Neha Mba
Neha Mba
complex.
Private organizations must balance costs and revenues with the desire to
provide excellent care and the best professional medical/research teams
on the market. Managing financials for growth and profitability while also
investing in first-rate talent and technology is a delicate balancing act—
especially since human lives are involved. For-profit healthcare strategies
must always remember that the patient is the top priority.
Here’s another possible example of a soft skill strategy to help: At your next
meeting regarding a patient experience initiative, ask the assembled team,
“What beliefs do you have that could prevent this from succeeding?” Give
the night shift nurses, techs, custodial staff, and other critical front-line
stakeholders in the room a safe forum to voice their opinions. By learning
about their beliefs and mindsets, allowing them to weigh in, and addressing
those needs in the plan, you’re more likely to affect a consistent and lasting
change.
Food is the number one cause of poor health in America, with dietary
habits causing an estimated 700,000 deaths each year from heart disease,
diabetes, immune function, and more. And yet, federal research spending
only devotes about $1.5 billion on nutrition, compared to about $60 billion
on drugs, biotech, and medical devices.
Don’t shy away from “double-hatting” your top leadership talent in these
cases. An experienced Chief Information Officer (CIO) with incredible
discipline and drive may be well-suited to also act as the Chief Risk Officer
(CRO). Rather than rely upon two less-than-stellar leaders managing each
department separately, you’d have a versatile individual with great potential
overseeing both until another worthy leader arrives in your system.
Too many hospitals make the mistake of keeping strategy at the top level,
but when you communicate goals and rationale clearly with the people who
actually have to carry out the strategic plan, you’ll improve that plan’s
efficiency and overall chance of success.
If you hope to achieve real improvements in your hospital, then you need to
avoid goals with outlandish financial requirements and grandiose
transformations. Impractical goals will stifle your organization’s progress,
but attainable ones can inspire you by producing measurable results that
will fuel future progress and more advanced goals.
You’ll know if your goals are actually feasible if you’re able to develop finite,
viable, and realistic strategies and projects that can facilitate the successful
deployment of those goals.
Setting too many disparate goals can dilute your resources, confuse your
management team, and fragment your efforts into ineffective half-
measures.
Keep it simple, stick to the top five or six changes you want to see, and
then reallocate time and effort as the needs of each goal progress and
evolve. Done effectively, this will allow you to snowball your resources as
some of the targets are reached and others receive increased focus. Less
is truly more when setting goals.
Too many statistics and performance metrics can needlessly confuse your
management team and create conflicts in your assessment of goals and
strategies. Stick to relatively few, high-impact, SMART (Specific,
Measurable, Attainable, Relevant, Time-bound) KPIs that are each
linked directly to a goal of your organization. This means making sure that
the objective measures you track have obvious links to the results you want
to realize in the hospital.
Well-designed measures can help you decide whether your strategies are
producing the results you need or if your approach needs to change. Most
strategic planning goals only need one or two KPIs to accurately measure
progress towards objectives. Frequency of assessment can also vary by
KPI. For example, short-term goals tend to require more frequent tracking
(perhaps monthly), whereas long-term goals might be reviewed less often
(quarterly).
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CONTENT STRATEGY
When patients don’t see you for care, where do they go? Confirm
the list you created of competitors in your region from Step
1. In context of your service line, what do they do well, and
what are their weaknesses? How do your different
competitors potentially threaten your business?
What’s different and unique about your care? How do the
services you offer or your team’s approach to care differ?
What’s the one thing you want your patients to tell others about
your team’s care? Do patients and their families see you as
the community hospital offering one-on-one attention, the
academic research center with cutting-edge technology, or
the one-stop-shop for primary and specialty care? Think
about your strengths and how they support your brand.
Who is your typical patient? Describe their demographics,
preferences, and interests, and what you know they like most
about your services.
Research & Discovery Step 3: Understand Your Target
Audience
Knowing your audience—who they are, what they care about, their
common questions—is critical to writing helpful, engaging service
line content and setting yourself apart from your competitors.
Gather what you know about the target audience(s) of your service
line, and consider if they have specific preferences for their care. If
possible, interview current or past patients of the department, or
review their patient feedback.
Table 2
Environmental impact and certainty (Macro environment-PESTLE analysis)
Aspects Factors Influence Certainty
Regional competitions −1 −3
Policy makers’ neglect of the health sector −4 −3
Centralization in the dominant attitude −4 −5
Government budget-cutting structure −5 −5
Implementation of the Family Physician Program +2 +3
Periodic changes of politicians leading to change of
−3 −5
plans of directors (political instability)
Lack of appropriate philosophy and viewpoint about
Political health and its various dimensions among political −3 −4
parties and formations
Government downsizing based on various laws,
including the 44th principle (privatization +4 +3
development)
Government financial corruption −4 −4
Unreasonable tariffs determined for hospitals products
−5 −5
and services
Political sanctions −4 −5
Economic Improved payment system structure (strategic services
purchase by insurance companies based on quality and +5 +3
price)
Improved tariff structures +4 +2
Improved drugs and consumption products purchase
+5 +3
control structure
Higher inflation in the health sector −5 −5
Higher expenses (drugs and treatment) −5 −5
Higher inflation −4 −5
Higher bank interest rates −4 −4
Improved financing structure +5 +3
Currency rate fluctuations and multiplicity of currency
−4 −5
rates
Supportive role of government financial policies +5 +2
Providing access to capital/loans to develop hospitals’
+4 +4
activities by the government
Good market economic growth +3 +1
Availability of required finances (from public +5 +2
government budget, charities, etc.) to produce
hospitals products and services
Aspects Factors Influence Certainty
Smaller budget share for the health sector −5 −5
Approved national Iranian pharmacopoeia and the
+3 +3
comprehensive list of equipment
More budget limitations for the health sector as a result −3 −3
of economic and health load of non-communicable and
emerging diseases because of environmental changes
Economic sanctions −3 −5
Higher population growth −3 −5
Higher fertility rates −3 −4
Change of diseases load towards chronic illnesses −5 −5
Lower physical activity −3 −4
Higher life expectancy −3 −4
Social and
cultural Higher poverty −4 −5
Appropriate population distribution (young human
+2 +4
resources to total population ratio)
Appropriate family size and structure +2 +3
Higher rates of social harms and anomalies, including
−3 −4
divorce, crimes, and violence.
Technology Improved health information technology (home care, +4 +2
remote medical services, remote training, electronic
medical record)
Lack of legal clarity for hospitals activities
−4 −4
development
Tax and employment laws ratified by the government −4 −4
Inappropriate budgeting system for hospitals (general −5 −4
budget, linear budget, ownership of the remaining
budget resulting from frugality)
Deficiency in health technologies evaluation (import −4 −5
Legal permits for high-end technologies and expensive
drugs)
Poor supportive laws for attracting domestic and
international investors in manufacture, equipment, and
−3 −5
renovation of hospitals (including bank laws, facilities,
loans, letters of guarantee)
The requirement for hospitals to observe scientific and +5 +2
local guidelines approved by the Ministry of Health
and insurance companies
Environmental Higher risks and diseases resulting from environment −3 −4
Aspects Factors Influence Certainty
pollution
Higher air pollution in cities in which the hospitals are
−4 −5
located
The possibility of unexpected events in the city where
−4 −3
the hospitals are located
Greater possibility of man-made disasters in the city
−3 −3
where the hospitals are located
Population positive attitude toward green energy +3 +3
Population positive attitude toward green and organic
+3 +3
products
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Discussion
There are many strategies (which we’re going to look at) to achieve a
strategy-driven business model, but before we go deep into the details,
let’s check how this can benefit your practice.
This not only immune you against any unlooked-for risks but arms you
with a well-crafted plan of what should be done in the face of
uncertainty.
The Planning Strategy should work as the shatterproof window for your
practice.
This enhanced workflow will accelerate the rate at which your medical
business grows. Resulting in a faster profit cycle.
The next graph illustrates how business growth rate correlates with
operational efficiency.
3) It creates a cohesive workplace for your
medical business
This makes your medical staff sub-optimizing when you need all parts
working together.
The bottom line is: the result of having a shared strategic vision is
coherence; the result of aimless workflow is wasted resources.
Not only that, but it also makes sure that what you’re doing is directed
by a strategy and measurable KPIs (key performance indicators) and not
by a mere accumulation of tactics that don’t add up together.
Does your strategy align perfectly with your brand’s core attribute?
Does this plan solidify your place in the market or does it weaken your
brand’s perceived value? If you don’t have a grounded brand in place,
your strategy might end up hurting your medical business.
If you’d like to learn more about brand building and how can you build a
mouth-watering brand, you can check our free healthcare branding
guide .
It is best to list out critical KPIs (key performance indicators) for your
medical brand before embarking on a strategy.
SWOT Analysis arms you with a clear overview of critical metrics that
are key for your performance and the overall success of your medical
business.
That’s why our team at unnus developed the SWOT Strategy Canvas™
(SSC), a visual representation graph of the impact SWOT has on your
medical brand.
The SSC could be conducted every 6 months to track the efficiency and
the effort of SWOT.
SSC graph tracks the Impact Rate of each element of the SWOT
(strengths, weaknesses, opportunities, and threats). The goal is to
witness a low Impact Rate of weakness and threats and a high Impact
Rate of Strengths and Opportunities.
If you’d like to know more about the how-tos and other details of SWOT
analysis and SSC, check our step-by-step guide on SWOT here .
2. Brand Obituary
The 15 Year vision Plan is where we start defining the higher goals and
aspirations that your medical business needs to achieve.
Forces you and your team to aim high and set a bold goals
What will happen if your practice closes its door tomorrow? Would
journalists write headlines heralding your past achievements, or would
their stories simply add you to a list of bygones? Would employees
wonder how it could have ended, or would they have known it was
inevitable? Would patients mourn your passing, or would the demise of
your medical brand go unnoticed?
Unlike the 15 Year Vision Plan, this method works as a risk assessment
and proactive approach for future commitment.
This exercise will force you to think through some of the key elements
that make up your brand.
The metrics that we’re going to measure in this stage fall into four
categories:
o Tracking how your medical staff is growing will help facilitate the overall
team goals. You’ll want to keep track of employee morale, how
knowledgeable staff is, and how reliably they use the business’s best
practices.
3. Stakeholders
o It is critical to capture the efficiency of your stakeholders to gauge the
overall performance of your medical business. This section is focused on
staff, team, and shareholders.
4. Financial performance
This strategy helps you pinpoint the root causes of complex problems
that are hindering your business growth. The premise of this strategy is
to take on a big problem and start dissecting it into categorical
components or “sub issues”.
This way you can spot deeply-embedded issues that are causing the main
problem. You can think of this strategy as more a way to treat the
problem rather than finding it.
Gets you out of the tunnel vision trap and provide you with a clear picture
of the challenges your business might face
Patients are the lifeblood of your business and zero in on your patient’s
pain points, challenges, and needs are critical for success.
This strategy also allows you to better allocate your efforts across
multiple aspects of your business based on the potential severity of any
risk. In addition, it’s a great way to visualize and prioritize where and
when should you take action against any business threats.
OKRs stands for Objectives & Key Results. An OKR framework helps
medical businesses solve their critical organizational problems. As a
framework, OKRs also help healthcare leadership teams discuss how the
work of the staff ties back to the overall business strategy.
OKRs should be transparent to everyone: top-down, bottom-up, and
cross-functional. When everyone’s looking at the same framework,
everyone has the opportunity to work toward the same outcomes.
Objectives are the vaccine to “blue sky thinking” – their goal is to help
articulate what you want to accomplish. An objective is significant,
concrete, and drives you to get tasks done.
Key results are the way you’re going to get those tasks done. Specific
and measurable, these quantitative goals act as benchmarks for how
you’ll reach objectives. (Think outcomes or results in real numbers.)
With nine “buckets” or areas of interest, your team can decide if an idea
or plan is low, medium, or high effort. The team can also accordingly
decide if that plan will likely have low, medium, or high impact.