. Ivey Business Journal Online, 1-6 http://search.proquest.com.proxy1.ncu.edu/docview/21679571?accountid=28180
With regard to the healthcare organization, it is essential to develop strategic plan and a clear vision so that the patient focused care will be at par with the organization process that is conducted on operational and on a daily basis.