Why are healthcare organizations finding it increasingly difficult to identify long-term needs
appropriately and plan accordingly?
Because of health-care reform, rapidly changing technology, increased government involvement, and
scientific advances
Need to determine whether value drives _________ or volume is necessary to ___________. End result
in both cases is ________.
volume, or volume is necessary to achieve value; continued escalation of health care cost.
What is a common tool to assist in strategic planning?
A SWOT Analysis
What does SWOT stand for?
S: strengths are those internal attributes that help an organization to achieve its objectives.
W: weaknesses are those internal attributes that challenge an organization in achieving its objectives
O: opportunities are external conditions that promote achievement of organizational objectives
T: threats are external conditions that challenge or threaten the achievement of the organizational
objectives.
Steps for successful strategic planning:
-Should be done every ___________ (depending on what)
-Need to have __________ plans
-Need to have _____________ (usually ___ to ____ years)
-______ needs to be collected
-Input from __________________
-Should be done every 6-12 months depending on how rapidly healthcare is changing
-Need to have short term plans
-Need to have long range strategic plans (usually 3- 10 years)
-Data needs to be collected
-Input from all stakeholders
Brief statement (3-4 sentences) identifying the reason the organization exists, what is unique about it.
Mission statement
What is highest priority in the planning hierarchy? Why?
Mission statement; because it influences the development of the organizations philosophy, goals,
objectives, polices, procedures and rules. An organization must truly believe and act upon its mission
statement; otherwise, the statement has no value
What is used to describe future goals or aims of the organization.
Vision statement
What flows from mission statement and is the basic foundation that directs all further planning toward
that mission?
Philosophy
________ and ______ develops nursing care at the unit levels
Organizational and unit philosophy
True value consist of these four elements:
It must be ________ chosen from among alternatives
It must be ______ and ______
It is consciously and consistently ________
It is positively ____________ and enacted.
It must be freely chosen from among alternatives
It must be prized and cherished
It is consciously and consistently repeated
It is positively affirmed and enacted.
To avoid some of intrapersonal conflict and burnout, what should nurse managers do?
Nurse managers should give applicants a copy of the philosophy and encourage them to read the
mission and vision statement
Evaluate how it aligns with their personal values prior to interview.
What is the end to which the organization is working to?
Goal; Goal= desired result (can change with time, be evaluated and prioritized)
____ and ______ operationalize the philosophy?
Goals and objectives
Goals need to be _______, _____________, but __________; should not be the primary means of...?
measurable, ambitious but realistic; should not be the primary means of assessing organizational
effectiveness
What is more specific and measurable then goals? Why? What can it focus on?
Objectives; because they identify how and when the goal is to be accomplished; can focus on the desired
process or desired result
What is the direct individual behavior towards the organizations mission, defines broad limits and
desired outcomes, and is specified to individual institutions?
Policies
Two types of policies? Describe each?
Implied policies: neither written nor expressed verbally. Usually developed overtime.
Expressed: are verbal or written. They are readily available to all and promote consistency of actions.
What is used to establish customary or acceptable ways of accomplishing a specific task and
delineates a sequence of steps?
Procedures
Procedures save ______; reduce ____, increase ______; provides a ____________
staff time; reduce cost, increase productivity, provide a means of control
Three phases change agent must proceed with before change becomes part of the system?
Unfreezing
Movement
Refreezing
What is the deliberate application of knowledge and skills by a leader to bring about change?
planned changed
accidental change, not planned.
Changed by drif
A person skilled in the theory and implementation of planned change. Someone who can deal
appropriately with conflicted human emotions to the change, to connect and balance all aspects of the
organization that will be affected by the change. Who is ofen the change agent?
Change agent
Happens when the change agent convinces members of the group to change or when guilt, anxiety, or
concern can be elicited.
For effective change to occur, the change agent needs to have made a through and accurate assessment
of the extent of and interest in change.
unfreezing
Change agent identifies, plans, and implements appropriate strategies, ensuring that driving forces
exceed restraining forces. Any change of human behavior, or the perceptions, attitudes, and values
underlying that behavior, takes time.
Movement
During this stage, change agent assists in stabilizing the system change so that it becomes integrated into
the status quo. If refreezing is incomplete, the change will be ineffective and the prechange behavior will
be resumed. Important to be supportive so that the change continues
Refreezing
Change needs at least_______ to ______ months before it will be accepted as part of the system, the
change agent must be sure that he or she will remain involved until the change is completed
3 to 6 months
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