“The Process of an Environmental Analysis” Please respond to the following:

Imagine that the physicians at your hospital have proposed adding a new cardiac care wing to the hospital at which you are CEO.   Review the website of a cardiac center in your neighborhood.Outline the specific steps you would take when conducting an external analysis to determine the need for this addition.

The textbook defines external analysis as “a strategic thinking activity toward identifying, aggregating, and interpreting the issues outside an organization to determine the implications of those issues on the organization as well as providing information for internal analysis and the development of the directional strategies” (Gunter, Duncan, & Swayne, 2018).  The goals of an external analysis is to determine trending issues that will currently affect an organization, to predict future issues, to prioritize changes, to develop or update the organization’s mission, vision, values, goals, and/or the strategy, and to foster strategic forward thinking within the organization (Gunter, Duncan, & Swayne, 2018).

Step 1) Determine service area and nearby competitors (Gunter, Duncan, & Swayne, 2018)

With the concepts of an external analysis in mind, the local hospital is Novant Health (Prince William & Haymarket).  These hospitals are only about 30 minutes south-west from Inova Heart and Vascular Institute, which is a nationally recognized cardiac facility.  Many local cardiology providers use the Inova Heart and Vascular Institute (IHVI) for heart surgeries.  In May last  year, I had heart surgery.  My surgeon was a provider in Manassas, VA and has access to both Novant Hospitals as well as Inova’s.  My surgery was completed at IHVI, instead of Prince William.  At the time, my son worked as the lead IT technician at Novant and advised me if I had the option, to have the surgery at Inova instead of Novant as Inova has a better cardiac department and less technical issues during surgeries

Step 2) Determine community needs (Gunter, Duncan, & Swayne, 2018)

During this step, an evaluation of reasons for hospital admission, surgeries (inpatient and outpatient), as well as local demographics would help to determine the general needs for the community.

Step 3) Research external healthcare trends (Gunter, Duncan, & Swayne, 2018)

During this step, focus groups would be instructed to determine the importance of inpatient vs outpatient cardiac surgeries and whether Novant would profit from focusing their attention to adding a new outpatient cardiac wing to their existing facility (Gunter, Duncan, & Swayne, 2018). Additionally in this step, future government healthcare polices should be reviewed to try to predict any negative effects from government insurers (Medicare/Medicaid, etc.).

Recommend three strategies that you can use to evaluate the data gathered during the analysis in order to decide whether to add this new wing to the hospital.  Include concepts from the weekly reading in the textbook or from peer-reviewed journal articles.

The first strategy I would use is to use the Delphi Method (Gunter, Duncan, & Swayne, 2018). This method is used to help identify and analyze the eternal data that was collected. The Delphi method will point out trending issues as well as a prediction for future issues (Gunter, Duncan, & Swayne, 2018). This method also employs the opinions of individuals through surveys to gather information (Gunter, Duncan, & Swayne, 2018). The next strategy that could be used is to compete a stakeholder analysis (Gunter, Duncan, & Swayne, 2018). Using this method would gather information from internal and external participates as well as other organizations that may have an interest in the new wing (Gunter, Duncan, & Swayne, 2018). Potential stakeholders would be the governing board, local as well as non-local patients, specialty providers, insurers, and many others (Gunter, Duncan, & Swayne, 2018). This type of analysis includes both internal and external stakeholders and the knowledge gained is invaluable. Lastly,  a dialectic inquiry could be utilized (Gunter, Duncan, & Swayne, 2018). This method uses a thesis and is contrasted with its antithesis to gain both positive and negative views about the new addition (Gunter, Duncan, & Swayne, 2018). One side may state that the initial cost is to extravagant, while the opposite side sees the long view with as the population continues to grow the need for more cardiovascular providers and surgery centers will be needed. This is a typical debate between the two sides with an evaluation of the pros and cons afterwards to form a consensus in the end.  Additionally this method offers to provide an abundance of transparency (Fischer &Heinrichs, 2018).

References:

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2018). Strategic management of health care organizations. Hoboken, NJ: Wiley.

Fischer, M., & Heinrichs, H. (2018). Dimensions, Dialectic, Discourse. Three Political Perspectives on the Sustainability of the German Healthcare System. International journal of environmental research and public health, 15(7), 1526. doi:10.3390/ijerph15071526

OR

Imagine that the physicians at your hospital have proposed adding a new cardiac care wing to the hospital at which you are CEO. Review the website of a cardiac center in your neighborhood.

Outline the specific steps you would take when conducting an external analysis to determine the need for this addition.

External analysis is a strategic thinking activity directed toward identifying, aggregating, and interpreting the issues outside an organization to determine the implications of those issues on the organization as well as providing information for internal analysis and the development of the directional strategies. The steps for conducting an external analysis is:

  1. Organize the External Analysis      Process and Create an Issue Map Template
  2. Scan the General Environmental, Health      Care System, and Service Area
  3. Monitor and Confirm External      Issues
  4. Forecast External Issues
  5. Assess External Issues
  6. Complete an Issue Map

Recommend three strategies that you can use to evaluate the data gathered during the analysis in order to decide whether to add this new wing to the hospital. Include concepts from the weekly reading in the textbook or from peer-reviewed journal article.

Focusing attention on major change areas facilitates the early identification and analysis of industry specific issues and trends that will affect the organization. Focus on the sevice area of competitor analysis. The stakeholder analysis with the systematic identification and the evaluation of the external and internal individual, groups, and organizations that are indirectly or directly impacted by the success or failure of the organization.

Ginter, P.M., Duncan, W.J., & Swayne, L.E. (2018). Strategic Management of Health Care Organization. Hoboken, NJ: Wiley

OR

“The Process of an Environmental Analysis” Please respond to the following:

  • Imagine that the physicians at your      hospital have proposed adding a new cardiac care wing to the hospital at      which you are CEO.   Review the website of a cardiac center in      your neighborhood.
  • Outline the specific steps you would take      when conducting an external analysis to determine the need for this      addition.
  • Recommend three strategies that you can      use to evaluate the data gathered during the analysis in order to decide      whether to add this new wing to the hospital.  Include concepts from      the weekly reading in the textbook or from peer-reviewed journal articles.

Well Star hospital is one of the largest hospital in Georgia Atlanta, and it delivers world-class education, in cardio-diagnostic and cardiac rehabilitation to people to get well, live well and stay well. This cardiovascular medicine operated at well star hospital in 3 locations namely Cobb, Douglas and Kennestone centers. Well star has enough technological equipment to deal with cardiovascular illness and provision of adult open heart surgery to those with advanced heart diseases.

The outline of specific steps one would take when conducting an external analysis to determine the need for this addition are as follows:

  • Consider if      necessary to add or not a new cardiac wing to the hospital to know if it      is going to be viable or not.
  • Consider whether      or not it would be expensive to renovate the old cardiac wing if one      available or add a new one if feasible or justifiable.
  • Look out       for what other areas  internally within the hospital demand      that need urgent  attention to attend to before embarking  on      adding a new cardiac care wing
  • One should      consider that enough resources in terms of fund and manpower available for      the new wing.
  • Consider the      consumers demand for cardiac services in terms of demography or      population.
  • Consider what      kind of services provided by the hospitals in the same environment and      incentive offers. Determine what changes  to bring in-terms of      services to be provided to improve quality services and cost as to have      edge over competitor.

Recommend strategies that can be used to evaluate the data gathered during the analysis in order to decide whether to add this new wing to the hospital. 

The strategies that one can use to evaluate the data gathered during the analysis in order to decide whether or not to add this new wing to the hospital are: (1) Scanning process serves as a ‘window’ to the organization because it views external data and identify issues within each category that occurs and are diverse, it is one of the technics that will make us to know threatening situational environmental changes. This will make us to know or observe related environments, and to identifies up-and-coming changes and discovers changes that are in progress. Also, it also involves observing and managing internal data to address important matters that will affect the business, (2) Monitoring is another way to look additional data which to be consistent or contradict the said expansion, progress made, or any difficulty encounter, and the uncertainty of the incident taken place. It consists of identifying the environmental concerns recognized in the scanning procedure and (3) Assessing means finding out what the expected trend indicates for the organization in conjunction with the external environment. This method is not proven and is fault-finding which is typically considered an action with risks or concerns (Ginter, Duncan & Swayne, 2018). The expert opinion on the various field can be of help to establish the new wing or not, experience is the best teacher and this is by gathering well-informed individual knowledge on certain issues and in conjunction with the internal based expert knowledge .Further more stakeholder analysis may be of help in this issue both link the external factors or variables with internal variables to see the success of the organization.

References:

https://www.wellstar.org.

Ginter, P. M, Duncan, W. J& Swayne, L. E( 2018). The Strategic Management of Health care Organizations( 8th ed). Hoboken, NJ: John Wiley & Son.

OR

Imagine that the physicians at your hospital have proposed adding a new cardiac care wing to the hospital at which you are CEO.   Review the website of a cardiac center in your neighborhood.

The strategies hospitals use to compete provide significant insight into broader health care market developments because hospital strategy is shaped by a variety of external forces. Some of the major external factors shaping hospital strategy include: economic and demographic trends; regulation; public and private purchaser behavior; plan and hospital market characteristics (i.e., number and type of competitors); payment methods; medical technology; and labor supply.

The External Analysis takes a look at the opportunities and threats existing in your organization’s environment. Both opportunities and threats are independent from the organization. Differentiating between strengths/weaknesses and opportunities/threats is to ask this essential question: Would this be an issue if the organization didn’t exist? If yes, it is an issue that is external to the organization. Opportunities are favorable conditions in an organization’s environment that can produce rewards if leveraged properly. Opportunities must be acted on if the organization wants to benefit from them. Threats are barriers presented to an organization that prevent them from reaching their desired objectives.

Outline the specific steps you would take when conducting an external analysis to determine the need for this addition

The following area analyses are used to look at all external factors affecting the hospital before adding a new cardiac care wing.

  • Customer analysis:      Segments, motivations, unmet needs
  • Competitive analysis:      Identify completely, put in strategic groups, evaluate performance, image,      their objectives, strategies, culture, cost structure, strengths, weakness
  • Market analysis:      Overall size, projected growth, profitability, entry barriers, cost      structure, distribution system, trends, key success factors
  • Environmental analysis:      Technological, governmental, economic, cultural, demographic, scenarios,      information-need areas Goal: To identify external opportunities, threats,      trends, and strategic uncertainties.

Erica Olsen, (2019), Internal & External Analysis, https://onstrategyhq.com/resources/internal-and-external-analysis/

Recommend three strategies that you can use to evaluate the data gathered during the analysis in order to decide whether to add this new wing to the hospital.  Include concepts from the weekly reading in the textbook or from peer-reviewed journal articles.

Several different strategic thinking frameworks and techniques may be used to examine the general and health care environments. These frameworks, which are informal and generally not overly sophisticated, have been variously described as “judgmental,” “speculative,” or “conjectural.”34 Indeed, environmental analysis is largely an individual effort and is directed to person-specific interests. Environmental analysis usually is not limited to just one of the environmental analysis processes, but rather encompasses scanning, monitoring, forecasting, and assessing. Three strategic that I will recommend includes; (1), Simple Trend Identification and Extrapolation– Trend identification and extrapolation is a matter of plotting environmental data and then, from the existing data, anticipating the next occurrence. Perhaps because of its relative simplicity, trend extrapolation is a widely practiced analysis method. Obviously, such a method works best with financial or statistical data. (2), Solicitation of Expert Opinion– Expert opinion is often used to identify, monitor, forecast, and assess environmental trends. Experts play a key role in shaping and extending the thinking of leaders. For example, health care experts have concluded that these managerial skills will be essential throughout the remainder of the decade: the ability to deliver quality care at reasonable cost, the ability to enhance the health status of the community, the ability to gain the respect of the business and medical communities, and the ability to improve outcomes and satisfaction. (3), Scenario Writing and Future Studies– Many businesses regularly use scenarios. The popularity of scenario analysis is due in large part to the inability of other, more quantitative forecasting methods to predict and incorporate major shifts in the environment and provide a context for strategic thinking. Scenarios avoid the need for single-point forecasts by allowing users to explore several alternative futures.53 Scenario analysis is an alternative to conventional forecasting that is better suited to an environment with numerous uncertainties or imponderables – where there is no map. A scenario is a coherent story about the future, using the world of today as a starting point. Based on data accumulated in the scanning and monitoring processes, a scenario or narrative that describes an assumed future is developed. The objective of scenarios and future studies is to describe a point of time in the future as a sequence of time-frames or periods of time. Scenario writing often requires generous assumptions.

Swayne L.E., Duncan W.J. & Ginter P.M., (2006), Strategic Management of Health Care Organizations, Fifth Edition, https://erl.ucc.edu.gh/jspui/bitstream/123456789/3016/1/%5BLinda_E._Swayne%2C_Jack_Duncan%2C_Peter_M._Ginter%5D_St%28BookZZ.org%29.pdf


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