2. Where to Begin
◦ Like all businesses, medical practices should develop an annual business
plan. Along with goals for growth,
◦ Typically, the annual plan focuses on reviewing the current year and
projecting operations into the next period. Strategic planning includes
the basic components of the annual plan, but also includes goals that go
well beyond the next year.
3. Some definitions of
Strategic Planning
◦ Doing Things On Purpose, For Good Reason, and With Good Information
◦ Strategic planning is a “Systematic process of envisioning a desired future and
translating this vision into broadly defined goals or objectives and a sequence
of steps to achieve them.” (www.BusinessDictionary.com)
4. Cont…
◦ Strategic planning is a visionary process that results in major, long-
range and far-reaching strategic directions or goals for the future
◦ Strategic plans provide the foundation for operational planning in the
form of policies, procedures, and strategies for obtaining and using
resources to achieve those directions
5. What is Strategic Planning?
◦ “Strategic planning is a formal process designed to help an organization
maintain an optimal alignment with the most important elements of its
environment” (Rowley, Lujan, & Dolence, 1997, p. 15).
◦ The strategic planning process supplies the organization with tools that
promote future thinking, applies the systems approach, allows for
setting goals and strategies, provides a common framework for
decisions and communications, and relies on measuring performance
(Steiner, 1979).
6. Why do Strategic Planning?
◦ If you fail to plan, then you plan to fail – be proactive
about the future
◦ Strategic planning improves performance
◦ Counter excessive inward and short-term thinking
◦ Solve major issues at a macro level
◦ Communicate to everyone what is most important
7. Strategic Planning Session
◦ An interactive planning session through open discussion, consensus and
commitment to a course of action to achieve desired outcomes.
◦ The next step is to identify where the practice is today.
◦ Once the current situation is summarized, the practice can develop its
vision for the future. This last phase of the planning retreat includes
development of goals, objectives, strategies and action plans.
8. How to proceed?
◦ Strategic planning begins with a work session involving physicians as well as
top managers.
◦ An independent, experienced and knowledgeable facilitator should be
selected by the practice to guide the process to ensure impartiality and
inclusiveness.
◦ comparative analysis
9. Put the strategic plan in writing so there is a blueprint for implementation
and monitoring. It is important to include each of these elements:
◦ • Introduction — mission statement
◦ • Practice summary — current situation analysis
◦ • Vision for the practice and practice goals
◦ • Strategies and objectives
◦ • Assignment of responsibility and monitoring and
evaluation techniques
11. 8
Strategic Planning Model
A B C D E
• Environmental Scan
Assessment
• Background
Information
• Situational Analysis
• SWOT – Strength’s,
Weaknesses,
Opportunities,
Threats
• Situation – Past,
Present and Future
• Significant Issues
• Align / Fit with
Capabilities
• Mission & Vision
• Values / Guiding
Principles
• Major Goals
• Specific Objectives
• Performance
Measurement
• Targets / Standards of
Performance
• Initiatives and
Projects
Baseline Components
• Performance
Management
• Review Progress –
Balanced Scorecard
• Take Corrective
Actions
Down to
Specifics
Evaluate
Where we are Where we want to be How we will do it How are we doing
• Gaps • Action Plans • Feedback upstream –
revise plans
12. 11
Assessment Model:
S W O T
Assessment
External Assessment: Marketplace,
competitor’s, social trends, technology,
regulatory environment, economic cycles .
Internal Assessment: Organizational
assets, resources, people, culture,
systems, partnerships, suppliers, . . .
• Easy to Understand
• Apply at any
organizational level
• Needs to be
Analytical and
Specific
• Be honest about your
weaknesses
Good Points Possible Pitfalls
SWOT SWOT
13. Strategic Management: PEST
Analysis
A scan of the external macro-
environment in which the firm
operates can be expressed in terms of
the following factors:
Political
Economic
Social
Technological
14. Baseline
Why create a baseline?
◦ Puts everything about the organization into a single context for comparability
and planning
◦ Descriptive about the organization, as well as the overall environment
◦ Include information about relationships – customers, suppliers, partners and
stakeholders
◦ Preferred format is the Organizational Profile
15. 23
Major Components of the
Strategic Plan / Down to Action
Components
Mission
Vision
Goals
Objectives
Measures
Why we exist
What we want to be
Indicators and
Monitors of success
Desired level of
performance and
timelines
Planned Actions to
Achieve Objectives
O1 O2
AI1 AI2 AI3
M1 M2 M3
T1 T1 T1
Specific outcomes expressed in
measurable terms (NOT activities)
Strategic Plan
Action Plans
Evaluate Progress
Targets
Initiatives
What we must achieve to be successful
16. Mission & Vision Statements
Mission
◦ Captures the essence of why the organization exists – Who we are, what we do
◦ Explains the basic needs that you fulfill
◦ Expresses the core values of the organization
Vision
◦ How the organization wants to be perceived in the future
◦ An expression of the desired end state, a long-term focus for the entire
organization
17. Core Values & Goals
Core Values
◦ Provides an underlying framework for making decisions – part of the organization’s
culture often rooted in ethical themes.
Goals
◦ A goal is a specific statement of the desired results to be achieved over a specified
period of time. They shapes the way ahead in actionable terms.
19. Objectives
◦ Tasks/Actions to be achieved
◦ An objective is a measurable statement or incremental milestone which specifies a
change or benefit that the entity hopes to achieve as it strives to achieve a specific
goal.
◦ May need several objectives to meet a goal
◦ Objectives should be S M A R T
(S – Simple, M – Measurable, A – Attainable, R – Realistic, T – Time bounded)
20. Action Plans & Initiatives?
◦
The Action Plan identifies the specific steps that will be taken to achieve the initiatives
and strategic objectives
◦
Each Initiative has a supporting Action Plan(s) attached to it
◦
They describe who does what, when it will be completed, and how the organization
knows when steps are completed
◦
Like Initiatives, Action Plans require the monitoring of progress on Objectives, for which
measures are needed
21. Policy & Procedures
◦ Policy: (Any decision or rule to a specific issue)
A policy enables or restricts actions, providing specific information about the ends,
the entity desires to achieve. It is a direction for the leadership and staff .
◦ Procedure (A methodology or pathway)
Procedures specify how to accomplish any policy. It is a set of activities which are
aimed at planned outputs.
22. What Resources?
How to Link?
Every Action Plan should identify the following:
◦ The human resources needed to succeed
◦ The time resources needed to succeed
◦ The financial resources needed to succeed
◦ The physical resources (facilities, technology, etc.)
needed to succeed
24. Strategy Evaluation
The implementation of the strategy must be monitored and
adjusted as needed.
Evaluation and control consists of the following steps:
Define parameters to be measured
Define target values for those parameters
Perform measurements
Compare measured results to the pre-defined standard
Make necessary changes
25. Criteria for Good Evaluation
◦ Integrity
◦ Reliability
◦ Accuracy
◦ Timeliness
◦ Confidentiality & Security
◦ Suitability
◦ Feasibility
◦ Acceptability
• For each measurement, you should have at least
one target
• When you reach your targets, you have
successfully executed your strategy
Targets (The aim for the period)
26. Continuous Feedback
through the Balanced Scorecard
◦ Use of Balanced Scorecard framework to organize and report actionable
components.
◦ Scorecard is used for managing the execution of strategies.
◦ Scorecard “forces” us to look at different perspectives and take into account cause-
effect relationships.
◦ It improves how you communicate strategies.
27. 51
www.studyMarketing.org
Continuous Improvement
Instituting
best practices
and
commitment
to continuous
improvement
• Competent strategy execution entails
visible, unyielding managerial commitment
to best practices and continuous
improvement.
• Benchmarking, the discovery and
adoption of best practices, and six sigma
initiatives all aim at improved efficiency,
better product, and greater customer
satisfaction.