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Situational analysis in health care industry
 

Situational analysis in health care industry

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Situational analysis in health care industry Situational analysis in health care industry Presentation Transcript

  • Situational Analysis By: Dr. Abhishek Tiwari
  • Situational Analysis American Marketing Association “ The systematic collection and study of past and present data to identify trends, forces & conditions with the potential to influence the performance of the business & the choice of appropriate strategies” Invented by Population council Researchers in Kenya 1989
  • Situation Analysis in Healthcare ? Describes & analyses the situation regarding the health status & health services of area e g : a Village ,District or State Assess the extent to which health services address health needs what’s happening by identifying factors facilitating or preventing progress of Health  also prioritises problems and needs so the plans and strategies can address them District Health Plan and Report
  • A Typical Planning Cycle 1 ) Situation Analysis 2) Priority and objective setting 3) Option appraisal 4) Task setting 5) Monitoring and evaluation
  • Importance First step of a Planning cycle Effective management tool Considers both + / - potential outcomes Forecasts changes internal & external Refreshes strategy & tactics of your marketing Compiles Analyses & Evaluates Influences
  • Importance Applied to corporate, Govt. Hospital ,clinics Identifies gaps in Healthcare System monitoring , evaluation tool of Health Services contributes to district health information system District Health Plan & District Health Report “Understanding where you are today is fundamental to achieve your future goals”
  • HOW TO CONDUCT Step 1: Determine a framework Step 2: Identify what information is already available Step 3: Identify what information is still required Step 4: Collect the required information Step 5: Compile and write the report Step 6:Distribute & disseminate the report
  • Framework-example 1.Assessment of the health district Geography / Demography/Socio-economic profile 2.Health Status and Problem 3.Progress to Implement District Health System 4.The Management of Support Systems Finance/transport/drug ,vaccine supply & distribution Communication/Health information/HR 5.Public Health Sector Facilities {Hospitals/Clinics/CHC} Referral system 6.Other Care Providers :Private/ Ayush /NGO 7.Assessment of Key Programmes 8. Other Sectors which Impact on Health 9. Summary of Key Health Problems and Conclusion
  • Situational Analysis Health Care Industry Hospital , Nursing Homes, Clinics, Health Insurance Company, Pharmaceutical industry, Biotech Company Application of business principles Structure + Forces = Strategy
  • 5 C Analysis Situational analysis can be conducted by three methods 1. The 5Cs Analysis 2. Porter five forces analysis 3. SWOT analysis The 5 C Analysis  Earlier “ 3 C Analysis ”  Extension to 5 C adds Environmental analysis  Market based sectors of Health care 1. Company :  Objectives , strategy & capabilities mission & Goals , current position
  • 5 C Analysis 2. Competitors :  Position ,Goal ,mission ,strategy & resources  Capability in industry & potential threats  Identify type Direct / Indirect/ new entrants Get prepared to compete 3. Customers : Understand needs (size ,potential ,demand) Advertising & Motivation
  • 5 C Analysis 4. Collaborators : Commitment (new ideas more business) Agency/Supplier & distributors ,relationship important for growth. Partnership shares assets & liabilities 5. Climate :  Political & legal : low public high private sector  Economic : increase in upper middle class  Socio cultural : life expectancy/lifestyle/urban shift  Global & Technological : Medical tourism & preventive health check up , diagnostic tests
  • Situational Analysis •  The PEST Analysis report  “very good opportunity for private players in healthcare. Growing population with much deeper pockets and low government participation has lead to higher demands where people are willing to pay high costs for proper medical care.”
  • Porter’s Five Forces Analysis
  • Porter 5 forces Analysis 1) Threat of new entrant:  Pharmaceutical capital for R & D of new drugs  Insurance many guidelines  be able to attract physicians to their network  best defence is target high value care,  product differentiation ,  senior specialists greater emotional intelligence,  while younger have latest techniques  Develop brand quality & create barriers for new entrants
  • Porter 5 forces Analysis 2) Bargaining power of buyers/patients:  Very limited power , exceeding demand  Sick will take treatment in any economy Medical tourism reduces dependency on local patients 3) Bargaining Power of Suppliers: New drugs and the latest medications Hospital need pharmaceutical companies and they need the hospitals Shortage of specialist , large power
  • Porter 5 forces Analysis 4) Pressure from Substitutes: Drug industry affected by substitutes , if patents lapses Insurance companies : not really affect Alternative medicine which treat primary care problems . Filling of vacant post by untrained staff 5) Competitive Rivalry: More for Drug & Insurance sector less amongst hospitals
  • Porter 5 forces Analysis Drug R & D ,one gets patent More : competitors are of equal size & power , same geographical area & poor differentiation Summary : Report ,strategy to maximise the strengths eg targeting value in health care , Focus on Preventive methods than control to reduce the cost and improve quality
  • SWOT ANALYSIS
  • SWOT ANALYSIS  Mainly used for the health care  GOAL “build on strengths” & “reduce weaknesses”  Assessment of Health status  monitoring & evaluation of health programmes  to prepare the district health plan
  • Opportunity •Organization & tech development •Participation of local leaders •Coordination with NGO •Improved safety system •Telemedicine for speciality •Revised measure , indicators Weaknesses •No speciality, primary service •Lack of funds •Unequip lab , no instrument •Loss of key staff,understaffed •No transport, off located •Patient load: lifestyle •Lack of technology Strengths •Local & creative approach •Experienced physician •Trained ,adequate staff •Resources : lab,instrument •Central location •Strong commitment & funds •Transportation Threats •No Govt budget, inflation •Workforce strike, nurse,doctor •Small semi urban nursing home •Patient prefer them •Loss of alliances , NGO •Misinformation •Competitors has new products S W TO Weaknesses •No speciality, primary service •Lack of funds,salary •Unequip lab , no instrument •Loss of key staff,understaffed •No transport, off located •Patient load •Lack of technology Opportunity •Organization & tech development •Participation of local leaders •Coordination with NGO •Improved safety system •Telemedicine for speciality •Strong referral system
  • S O Strong commitment Availability of Funds Central location Participation of local leaders & NGO Improved safety system Strong referral system Positive factors SWOT ANALYSIS OF A RURAL HEALTH CENTRE
  • W T LACK OF FUNDS , NO SALARY INCREASED PATIENT LOAD . OUTDATED EQUIPMENT & TECHNOLOGY WORKFORCE STRIKE (NURSE & DOCTORS) . PATIENTS PREFER NURSING HOMES . COMPETITOR HAS NEW PRODUTS Negative factors SWOT ANALYSIS OF A RURAL HEALTH CENTRE
  • Summary Important areas of progress and development in the district over the previous year. The most important and urgent health problems of the district. An indication of how these priority problems will be addressed. Finally there should be an honest assessment of the strengths and weaknesses of the district that lay out the challenges for the future.
  • Situational Analysis References 1) A Guide for Health Districts in South Africa 2) NRHM district health report , 2010 Aurangabad 3) Survey by Tim Size at RWHC with eleven “rural health expert respondents” 4) ZYNX Health solutions 5) EPMG emergency physician medical group 6) Targeting value in health care ..by . Corey scurlock 7) www.healthcaresuccess.com 8) Analysis of Fortis hospitals 2010