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PA 509
          Organizational
         Experience Report
                      Amanda Phillips
                        Summer 2012
                    Faculty Advisor: Dr. Kaimanu
             509 Faculty Advisor: Dr. Gelmon
            Field Organization: PATH for women
Field Supervisors: Jamie Ross, PhD and Torrie Fields, MPH
Table of Contents
List of Acronyms ................................................................................................................................. ii

Project Overview .................................................................................................................................. 1

Organizational Setting .......................................................................................................................... 1

Learning Objectives and Tasks ............................................................................................................ 3

Work Processes and Outcomes ............................................................................................................ 6

Objective #1: Enhance Stakeholder Identification and Management Skills ........................................ 9

    Stakeholder Identification and Information Gathering.................................................................. 10
    Stakeholder Categorization and Creation of a Stakeholder Table................................................. 11
    Stakeholder Prioritization and Analysis of the Stakeholder Table ................................................ 13
    Stakeholder Management: Recommendations/Implications ......................................................... 14
Objective #2: Strengthen Strategic Communication Skills ............................................................... 17

    Solicit Internal Buy-in and Communications Audit ...................................................................... 19
    Creation of Communication Content, Tools, and Templates ........................................................ 20
    Project Coordination...................................................................................................................... 21
    Organizational Strategic Communications Plan ............................................................................ 22
    Strategic Communication: Outcomes and Recommendations ...................................................... 23
Objectives # 3 & 4: Enhance Applied Skills in Situational Analyses and Develop Competencies in

Strategic Planning .............................................................................................................................. 26

    Identify Organizational Mandates ................................................................................................. 26
    Assess the External and Internal Environment and Strategic Issues ............................................. 27
    Formulate Strategies to Manage the Issues, Review and Adopt a Strategic Plan, and Develop an
Implementation Process ..................................................................................................................... 28
    Outcomes and Recommendations ................................................................................................. 29
Conclusion.......................................................................................................................................... 30

Bibliography ....................................................................................................................................... 31




                                                                                                                                            Page | i
List of Acronyms
CWH – Center for Women’s Health

OHSU – Oregon Health and Sciences University

PATH for women – Policy Advisory Toward Health for women

PSU – Portland State University

WGSS – Women, Gender, and Sexuality Studies Department

                                      Intentionally Blank




                                                            Page | ii
Project Overview
Organizational Setting

       Policy Advisory Toward Health (PATH) for women is a small non-profit and has three

employees. They are Michelle Berlin M.D., M.P.H. (Director of Research), Jamie Ross, PhD (Co-

Director of Outreach), and Torrie Fields, MPH, Co-Director of Outreach). Michelle Berlin M.D.,

M.P.H. an Oregon Health and Sciences University (OHSU) physician, and researcher, founded

PATH for women in 2004. PATH for women was a response to the critical need for current,

evidence-based information concerning women’s health for use toward policy implementation and

it is now a strategic partnership between the OHSU Center for Women’s Health (CWH) and

Portland State University’s (PSU) Women, Gender, and Sexuality Studies Department (WGSS).

PATH for women’s revised mission is to provide accurate, high-quality community driven research,

data, and analysis to inform women’s health policy and to serve as an independent source of data,

analysis, and coalition capacity-building for the public, advocates, and policymakers.

       PATH for women has expanded from its original emphasis on creating and translating

scientific research to inform women’s health policy to include coalition capacity building and

community outreach. As a result, PATH for women has two divisions (see Appendix A). One

focuses on research and the other focuses on outreach. The outreach division is housed at WGSS

and it aims to develop meaningful relationships with interested community members, community

organizations, public health professionals, educators, and policymakers regarding issues facing

women in Oregon, such as Women with Diabetes and Women with First Trimester Prenatal Care.

The outreach division draws its evidenced-based health related information from the Making the

Grade on Women’s Health: A National and State-by-State Report Card (Report Card).




                                                                                            Page | 1
The Report Card has been published since 2000. The 5th edition, and most current Report Card

evaluates 34 health status and 68 health policy indicators and assesses progress in reaching key

benchmarks and policy objectives for each state and for the nation as a whole. For example,

according to the Report Card Oregon is currently demonstrating a failing grade in two indicators:

Women with Diabetes and Women with First Trimester Prenatal Care.

       The research division is housed in CWH where Michelle is a lead author of the

aforementioned Report Card (see http://hrc.nwlc.org/). The research division aims to serve as a

national and regional resource for data analysis, including the provision of accurate and current

research concerning women’s health and evidence-based analysis of key issues that specifically

affect efficiency, cost, and outcomes of the health of women. Since 2004, the outreach division of

PATH for women has:

          Identified key areas in women's health with policy impact and developed materials for
           use by community groups, local organizations, and the public to influence policy
           development and implementation

          Interpreted the results of health studies for policymakers, the media, and the public

          Analyzed and translated existing evidence-based research for the public and
           policymakers


                                           Intentionally Blank




                                                                                              Page | 2
Learning Objectives and Tasks

Objective #1: Enhance stakeholder identification and management skills

          Ensure integrity of the current data on potential stakeholders by querying the database
           and cross referencing the data with publicly available information

          Facilitate brainstorming session with staff to identify additional stakeholders

          Perform a literature review to gain a better understanding of feminist stakeholder
           prioritization methodologies

          Categorize stakeholders based on their type and interest in health disparities

          Prioritize stakeholders using a unique scorecard that focuses less on power rankings and
           resource level and more on relationships and those who are most vulnerable to PATH for
           women’s objectives

          Analyze the data and develop recommendations

          Write stakeholder analysis report that synthesizes the literature review, key themes, the
           data analysis, and recommendations

          Present report to staff

Evidence: Written stakeholder analysis report

Objective #2: Strengthen strategic communication skills

          Collaborate continuously with key internal stakeholders to determine requirements and
           gather past content to develop effective communication materials and strategies

          Create and/or edit content for the web and promotional materials including PATH for
           women's story: the history of the program and a narrative that establishes the need for
           the program, e-mail communiques, fact sheets, and presentations to help prepare PATH
           for women to recruit champions and partners and communicate with external
           stakeholders

          Develop a needs assessment and other outreach tools such as invitation letters for an
           advisory committee and coalitions around diabetes and first trimester prenatal care




                                                                                                Page | 3
   Establish communication channels and processes by creating an outreach and
           communications plan that establishes clear policies on communication practices and
           procedures, such as outreach efforts (e.g., goals, target audiences, key messages,
           strategies, tools, intended outcomes, and the means to evaluate results), frequency of
           communications, brand editorial standards, rules around print and electronic
           communications, approval for institutional facts and messaging, and expected response
           for internal and external concerns

          Source and manage the efforts of a graphic artist and marketing consultant to design
           products such as a logo, graphic standards, stationary templates, and communication
           templates, such as project worksheets

          Help facilitate and coordinate PATH for women’s transition to a website dedicated to its
           organization

          Write report synthesizing internal stakeholder engagement efforts and recommendations

Evidence: Strategic communications plan and report, including the recommendations, tools,
standards, and a synthesis of internal stakeholder engagement efforts and the website transition
process

Objective #3: Enhance applied skills in situational analyses

          Conduct a literature review and Internet search to find comparable organizations and
           determine strategies that have been successful for these organizations

          Review, revise, and/or develop PATH for women's mission, vision, and values

          Facilitate a brainstorming session with PATH for women staff and conduct a SWOT
           analysis

          Draft situational analysis report

          Discuss results of SWOT and situational analysis with PATH for women staff and gain
           feedback

          Revise and finalize situational analysis

Evidence: The SWOT, situational analysis, and a report summarizing the literature review, and the
process of developing/revising the mission, vision, and values




                                                                                             Page | 4
Objective #4: Develop competencies in strategic planning

          Solicit internal stakeholder input for the strategic planning process through facilitated
           meetings, and gather and review past PATH for women communication with external
           stakeholders and prior strategic plans

          Synthesize results and draft a report

          Use the report to craft recommendations for revised goals, strategies, and objectives

          Develop a strategic plan and create an action plan including budget, tasks, roles,
           scheduling, and metrics to reflect accomplishments and adjustments to the PATH for
           women’s priorities

          Solicit additional feedback from PATH for women staff and edit the strategic plan as
           necessary

          Present final strategic plan to PATH for women staff

Evidence: Comprehensive strategic plan, including a list of stakeholders, a copy of the presentation
materials used to communicate the results of the project, and the report synthesizing the strategic
planning process

Objective #5: Integrate and apply what has been learned in the curriculum during the

organizational experience, identify future career directions, and articulate potential ongoing

professional development needs.

          Engage in reflection activities through the organizational experience.

          Document personal progress toward both career goals and learning objectives

          Prepare the required reflective papers

Evidence: Reflective paper, portfolio, and presentation slides




                                                                                                 Page | 5
Work Processes and Outcomes

       My 509 project was to create a strategic plan and an outreach and communications plan to

help these efforts. My supervisors were Dr. Jamie Ross, an assistant professor at PSU, and Torrie

Fields, MPH who are the co- directors and progenitors of PATH for women's outreach and

advocacy division. Therefore, their guidance and input was integral to the success of this 509

project and they were required members of the strategic planning work team. I also worked Dr.

Berlin, the founder of PATH for women and director of its research division. Dr. Berlin offered

insight into the origins of the organization and shared her vision for its future.

       As my 509 project progressed, I had to revise my objectives and tasks. For example, as

discussed below, PATH for women requested that I apply feminist methodologies and frameworks

during the stakeholder analysis instead of the traditional approaches that I had anticipated. Another

modification to my initial work occurred after the staff reviewed the drafts of the stakeholder

analysis, strategic plan, and communications plan. They determined that while the analysis and

plans were sound, and reflected their initial goal of forming coalitions, that they did not have the

organizational capacity for successful implementation and that poor implementation would reflect

poorly on the organization. As a result, I shifted my focus to creating a framework that allowed

PATH for women to support existing coalitions. The revised objectives, work processes, and

outcomes associated with them are as follows. In addition, my initial action plan and a detailed

meeting log are included in Appendix B.

       At the start of the project, I suggested that we utilize the strategic planning framework

described by John M. Bryson (2004) in Strategic Planning for Public and Nonprofit Organizations.

The work team was amenable so I also adapted the strategic planning worksheets from Bryson’s

(2005) Creating and implementing your strategic plan: a workbook for public and nonprofit

organizations. This process framework is captured in Figure 1.
                                                                                               Page | 6
Figure 1: Ten Step Strategic Planning Process




Source: Bryson, J. M. (2004). Strategic planning for public and nonprofit organizations: a guide to strengthening and
sustaining organizational achievement (3 ed.). San Francisco, CA: Jossey-Bass.




                                                                                                                   Page | 7
Figure 1 can be summarized into a 10-step process that helped guide our actions throughout the 509

project. These steps identified by Bryson (2004) are:

   1. Initiate and agree on a strategic planning process;

   2. Identify organizational mandates;

   3. Clarify organizational mission and values;

   4. Assess the external and internal environments to identify strengths, weaknesses,
      opportunities, and threats;

   5. Identify the strategic issues facing the organization;

   6. Formulate strategies to manage the issues;

   7. Review and adopt the strategies or strategic plan;

   8. Establish an effective organizational vision;

   9. Develop an effective implementation process; and

   10. Reassess the strategies and the strategic planning process (pp. 33-34).

We did not follow these steps verbatim. For example, we believed that it was more beneficial to

establish the vision for PATH for women while we were clarifying its mission and values. In

addition, the first step “initiate and agree” occurred during the drafting of the project contract.

Furthermore, Bryson’s (2004) framework and steps are incredibly dense. I ultimately decided to

create objective friendly process maps that expanded these 10-steps into actionable and

approachable sequences. Nevertheless, this framework shaped our approach to each of the above-

mentioned objectives.




                                                                                                 Page | 8
Lastly, while developing my project I realized that facilitating meetings and brainstorming

sessions would be critical to my success. An Institute for Media, Policy and Civil Society

handbook; Strategic Planning for Public and Nonprofit Organizations: A Guide To Strengthening

and Sustaining Organizational Achievement by John Bryson; and Strategic Planning for Public and

Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement by

Sally Patterson and Janel Radtke (2009) helped me conduct these sessions effectively.

Objective #1: Enhance Stakeholder Identification and Management
Skills
        By third quarter 2013, PATH for women would like to forge strategic partnerships with

coalitions that address two issues: improving the health of women and their children during the first

trimester, and preventing and improving care for women with diabetes. PATH for women will align

with these existing coalitions, and support them by assisting with the recruitment of potential

coalition members, translating research upon request, and training coalition members on how to use

qualitative data to support their policy initiatives.

        PATH for women’s staff plan to identify the appropriate coalitions as part of their duties.

Therefore, this stakeholder analysis supports PATH for women’s goal by identifying and

prioritizing potential coalition members that PATH for women can recruit for the existing

coalitions. The narrative below outlines the tasks that each group member completed, and figure 2

contains a process map.




                                                                                               Page | 9
Figure 2: Stakeholder Analysis Process


                                         Stakeholder
                                        Identification


                                                           Document and
                      Monitor and
                                                            Categorize
                       Evaluate
                                                           Stakeholders




                                                            Analyze and
                        Engage
                                                              Prioritze
                     Stakeholders
                                                            Stakeholders


                                      Develop Strategies
                                         to Manage
                                        Stakeholders




Stakeholder Identification and Information Gathering

       The identification and information gathering process was similar to step #2 of the Bryson

(2004) framework and it relied on PATH for women’s prior knowledge and secondary information.

Specifically, PATH for women previously reviewed organizational websites, advocacy reports, and

annual summaries and used the information to create a matrix of organizations that were linked to

the Report Card indicators. I then compiled a list of stakeholders/potential coalition members for

each coalition (see Appendix C) by focusing on organizations that were linked to indicators related

to each issue. For example, organizations that were linked to the nutrition and obesity indicators

were included in the list of stakeholders for the diabetes coalition. Next, I reviewed each

organization’s current strategic objectives and goals to determine if the organization was still

aligned with the issue, and used their website to develop the contact list.




                                                                                              Page | 10
There are some limitations to this method. The websites and reports can be outdated and

organizational interests may have changed, but these sources are excellent for an initial report and

this method was most appropriate for PATH for women’s strategic planning timeline. Nevertheless,

to increase the efficacy of the stakeholder analysis process PATH for women must integrate

additional steps such as a needs assessment. As a result, the work group developed a needs

assessment (see Appendix C) that PATH for women will use in the future to gain primary data on

stakeholder interests. PATH for women will also use this data to revise this report and future

stakeholder analyses.


Stakeholder Categorization and Creation of a Stakeholder Table

       First, the work group brainstormed and defined the stakeholder characteristics. Traditional

characteristics include resources, power, leadership, and interests (Bryson, 2004a; Bryson, 2004b;

Schmeer, 1999). Once these characteristics are defined, stakeholders are then ranked in a table

based on their positions within these categories. Analytical tools associated with these

characteristics include the power versus interest grids, numerical rankings e.g., 3, 2 ,1 with 1 being

none and 3 being a lot, or the common rankings yes or no and high, medium, low (Bryson, 2004a;

Bryson, 2004b; Schmeer, 1999).

       At this initial work session, PATH for women indicated that such traditional characteristics

were not suitable for its purposes. Instead, PATH for women wanted me to focus on characteristics

that align with its mission and its values, which incorporate feminist ideologies. In other words,

PATH for women wanted a unique scorecard that focuses less on power rankings and resource

levels, and more on relationships, stakeholder needs, and those who would be affected the most by

the coaltions that they support.




                                                                                              Page | 11
As a result, I conducted a literature review (see Appendix C). Based on the literature review

I developed a draft list of characteristics, and created a stakeholder table. I populated the table with

the identified stakeholders, contact information, and the draft characteristics. For example, based on

Schmeer (1999), one of my sources, I categorized the stakeholders into the following sectors

nonprofit (nongovernmental organizations, foundations, grassroots community organizations);

commercial/private for profit organizations; and public or government departments or programs.

In accordance with Schmeer (1999) I also ensured that stakeholders from different

departments/administrative areas and geographic locations were included even if they were from the

same organization. Furthermore, I included sectors research programs and organizations, and trade

associations. Hospital-based research programs and organizational sectors are important because

stakeholders/potential coalition members, such as the Kaiser Permanente Center for Health

Research are neither community organizations, nor direct service providers. The trade associations

sector was important because some nonprofits are uniquely focused on the needs of the

professionals who deliver services. These stakeholders help shape healthcare in Oregon, but they

are not tied primarily to a single issue.

        Lobbying capability/intent was important because some organizations may have the

experience with and the resources to create and advocate for policy positions. These organizations

are also important because they can share their experiences and help guide the consensus building

and policy development process. The level of reporting/focus was important because an

organization’s grant funding and mission are strongly linked to improving health outcomes

associated with diabetes or first trimester prenatal care would more than likely show a higher level

of interest in becoming a coalition member.




                                                                                               Page | 12
The group felt that the direct health services providers were of particular importance

because they have access to qualitative data e.g., case studies that would help supplement the

quantitative and research data that PATH for women can access through its connection with CWH.

The size of the organization was important because size affects an organization’s flexibility; it

shapes organizational culture and is often times an adequate predictor of organizational capacity.

Lastly, a focus on socio-demographic issues is important because the Report Card has demonstrated

that states, including Oregon, have significant health disparities and women suffer from these

disparities on multiple levels. Furthermore, the overall U.S. female population suffers from lower

health outcomes, but women of differing racial/ethnic populations, geographic populations, and

socioeconomic class face even more risks to their health. Reducing these gaps and improving the

health of all women aligns with PATH for women’s vision.

           PATH for women’s staff then reviewed a final draft of the suggested table, and ultimately

the work group agreed to the stakeholder characteristics that are defined in Appendix C. In addition,

Appendix C includes instructions for completing the stakeholder table and the populated

stakeholder table. Each of the characteristics defined therein reflect the different roles that these

stakeholders play, and the perspectives they can bring to the coalitions.


Stakeholder Prioritization and Analysis of the Stakeholder Table

I identified a list of 68 stakeholders for the diabetes coalition and 31 stakeholders for the first

trimester prenatal care coalition. Each stakeholder was then scored. The characteristics were

assigned a numerical value

               Yes = 1 and No = 01

               High = 3, Medium = 2, and Low = 1



1
    Except for the rural versus urban category where Yes = 2 and No = 0.
                                                                                                Page | 13
The total number of indicators that each organization addressed through its strategic plans or current

programming was also added to the individual scores. The sample size was not large enough for

more sophisticated statistical analyses. For example, an attempt to take the top 30% of stakeholders

in each category revealed that there is only one trade association, and that all of the government

organizations are large organizations. Nevertheless, there are steps that PATH for women could take

to ensure that its initial outreach efforts are balanced. For instance, it would make sense for PATH

for women to invite organizations that may not have been in the top 10 for each issue. For example,

stakeholders from rural areas may be of more interest than those from urban areas despite their

score. A complete analysis of the data is available in Appendix C.


Stakeholder Management: Recommendations/Implications

This stakeholder analysis is only valuable if PATH for women leverages the results and creates a

stakeholder management process. Therefore, stakeholder management should be continual, and the

stakeholder analysis should be updated regularly so that PATH for women can continue to identify

new stakeholders, changes to current stakeholders, and new information that current management

efforts produce. The Clarkson Centre for Business Ethics (1999), also outlines seven principles of

stakeholder management that PATH for women should incorporate in its management processes.

(See Appendix C for a detailed discussion of these principles).




                                                                                             Page | 14
The literature review mentioned above (and contained in Appendix C) also provides some

stakeholder management recommendations. A classical view of stakeholder management holds that

it requires “simultaneous attention to the legitimate interests of all appropriate stakeholders, both in

the establishment of organizational structures and general policies and in case-by-case decision

making” (Donaldson & Preston, 1995). From a feminist perspective, however, the stakeholder

management process focusses less on the legitimacy of interest and centralizing authority and

power.

         Instead, feminists believe that stakeholder management should be “… about creating value

for an entire network of stakeholders by working to develop effective forms of cooperation,

decentralizing power and authority, and building consensus among stakeholders through

communication to generate strategic direction” (Wicks, Gilbert, & Freeman, 1994). Therefore, if

PATH for women intends to incorporate feminist methodologies in its stakeholder management

process, PATH for women should focus on ensuring that coalition members form a strong and

productive network (McGuire, 2002). PATH for women should also “care enough for the least

advantaged stakeholders that they not be harmed; insofar as they are not harmed, privilege those

stakeholders with whom you have a close relationship” (Burton & Dunn, 1996).

         As a result, I recommend that PATH for women quickly conduct the above referenced needs

assessment. This will ensure that PATH for women is aware of, and can attempt to meet the needs

of all of its stakeholders not just those with whom the staff have previously communicated or those

who are selected to become coalition members. PATH for women should also communicate

continuously with its coalition members and other stakeholders. As McGuire 2002, states

“…network management is based on information rather than authority.” Constant communication

will create transparency and give stakeholders the opportunity to learn about PATH for women.

Communication will also ensure that there is a strong relationship among coalition members since
                                                                                               Page | 15
dialogue will foster trust, build credibility, and help clarify the coalition’s goals and expectations.

To start, PATH for women should host the coalition members, and provide a clear description of

their roles and responsibilities, and an overview of PATH for women’s objective and the Report

Card. Communications tools and an organizational strategic communications plan are included in

Appendix D.

       PATH for women must also empower its members. PATH for women is uniquely capable of

providing relevant and timely evidenced-based data to its community members. Furthermore,

PATH for women has expertise in translating research into effective programmatic policy, and

bridging the information gap between researchers, service providers, and community organizations.

Empowering coalition members would require PATH for women to provide access to its resources

and skills, and train coalition members so that they can develop the capacity to request research

when needed and incorporate evidenced-based research in their interventions and advocacy efforts.

       Additionally, PATH for women should facilitate and promote a shared understanding of the

root causes of the issues and collective approaches to producing efficient and effective policies and

interventions. A coalition, as opposed to individual actors, has a greater chance of creating

sustainable change. Lastly, PATH for women should evaluate its stakeholder engagement and

management processes, as well as the outcomes from this initial effort. Some suggestions on how to

measure the outcomes of communications with stakeholders are in Appendix D. Evaluating the

engagement process will allow PATH for women to improve and/or maintain the quality of both its

relationships with its stakeholders, including coalition leaders.




                                                                                                Page | 16
Objective #2: Strengthen Strategic Communication Skills
       PATH for women’s strategic plans include supporting two coalitions, forming an advisory

committee, and increasing public awareness of the organization in order to gain credibility within

the region. Extensive internal and external communication is critical to the attainment of these

goals, but without effective strategic communication, PATH for women will not be able to recruit

coalition members, nor will PATH for women be able to increase its profile.

The term strategic communication “describes the combination of plans, goals, practices, and tools

with which an organization sends consistent messages about its mission, values, and

accomplishments” (Patterson & Radtke, 2009). Therefore, PATH for women needed a

comprehensive organizational strategic communications plan and numerous tools and templates to

prepare the organization to pursue these goals. Unlike an event specific or announcement-specific

plan, an organizational strategic communications plan formalizes PATH for women’s overall policy

for internal and external communication, provides guidance on how to communicate proactively

and reactively with various audiences, and includes instructions on how to develop and maintain

relationships through clear communications. The process for this objective is described below and

shown in Figure 2.

                                           Intentionally Blank




                                                                                            Page | 17
Figure 3: Strategic Communications Plan Process Map



                                       Solicit Internal Buy-in
                                       and Communications
                                       Audit




     Revise and                         Design and Deliver
                                                                             Needs Assessment
     Improve Process                    Content and Tools




                                        Monitoring
                                        Communications
                                        Plan




                                        Evaluation and
                                        Monitoring




Adapted from Communcation Partners. (n.d.). Strategic Communication: Communication Partners. Retrieved August 12,
2012, from Communications Partners: http://www.communipartners.com/Strategic_Communication.html




                                                                                                         Page | 18
Solicit Internal Buy-in and Communications Audit

       The creation of the strategic communications plan required constant dialogue with the

PATH for women staff, and initial discussions centered on the scope of the plan. PATH for

women’s strategic initiatives (coalition building, increasing public awareness) required specific

program planning. Nevertheless, as we assessed the current state of PATH for women’s

communication capabilities, we quickly realized that PATH for women could not move forward

until PATH for women had a clear brand. In other words, PATH for women lacked a clear

personality, and the tools such as a logo, mission, vision, graphic standards, and cohesive and

consistent messaging, tone, and communication activities that were necessary to establish a

personality. Therefore, PATH for women agreed that I should focus on creating an organizational

strategic communications plan. Nevertheless, I ensured that the communication products and

templates from this organizational strategic plan included information that could easily be

incorporated into the program specific activities for PATH for women coalition support projects.

       Next, I asked PATH for women to give me access to its Dropbox where all of its past

content such as letters to stakeholders, press releases, organizational capacity descriptions that were

used for grants etc., was housed. Upon receipt, I reviewed these materials so that I could gain a

better understanding of PATH for women, its history, its communications culture, specifically its

tone and style, and its past strategies for communicating with the public and stakeholders. This

information provided context and helped shape the communications goals, objectives, and activities

contained in the organizational strategic communications plan (see Appendix D).




                                                                                              Page | 19
I also requested, and received, access to the budgets and financial information for the

outreach division since resource availability determines which communication channels and

strategies are most realistic and appropriate. Lastly, I incorporated portions of the situational

analysis that I conducted for PATH for women’s strategic plan into the communications plan. The

situational analysis (which I discuss in detail below) identified internal and external forces that

affect the overall organization. Therefore, I expanded where necessary, to highlight the forces that

would have the most effect on the communications plan.


Creation of Communication Content, Tools, and Templates

         I facilitated a brainstorming session with PATH for women regarding the message that

they would like to convey to key stakeholders. We also discussed how they would like to be

perceived by the public, and encouraged them to think about terms and phrases that they believe

describe the organization and capture their vision. In addition, we brainstormed what success would

mean to the organization. Lastly, we brainstormed the mission, vision, and values for the

organization. (These steps are similar to #3 and # 8 of the Bryson (2004) framework). To help

prepare PATH for women for this part of the meeting, I sent the PATH for women staff samples of

missions, visions, and values, definitions of the terms we would be using, and PATH for women’s

old mission statement, that I found in their paperwork. This mission statement was insufficient

because it focused solely on the research division of the organization. These materials are included

in Appendix D. At the end of the session, we had a revised mission and drafts of the vision and

values that PATH for women felt comfortable with me using as a basis for the next stage.




                                                                                               Page | 20
I then used these drafts and the other information from the brainstorming session to create

tools, templates, and guidelines. I created brand editorial standards (see Appendix D) and as

discussed below the marketing consultant and graphic artist created graphic standards. I also

developed outreach tools such as invitation letters for an advisory committee and coalitions around

diabetes and first trimester prenatal care (see Appendix D) and other content that could easily be

adapted for the PATH for women website.


Project Coordination

         Once it became clear that PATH for women needed templates and other

communication materials, I altered my objectives to include sourcing and managing the

efforts of a graphic artist and marketing consultant. I believed that we needed professionals to

design products such as a logo, graphic standards, stationary templates, and communication

templates such as project worksheets. As a result, I approached a contact of mine, a former

marketing executive with extensive experience with academic institutions, and he

recommended a graphic artist. Together we created a scope of work and shared it with PATH

for women. PATH for women agreed to the scope and the nominal fee of $200. The scope of

work and the associated deliverables are included in Appendix E. The marketing consultant

and graphic artist then used my notes and the materials from the above referenced

brainstorming session to create their deliverables.

       My analysis of PATH for women’s communications capacity also revealed that the

organization had to increase its web and social media presence. PATH for women only had a small

byline on the CWH’s website. I contacted the person responsible for maintaining this page to

determine what if anything we could do to increase PATH for women’s presence. This individual

responded that OHSU has a very strict policy regarding website content and that it would be an

extensive undertaking to change the CWH page. Consequently, I revised my tasks for this objective
                                                                                              Page | 21
to include facilitating PATH for women’s transition to a website dedicated to its organization. Since

OHSU’s website creation and maintenance process seemed extremely complex, I suggested that we

move the website for the outreach division of PATH for women to the WGSS page at PSU. WGSS

agreed and a link to PATH for women’s page will be housed under a new tab on the WGSS

homepage dedicated to “Activism.” The research division will still have a presence on the CWH

website, but it will now include a link to the new PATH for women webpage, and vice versa.


Organizational Strategic Communications Plan

       Organizational communications plans include the strategic goals that the plan will help

achieve. They also include the target audience(s) and specific outcomes that the plan can achieve;

the communication channels, methods, and activities to implement the plans; an exploration of the

resources necessary to implement the plan; and tools to evaluation the effectiveness of the

communications plan (Positioning Public Child Welfare Initiative, 2012; Schwartz, 2010; W.K.

Kellogg Foundation, n.d.). (In addition, this portion of the communications planning process is

similar to steps #4, #5, #6, #7, and # 9 of the Bryson (2004) framework). The goals for the

organizational strategic communications plan are outlined above. They were apparent when we

realized that PATH for women lacked even the most basic communication materials and

communications infrastructure. In addition, PATH for women’s strategic goals, which are discussed

later in this report, also shaped the overall goals for the communications plan. The stakeholder

analysis that I conducted for objective #1 and the situational analysis that I conducted for objective

#3 helped me identify the target audience. Lastly, the aforementioned brainstorming session and

communications audit provided the details for the remaining elements of the plan. Once I completed

a draft of the strategic communications plan, I submitted it to the PATH for women staff for

comments and approval.



                                                                                              Page | 22
Strategic Communication: Outcomes and Recommendations


Outcomes

           The public will be better informed and educated about PATH for women, and the

organization will increase its public profile. The plan will also improve the quality and effectiveness

of PATH for women’s communications, which will then increase the organization’s profile.

Increased brand awareness may also lead to increased resources, such as PSU and OHSU

departmental support and grants which will extend both the reach of the organization and PATH for

women’s ability to achieve its mission. Also, the plan will facilitate improved allocation of

resources. Furthermore, PATH for women now has enough materials to prepare a press kit, which

usually consists of background material, such as the history of the organization, its mission, vision,

values, current collaborators, and information on past successes. PATH for women will also have a

website that is easy to find and easy to navigate. The website, through Google Analytics will also

provide a way for PATH for women to measure the success of its communication activities.


Recommendations

           PATH for women should conduct additional audience definition, segmentation, and

profiling. This exercise will help PATH for women develop messages that will more effectively

compel its target audiences. This information will also help PATH for women identify events,

activities, and communication pathways that the organization can leverage in the future. It may also

ensure that PATH for women efforts to create an advisory committee are successful. PATH for

women should also establish a dedicated e-mail address for announcements. This dedicated e-mail

address will also increase the legitimacy of its communication efforts.2




2
    PATH for women has already acted on this recommendation. Its dedicated e-mail address is PATHforwomen@pdx.edu.

                                                                                                           Page | 23
As the organization grows, it would also be best for PATH for women to hire or select one

person to be the point of contact for media inquiries and become the communications plan manager.

This will allow Torrie Fields to dedicate her time towards direct outreach, program management,

planning, and implementation. Until then it makes sense for all PATH for women staff to become

familiar with marketing strategies and tactics. There are numerous free or low cost sources for

guidance on how to use various communication channels effectively e.g., Guerilla Marketing for

Nonprofits.3 Furthermore, PATH for women should hire a marketing and social media intern who

would report to Torrie. This would ensure that there is timely-follow up and in times when a swift

reaction is necessary someone is prepared and empowered to deal with the situation.

         PATH for women should be prepared to allocate about four hours a week, the average

amount time most say they dedicate to marketing and social media (Institute for Media, Policy and

Civil Society, 2005). This will ensure that the staff can easily gather and upload content regularly to

both the website and Facebook page, and perform other communications-related duties. Old and

inaccurate information will reduce the organization’s credibility, and if the organization fails to

produce timely comments or a position on current events, the organization itself becomes less

relevant. Moreover, PATH for women should consider adopting a social media policy.




3
 Levinson, J. C., Adkins, F., & Forbes, C. (2010). Guerrilla marketing for nonprofits: 250 tactics to promote, recruit, motivate,
and raise more money. Irvine: Entrepreneur Press.

                                                                                                                      Page | 24
This policy should “outline clear rules around the use of social media… suggested best

practices around privacy and confidentiality issues, and personal vs. professional or official social

media behavior” (Colorado Nonprofit Association, 2011). PATH for women should also develop a

fundraising or development communications plan. This organizational communications plan will

provide the foundation for the fundraising communications plan since “a development

communications strategy starts with the organization’s overall communications plan … and must be

done in the context of how the organization has decided to present itself to the public” (Poderis,

2011). The fundraising communications plan would help PATH for women achieve its strategic

goal of becoming financially sustainable.

        In addition, PATH for women should expand its portfolio of materials to support its

communication activities. For example, the staff can convert the new logo and brand statement into

promotional items that the staff can leave behind and giveaway. PATH for women can then test

these new materials with its coalitions and advisory committee. PATH for women could also create

an annual report. The annual report would help publicize significant achievements and events

Another recommendation is that each invitation to the coalition should be followed by a phone call

to verify receipt of the information, answer questions, and if possible arrange an in-person meeting

since in-person meetings increase the chance of successfully gaining support and strengthens

relationships (W.K. Kellogg Foundation, n.d.). Lastly, PATH for women should update its

organizational strategic communications plan annually and conduct quarterly evaluations of the

plan.




                                                                                              Page | 25
Objectives # 3 & 4: Enhance Applied Skills in Situational Analyses and
Develop Competencies in Strategic Planning
       As mentioned above the strategic planning team mainly utilized the framework described

by John M. Bryson (2004) in Strategic Planning for Public and Nonprofit Organizations and the

strategic planning worksheets from Bryson’s (2005) Creating and implementing your strategic

plan: a workbook for public and nonprofit organizations to guide the strategic planning process.

The process map and the worksheests can be found above, as well as in Appendices F and G.

Specifically, these objectives required us to complete and/or reassess steps #2, #4 – #7, and #9 of

Bryson’s (2004) framework within the context of a strategic plan. The information contained in the

worksheets includes, a SWOT analysis, critical organizational issues, and the underlying

assumptions of the strategic plan development process. This information was then used to

articulate the goals outlined in this plan. Therfore, this plan is a record of the strategic planning

process and the decisions that the strategic planning team made.


Identify Organizational Mandates

       Step #2 was already completed during the development of the strategic communications

plan. PATH for women does not have any legislative mandates, but its operations do reflect its

unique history as the result of a strategic partnership between OHSU and PSU. For example,

WGSS’ mission is

       To support feminist scholarship throughout the university; foster student learning of the rich
       interdisciplinary knowledge within the field of women's studies; develop and implement feminist
       pedagogy; and support feminist inspired activism both within the university and in the community at
       large. We are committed to scholarship, learning, and activism that promote a critical
       understanding of interrelated systems of oppression with the goal of disrupting the resulting
       imbalances of power.

As a result, PATH for women ensures that feminist methodologies inform its processes and

procedures e.g., the unique stakeholder scoring process that PATH for women requested during the

stakeholder analysis process.
                                                                                                Page | 26
Assess the External and Internal Environment and Strategic Issues

       My third objective was to enhance my applied skills in situational analysis. As a result,

fulfilling the requirements of my objective allowed me to complete step #4 of Bryson’s (2004)

strategic planning process. The resulting situational analysis is included in Appendix F. The

process for these objectives is described below and shown in Figure 3 below. Situational analyses

are meant to “provide information on the strengths and weaknesses of [an] organization in relation

to the opportunities and challenges it faces” (Bryson, 2004, p. 124). Therefore, as part of this

process, the strategic planning team met and brainstormed information for a SWOT analysis then

identified and assessed the challenges and opportunities that both the outreach and research

divisions of PATH for women face. I then drafted the situational analysis using the mission, vision,

and values that the strategic planning team had finalized.

       The situational analysis informed the above organizational communications plan,

stakeholder analysis, and its 2012-2015 strategic plans. After PATH for women reviewed a draft of

my situational analysis they developed a few underlying assumptions (see Appendix G). These

assumptions are the bridge between the external and internal assessments and the strategic plan. If

one of these assumptions prove false or the situation changes then the strategic plan must be

adjusted to reflect this change.




                                                                                             Page | 27
Next, the strategic planning team used the situational analysis and the underlying

assumptions to help guide them as they developed a list of critical strategic issues or questions that

PATH for women must address to be successful within the 2012-2015 planning horizon. Bryson

(2004) defines strategic issues as “fundamental policy questions or critical challenges affecting the

organization’s mandates, mission and values, product or service level and mix, clients, users or

payers, cost, financing, structure, processes, and management” (p. 42). The worksheet that

captured the strategic issues that PATH for women’s staff identified is in Appendix F. At times, it

was difficult to recall that our strategic planning horizon was in the short-to-medium term (3

years), but after a series of e-mails and discussions, we were able to reach a consensus.


Formulate Strategies to Manage the Issues, Review and Adopt a Strategic Plan, and
Develop an Implementation Process

        I reviewed notes and documentation from PATH for women’s 2004 strategic planning

workshop and stakeholder interviews, and shared the relevant information that I discovered with

the other members of the strategic planning team. In addition, the team reviewed the situational

analysis, which helped outline what PATH for women does well and the environment in which it

operates; the recent stakeholder analysis; and the organization’s revised mission, and new vision

and value statements. These documents provided context as the team developed the strategic plan.

Due to the time constraints presented by the term of the 509 project, the strategic planning team

created goals, strategies, objectives, tactical activities, and assigned responsibilities for these tasks

in three back-to-back meetings that were dedicated to these steps.




                                                                                                Page | 28
During the second meeting the PATH for women staff determined that they did not have the

capacity, financially as well as time, to pursue its initial strategic goal of building coalitions around

the women’s health issues that the Report Card highlights successfully. As a result, the second

meeting was spent revising the critical issue, goals etc., which were associated with that project.

The worksheets, presentations, and templates that were used to facilitate these discussions are

included in Appendices F and G.


Outcomes and Recommendations

The critical issues that the PATH for women strategic planning team identified are

          How do we focus our search for grant funding in order to target "translation" grants and
           avoid applying for grants that are predominantly for direct services providers and
           researchers?

          How do we gain a foothold in "policy forecasting" for women's health, that is, at the
           cutting edge of policy development and become a primary source of research data?

          What can we do now to increase PATH for women’s visibility even more
           effectively, beyond the push we made this summer with our website, coalition letters,
           and advisory committee letters?

          What can we do to increase our own research base beyond OSHU, the Report Card, and
           Healthy People 2020, as well as increase our organizational partnerships?

The strategic plan addresses these critical issues and as part of its strategic plan, PATH for women

shall pursue the following strategic goals:

          Increase financial sustainability

          Become the premier evidenced-based health policy advisory group in Oregon

          Increase and maintain brand awareness

          Increase PATH for women’s ability to respond to the research needs of its stakeholders




                                                                                               Page | 29
This strategic plan will be implemented over a three-year period (2012-2015) and successful

implementation will help PATH for women take more of a leadership role in the public health

community, explore additional strategic partnerships, and measure its outcomes. In addition, this

strategic plan will provide a framework by which PATH for women can achieve its mission and

work towards its vision, while embodying its values.

Conclusion

       Overall, this project required me to demonstrate knowledge of researching best practices,

organizational development, strategic planning, systems and process creation, collaborative

solutions, economic and financial principles, marketing, community outreach, stakeholder

engagement, and strategic communications. This tremendous opportunity also taught me how to

manage a complex project. As a result, I believe that I am even more prepared for a career in health

administration.




                                                                                           Page | 30
Bibliography
Brugha, R., & Varvasovszky, Z. (2000). Stakeholder analysis: a review. Health Policy and
      Planning, 15(3), 239-246.

Bryson, J. M. (2004). Strategic planning for public and nonprofit organizations: a guide to
      strengthening and sustaining organizational achievement (3 ed.). San Francisco, CA:
      Jossey-Bass.

Bryson, J. M. (2004). What to do when stakeholders matter. Public Management Review, 6(1),
      21-53.

Burton, B. K., & Dunn, C. P. (1996). Feminist ethics as moral grounding for stakeholder theory.
       Business Ethics Quarterly, 6(2), 133-147.

Camillus, J. C. (2008, January 1). Strategy as a wicked problem. Harvard Business Review,
       86(5), pp. 98-101.

Communcation Partners. (n.d.). Strategic Communication: Communication Partners. Retrieved
     August 12, 2012, from Communications Partners :
     http://www.communipartners.com/Strategic_Communication.html

Donaldson, T., & Preston, L. E. (1995). The stakeholder theory of the corporation: concepts,
      evidence, and implications. The Academy of Management Review, 20(1), 65-91 .

Levinson, J. C., Adkins, F., & Forbes, C. (2010). Guerrilla marketing for nonprofits: 250 tactics
       to promote, recruit, motivate, and raise more money. Irvine: Entrepreneur Press.

McGuire, M. (2002). Managing networks: propositions on what managers do and why they do it.
     Public Administration Review, 62(5), 599-609.

Patterson, S. J., & Radtke, J. M. (2009). Strategic communications for nonprofit organization:
        seven steps to creating a successful plan (2 ed.). Hoboken, NJ: John Wiley & Sons.

Poderis, J. B. (2011). Fund-raising planning: developing a communications strategy for the
       development operation. Retrieved June 13, 2012, from Tony Poderis Raise-funds.com:
       http://www.raise-funds.com/2004/developing-a-communications-strategy-for-the-
       development-operation/

Positioning Public Child Welfare Initiative. (2012). Communications: Strategy. Retrieved
       August 9, 2012, from Positioning Public Child Welfare Guidance:
       http://www.ppcwg.org/communications-strategy.html

Schmeer, K. (1999). Policy toolkit for strengthening health sector reform. In Stakeholder
      analysis guidelines . Bethesda, MD: Abt Associates, Inc.




                                                                                         Page | 31
Schwartz, N. E. (2010). Getting attention nonprofit marketing plan template. Retrieved June 12,
      2012, from Getting Attention: http://gettingattention.org/nonprofit-marketing/nonprofit-
      marketing-plan-template.html

The Clarkson Centre for Business Ethics. (1999). Principles of stakeholder management.
       Retrieved August 12, 2012, from Rotman School of Business Education:
       http://www.rotman.utoronto.ca/ccbe/Other/Principles%20of%20Stakeholder%20Manage
       ment.pdf

W.K. Kellogg Foundation. (n.d.). Knowledge center: template for strategic communications
      plan. Retrieved June 13, 2012, from W.K. Kellogg Foundation:
      http://www.wkkf.org/knowledge-center/resources/2006/01/Template-For-Strategic-
      Communications-Plan.aspx

Wicks, A. C., Gilbert, D. R., & Freeman, R. E. (1994). A feminist reinterpretation of the
       stakeholder concept. Business Ethics Quarterly, 4(4), 475-497.




                                                                                            Page | 32
Appendix A
                Organizational Framework




                  PATH for
                  women
                                           Outreach
      Research
                                      Jamie Ross, PhD
Michelle Berlin, MD, MPH
                                     Torrie Fields, MPH
Anticipated Action Plan

                                           (first completed on 6/20/12, last revised 7/10/12)

   Achieve Learning Objectives and Submit a Stakeholder Analysis; an Outreach and Communications Plan; a Situational
        Analysis and A Strategic Plan to PATH For Women in 10 weeks (June 18, 2012 through September 1, 2012)

                  Action Steps                                Accountability                    Schedule
                                   Objective #1: Enhance Stakeholder Identification And
                                              Management Skills
                                                                                                                     Feedback
                                 Task(s)                 Primary           Other          Start     Completion
                                                                                                                     Mechanism
Pre-planning and
                   Review 509 contract                                                                           Submit action plan
project management
                   objectives and discuss project           Me         PATH for women 6/24/12         6/25/12    that captures
                   expectations                                                                                  discussion


Stakeholder                                                                                                      Submit scrubbed
                     Ensure data integrity                  Me                           6/25/12       7/5/12
Identification                                                                                                   data for review



Stakeholder          Create prioritization and                                                                   Submit template for
                                                            Me                           6/24/12      6/29/12
Analysis             categorization template                                                                     review/approval


Stakeholder                                                                                                      Submit categorized
                     Prioritize and Categorize
Identification                                              Me                            7/2/12       7/5/12    and prioritized data
                     Stakeholders
                                                                                                                 for review




                                                                   1
Feedback
                              Task(s)              Primary       Other          Start    Completion
                                                                                                          Mechanism

                                                                                                      Minutes of Meeting
                  • Finalize prior submissions                                                        to all and if
Process Meeting                                      Me      PATH for Women    7/5/12      7/5/12
                  •Address any concerns                                                               necessary revised
                                                                                                      action plan


Report and                                                                                            Share report with
                  Analyze data and make
Recommendation(s)                                    Me                        7/5/12     7/20/12     PATH for women
                  recommendations
                                                                                                      staff


                                Objective #2: Strengthen Stakeholder Engagement Skills

                                                                                                      Send drafts for
                                                                                                      review/approval to
                  • Review current materials
PATH for women                                                                                        internal
                  • Draft revisions and              Me                       6/18/12     7/31/12
Overview                                                                                              stakeholders
                  incorporate new material
                                                                                                      (PATH for women
                                                                                                      staff)
                                                                                                      Submit for review
                                                                                                      and approval to
                  •Work with graphic designer to
Communication                                                                                         internal
                  create templates, a logo and       Me                       6/25/12     7/31/12
Templates                                                                                             stakeholders
                  other graphics
                                                                                                      (PATH for women
                                                                                                      staff)




                                                             2
Feedback
                               Task(s)             Primary           Other           Start      Completion
                                                                                                                 Mechanism
                     •Review/develop                                                                         Submit for review
                     communication procedures                                                                 and approval to
Communication        •Create content for website                                                                  internal
                                                                      Me            6/25/12      7/31/12
Procedures           and other outlets                                                                         stakeholders
                                                                                                             (PATH for women
                                                                                                                   staff)
                     Get consensus from
                     internal and
                                                               PATH for women                                Send finalized
                     external
Process Meeting(s)                                   Me        staff and external   8/1/12       8/10/12     materials to all
                     stakeholders on
                                                                  stakeholders                               participants
                     communication
                     templates etc.
                     • Outreach and
                     communication
                                                                                                             Send report to
                     plan
Report                                               Me                             8/11/12      8/18/12     PATH for women
                     •Report
                                                                                                             staff
                     synthesizing
                     engagement efforts
                                 Objective #3: Enhance Applied Skills in Situational Analyses
                                                                                                             Share information
                                                                                                             with PATH for
Research             Conduct literature review       Me                             6/18/12       6/25/12
                                                                                                             women and receive
                                                                                                             feedback




                                                              3
Feedback
                            Task(s)              Primary       Other         Start    Completion
                                                                                                       Mechanism
                                                                                                   Share information
                  Conduct internet search for                                                      with PATH for
Research                                           Me                       6/18/12    6/25/12
                  analogs                                                                          women and receive
                                                                                                   feedback
Mission, vision   Review, revise and/or                                                            Send finalized
and values        develop PATH for women’s         Me      PATH for women   7/5/12     7/20/12     materials to all
                  mission vision and values                                                        participants

                  Revise/update current
SWOT and          SWOT and situational
                                                                                                   Submit to PATH
situational       analysis and incorporate the     Me                       6/29/12    7/31/12
                                                                                                   for women
analysis          lit review, mission, vision,
                  and values


                                                                                                   Send revised
Process Meeting   Discuss draft                    Me      PATH for women   8/1/12     8/17/12     materials to all
                                                                                                   participants




                                                           4
Feedback
                              Task(s)             Primary           Other           Start      Completion
                                                                                                                Mechanism

                                    Objective #4: Develop Competencies in Strategic Planning

                    Create survey to determine                                                              Send survey to
Solicit
                    internal and external            Me                            6/25/12       7/5/12     PATH for women
Stakeholder Input
                    advocacy interests                                                                      for review


                                                                                                            Survey released;
Process Meeting     Revise survey                    Me        PATH for women      7/5/12       7/12/12
                                                                                                            seek participants


                    • Analyze and synthesize
Determine                                                                                                   Send report to
                    results                          Me                            7/12/12      7/19/12
Themes                                                                                                      PATH for women
                    • Draft report


                    Use the report to clarify
                                                                                                            Circulate minutes
Process Meeting     program goals and                Me        PATH for women      7/20/12      7/27/12
                                                                                                            and decision points
                    objectives


                    Incorporate prior materials
                                                                                                            Send draft plan to
Strategic Plan      and current data into a          Me                            7/28/12      8/17/12
                                                                                                            PATH for women
                    strategic plan




                                                               5
Task(s)               Primary           Other            Start      Completion      Feedback Mechanism
Objective #5: Integrate and Apply What has been Learned, Identify Future Career Directions, and Articulate Ongoing Professional
                                                     Development Needs
                                                                                                               Present strategic plan
                                                                                                               and circulate revised
                                                                                                               report to PATH for
                  Review report and solicit
Process Meeting                                                PATH for women       8/17/12       9/1/12       women staff and send
                  feedback                          Me
                                                                                                               summary/briefing
                                                                                                               points to external
                                                                                                               stakeholders

                  • Reflect and synthesize
                                                                                                               Submit reflective
                  what I learned throughout
                                                                                                               paper, portfolio and
                  process
Reflection                                          Me                              6/18/12       9/1/12       presentation slides to
                  • Document progress
                                                                                                               academic advisor for
                  towards career goals and
                                                                                                               review
                  learning objectives
                                                                                                               •Stakeholder analysis
                                                                                                               report
                                                                                                               • Outreach and
                                                                                                               communications plan
                                                                                                               • Stakeholder
 Complete 509                          Assuming completion of all of the objectives                            Engagement Report
                                                                                                               •Situational analysis
                                                                                                               • Strategic plan
                                                                                                               • Reflective paper,
                                                                                                               portfolio &
                                                                                                               presentation
Source: Adapted from The Executive Guide to Operational Planning by George L. Morrisay, Patrick J. Bellow, and Betty Acomb.
Copyright 1988.

                                                               6
Stakeholder Analysis
Assessment and Analysis of Stakeholders for PATH
 for women’s Coalition Empowerment and Capacity
                  Building Program
               Written by: Amanda Phillips, JD, MPH
        Approved by: Jamie Ross, PhD and Torrie Fields, MPH
                           August 29, 2012




            1633 SW Park Avenue, Suite 221, Portland, OR 97207
Table of Contents
Table of Contents ................................................................................................................................................................ i

Introduction ......................................................................................................................................................................... 1

Purpose of the Stakeholder Analysis ............................................................................................................................... 2

Scope of the stakeholder analysis ..................................................................................................................................... 3

Method(s) ............................................................................................................................................................................. 3

    Identification and Information Gathering ................................................................................................................. 3

    Prioritization and Analysis of the Stakeholder Table ............................................................................................... 4

Results ................................................................................................................................................................................... 5

    Identification and Categorization ................................................................................................................................ 5

             Figure 1: Stakeholder Map ................................................................................................................................... 5

    Diabetes Data Analysis .................................................................................................................................................. 6

             Figure 2: Frequency of Stakeholders by Size .................................................................................................... 6

             Figure 3: Frequency of Stakeholder Group by Type ....................................................................................... 7

             Figure 4: Distribution of Research Capacity ..................................................................................................... 7

             Figure 5: Distribution of Legislative Capacity .................................................................................................. 8

    First Trimester Prenatal Care Data Analysis .............................................................................................................. 9

             Figure 6: Frequency of Stakeholders by Size .................................................................................................... 9

             Figure 7: Frequency of Stakeholder Group by Type ....................................................................................... 9

             Figure 8: Distribution of Research Capacity ................................................................................................... 10

             Figure 9: Distribution of Legislative Capacity ................................................................................................ 10

    Prioritization and Analysis of the Stakeholder Table ............................................................................................. 11

             Table 1: Potential Diabetes Coalition Members............................................................................................. 12

             Table 2: Potential First Trimester Prenatal Care Coalition Members......................................................... 13


                                                                                                                                                                               Page | i
Stakeholder Management: Strategies and Recommendations ................................................................................... 14

    Strategies ........................................................................................................................................................................ 14

        Engagement and Management .............................................................................................................................. 14

        Monitoring and Evaluation .................................................................................................................................... 15

    Conclusions, Recommendations, and Implications ................................................................................................ 15

Bibliography ....................................................................................................................................................................... 16

Appendix A ........................................................................................................................................................................ 18

    Organizational Framework ......................................................................................................................................... 18

Appendix B ........................................................................................................................................................................ 19

    Needs Assessment........................................................................................................................................................ 19

Appendix C ....................................................................................................................................................................... 22

    Literature Review: Annotated Bibliography ............................................................................................................. 22

Appendix D ....................................................................................................................................................................... 25

    Definitions of Stakeholder Characteristics and Instructions for Filling in Stakeholder Table ........................ 25

    Stakeholder Table (Diabetes) ..................................................................................................................................... 27

    Stakeholder Table (First Trimester Prenatal Care).................................................................................................. 28




                                                                                                                                                                           Page | ii
Introduction
Michelle Berlin M.D., M.P.H. an Oregon Health and Sciences University (OHSU) physician and researcher,
founded the Policy Advisory Toward Health (PATH) for women for women in 2004. PATH for women was a
response to the critical need for current, evidence-based information concerning women’s health for use
toward policy implementation and it is now a strategic partnership between the OHSU Center for Women’s
Health (CWH) and Portland State University’s (PSU) Women, Gender, and Sexuality Studies Department
(WGSS). PATH for women’s revised mission is to provide accurate, high-quality community driven research,
data, and analysis to inform women’s health policy and to serve as an independent source of data, analysis,
and coalition capacity-building for the public, advocates, and policymakers.

PATH for women has expanded from its original emphasis on creating and translating scientific research to
inform women’s health policy to include coalition capacity building and community outreach. As a result,
PATH for women has two divisions (see Appendix A). One focuses on research and the other focuses on
outreach. The outreach division is housed at WGSS and it aims to develop meaningful relationships with
interested community members, community organizations, public health professionals, educators, and
policymakers regarding issues facing women in Oregon, such as Women with Diabetes and Women with
First Trimester Prenatal Care. The outreach division draws its evidenced-based health related information
from the Making the Grade on Women’s Health: A National and State-by-State Report Card (Report
Card).

The Report Card has been published since 2000. The 5th edition, and most current Report Card evaluates 34
health status and 68 health policy indicators and assesses progress in reaching key benchmarks and policy
objectives for each state and for the nation as a whole. For example, according to the Report Card Oregon is
currently demonstrating a failing grade in two indicators: Women with Diabetes and Women with First
Trimester Prenatal Care.

The research division is housed in CWH where Michelle is a lead author of the aforementioned Report Card
(see http://hrc.nwlc.org/). The research division aims to serve as a national and regional resource for data
analysis, including the provision of accurate and current research concerning women’s health and evidence-
based analysis of key issues that specifically affect efficiency, cost, and outcomes of the health of women.




                                                                                                      Page | 1
Since 2004, the outreach arm of PATH for women has:

     Identified key areas in women's health with policy impact and developed materials for use by
      community groups, local organizations, and the public to influence policy development and
      implementation

     Interpreted the results of health studies for policymakers, the media, and the public

     Analyzed and translated existing evidence-based research for the public and policymakers


Purpose of the Stakeholder Analysis
Traditionally stakeholders are known as “any person, group, or organization that can place a claim on the
organization’s attention, resources, or output, or that is affected by that output” (Bryson, 2004a, p. 35).
Stakeholders are important because social and economic issues are complex problems that have mutiple
causes, are hard to define, have no easy solutions, and attempts to deal with these problems may lead to
unintended consequences (Camillus, 2008). These problems require multiple actors and mutiple strategies to
create sustainable solutions (Bryson, 2004b; Camillus, 2008). Therefore, it is crucial that organizations, such as
PATH for women, take into account all of its stakholders as it attempts to solve the problems highlighted by
the Report Card by building support for coalitions that are organized around these issues.

A stakeholder analysis “is a process of systematically gathering and analyzing qualitative information to
determine whose interests should be taken into account when developing and/or implementing a policy or
program” (Schmeer, 1999). In other words, stakeholder analysis is a tool that allows an organization to
identify key actors, such as decision makers and those affected by an issue, then through stakeholder
management identify opportunities for creative problem solving and gain support for those initiatives.

Stakeholder analyses can also guide an organization’s strategic planning processes (Brugha & Varvasovszky,
2000; Bryson, 2004b). Bryson (2004b) believes “…that strategic management processes that employ a
reasonable number of competently done stakeholder analyses are more likely to be successful – that is, meet
mandates, fulfill missions, and create public value – than those that do not.” PATH for women is in the midst
of creating its 2012-2015 strategic plan and its 2012-2013 organizational strategic communications plan. The
results of this stakeholder analysis will be incorporated into its strategic plan.




                                                                                                         Page | 2
Scope of the stakeholder analysis
By third quarter 2013, PATH for women would like to forge strategic partnerships with coalitions that address
two issues: improving the health of women and their children during the first trimester, and preventing and
improving care for women with diabetes. PATH for women will align with these existing coalitions, and will
support them by assisting with the recruitment of potential coalition members, translating research upon
request, and training coalition members on how to use qualitative data to support their policy initiatives.
PATH for women’s staff plan to identify the appropriate coalitions as part of their duties. Therefore, this
stakeholder analysis supports PATH for women’s goal by identifying and prioritizing potential coalition
members that PATH for women can recruit for the existing coalitions.


Method(s)
The goal of this stakeholder analysis was primarily to identify stakeholders, gather their contact information,
and prioritize them for PATH for women’s coalition capacity building efforts. Accordingly, the steps followed
included identification of stakeholder, information gathering, categorization of stakeholders, development of
a stakeholder table, analysis of the stakeholder table, and prioritization of stakeholders.

Identification and Information Gathering
The identification and information gathering process of this stakeholder analysis relied on the knowledge of
PATH for women’s staff and secondary information. Specifically, the work group reviewed organizational
websites, advocacy reports, and annual summaries. There are some limitations to this method. The websites
and reports can be outdated and organizational interests may have changed, but these sources are excellent
for an initial report and this method was most appropriate for PATH for women’s strategic planning timeline.
Nevertheless, to increase the efficacy of the stakeholder analysis process PATH for women must integrate
additional steps such as a needs assessment. As a result, the work group developed a questionnaire (see
Appendix B) that PATH for women will use in the future to gain primary data on stakeholder interests. PATH
for women will also use this data to revise this report and future stakeholder analyses.

Lastly, PATH for women wanted a unique stakeholder scorecard that was grounded in feminist prinicples and
focused less on power rankings and resource levels, and more on relationships, stakeholder needs, and those
who would be affected the most by the coaltion. As a result, I conducted a literature review (see Appendix C).
Based on the literature review I developed a list of characteristics and created a stakeholder table.




                                                                                                       Page | 3
Prioritization and Analysis of the Stakeholder Table
Each stakeholder was scored. The characteristics were assigned a numerical value

                 Yes = 1 and No = 01

                 High = 3, Medium = 2, and Low = 1

The total number of indicators that each organization addressed through its strategic plans or current
programming was also added to the individual scores.

The data was also analyzed in order to address the following questions:

                 Regional representation and balance

                 Legislative capacity

                 The number of indicators that the organization addresses

                 Level of reporting or focus on the issue

                 Community organization and nonprofit representation

                 Trade association representation

                 Research capacity

                 Government organization or program representation

                 Direct service provider involvement in the issue

                 Size of organization or department

                 Emphasis on socio-demographic issues

The completed stakeholder tables are included in Appendix D.




1   Except for the rural versus urban category where Yes = 2 and No = 0.




                                                                                                         Page | 4
Results
Identification and Categorization
A list of 68 stakeholders for the diabetes coalition and 31 stakeholders for the first trimester prenatal care
coalition (see Appendix D). Stakeholders were then categorized into five sectors. These sectors are shown in
the following figure.

Figure 1: Stakeholder Map


                                                  Community
                                                 Organizations
                                                     and
                                                  Nonprofits



                                                                            Government
                         Trade
                                                                            Programs and
                      Associations
                                                                            Organizations

                                                  Coalitions




                               Hospitals and
                                                                    Research
                               Direct Service
                                                                    Programs
                                 Providers




                                                                                                      Page | 5
Key findings include:

             Many of the target stakeholders for both coalitions are large organizations(diabetes n = 32;
              prenatal care n = 18) versus small or medium

             Few of the target stakeholders are trade associations (diabetes n = 1; prenatal care n = 5)

             Most of the target stakeholders are community organizations (diabetes n = 41; prenatal care
              n = 12), closely followed by government programs and organizations (diabetes n = 12;
              prenatal care n = 9)

             Only 3 target stakeholders are in rural areas

             The target stakeholders have a high level of legislative capacity (diabetes = 94%; prenatal
                care = 87%)

Diabetes Data Analysis
Figure 2: Frequency of Stakeholders by Size

 35
               32
 30
                                                      25
 25

 20

 15                                                                    Total
                                  11
 10

  5

  0
             Large             Medium                Small




                                                                                                    Page | 6
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509 Organizational Experience

  • 1. PA 509 Organizational Experience Report Amanda Phillips Summer 2012 Faculty Advisor: Dr. Kaimanu 509 Faculty Advisor: Dr. Gelmon Field Organization: PATH for women Field Supervisors: Jamie Ross, PhD and Torrie Fields, MPH
  • 2. Table of Contents List of Acronyms ................................................................................................................................. ii Project Overview .................................................................................................................................. 1 Organizational Setting .......................................................................................................................... 1 Learning Objectives and Tasks ............................................................................................................ 3 Work Processes and Outcomes ............................................................................................................ 6 Objective #1: Enhance Stakeholder Identification and Management Skills ........................................ 9 Stakeholder Identification and Information Gathering.................................................................. 10 Stakeholder Categorization and Creation of a Stakeholder Table................................................. 11 Stakeholder Prioritization and Analysis of the Stakeholder Table ................................................ 13 Stakeholder Management: Recommendations/Implications ......................................................... 14 Objective #2: Strengthen Strategic Communication Skills ............................................................... 17 Solicit Internal Buy-in and Communications Audit ...................................................................... 19 Creation of Communication Content, Tools, and Templates ........................................................ 20 Project Coordination...................................................................................................................... 21 Organizational Strategic Communications Plan ............................................................................ 22 Strategic Communication: Outcomes and Recommendations ...................................................... 23 Objectives # 3 & 4: Enhance Applied Skills in Situational Analyses and Develop Competencies in Strategic Planning .............................................................................................................................. 26 Identify Organizational Mandates ................................................................................................. 26 Assess the External and Internal Environment and Strategic Issues ............................................. 27 Formulate Strategies to Manage the Issues, Review and Adopt a Strategic Plan, and Develop an Implementation Process ..................................................................................................................... 28 Outcomes and Recommendations ................................................................................................. 29 Conclusion.......................................................................................................................................... 30 Bibliography ....................................................................................................................................... 31 Page | i
  • 3. List of Acronyms CWH – Center for Women’s Health OHSU – Oregon Health and Sciences University PATH for women – Policy Advisory Toward Health for women PSU – Portland State University WGSS – Women, Gender, and Sexuality Studies Department Intentionally Blank Page | ii
  • 4. Project Overview Organizational Setting Policy Advisory Toward Health (PATH) for women is a small non-profit and has three employees. They are Michelle Berlin M.D., M.P.H. (Director of Research), Jamie Ross, PhD (Co- Director of Outreach), and Torrie Fields, MPH, Co-Director of Outreach). Michelle Berlin M.D., M.P.H. an Oregon Health and Sciences University (OHSU) physician, and researcher, founded PATH for women in 2004. PATH for women was a response to the critical need for current, evidence-based information concerning women’s health for use toward policy implementation and it is now a strategic partnership between the OHSU Center for Women’s Health (CWH) and Portland State University’s (PSU) Women, Gender, and Sexuality Studies Department (WGSS). PATH for women’s revised mission is to provide accurate, high-quality community driven research, data, and analysis to inform women’s health policy and to serve as an independent source of data, analysis, and coalition capacity-building for the public, advocates, and policymakers. PATH for women has expanded from its original emphasis on creating and translating scientific research to inform women’s health policy to include coalition capacity building and community outreach. As a result, PATH for women has two divisions (see Appendix A). One focuses on research and the other focuses on outreach. The outreach division is housed at WGSS and it aims to develop meaningful relationships with interested community members, community organizations, public health professionals, educators, and policymakers regarding issues facing women in Oregon, such as Women with Diabetes and Women with First Trimester Prenatal Care. The outreach division draws its evidenced-based health related information from the Making the Grade on Women’s Health: A National and State-by-State Report Card (Report Card). Page | 1
  • 5. The Report Card has been published since 2000. The 5th edition, and most current Report Card evaluates 34 health status and 68 health policy indicators and assesses progress in reaching key benchmarks and policy objectives for each state and for the nation as a whole. For example, according to the Report Card Oregon is currently demonstrating a failing grade in two indicators: Women with Diabetes and Women with First Trimester Prenatal Care. The research division is housed in CWH where Michelle is a lead author of the aforementioned Report Card (see http://hrc.nwlc.org/). The research division aims to serve as a national and regional resource for data analysis, including the provision of accurate and current research concerning women’s health and evidence-based analysis of key issues that specifically affect efficiency, cost, and outcomes of the health of women. Since 2004, the outreach division of PATH for women has:  Identified key areas in women's health with policy impact and developed materials for use by community groups, local organizations, and the public to influence policy development and implementation  Interpreted the results of health studies for policymakers, the media, and the public  Analyzed and translated existing evidence-based research for the public and policymakers Intentionally Blank Page | 2
  • 6. Learning Objectives and Tasks Objective #1: Enhance stakeholder identification and management skills  Ensure integrity of the current data on potential stakeholders by querying the database and cross referencing the data with publicly available information  Facilitate brainstorming session with staff to identify additional stakeholders  Perform a literature review to gain a better understanding of feminist stakeholder prioritization methodologies  Categorize stakeholders based on their type and interest in health disparities  Prioritize stakeholders using a unique scorecard that focuses less on power rankings and resource level and more on relationships and those who are most vulnerable to PATH for women’s objectives  Analyze the data and develop recommendations  Write stakeholder analysis report that synthesizes the literature review, key themes, the data analysis, and recommendations  Present report to staff Evidence: Written stakeholder analysis report Objective #2: Strengthen strategic communication skills  Collaborate continuously with key internal stakeholders to determine requirements and gather past content to develop effective communication materials and strategies  Create and/or edit content for the web and promotional materials including PATH for women's story: the history of the program and a narrative that establishes the need for the program, e-mail communiques, fact sheets, and presentations to help prepare PATH for women to recruit champions and partners and communicate with external stakeholders  Develop a needs assessment and other outreach tools such as invitation letters for an advisory committee and coalitions around diabetes and first trimester prenatal care Page | 3
  • 7. Establish communication channels and processes by creating an outreach and communications plan that establishes clear policies on communication practices and procedures, such as outreach efforts (e.g., goals, target audiences, key messages, strategies, tools, intended outcomes, and the means to evaluate results), frequency of communications, brand editorial standards, rules around print and electronic communications, approval for institutional facts and messaging, and expected response for internal and external concerns  Source and manage the efforts of a graphic artist and marketing consultant to design products such as a logo, graphic standards, stationary templates, and communication templates, such as project worksheets  Help facilitate and coordinate PATH for women’s transition to a website dedicated to its organization  Write report synthesizing internal stakeholder engagement efforts and recommendations Evidence: Strategic communications plan and report, including the recommendations, tools, standards, and a synthesis of internal stakeholder engagement efforts and the website transition process Objective #3: Enhance applied skills in situational analyses  Conduct a literature review and Internet search to find comparable organizations and determine strategies that have been successful for these organizations  Review, revise, and/or develop PATH for women's mission, vision, and values  Facilitate a brainstorming session with PATH for women staff and conduct a SWOT analysis  Draft situational analysis report  Discuss results of SWOT and situational analysis with PATH for women staff and gain feedback  Revise and finalize situational analysis Evidence: The SWOT, situational analysis, and a report summarizing the literature review, and the process of developing/revising the mission, vision, and values Page | 4
  • 8. Objective #4: Develop competencies in strategic planning  Solicit internal stakeholder input for the strategic planning process through facilitated meetings, and gather and review past PATH for women communication with external stakeholders and prior strategic plans  Synthesize results and draft a report  Use the report to craft recommendations for revised goals, strategies, and objectives  Develop a strategic plan and create an action plan including budget, tasks, roles, scheduling, and metrics to reflect accomplishments and adjustments to the PATH for women’s priorities  Solicit additional feedback from PATH for women staff and edit the strategic plan as necessary  Present final strategic plan to PATH for women staff Evidence: Comprehensive strategic plan, including a list of stakeholders, a copy of the presentation materials used to communicate the results of the project, and the report synthesizing the strategic planning process Objective #5: Integrate and apply what has been learned in the curriculum during the organizational experience, identify future career directions, and articulate potential ongoing professional development needs.  Engage in reflection activities through the organizational experience.  Document personal progress toward both career goals and learning objectives  Prepare the required reflective papers Evidence: Reflective paper, portfolio, and presentation slides Page | 5
  • 9. Work Processes and Outcomes My 509 project was to create a strategic plan and an outreach and communications plan to help these efforts. My supervisors were Dr. Jamie Ross, an assistant professor at PSU, and Torrie Fields, MPH who are the co- directors and progenitors of PATH for women's outreach and advocacy division. Therefore, their guidance and input was integral to the success of this 509 project and they were required members of the strategic planning work team. I also worked Dr. Berlin, the founder of PATH for women and director of its research division. Dr. Berlin offered insight into the origins of the organization and shared her vision for its future. As my 509 project progressed, I had to revise my objectives and tasks. For example, as discussed below, PATH for women requested that I apply feminist methodologies and frameworks during the stakeholder analysis instead of the traditional approaches that I had anticipated. Another modification to my initial work occurred after the staff reviewed the drafts of the stakeholder analysis, strategic plan, and communications plan. They determined that while the analysis and plans were sound, and reflected their initial goal of forming coalitions, that they did not have the organizational capacity for successful implementation and that poor implementation would reflect poorly on the organization. As a result, I shifted my focus to creating a framework that allowed PATH for women to support existing coalitions. The revised objectives, work processes, and outcomes associated with them are as follows. In addition, my initial action plan and a detailed meeting log are included in Appendix B. At the start of the project, I suggested that we utilize the strategic planning framework described by John M. Bryson (2004) in Strategic Planning for Public and Nonprofit Organizations. The work team was amenable so I also adapted the strategic planning worksheets from Bryson’s (2005) Creating and implementing your strategic plan: a workbook for public and nonprofit organizations. This process framework is captured in Figure 1. Page | 6
  • 10. Figure 1: Ten Step Strategic Planning Process Source: Bryson, J. M. (2004). Strategic planning for public and nonprofit organizations: a guide to strengthening and sustaining organizational achievement (3 ed.). San Francisco, CA: Jossey-Bass. Page | 7
  • 11. Figure 1 can be summarized into a 10-step process that helped guide our actions throughout the 509 project. These steps identified by Bryson (2004) are: 1. Initiate and agree on a strategic planning process; 2. Identify organizational mandates; 3. Clarify organizational mission and values; 4. Assess the external and internal environments to identify strengths, weaknesses, opportunities, and threats; 5. Identify the strategic issues facing the organization; 6. Formulate strategies to manage the issues; 7. Review and adopt the strategies or strategic plan; 8. Establish an effective organizational vision; 9. Develop an effective implementation process; and 10. Reassess the strategies and the strategic planning process (pp. 33-34). We did not follow these steps verbatim. For example, we believed that it was more beneficial to establish the vision for PATH for women while we were clarifying its mission and values. In addition, the first step “initiate and agree” occurred during the drafting of the project contract. Furthermore, Bryson’s (2004) framework and steps are incredibly dense. I ultimately decided to create objective friendly process maps that expanded these 10-steps into actionable and approachable sequences. Nevertheless, this framework shaped our approach to each of the above- mentioned objectives. Page | 8
  • 12. Lastly, while developing my project I realized that facilitating meetings and brainstorming sessions would be critical to my success. An Institute for Media, Policy and Civil Society handbook; Strategic Planning for Public and Nonprofit Organizations: A Guide To Strengthening and Sustaining Organizational Achievement by John Bryson; and Strategic Planning for Public and Nonprofit Organizations: A Guide to Strengthening and Sustaining Organizational Achievement by Sally Patterson and Janel Radtke (2009) helped me conduct these sessions effectively. Objective #1: Enhance Stakeholder Identification and Management Skills By third quarter 2013, PATH for women would like to forge strategic partnerships with coalitions that address two issues: improving the health of women and their children during the first trimester, and preventing and improving care for women with diabetes. PATH for women will align with these existing coalitions, and support them by assisting with the recruitment of potential coalition members, translating research upon request, and training coalition members on how to use qualitative data to support their policy initiatives. PATH for women’s staff plan to identify the appropriate coalitions as part of their duties. Therefore, this stakeholder analysis supports PATH for women’s goal by identifying and prioritizing potential coalition members that PATH for women can recruit for the existing coalitions. The narrative below outlines the tasks that each group member completed, and figure 2 contains a process map. Page | 9
  • 13. Figure 2: Stakeholder Analysis Process Stakeholder Identification Document and Monitor and Categorize Evaluate Stakeholders Analyze and Engage Prioritze Stakeholders Stakeholders Develop Strategies to Manage Stakeholders Stakeholder Identification and Information Gathering The identification and information gathering process was similar to step #2 of the Bryson (2004) framework and it relied on PATH for women’s prior knowledge and secondary information. Specifically, PATH for women previously reviewed organizational websites, advocacy reports, and annual summaries and used the information to create a matrix of organizations that were linked to the Report Card indicators. I then compiled a list of stakeholders/potential coalition members for each coalition (see Appendix C) by focusing on organizations that were linked to indicators related to each issue. For example, organizations that were linked to the nutrition and obesity indicators were included in the list of stakeholders for the diabetes coalition. Next, I reviewed each organization’s current strategic objectives and goals to determine if the organization was still aligned with the issue, and used their website to develop the contact list. Page | 10
  • 14. There are some limitations to this method. The websites and reports can be outdated and organizational interests may have changed, but these sources are excellent for an initial report and this method was most appropriate for PATH for women’s strategic planning timeline. Nevertheless, to increase the efficacy of the stakeholder analysis process PATH for women must integrate additional steps such as a needs assessment. As a result, the work group developed a needs assessment (see Appendix C) that PATH for women will use in the future to gain primary data on stakeholder interests. PATH for women will also use this data to revise this report and future stakeholder analyses. Stakeholder Categorization and Creation of a Stakeholder Table First, the work group brainstormed and defined the stakeholder characteristics. Traditional characteristics include resources, power, leadership, and interests (Bryson, 2004a; Bryson, 2004b; Schmeer, 1999). Once these characteristics are defined, stakeholders are then ranked in a table based on their positions within these categories. Analytical tools associated with these characteristics include the power versus interest grids, numerical rankings e.g., 3, 2 ,1 with 1 being none and 3 being a lot, or the common rankings yes or no and high, medium, low (Bryson, 2004a; Bryson, 2004b; Schmeer, 1999). At this initial work session, PATH for women indicated that such traditional characteristics were not suitable for its purposes. Instead, PATH for women wanted me to focus on characteristics that align with its mission and its values, which incorporate feminist ideologies. In other words, PATH for women wanted a unique scorecard that focuses less on power rankings and resource levels, and more on relationships, stakeholder needs, and those who would be affected the most by the coaltions that they support. Page | 11
  • 15. As a result, I conducted a literature review (see Appendix C). Based on the literature review I developed a draft list of characteristics, and created a stakeholder table. I populated the table with the identified stakeholders, contact information, and the draft characteristics. For example, based on Schmeer (1999), one of my sources, I categorized the stakeholders into the following sectors nonprofit (nongovernmental organizations, foundations, grassroots community organizations); commercial/private for profit organizations; and public or government departments or programs. In accordance with Schmeer (1999) I also ensured that stakeholders from different departments/administrative areas and geographic locations were included even if they were from the same organization. Furthermore, I included sectors research programs and organizations, and trade associations. Hospital-based research programs and organizational sectors are important because stakeholders/potential coalition members, such as the Kaiser Permanente Center for Health Research are neither community organizations, nor direct service providers. The trade associations sector was important because some nonprofits are uniquely focused on the needs of the professionals who deliver services. These stakeholders help shape healthcare in Oregon, but they are not tied primarily to a single issue. Lobbying capability/intent was important because some organizations may have the experience with and the resources to create and advocate for policy positions. These organizations are also important because they can share their experiences and help guide the consensus building and policy development process. The level of reporting/focus was important because an organization’s grant funding and mission are strongly linked to improving health outcomes associated with diabetes or first trimester prenatal care would more than likely show a higher level of interest in becoming a coalition member. Page | 12
  • 16. The group felt that the direct health services providers were of particular importance because they have access to qualitative data e.g., case studies that would help supplement the quantitative and research data that PATH for women can access through its connection with CWH. The size of the organization was important because size affects an organization’s flexibility; it shapes organizational culture and is often times an adequate predictor of organizational capacity. Lastly, a focus on socio-demographic issues is important because the Report Card has demonstrated that states, including Oregon, have significant health disparities and women suffer from these disparities on multiple levels. Furthermore, the overall U.S. female population suffers from lower health outcomes, but women of differing racial/ethnic populations, geographic populations, and socioeconomic class face even more risks to their health. Reducing these gaps and improving the health of all women aligns with PATH for women’s vision. PATH for women’s staff then reviewed a final draft of the suggested table, and ultimately the work group agreed to the stakeholder characteristics that are defined in Appendix C. In addition, Appendix C includes instructions for completing the stakeholder table and the populated stakeholder table. Each of the characteristics defined therein reflect the different roles that these stakeholders play, and the perspectives they can bring to the coalitions. Stakeholder Prioritization and Analysis of the Stakeholder Table I identified a list of 68 stakeholders for the diabetes coalition and 31 stakeholders for the first trimester prenatal care coalition. Each stakeholder was then scored. The characteristics were assigned a numerical value  Yes = 1 and No = 01  High = 3, Medium = 2, and Low = 1 1 Except for the rural versus urban category where Yes = 2 and No = 0. Page | 13
  • 17. The total number of indicators that each organization addressed through its strategic plans or current programming was also added to the individual scores. The sample size was not large enough for more sophisticated statistical analyses. For example, an attempt to take the top 30% of stakeholders in each category revealed that there is only one trade association, and that all of the government organizations are large organizations. Nevertheless, there are steps that PATH for women could take to ensure that its initial outreach efforts are balanced. For instance, it would make sense for PATH for women to invite organizations that may not have been in the top 10 for each issue. For example, stakeholders from rural areas may be of more interest than those from urban areas despite their score. A complete analysis of the data is available in Appendix C. Stakeholder Management: Recommendations/Implications This stakeholder analysis is only valuable if PATH for women leverages the results and creates a stakeholder management process. Therefore, stakeholder management should be continual, and the stakeholder analysis should be updated regularly so that PATH for women can continue to identify new stakeholders, changes to current stakeholders, and new information that current management efforts produce. The Clarkson Centre for Business Ethics (1999), also outlines seven principles of stakeholder management that PATH for women should incorporate in its management processes. (See Appendix C for a detailed discussion of these principles). Page | 14
  • 18. The literature review mentioned above (and contained in Appendix C) also provides some stakeholder management recommendations. A classical view of stakeholder management holds that it requires “simultaneous attention to the legitimate interests of all appropriate stakeholders, both in the establishment of organizational structures and general policies and in case-by-case decision making” (Donaldson & Preston, 1995). From a feminist perspective, however, the stakeholder management process focusses less on the legitimacy of interest and centralizing authority and power. Instead, feminists believe that stakeholder management should be “… about creating value for an entire network of stakeholders by working to develop effective forms of cooperation, decentralizing power and authority, and building consensus among stakeholders through communication to generate strategic direction” (Wicks, Gilbert, & Freeman, 1994). Therefore, if PATH for women intends to incorporate feminist methodologies in its stakeholder management process, PATH for women should focus on ensuring that coalition members form a strong and productive network (McGuire, 2002). PATH for women should also “care enough for the least advantaged stakeholders that they not be harmed; insofar as they are not harmed, privilege those stakeholders with whom you have a close relationship” (Burton & Dunn, 1996). As a result, I recommend that PATH for women quickly conduct the above referenced needs assessment. This will ensure that PATH for women is aware of, and can attempt to meet the needs of all of its stakeholders not just those with whom the staff have previously communicated or those who are selected to become coalition members. PATH for women should also communicate continuously with its coalition members and other stakeholders. As McGuire 2002, states “…network management is based on information rather than authority.” Constant communication will create transparency and give stakeholders the opportunity to learn about PATH for women. Communication will also ensure that there is a strong relationship among coalition members since Page | 15
  • 19. dialogue will foster trust, build credibility, and help clarify the coalition’s goals and expectations. To start, PATH for women should host the coalition members, and provide a clear description of their roles and responsibilities, and an overview of PATH for women’s objective and the Report Card. Communications tools and an organizational strategic communications plan are included in Appendix D. PATH for women must also empower its members. PATH for women is uniquely capable of providing relevant and timely evidenced-based data to its community members. Furthermore, PATH for women has expertise in translating research into effective programmatic policy, and bridging the information gap between researchers, service providers, and community organizations. Empowering coalition members would require PATH for women to provide access to its resources and skills, and train coalition members so that they can develop the capacity to request research when needed and incorporate evidenced-based research in their interventions and advocacy efforts. Additionally, PATH for women should facilitate and promote a shared understanding of the root causes of the issues and collective approaches to producing efficient and effective policies and interventions. A coalition, as opposed to individual actors, has a greater chance of creating sustainable change. Lastly, PATH for women should evaluate its stakeholder engagement and management processes, as well as the outcomes from this initial effort. Some suggestions on how to measure the outcomes of communications with stakeholders are in Appendix D. Evaluating the engagement process will allow PATH for women to improve and/or maintain the quality of both its relationships with its stakeholders, including coalition leaders. Page | 16
  • 20. Objective #2: Strengthen Strategic Communication Skills PATH for women’s strategic plans include supporting two coalitions, forming an advisory committee, and increasing public awareness of the organization in order to gain credibility within the region. Extensive internal and external communication is critical to the attainment of these goals, but without effective strategic communication, PATH for women will not be able to recruit coalition members, nor will PATH for women be able to increase its profile. The term strategic communication “describes the combination of plans, goals, practices, and tools with which an organization sends consistent messages about its mission, values, and accomplishments” (Patterson & Radtke, 2009). Therefore, PATH for women needed a comprehensive organizational strategic communications plan and numerous tools and templates to prepare the organization to pursue these goals. Unlike an event specific or announcement-specific plan, an organizational strategic communications plan formalizes PATH for women’s overall policy for internal and external communication, provides guidance on how to communicate proactively and reactively with various audiences, and includes instructions on how to develop and maintain relationships through clear communications. The process for this objective is described below and shown in Figure 2. Intentionally Blank Page | 17
  • 21. Figure 3: Strategic Communications Plan Process Map Solicit Internal Buy-in and Communications Audit Revise and Design and Deliver Needs Assessment Improve Process Content and Tools Monitoring Communications Plan Evaluation and Monitoring Adapted from Communcation Partners. (n.d.). Strategic Communication: Communication Partners. Retrieved August 12, 2012, from Communications Partners: http://www.communipartners.com/Strategic_Communication.html Page | 18
  • 22. Solicit Internal Buy-in and Communications Audit The creation of the strategic communications plan required constant dialogue with the PATH for women staff, and initial discussions centered on the scope of the plan. PATH for women’s strategic initiatives (coalition building, increasing public awareness) required specific program planning. Nevertheless, as we assessed the current state of PATH for women’s communication capabilities, we quickly realized that PATH for women could not move forward until PATH for women had a clear brand. In other words, PATH for women lacked a clear personality, and the tools such as a logo, mission, vision, graphic standards, and cohesive and consistent messaging, tone, and communication activities that were necessary to establish a personality. Therefore, PATH for women agreed that I should focus on creating an organizational strategic communications plan. Nevertheless, I ensured that the communication products and templates from this organizational strategic plan included information that could easily be incorporated into the program specific activities for PATH for women coalition support projects. Next, I asked PATH for women to give me access to its Dropbox where all of its past content such as letters to stakeholders, press releases, organizational capacity descriptions that were used for grants etc., was housed. Upon receipt, I reviewed these materials so that I could gain a better understanding of PATH for women, its history, its communications culture, specifically its tone and style, and its past strategies for communicating with the public and stakeholders. This information provided context and helped shape the communications goals, objectives, and activities contained in the organizational strategic communications plan (see Appendix D). Page | 19
  • 23. I also requested, and received, access to the budgets and financial information for the outreach division since resource availability determines which communication channels and strategies are most realistic and appropriate. Lastly, I incorporated portions of the situational analysis that I conducted for PATH for women’s strategic plan into the communications plan. The situational analysis (which I discuss in detail below) identified internal and external forces that affect the overall organization. Therefore, I expanded where necessary, to highlight the forces that would have the most effect on the communications plan. Creation of Communication Content, Tools, and Templates I facilitated a brainstorming session with PATH for women regarding the message that they would like to convey to key stakeholders. We also discussed how they would like to be perceived by the public, and encouraged them to think about terms and phrases that they believe describe the organization and capture their vision. In addition, we brainstormed what success would mean to the organization. Lastly, we brainstormed the mission, vision, and values for the organization. (These steps are similar to #3 and # 8 of the Bryson (2004) framework). To help prepare PATH for women for this part of the meeting, I sent the PATH for women staff samples of missions, visions, and values, definitions of the terms we would be using, and PATH for women’s old mission statement, that I found in their paperwork. This mission statement was insufficient because it focused solely on the research division of the organization. These materials are included in Appendix D. At the end of the session, we had a revised mission and drafts of the vision and values that PATH for women felt comfortable with me using as a basis for the next stage. Page | 20
  • 24. I then used these drafts and the other information from the brainstorming session to create tools, templates, and guidelines. I created brand editorial standards (see Appendix D) and as discussed below the marketing consultant and graphic artist created graphic standards. I also developed outreach tools such as invitation letters for an advisory committee and coalitions around diabetes and first trimester prenatal care (see Appendix D) and other content that could easily be adapted for the PATH for women website. Project Coordination Once it became clear that PATH for women needed templates and other communication materials, I altered my objectives to include sourcing and managing the efforts of a graphic artist and marketing consultant. I believed that we needed professionals to design products such as a logo, graphic standards, stationary templates, and communication templates such as project worksheets. As a result, I approached a contact of mine, a former marketing executive with extensive experience with academic institutions, and he recommended a graphic artist. Together we created a scope of work and shared it with PATH for women. PATH for women agreed to the scope and the nominal fee of $200. The scope of work and the associated deliverables are included in Appendix E. The marketing consultant and graphic artist then used my notes and the materials from the above referenced brainstorming session to create their deliverables. My analysis of PATH for women’s communications capacity also revealed that the organization had to increase its web and social media presence. PATH for women only had a small byline on the CWH’s website. I contacted the person responsible for maintaining this page to determine what if anything we could do to increase PATH for women’s presence. This individual responded that OHSU has a very strict policy regarding website content and that it would be an extensive undertaking to change the CWH page. Consequently, I revised my tasks for this objective Page | 21
  • 25. to include facilitating PATH for women’s transition to a website dedicated to its organization. Since OHSU’s website creation and maintenance process seemed extremely complex, I suggested that we move the website for the outreach division of PATH for women to the WGSS page at PSU. WGSS agreed and a link to PATH for women’s page will be housed under a new tab on the WGSS homepage dedicated to “Activism.” The research division will still have a presence on the CWH website, but it will now include a link to the new PATH for women webpage, and vice versa. Organizational Strategic Communications Plan Organizational communications plans include the strategic goals that the plan will help achieve. They also include the target audience(s) and specific outcomes that the plan can achieve; the communication channels, methods, and activities to implement the plans; an exploration of the resources necessary to implement the plan; and tools to evaluation the effectiveness of the communications plan (Positioning Public Child Welfare Initiative, 2012; Schwartz, 2010; W.K. Kellogg Foundation, n.d.). (In addition, this portion of the communications planning process is similar to steps #4, #5, #6, #7, and # 9 of the Bryson (2004) framework). The goals for the organizational strategic communications plan are outlined above. They were apparent when we realized that PATH for women lacked even the most basic communication materials and communications infrastructure. In addition, PATH for women’s strategic goals, which are discussed later in this report, also shaped the overall goals for the communications plan. The stakeholder analysis that I conducted for objective #1 and the situational analysis that I conducted for objective #3 helped me identify the target audience. Lastly, the aforementioned brainstorming session and communications audit provided the details for the remaining elements of the plan. Once I completed a draft of the strategic communications plan, I submitted it to the PATH for women staff for comments and approval. Page | 22
  • 26. Strategic Communication: Outcomes and Recommendations Outcomes The public will be better informed and educated about PATH for women, and the organization will increase its public profile. The plan will also improve the quality and effectiveness of PATH for women’s communications, which will then increase the organization’s profile. Increased brand awareness may also lead to increased resources, such as PSU and OHSU departmental support and grants which will extend both the reach of the organization and PATH for women’s ability to achieve its mission. Also, the plan will facilitate improved allocation of resources. Furthermore, PATH for women now has enough materials to prepare a press kit, which usually consists of background material, such as the history of the organization, its mission, vision, values, current collaborators, and information on past successes. PATH for women will also have a website that is easy to find and easy to navigate. The website, through Google Analytics will also provide a way for PATH for women to measure the success of its communication activities. Recommendations PATH for women should conduct additional audience definition, segmentation, and profiling. This exercise will help PATH for women develop messages that will more effectively compel its target audiences. This information will also help PATH for women identify events, activities, and communication pathways that the organization can leverage in the future. It may also ensure that PATH for women efforts to create an advisory committee are successful. PATH for women should also establish a dedicated e-mail address for announcements. This dedicated e-mail address will also increase the legitimacy of its communication efforts.2 2 PATH for women has already acted on this recommendation. Its dedicated e-mail address is PATHforwomen@pdx.edu. Page | 23
  • 27. As the organization grows, it would also be best for PATH for women to hire or select one person to be the point of contact for media inquiries and become the communications plan manager. This will allow Torrie Fields to dedicate her time towards direct outreach, program management, planning, and implementation. Until then it makes sense for all PATH for women staff to become familiar with marketing strategies and tactics. There are numerous free or low cost sources for guidance on how to use various communication channels effectively e.g., Guerilla Marketing for Nonprofits.3 Furthermore, PATH for women should hire a marketing and social media intern who would report to Torrie. This would ensure that there is timely-follow up and in times when a swift reaction is necessary someone is prepared and empowered to deal with the situation. PATH for women should be prepared to allocate about four hours a week, the average amount time most say they dedicate to marketing and social media (Institute for Media, Policy and Civil Society, 2005). This will ensure that the staff can easily gather and upload content regularly to both the website and Facebook page, and perform other communications-related duties. Old and inaccurate information will reduce the organization’s credibility, and if the organization fails to produce timely comments or a position on current events, the organization itself becomes less relevant. Moreover, PATH for women should consider adopting a social media policy. 3 Levinson, J. C., Adkins, F., & Forbes, C. (2010). Guerrilla marketing for nonprofits: 250 tactics to promote, recruit, motivate, and raise more money. Irvine: Entrepreneur Press. Page | 24
  • 28. This policy should “outline clear rules around the use of social media… suggested best practices around privacy and confidentiality issues, and personal vs. professional or official social media behavior” (Colorado Nonprofit Association, 2011). PATH for women should also develop a fundraising or development communications plan. This organizational communications plan will provide the foundation for the fundraising communications plan since “a development communications strategy starts with the organization’s overall communications plan … and must be done in the context of how the organization has decided to present itself to the public” (Poderis, 2011). The fundraising communications plan would help PATH for women achieve its strategic goal of becoming financially sustainable. In addition, PATH for women should expand its portfolio of materials to support its communication activities. For example, the staff can convert the new logo and brand statement into promotional items that the staff can leave behind and giveaway. PATH for women can then test these new materials with its coalitions and advisory committee. PATH for women could also create an annual report. The annual report would help publicize significant achievements and events Another recommendation is that each invitation to the coalition should be followed by a phone call to verify receipt of the information, answer questions, and if possible arrange an in-person meeting since in-person meetings increase the chance of successfully gaining support and strengthens relationships (W.K. Kellogg Foundation, n.d.). Lastly, PATH for women should update its organizational strategic communications plan annually and conduct quarterly evaluations of the plan. Page | 25
  • 29. Objectives # 3 & 4: Enhance Applied Skills in Situational Analyses and Develop Competencies in Strategic Planning As mentioned above the strategic planning team mainly utilized the framework described by John M. Bryson (2004) in Strategic Planning for Public and Nonprofit Organizations and the strategic planning worksheets from Bryson’s (2005) Creating and implementing your strategic plan: a workbook for public and nonprofit organizations to guide the strategic planning process. The process map and the worksheests can be found above, as well as in Appendices F and G. Specifically, these objectives required us to complete and/or reassess steps #2, #4 – #7, and #9 of Bryson’s (2004) framework within the context of a strategic plan. The information contained in the worksheets includes, a SWOT analysis, critical organizational issues, and the underlying assumptions of the strategic plan development process. This information was then used to articulate the goals outlined in this plan. Therfore, this plan is a record of the strategic planning process and the decisions that the strategic planning team made. Identify Organizational Mandates Step #2 was already completed during the development of the strategic communications plan. PATH for women does not have any legislative mandates, but its operations do reflect its unique history as the result of a strategic partnership between OHSU and PSU. For example, WGSS’ mission is To support feminist scholarship throughout the university; foster student learning of the rich interdisciplinary knowledge within the field of women's studies; develop and implement feminist pedagogy; and support feminist inspired activism both within the university and in the community at large. We are committed to scholarship, learning, and activism that promote a critical understanding of interrelated systems of oppression with the goal of disrupting the resulting imbalances of power. As a result, PATH for women ensures that feminist methodologies inform its processes and procedures e.g., the unique stakeholder scoring process that PATH for women requested during the stakeholder analysis process. Page | 26
  • 30. Assess the External and Internal Environment and Strategic Issues My third objective was to enhance my applied skills in situational analysis. As a result, fulfilling the requirements of my objective allowed me to complete step #4 of Bryson’s (2004) strategic planning process. The resulting situational analysis is included in Appendix F. The process for these objectives is described below and shown in Figure 3 below. Situational analyses are meant to “provide information on the strengths and weaknesses of [an] organization in relation to the opportunities and challenges it faces” (Bryson, 2004, p. 124). Therefore, as part of this process, the strategic planning team met and brainstormed information for a SWOT analysis then identified and assessed the challenges and opportunities that both the outreach and research divisions of PATH for women face. I then drafted the situational analysis using the mission, vision, and values that the strategic planning team had finalized. The situational analysis informed the above organizational communications plan, stakeholder analysis, and its 2012-2015 strategic plans. After PATH for women reviewed a draft of my situational analysis they developed a few underlying assumptions (see Appendix G). These assumptions are the bridge between the external and internal assessments and the strategic plan. If one of these assumptions prove false or the situation changes then the strategic plan must be adjusted to reflect this change. Page | 27
  • 31. Next, the strategic planning team used the situational analysis and the underlying assumptions to help guide them as they developed a list of critical strategic issues or questions that PATH for women must address to be successful within the 2012-2015 planning horizon. Bryson (2004) defines strategic issues as “fundamental policy questions or critical challenges affecting the organization’s mandates, mission and values, product or service level and mix, clients, users or payers, cost, financing, structure, processes, and management” (p. 42). The worksheet that captured the strategic issues that PATH for women’s staff identified is in Appendix F. At times, it was difficult to recall that our strategic planning horizon was in the short-to-medium term (3 years), but after a series of e-mails and discussions, we were able to reach a consensus. Formulate Strategies to Manage the Issues, Review and Adopt a Strategic Plan, and Develop an Implementation Process I reviewed notes and documentation from PATH for women’s 2004 strategic planning workshop and stakeholder interviews, and shared the relevant information that I discovered with the other members of the strategic planning team. In addition, the team reviewed the situational analysis, which helped outline what PATH for women does well and the environment in which it operates; the recent stakeholder analysis; and the organization’s revised mission, and new vision and value statements. These documents provided context as the team developed the strategic plan. Due to the time constraints presented by the term of the 509 project, the strategic planning team created goals, strategies, objectives, tactical activities, and assigned responsibilities for these tasks in three back-to-back meetings that were dedicated to these steps. Page | 28
  • 32. During the second meeting the PATH for women staff determined that they did not have the capacity, financially as well as time, to pursue its initial strategic goal of building coalitions around the women’s health issues that the Report Card highlights successfully. As a result, the second meeting was spent revising the critical issue, goals etc., which were associated with that project. The worksheets, presentations, and templates that were used to facilitate these discussions are included in Appendices F and G. Outcomes and Recommendations The critical issues that the PATH for women strategic planning team identified are  How do we focus our search for grant funding in order to target "translation" grants and avoid applying for grants that are predominantly for direct services providers and researchers?  How do we gain a foothold in "policy forecasting" for women's health, that is, at the cutting edge of policy development and become a primary source of research data?  What can we do now to increase PATH for women’s visibility even more effectively, beyond the push we made this summer with our website, coalition letters, and advisory committee letters?  What can we do to increase our own research base beyond OSHU, the Report Card, and Healthy People 2020, as well as increase our organizational partnerships? The strategic plan addresses these critical issues and as part of its strategic plan, PATH for women shall pursue the following strategic goals:  Increase financial sustainability  Become the premier evidenced-based health policy advisory group in Oregon  Increase and maintain brand awareness  Increase PATH for women’s ability to respond to the research needs of its stakeholders Page | 29
  • 33. This strategic plan will be implemented over a three-year period (2012-2015) and successful implementation will help PATH for women take more of a leadership role in the public health community, explore additional strategic partnerships, and measure its outcomes. In addition, this strategic plan will provide a framework by which PATH for women can achieve its mission and work towards its vision, while embodying its values. Conclusion Overall, this project required me to demonstrate knowledge of researching best practices, organizational development, strategic planning, systems and process creation, collaborative solutions, economic and financial principles, marketing, community outreach, stakeholder engagement, and strategic communications. This tremendous opportunity also taught me how to manage a complex project. As a result, I believe that I am even more prepared for a career in health administration. Page | 30
  • 34. Bibliography Brugha, R., & Varvasovszky, Z. (2000). Stakeholder analysis: a review. Health Policy and Planning, 15(3), 239-246. Bryson, J. M. (2004). Strategic planning for public and nonprofit organizations: a guide to strengthening and sustaining organizational achievement (3 ed.). San Francisco, CA: Jossey-Bass. Bryson, J. M. (2004). What to do when stakeholders matter. Public Management Review, 6(1), 21-53. Burton, B. K., & Dunn, C. P. (1996). Feminist ethics as moral grounding for stakeholder theory. Business Ethics Quarterly, 6(2), 133-147. Camillus, J. C. (2008, January 1). Strategy as a wicked problem. Harvard Business Review, 86(5), pp. 98-101. Communcation Partners. (n.d.). Strategic Communication: Communication Partners. Retrieved August 12, 2012, from Communications Partners : http://www.communipartners.com/Strategic_Communication.html Donaldson, T., & Preston, L. E. (1995). The stakeholder theory of the corporation: concepts, evidence, and implications. The Academy of Management Review, 20(1), 65-91 . Levinson, J. C., Adkins, F., & Forbes, C. (2010). Guerrilla marketing for nonprofits: 250 tactics to promote, recruit, motivate, and raise more money. Irvine: Entrepreneur Press. McGuire, M. (2002). Managing networks: propositions on what managers do and why they do it. Public Administration Review, 62(5), 599-609. Patterson, S. J., & Radtke, J. M. (2009). Strategic communications for nonprofit organization: seven steps to creating a successful plan (2 ed.). Hoboken, NJ: John Wiley & Sons. Poderis, J. B. (2011). Fund-raising planning: developing a communications strategy for the development operation. Retrieved June 13, 2012, from Tony Poderis Raise-funds.com: http://www.raise-funds.com/2004/developing-a-communications-strategy-for-the- development-operation/ Positioning Public Child Welfare Initiative. (2012). Communications: Strategy. Retrieved August 9, 2012, from Positioning Public Child Welfare Guidance: http://www.ppcwg.org/communications-strategy.html Schmeer, K. (1999). Policy toolkit for strengthening health sector reform. In Stakeholder analysis guidelines . Bethesda, MD: Abt Associates, Inc. Page | 31
  • 35. Schwartz, N. E. (2010). Getting attention nonprofit marketing plan template. Retrieved June 12, 2012, from Getting Attention: http://gettingattention.org/nonprofit-marketing/nonprofit- marketing-plan-template.html The Clarkson Centre for Business Ethics. (1999). Principles of stakeholder management. Retrieved August 12, 2012, from Rotman School of Business Education: http://www.rotman.utoronto.ca/ccbe/Other/Principles%20of%20Stakeholder%20Manage ment.pdf W.K. Kellogg Foundation. (n.d.). Knowledge center: template for strategic communications plan. Retrieved June 13, 2012, from W.K. Kellogg Foundation: http://www.wkkf.org/knowledge-center/resources/2006/01/Template-For-Strategic- Communications-Plan.aspx Wicks, A. C., Gilbert, D. R., & Freeman, R. E. (1994). A feminist reinterpretation of the stakeholder concept. Business Ethics Quarterly, 4(4), 475-497. Page | 32
  • 36. Appendix A Organizational Framework PATH for women Outreach Research Jamie Ross, PhD Michelle Berlin, MD, MPH Torrie Fields, MPH
  • 37. Anticipated Action Plan (first completed on 6/20/12, last revised 7/10/12) Achieve Learning Objectives and Submit a Stakeholder Analysis; an Outreach and Communications Plan; a Situational Analysis and A Strategic Plan to PATH For Women in 10 weeks (June 18, 2012 through September 1, 2012) Action Steps Accountability Schedule Objective #1: Enhance Stakeholder Identification And Management Skills Feedback Task(s) Primary Other Start Completion Mechanism Pre-planning and Review 509 contract Submit action plan project management objectives and discuss project Me PATH for women 6/24/12 6/25/12 that captures expectations discussion Stakeholder Submit scrubbed Ensure data integrity Me 6/25/12 7/5/12 Identification data for review Stakeholder Create prioritization and Submit template for Me 6/24/12 6/29/12 Analysis categorization template review/approval Stakeholder Submit categorized Prioritize and Categorize Identification Me 7/2/12 7/5/12 and prioritized data Stakeholders for review 1
  • 38. Feedback Task(s) Primary Other Start Completion Mechanism Minutes of Meeting • Finalize prior submissions to all and if Process Meeting Me PATH for Women 7/5/12 7/5/12 •Address any concerns necessary revised action plan Report and Share report with Analyze data and make Recommendation(s) Me 7/5/12 7/20/12 PATH for women recommendations staff Objective #2: Strengthen Stakeholder Engagement Skills Send drafts for review/approval to • Review current materials PATH for women internal • Draft revisions and Me 6/18/12 7/31/12 Overview stakeholders incorporate new material (PATH for women staff) Submit for review and approval to •Work with graphic designer to Communication internal create templates, a logo and Me 6/25/12 7/31/12 Templates stakeholders other graphics (PATH for women staff) 2
  • 39. Feedback Task(s) Primary Other Start Completion Mechanism •Review/develop Submit for review communication procedures and approval to Communication •Create content for website internal Me 6/25/12 7/31/12 Procedures and other outlets stakeholders (PATH for women staff) Get consensus from internal and PATH for women Send finalized external Process Meeting(s) Me staff and external 8/1/12 8/10/12 materials to all stakeholders on stakeholders participants communication templates etc. • Outreach and communication Send report to plan Report Me 8/11/12 8/18/12 PATH for women •Report staff synthesizing engagement efforts Objective #3: Enhance Applied Skills in Situational Analyses Share information with PATH for Research Conduct literature review Me 6/18/12 6/25/12 women and receive feedback 3
  • 40. Feedback Task(s) Primary Other Start Completion Mechanism Share information Conduct internet search for with PATH for Research Me 6/18/12 6/25/12 analogs women and receive feedback Mission, vision Review, revise and/or Send finalized and values develop PATH for women’s Me PATH for women 7/5/12 7/20/12 materials to all mission vision and values participants Revise/update current SWOT and SWOT and situational Submit to PATH situational analysis and incorporate the Me 6/29/12 7/31/12 for women analysis lit review, mission, vision, and values Send revised Process Meeting Discuss draft Me PATH for women 8/1/12 8/17/12 materials to all participants 4
  • 41. Feedback Task(s) Primary Other Start Completion Mechanism Objective #4: Develop Competencies in Strategic Planning Create survey to determine Send survey to Solicit internal and external Me 6/25/12 7/5/12 PATH for women Stakeholder Input advocacy interests for review Survey released; Process Meeting Revise survey Me PATH for women 7/5/12 7/12/12 seek participants • Analyze and synthesize Determine Send report to results Me 7/12/12 7/19/12 Themes PATH for women • Draft report Use the report to clarify Circulate minutes Process Meeting program goals and Me PATH for women 7/20/12 7/27/12 and decision points objectives Incorporate prior materials Send draft plan to Strategic Plan and current data into a Me 7/28/12 8/17/12 PATH for women strategic plan 5
  • 42. Task(s) Primary Other Start Completion Feedback Mechanism Objective #5: Integrate and Apply What has been Learned, Identify Future Career Directions, and Articulate Ongoing Professional Development Needs Present strategic plan and circulate revised report to PATH for Review report and solicit Process Meeting PATH for women 8/17/12 9/1/12 women staff and send feedback Me summary/briefing points to external stakeholders • Reflect and synthesize Submit reflective what I learned throughout paper, portfolio and process Reflection Me 6/18/12 9/1/12 presentation slides to • Document progress academic advisor for towards career goals and review learning objectives •Stakeholder analysis report • Outreach and communications plan • Stakeholder Complete 509 Assuming completion of all of the objectives Engagement Report •Situational analysis • Strategic plan • Reflective paper, portfolio & presentation Source: Adapted from The Executive Guide to Operational Planning by George L. Morrisay, Patrick J. Bellow, and Betty Acomb. Copyright 1988. 6
  • 43. Stakeholder Analysis Assessment and Analysis of Stakeholders for PATH for women’s Coalition Empowerment and Capacity Building Program Written by: Amanda Phillips, JD, MPH Approved by: Jamie Ross, PhD and Torrie Fields, MPH August 29, 2012 1633 SW Park Avenue, Suite 221, Portland, OR 97207
  • 44. Table of Contents Table of Contents ................................................................................................................................................................ i Introduction ......................................................................................................................................................................... 1 Purpose of the Stakeholder Analysis ............................................................................................................................... 2 Scope of the stakeholder analysis ..................................................................................................................................... 3 Method(s) ............................................................................................................................................................................. 3 Identification and Information Gathering ................................................................................................................. 3 Prioritization and Analysis of the Stakeholder Table ............................................................................................... 4 Results ................................................................................................................................................................................... 5 Identification and Categorization ................................................................................................................................ 5 Figure 1: Stakeholder Map ................................................................................................................................... 5 Diabetes Data Analysis .................................................................................................................................................. 6 Figure 2: Frequency of Stakeholders by Size .................................................................................................... 6 Figure 3: Frequency of Stakeholder Group by Type ....................................................................................... 7 Figure 4: Distribution of Research Capacity ..................................................................................................... 7 Figure 5: Distribution of Legislative Capacity .................................................................................................. 8 First Trimester Prenatal Care Data Analysis .............................................................................................................. 9 Figure 6: Frequency of Stakeholders by Size .................................................................................................... 9 Figure 7: Frequency of Stakeholder Group by Type ....................................................................................... 9 Figure 8: Distribution of Research Capacity ................................................................................................... 10 Figure 9: Distribution of Legislative Capacity ................................................................................................ 10 Prioritization and Analysis of the Stakeholder Table ............................................................................................. 11 Table 1: Potential Diabetes Coalition Members............................................................................................. 12 Table 2: Potential First Trimester Prenatal Care Coalition Members......................................................... 13 Page | i
  • 45. Stakeholder Management: Strategies and Recommendations ................................................................................... 14 Strategies ........................................................................................................................................................................ 14 Engagement and Management .............................................................................................................................. 14 Monitoring and Evaluation .................................................................................................................................... 15 Conclusions, Recommendations, and Implications ................................................................................................ 15 Bibliography ....................................................................................................................................................................... 16 Appendix A ........................................................................................................................................................................ 18 Organizational Framework ......................................................................................................................................... 18 Appendix B ........................................................................................................................................................................ 19 Needs Assessment........................................................................................................................................................ 19 Appendix C ....................................................................................................................................................................... 22 Literature Review: Annotated Bibliography ............................................................................................................. 22 Appendix D ....................................................................................................................................................................... 25 Definitions of Stakeholder Characteristics and Instructions for Filling in Stakeholder Table ........................ 25 Stakeholder Table (Diabetes) ..................................................................................................................................... 27 Stakeholder Table (First Trimester Prenatal Care).................................................................................................. 28 Page | ii
  • 46. Introduction Michelle Berlin M.D., M.P.H. an Oregon Health and Sciences University (OHSU) physician and researcher, founded the Policy Advisory Toward Health (PATH) for women for women in 2004. PATH for women was a response to the critical need for current, evidence-based information concerning women’s health for use toward policy implementation and it is now a strategic partnership between the OHSU Center for Women’s Health (CWH) and Portland State University’s (PSU) Women, Gender, and Sexuality Studies Department (WGSS). PATH for women’s revised mission is to provide accurate, high-quality community driven research, data, and analysis to inform women’s health policy and to serve as an independent source of data, analysis, and coalition capacity-building for the public, advocates, and policymakers. PATH for women has expanded from its original emphasis on creating and translating scientific research to inform women’s health policy to include coalition capacity building and community outreach. As a result, PATH for women has two divisions (see Appendix A). One focuses on research and the other focuses on outreach. The outreach division is housed at WGSS and it aims to develop meaningful relationships with interested community members, community organizations, public health professionals, educators, and policymakers regarding issues facing women in Oregon, such as Women with Diabetes and Women with First Trimester Prenatal Care. The outreach division draws its evidenced-based health related information from the Making the Grade on Women’s Health: A National and State-by-State Report Card (Report Card). The Report Card has been published since 2000. The 5th edition, and most current Report Card evaluates 34 health status and 68 health policy indicators and assesses progress in reaching key benchmarks and policy objectives for each state and for the nation as a whole. For example, according to the Report Card Oregon is currently demonstrating a failing grade in two indicators: Women with Diabetes and Women with First Trimester Prenatal Care. The research division is housed in CWH where Michelle is a lead author of the aforementioned Report Card (see http://hrc.nwlc.org/). The research division aims to serve as a national and regional resource for data analysis, including the provision of accurate and current research concerning women’s health and evidence- based analysis of key issues that specifically affect efficiency, cost, and outcomes of the health of women. Page | 1
  • 47. Since 2004, the outreach arm of PATH for women has:  Identified key areas in women's health with policy impact and developed materials for use by community groups, local organizations, and the public to influence policy development and implementation  Interpreted the results of health studies for policymakers, the media, and the public  Analyzed and translated existing evidence-based research for the public and policymakers Purpose of the Stakeholder Analysis Traditionally stakeholders are known as “any person, group, or organization that can place a claim on the organization’s attention, resources, or output, or that is affected by that output” (Bryson, 2004a, p. 35). Stakeholders are important because social and economic issues are complex problems that have mutiple causes, are hard to define, have no easy solutions, and attempts to deal with these problems may lead to unintended consequences (Camillus, 2008). These problems require multiple actors and mutiple strategies to create sustainable solutions (Bryson, 2004b; Camillus, 2008). Therefore, it is crucial that organizations, such as PATH for women, take into account all of its stakholders as it attempts to solve the problems highlighted by the Report Card by building support for coalitions that are organized around these issues. A stakeholder analysis “is a process of systematically gathering and analyzing qualitative information to determine whose interests should be taken into account when developing and/or implementing a policy or program” (Schmeer, 1999). In other words, stakeholder analysis is a tool that allows an organization to identify key actors, such as decision makers and those affected by an issue, then through stakeholder management identify opportunities for creative problem solving and gain support for those initiatives. Stakeholder analyses can also guide an organization’s strategic planning processes (Brugha & Varvasovszky, 2000; Bryson, 2004b). Bryson (2004b) believes “…that strategic management processes that employ a reasonable number of competently done stakeholder analyses are more likely to be successful – that is, meet mandates, fulfill missions, and create public value – than those that do not.” PATH for women is in the midst of creating its 2012-2015 strategic plan and its 2012-2013 organizational strategic communications plan. The results of this stakeholder analysis will be incorporated into its strategic plan. Page | 2
  • 48. Scope of the stakeholder analysis By third quarter 2013, PATH for women would like to forge strategic partnerships with coalitions that address two issues: improving the health of women and their children during the first trimester, and preventing and improving care for women with diabetes. PATH for women will align with these existing coalitions, and will support them by assisting with the recruitment of potential coalition members, translating research upon request, and training coalition members on how to use qualitative data to support their policy initiatives. PATH for women’s staff plan to identify the appropriate coalitions as part of their duties. Therefore, this stakeholder analysis supports PATH for women’s goal by identifying and prioritizing potential coalition members that PATH for women can recruit for the existing coalitions. Method(s) The goal of this stakeholder analysis was primarily to identify stakeholders, gather their contact information, and prioritize them for PATH for women’s coalition capacity building efforts. Accordingly, the steps followed included identification of stakeholder, information gathering, categorization of stakeholders, development of a stakeholder table, analysis of the stakeholder table, and prioritization of stakeholders. Identification and Information Gathering The identification and information gathering process of this stakeholder analysis relied on the knowledge of PATH for women’s staff and secondary information. Specifically, the work group reviewed organizational websites, advocacy reports, and annual summaries. There are some limitations to this method. The websites and reports can be outdated and organizational interests may have changed, but these sources are excellent for an initial report and this method was most appropriate for PATH for women’s strategic planning timeline. Nevertheless, to increase the efficacy of the stakeholder analysis process PATH for women must integrate additional steps such as a needs assessment. As a result, the work group developed a questionnaire (see Appendix B) that PATH for women will use in the future to gain primary data on stakeholder interests. PATH for women will also use this data to revise this report and future stakeholder analyses. Lastly, PATH for women wanted a unique stakeholder scorecard that was grounded in feminist prinicples and focused less on power rankings and resource levels, and more on relationships, stakeholder needs, and those who would be affected the most by the coaltion. As a result, I conducted a literature review (see Appendix C). Based on the literature review I developed a list of characteristics and created a stakeholder table. Page | 3
  • 49. Prioritization and Analysis of the Stakeholder Table Each stakeholder was scored. The characteristics were assigned a numerical value  Yes = 1 and No = 01  High = 3, Medium = 2, and Low = 1 The total number of indicators that each organization addressed through its strategic plans or current programming was also added to the individual scores. The data was also analyzed in order to address the following questions:  Regional representation and balance  Legislative capacity  The number of indicators that the organization addresses  Level of reporting or focus on the issue  Community organization and nonprofit representation  Trade association representation  Research capacity  Government organization or program representation  Direct service provider involvement in the issue  Size of organization or department  Emphasis on socio-demographic issues The completed stakeholder tables are included in Appendix D. 1 Except for the rural versus urban category where Yes = 2 and No = 0. Page | 4
  • 50. Results Identification and Categorization A list of 68 stakeholders for the diabetes coalition and 31 stakeholders for the first trimester prenatal care coalition (see Appendix D). Stakeholders were then categorized into five sectors. These sectors are shown in the following figure. Figure 1: Stakeholder Map Community Organizations and Nonprofits Government Trade Programs and Associations Organizations Coalitions Hospitals and Research Direct Service Programs Providers Page | 5
  • 51. Key findings include:  Many of the target stakeholders for both coalitions are large organizations(diabetes n = 32; prenatal care n = 18) versus small or medium  Few of the target stakeholders are trade associations (diabetes n = 1; prenatal care n = 5)  Most of the target stakeholders are community organizations (diabetes n = 41; prenatal care n = 12), closely followed by government programs and organizations (diabetes n = 12; prenatal care n = 9)  Only 3 target stakeholders are in rural areas  The target stakeholders have a high level of legislative capacity (diabetes = 94%; prenatal care = 87%) Diabetes Data Analysis Figure 2: Frequency of Stakeholders by Size 35 32 30 25 25 20 15 Total 11 10 5 0 Large Medium Small Page | 6