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      <title>102-4 Action Plan for Strategic Dilemma by Sandi Lane</title>
      <link>https://padlet.com/lanesj1/102-4CS132</link>
      <description>Analyze the case study on p. 132-4, create an action plan that includes team participants, options, matrix to be measured, and timeline.</description>
      <language>en-us</language>
      <pubDate>2014-08-19 18:35:00 UTC</pubDate>
      <lastBuildDate>2015-03-19 20:16:06 UTC</lastBuildDate>
      <webMaster>hello@padlet.com</webMaster>
      <image>
         <url>http://d262le4z25sx36.cloudfront.net/portraits/monkey.jpg</url>
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      <item>
         <title>Key stakeholders and players&amp;nbsp;</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39044083</link>
         <description><![CDATA[Hospital staff and administration<br><br>Physicians<br><br>Community members<br><br>Patients<br><br>Board of directors (including patients and community members)<br><br>10-hospital healthcare system]]></description>
         <enclosure url="" />
         <pubDate>2014-10-29 16:25:38 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39044083</guid>
      </item>
      <item>
         <title>SWOT Analysis</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39044627</link>
         <description><![CDATA[<p>Strengths</p><blockquote><blockquote><p>New CEO improves hospital morale</p><p>Closest Hospital is 60 miles away</p><p>Have Cardiac Services, Emergency Services, Maternity/Women's Services, General Medicine that are beneficial to the community<br></p></blockquote></blockquote><p>Weaknesses</p><blockquote><blockquote><p>Negative operating margin</p><p>Low morale among employees</p><p>Loss of community support <br></p><p>Departure of physicians</p><p>Low patient census<br></p></blockquote></blockquote><p>Opportunities <br></p><blockquote><blockquote><p>Work with the other hospitals in the healthcare system</p><p>Has been profitable and renowned for its high quality care in the past</p><p>New CEO that is driven to overhaul the hospital<br></p></blockquote></blockquote><p>Threats</p><blockquote><blockquote><p>Changing demographics</p><p>Economic Challenges in the community</p><p>Loss of market share</p><p>The community</p></blockquote></blockquote>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-29 16:27:48 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39044627</guid>
      </item>
      <item>
         <title>Known facts&amp;nbsp;</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39046328</link>
         <description><![CDATA[<p>Hospital serves 250,000 people<br><br>Provides, cardiac, general medicine, OB/GYN, emergency and outpatient <br>services. Founded over 30 years ago <br><br>Has been very successful and profitable in the past but is now struggling <span style="font-size: 13px;">and has a negative operating margin. Is also losing market share </span></p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-29 16:34:26 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39046328</guid>
      </item>
      <item>
         <title>Primary problems&amp;nbsp;</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39046616</link>
         <description><![CDATA[<p>Changing demographics and clientele using hospital<br><br>Community economic challenges<br><br>Loss of market share<br><br>Negative operating margin<br><br>Lack of capital<br><br>Low patient census<br><br>Departures of physicians<br><br>Perceived poor quality<br><br>Low employee morale<br><br>Lack of community support<br><br>Decreasing physical condition of facility</p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-29 16:35:19 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39046616</guid>
      </item>
      <item>
         <title>TOWS Analysis</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39048005</link>
         <description><![CDATA[<blockquote style="margin: 0 0 0 40px; border: none; padding: 0px;"><p><blockquote style="margin: 0 0 0 40px; border: none; padding: 0px;"><p>                       <b><span style="font-style: normal;">Opportunities                                      Threats</span></b></p><p><span style="font-size: 13px;">                <span style="font-style: normal;"> -Bring in new physicians          -Perceived poor quality</span></span></p></blockquote></p></blockquote><blockquote style="margin: 0 0 0 40px; border: none; padding: 0px;"><p><span style="font-style: normal;">                               -large service area                      -increase competition</span></p></blockquote><blockquote style="margin: 0 0 0 40px; border: none; padding: 0px;"><p><span style="font-style: normal;">                               -Supportive Board                       -Not enough financials</span></p></blockquote><p><b>Strengths</b></p><p><span style="font-size: 13px;">-</span><span style="font-size: 13px; color: rgb(102, 102, 102);">high quality               <i>+Bring new physicians </i>            <i>+Use high quality and</i> </span></p><p>-high satisfaction        <i> with high quality&nbsp;</i>                     <i> satisfaction to draw in </i></p><p><span style="font-size: 13px; color: rgb(102, 102, 102);">-strategic CEO             <i>  reputation.                                new patients.</i></span></p><p><b>Weaknesses</b></p><p>-low patient census    <i>+Bring suggestions to             +Stimulate finances to</i></p><p>-low staff morale         <i>  update hospital to the            better the facility and</i></p><p>-hospital condition     <i>   supportive board for              boost staff morale and</i></p><p>deteriorating             <i>    patient's visual stimulation.    security.</i></p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-29 16:40:15 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39048005</guid>
      </item>
      <item>
         <title>Action Plan-90 days</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39053230</link>
         <description><![CDATA[<p>-Create, send, and collect surveys from staff,<span style="font-size: 13px;">community, and patients</span></p><p><span style="font-size: 13px;">-Determine if the quality of care has actually been experiencing a decline, or if this lower quality is in fact just "perceived" due to low morale in the facility or other outside factors</span></p><p>-Hire financial advisor and put time-sensitive action plan with specific financial metrics in place</p><p>-CEO should use strategic thinking and with a systems perspective when analyzing the hospital's current problems and potential future </p><p>-Schedule a strategic planning retreat with the board and invite select staff members (department heads and a few clinical staff) to join</p><p>-Begin actively planning for retreat and consider bringing in an outside consultant/facilitator to help ensure the success of the meeting </p><p>-Conduct competitor analysis: define services to be addressed, define service area, and identify all competition (since the competition is relatively new)</p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-29 17:03:55 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39053230</guid>
      </item>
      <item>
         <title>Next issues that need
to be addressed</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39261847</link>
         <description><![CDATA[<p>Getting the market share back on St. Michael's side</p><p>Strategic plan to bring in more physicians</p><p>Plan to change the perceived poor quality and update physical condition</p><p>Finances</p><p>--a detailed and strategic financial plan</p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-30 17:45:52 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39261847</guid>
      </item>
      <item>
         <title>Options that can be implemented for each of the
identified problems?</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39261988</link>
         <description><![CDATA[<p>Getting the market share back will be one of the last things to happen, but  <span style="font-size: 13px;">it will happen with the plans to bring in more physicians, change the community's </span><span style="font-size: 13px;">perception, and update the physical conditions.</span></p><p>--A group of current physicians and C-Suite members will create a board to <span style="font-size: 13px;">scout for new physicians that want to help revitalize the facility</span></p><p>--The quality is already high, but it is not perceived that way, therefore, new marketing <span style="font-size: 13px;">techquines to show that the patient satisfaction and quality is one of the highest around </span><span style="font-size: 13px;">will help to revitalize the perceived quality.</span></p><p>--A financial advisor will need to be hired to "cut the fat and keep the meat." This <span style="font-size: 13px;">meaning that any excess money that is unnecessarily spent will need to be recycled to </span><span style="font-size: 13px;">make the facility have a better physical appearance. The advisor will work with the CEO </span><span style="font-size: 13px;">as a new action plan is formed and implemented so the max profit will be the result.</span></p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-30 17:46:38 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39261988</guid>
      </item>
      <item>
         <title>Metrics to identify the problem--everyone&amp;nbsp;</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39266501</link>
         <description><![CDATA[<p>-Send out surveys to everyone in the service area (250,000) people</p><p>--Not everyone will answer, but we are aiming for 25%</p><p>-Ask current patients to complete a survey about the facility  <span style="font-size: 13px;">because we are trying to revitalize the facility and their feedback </span><span style="font-size: 13px;">is very valuable and will help us measure patient satisfaction</span></p><p>-Use past financials to measure the debt to income ratio,</p><p>-Financial metrics: market share, operating margin, gross revenue, capital expense, # of new patients, etc. </p><p>-Survey staff on their opinions of the workplace and if they would <span style="font-size: 13px;">visit this facility if needed--why and why not </span></p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-30 18:07:53 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39266501</guid>
      </item>
      <item>
         <title>Action Plan-6 months</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39268387</link>
         <description><![CDATA[<p>Create a Quality Improvement team of council that will actively tackle the problem of perceived poor quality of care. </p><p>Revamp the marketing efforts for the hospital in response to any new information from the surveys and strategic planning retreat. (Retreat should have occurred between the 90 day and 6 month mark, ideally.)</p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-30 18:17:03 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39268387</guid>
      </item>
      <item>
         <title>Action Plan-1 year</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39268504</link>
         <description><![CDATA[<p>Analyze overall results from the action plan steps at 90 days and 6 months to determine if the results are on track with the timing of the improvement plan. </p><p>Meet with members of QI team and other staff as necessary. </p><p>Consider offering another round of surveys to patients who are discharged in different areas of the hospital and compare their responses with survey results from the 90 day mark. </p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-30 18:17:29 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39268504</guid>
      </item>
      <item>
         <title>Primary Problems and First Steps to Solving Them</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39318009</link>
         <description><![CDATA[<p><span style="font-size: 13px;">Need a complete overhaul of hospital's operation</span><br></p><p>-CEO is new, needs to make sure he is in tune with the organization's MVV and makes an effort to understand the rapidly changing environment of healthcare and the immediate area that this facility is in, as well as the clients and staff that currently are involved in the hospital's operations. This is an opportunity for the new CEO to lead the hospital in a new, positive direction and make a big impact on the facility and the community in doing so.</p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-31 05:42:55 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39318009</guid>
      </item>
      <item>
         <title>Scholarly Article/ Resources from the Web&amp;nbsp;</title>
         <author>lanesj1</author>
         <link>https://padlet.com/lanesj1/102-4CS132/wish/39369711</link>
         <description><![CDATA[<p><a href="http://www.innovation.cc/scholarly-style/fairholm3.pdf">http://www.innovation.cc/scholarly-style/fairholm3.pdf</a></p><p><a href="http://usmansheikh.wordpress.com/2008/11/18/5-key-financial-business-metrics/">http://usmansheikh.wordpress.com/2008/11/18/5-key-financial-business-metrics/</a></p>]]></description>
         <enclosure url="" />
         <pubDate>2014-10-31 16:07:14 UTC</pubDate>
         <guid>https://padlet.com/lanesj1/102-4CS132/wish/39369711</guid>
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