hospital organization final

1. mission, vision & values
2. environmental assessment
3. assumption & hopes about future
4. strategy
5. goals & objectives
6. implementation
7. measurement & adjustment

when the distinctive competencies of the organization and the realities of the external environment are made to fit together through careful & timely execution

occurs when annual/quarterly/monthly planning processes coincide with allocation of resources through capital and operating budgets

leader: doing things right

manager: doing the right things

-stakeholders
-CEO + senior mgmt
-board members
-physicians

also community input, steering committee

overall leader

makes it all happen; facilitator

makes recommendations and decisions

-validates assumptions
-approves/challenges recommendations
-acts as organizational "sponsor"

Denial
Anger
Bargaining
Depression
Acceptance

-interviews
-surveys
-demographic data
-organizational trends

-marketing
-finance
-information systems
-human resources
-materials mgmt
-building ops
-hospitality services

capital: provision of resources for the long-term

operating: day-to-day, usually prepared for a normal yearly cycle

-analyze what's going on
-decide what gets more/less/no investment
-develop growth strategies for adding new products or businesses

STARS
-profit potential
-may need heavy investment to grow

CASH COWS
-established, successful
-produce cash

QUESTION MARKS
-build into stars or phase out
-require cash to hold market share

DOGS
-low profit potential

market penetration

market development

product development

diversification

the delivery of customer satisfaction at a profit

-consumer is not the payer
-complex; hard to understand and organize
-highly regulated
-deals with intensely personal and private issues

Product
Price
Place
Promotion

state of felt deprivation for basic items and complex emotional states

(food, belonging)

form that a human need takes as shaped by culture and individual personality

("i want the angel hair pasta and a nice merlot")

human wants backed by buying power

(elective surgery)

-research
-measurement
-planning
-analysis
-forecasting
-segmentation & targeting
-strategy

through segmentation and targeting, then link to strategic performance

-image, branding & positioning
-advertising, social media
-public relations

-clinical input
-financial & logistic input
-continuous improvement information

-patient
-primary care office
-ER, ambulatory care
-hospital
-hospice/chronic care

-insurance
-cost data
-staffing
-supplies

-epidemiologic measures
-quality measures
-data measures
-research data

-maintain IS plan
-assure integrity, quality, and security of data
-integrate data capture, processing, and communication for patient care
-archive and retrieve data
-train and support users

"integrate" means make sure it all gets into the chart!

-clinical data
-dept. systems
-plant
-HR
-finance
-planning/marketing

-power differentials
-physician relationships
-substance abuse
-volatility in population

-workforce planning/management
-management education
-compensation mgmt
-collective bargaining
-continuous improvement

-communication
-transparency
-shared decision making
-accountability
-enough staff, competitive salary, generous benefits

-better communication
-more respect
-protect the workforce first

-critical to pt/customer satisfaction
-areas for cost savings
-environment of care
-emergency management

-planning
-operations
-engineering
-housekeeping
-guest services
-supplies

1. Services plan
2. Translation to size/loc/req.
3. Need vs. availability
4. Design of needed facilities
5. Acquisition (purchase, lease, renovation, construction)
6. Space Assignment

also: inventory of existing space (size, location, capabilities/limitations)

Work approach
Business focus
Team impacts
Inner person

-pt/employee/physician satisfaction
-profitability
-error rate
-clinical outcomes
-community benefit

1. establish credibility
2. frame goals in a way that identifies common ground
3. reinforce position using vivid language and convincing evidence
4. connect emotionally with your target audience

expertise + relationships

listen; language; areas of agreement

less > more; storytelling

-self-awareness
-emotional intelligence
-change theory and process

Coaching
-direct & support

Supporting
-praise, listen, facilitate

Directing
-structure, control, supervising

Empowering
turn over responsibility for day-to-day decisions

-condition of licensure
-receive medicaid reimbursement

1. immediate threat to life (inc. preliminary denial to accreditation)
2. situational decision rules
3. direct impact requirements
4. indirect impact requirements

Health Insurance Portability and Accountability Act

standards for electronic health care transactions

1971

tries to prevent work-related injury, illness, and death

goal of protecting the health of all Americans and providing essential human services