Adventist Health: The strategic planning process at AHCVN

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Randy Dodd
Vice President
Strategy Development

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Adventist Health: The strategic planning process at AHCVN

  1. 1. Randy Dodd Vice President Strategy Development
  2. 2. ◦ 17 hospitals in California, Oregon, Hawaii and Washington ◦ 20,000 employees ◦ 2,600 beds ◦ More than 130 physician and rural health clinics ◦ 14 home care agencies ◦ Four joint-venture retirement centers
  3. 3.  A-rated by S&P  $2.71 billion in assets  $2.17 billion in net patient revenue
  4. 4. Adventist Health Central Valley Network Population – 408,780 3000 Square Miles 31 Zip Codes 4 Hospitals 297 IP Beds 23 Rural Health Clinics
  5. 5. Dinub a Adventist Health Central California Network Total Market Area 30 Miles
  6. 6. Dinub a Adventist Health Central California Network Population Density H H H H 30 Miles
  7. 7.  2007 Fresno Bee - Business of the Year  2009 & 2010 - Silver CAPE Award Winner  2010 Kings Economic Development President’s Award  2010 New 142 Bed Acute Care Hospital  2011 Hanford Chamber of Commerce - Business of the Year  2011 Selma Chamber of Commerce - Business of the Year
  8. 8. “Planning is bringing the future into the present so that you can do something about it now” Alan Lakein
  9. 9. Strategy is a starting point for the chain reaction of "change". -Business One Consulting Strategy is a deliberate choice to take a different fork in the road.
  10. 10.  The essence of strategy is choosing a unique and valuable position rooted in systems of activities that are difficult to match. -Michael E. Porter
  11. 11.  Strategic planning is an organization's process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy.  In order to determine the direction of the organization, it is necessary to understand its current position and the possible avenues through which it can pursue a particular course of action.  Generally, strategic planning deals with at least one of three key questions: ◦ "What do we do?" ◦ "For whom do we do it?" ◦ "How do we excel?"
  12. 12. "82% of Fortune 500 CEO's surveyed indicated that they feel their organization did an effective job of strategic planning. Only 14% of the same CEO's indicated that their organization did an effective job of implementing the strategy." Forbes Magazine
  13. 13. The difference between the Winners and the “also ran”, is how well they execute their strategies.
  14. 14.  Lack of Ownership  An Event not a Process  Lack of Empowerment  Plan Does not Influence Decision Making  Lack of Accountability  Lack of Communication  Lack of Engagement  Too Overwhelming or Too Aggressive  No Buy In  Only Discussed Annually  The Performance Measures are not Linked to the Strategies
  15. 15. Mission, Vision & Values Vision –What we DREAM. Business vision is defined as a shared view of future reality, what a group of people wish to see their business be or become. Values – Who we ARE. Business values are defined as statements of shared core belief and commitment that guide decision-making across an organization. Mission – What we DO. Business mission is a shared sense of business purpose, the reason for the existence of the business entity.
  16. 16. The job of the Strategic Plan is to Fulfill the Vision of the Organization The job of the Strategic Plan is to Fulfill the Vision of the Organization
  17. 17. Strategic Analysis Strategy Development Strategy Deployment Strategy Achievement Strategy Improvement
  18. 18.  Assess your current location  Determine your destination  Map the journey  Check your rations and crew  Forecast hazards and weather conditions  Start sailing  Check progress  Make adjustments as necessary
  19. 19.  To travel the world to experience new cultures with the intent of expanding personal vision, increasing culture awareness and sensitivity, reestablishing personal priorities and awakening spiritual senses.
  20. 20.  Visit 50 Countries  Personally Participate in 10 Mission Trips  Involve Family in 5 Mission Trips
  21. 21.  How many countries are there?  Which ones are my priority?  Which ones are the priority of my family?  What will it cost?  What are some barriers to travel?  Who will go?  What’s the best time of year to visit?  What will we do when we get there?
  22. 22. Afghanistan - Kabul Albania - Tirane Algeria - Algiers Andorra - Andorra la Vella Angola - Luanda Antigua and Barbuda - Saint John's Argentina - Buenos Aires Armenia - Yerevan Australia - Canberra Austria - Vienna Azerbaijan - Baku The Bahamas - Nassau Bahrain - Manama Bangladesh - Dhaka Barbados - Bridgetown Belarus - Minsk Belgium - Brussels Belize - Belmopan Benin - Porto-Novo Bhutan - Thimphu Bolivia - La Paz (administrative); Sucre (judicial) Bosnia and Herzegovina - Sarajevo Botswana - Gaborone Brazil - Brasilia Brunei - Bandar Seri Begawan Bulgaria - Sofia Burkina Faso - Ouagadougou Burundi - Bujumbura Cambodia - Phnom Penh Cameroon - Yaounde Canada - Ottawa Cape Verde - Praia Central African Republic - Bangui Chad - N'Djamena Chile - Santiago China - Beijing Colombia - Bogota Comoros - Moroni Congo, Republic of the - Brazzaville Congo, Democratic Republic of the - Kinshasa Costa Rica - San Jose Cote d'Ivoire - Yamoussoukro (official); Abidjan (de facto) Croatia - Zagreb Cuba - Havana Cyprus - Nicosia Czech Republic - Prague Denmark - Copenhagen Djibouti - Djibouti Dominica - Roseau Dominican Republic - Santo Domingo East Timor (Timor-Leste) - Dili Ecuador - Quito Egypt - Cairo El Salvador - San Salvador Equatorial Guinea - Malabo Eritrea - Asmara Estonia - Tallinn Ethiopia - Addis Ababa Fiji - Suva Finland - Helsinki France - Paris Gabon - Libreville The Gambia - Banjul Georgia - Tbilisi Germany - Berlin Ghana - Accra Oman - Muscat Pakistan - Islamabad Palau - Melekeok Panama - Panama City Papua New Guinea - Port Moresby Paraguay - Asuncion Peru - Lima Philippines - Manila Poland - Warsaw Portugal - Lisbon Qatar - Doha Romania - Bucharest Russia - Moscow Rwanda - Kigali Saint Kitts and Nevis - Basseterre Saint Lucia - Castries Saint Vincent and the Grenadines - Kingstown Samoa - Apia San Marino - San Marino Sao Tome and Principe - Sao Tome Saudi Arabia - Riyadh Senegal - Dakar Serbia - Belgrade Seychelles - Victoria Sierra Leone - Freetown Singapore - Singapore Slovakia - Bratislava Slovenia - Ljubljana Solomon Islands - Honiara Somalia - Mogadishu South Africa - Pretoria (administrative); Cape Town (legislative); Bloemfontein (judiciary) South Sudan - Juba (Relocating to Ramciel) Spain - Madrid Sri Lanka - Colombo; Sri Jayewardenepura Kotte (legislative) Sudan - Khartoum Suriname - Paramaribo Swaziland - Mbabane Sweden - Stockholm Switzerland - Bern Syria - Damascus Taiwan - Taipei Tajikistan - Dushanbe Tanzania - Dar es Salaam; Dodoma (legislative) Thailand - Bangkok Togo - Lome Tonga - Nuku'alofa Trinidad and Tobago - Port-of-Spain Tunisia - Tunis Turkey - Ankara Turkmenistan - Ashgabat Tuvalu - Vaiaku village, Funafuti province Uganda - Kampala Ukraine - Kyiv United Arab Emirates - Abu Dhabi United Kingdom - London United States of America - Washington D.C. Uruguay - Montevideo Uzbekistan - Tashkent Vanuatu - Port-Vila Vatican City (Holy See) - Vatican City Venezuela - Caracas Vietnam - Hanoi Yemen - Sanaa Zambia - Lusaka Zimbabwe - Harare Greece - Athens Grenada - Saint George's Guatemala - Guatemala City Guinea - Conakry Guinea-Bissau - Bissau Guyana - Georgetown Haiti - Port-au-Prince Honduras - Tegucigalpa Hungary - Budapest Iceland - Reykjavik India - New Delhi Indonesia - Jakarta Iran - Tehran Iraq - Baghdad Ireland - Dublin Israel - Jerusalem* Italy - Rome Jamaica - Kingston Japan - Tokyo Jordan - Amman Kazakhstan - Astana Kenya - Nairobi Kiribati - Tarawa Atoll Korea, North - Pyongyang Korea, South - Seoul Kosovo - Pristina Kuwait - Kuwait City Kyrgyzstan - Bishkek Laos - Vientiane Latvia - Riga Lebanon - Beirut Lesotho - Maseru Liberia - Monrovia Libya - Tripoli Liechtenstein - Vaduz Lithuania - Vilnius Luxembourg - Luxembourg Macedonia - Skopje Madagascar - Antananarivo Malawi - Lilongwe Malaysia - Kuala Lumpur Maldives - Male Mali - Bamako Malta - Valletta Marshall Islands - Majuro Mauritania - Nouakchott Mauritius - Port Louis Mexico - Mexico City Micronesia, Federated States of - Palikir Moldova - Chisinau Monaco - Monaco Mongolia - Ulaanbaatar Montenegro - Podgorica Morocco - Rabat Mozambique - Maputo Myanmar (Burma) - Rangoon (Yangon); Naypyidaw or Nay Pyi Taw (administrative) Namibia - Windhoek Nauru - no official capital; government offices in Yaren District Nepal - Kathmandu Netherlands - Amsterdam; The Hague (seat of government) New Zealand - Wellington Nicaragua - Managua Niger - Niamey Nigeria - Abuja Norway - Oslo 196 Countries in The World
  23. 23.  South Africa  Italy  France  The Netherlands  Egypt  Russia  China  The Philippines  Japan  Ireland  England  Australia  The Caribbean  The Bahamas  Hawaii  Alaska  Niagara Falls  Mount Rushmore  The Grand Canyon  Washington DC  New York  Puerto Rico  Guatemala  New Zealand
  24. 24.  Mission or Vacation?  Cost  Time away from work or school  Adult vacation or family  Best time to visit  Planning time needed  Quiet vacation  On the go vacation  Golf  Scuba  Beaches  Mountains  Skiing  Fishing  Number of destinations  Cruise, resort, B&B  Passports  Safety  Exchange rate  Language  Weather
  25. 25.  South Africa  Italy  France  The Netherlands  Egypt  Russia  China  The Philippines  Japan  Ireland  England  Australia  The Caribbean  The Bahamas  Hawaii  Alaska  Niagara Falls  Mount Rushmore  The Grand Canyon  Washington DC  New York  Puerto Rico  Guatemala  New Zealand
  26. 26. Which islands? Eastern, Western, Southern? What mode of travel - Air, Cruise ship?
  27. 27.  Budgeting  Travel Plans  Passports  Scuba Certifications  Weather Forecasting  House sitting  PTO Request  Hotel  Ground Travel to and from Port  Activity Plans  Research Safety Climate
  28. 28. Me My Wife  Golf  Scuba  Beach  Fishing  Exploring  Golf  Golf  Golf  Beach  Shopping
  29. 29.  Cruise  June 30 – July 8  Eastern Caribbean  1-Stop Flight to Fort Lauderdale, Florida  1 Night Hotel Stay  3 Days at Sea  1 Round of Golf  1 Day on the Beach  1 Day Shopping  1 Day Adventuring
  30. 30.  Unforeseen & Unanticipated Issues  Financial Limitations  Lack of Commitment to the Plan  Lack of Alignment  Hidden Agendas  Difficulty in Implementing  Mistakes  Poor Communication  Lack of Accountability  Poor Timing  Scope Creep  Inadequate Resourcing  Inadequate Capacity & Capability
  31. 31.  Course Conditions  Performance Consistency  Weather  Tee Placements  Pin Placements  Playing Partners  Stress Level  Equipment  Ability to Adjust to New Information  Skill Level
  32. 32. The Plan - 5 Actual - 7
  33. 33. Be Agile!
  34. 34. Strategic Analysis Strategy Development Strategy Deployment Strategy Achievement Strategy Improvement
  35. 35.  Environmental Assessment Report ◦ Financial Condition ◦ Voice of the Customer  Patient Satisfaction  Complaints  Community Needs Assessment ◦ Voice of the NON-Customer  Focus Groups  Community Survey ◦ Workforce Analysis  Employee Satisfaction  Employee Capability  Physician Satisfaction  Physician Inventory  Volunteer Satisfaction  Volunteer Capability  Leading Indicators – Turnover, Sick Days, Workers Comp Claims
  36. 36.  Environmental Assessment Report (Continued) ◦ Key Stakeholder Input  Vendors  Suppliers ◦ CAPE Feedback OFI’s ◦ Regulatory Environment ◦ Competitive Environment ◦ SWOT Analysis, Strategic Advantages, Strategic Challenges ◦ Market Forecast  Top Industry Innovations  Distribute All Data to Strategic Planning Participants for Review
  37. 37.  Annual Strategic Planning Retreat ◦ Mission, Vision and Values Statements Review ◦ Core Competencies ◦ Data Analysis Findings – New Strategic Directions ◦ Develop Strategic Objectives ◦ Develop Org-Wide Goals
  38. 38.  Plan Approval – Board of Directors  Deployment Retreat  Action Planning and Owner Assignments  Capability & Capacity Coordination ◦ Capital Budget ◦ Operating Budget ◦ Human Resources  Communication Plan  Departmental / Director Goal Setting
  39. 39.  Systematic Performance Review ◦ Accountability Management (Active Strategy) ◦ President’s Council – Monthly Review, Learning ◦ Board Review – Bi-Monthly Review  Plan Adjustments (Agility) ◦ New Action Plans to Correct or Accelerate Progress ◦ Mid-Game Changes  Respond to New Challenges & New Opportunities
  40. 40.  Annual Strategic Planning Process Review ◦ Past Performance Review ◦ Whole Process Review ◦ President’s Council Review of Process ◦ Board Chair Review ◦ Board Review  New Innovations ◦ Conference Attendance
  41. 41. Strategic Analysis Strategy Development Strategy Deployment Strategy Achievement Strategy Improvement
  42. 42. ?

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