Search results

1 – 10 of over 18000
Article
Publication date: 27 April 2012

Victor Maddalena

This article is a primer which aims to examine the application of project management principles in organizational strategic planning. The intended audience is students in health…

5499

Abstract

Purpose

This article is a primer which aims to examine the application of project management principles in organizational strategic planning. The intended audience is students in health administration and novice leaders in health care.

Design/methodology/approach

A six‐phase project management algorithm is presented to serve as a framework for implementing various aspects of an organization's strategic plan, with a particular emphasis on accountability processes.

Findings

Leaders in healthcare can increase the effectiveness of their organization's strategic planning processes and improve accountability by incorporating basic project management principles during the implementation phase of strategic planning.

Research limitations/implications

This is a review article drawing on a well‐established literature in project management and strategic planning.

Practical implications

The processes associated with generating an organizational strategic plan are well addressed in the management literature. This article succinctly outlines the application of basic project management principles to the implementation of strategic plans and organizational success, focusing on accountability processes.

Social implications

Cost effectiveness of health organizations can be improved by implementing project management practices in strategic planning.

Originality/value

The article succinctly applies basic project management principles to the implementation of strategic plans and organizational success.

Details

Leadership in Health Services, vol. 25 no. 2
Type: Research Article
ISSN: 1751-1879

Keywords

Article
Publication date: 11 May 2015

Jerry D. VanVactor

– The purpose of this paper is to present practicing management professionals with a model related to succession management and planning.

Abstract

Purpose

The purpose of this paper is to present practicing management professionals with a model related to succession management and planning.

Design/methodology/approach

Using a review of existent literature, this work examines and expounds upon the impact of succession management and planning as a potential genesis of, and an opportunity to mitigate, organizational problems related to senior executive turnover.

Findings

This manuscript presents a succession management and planning model for practicing professionals that is based on three key tenets: first, a plan (of some sort) is necessary for corporate resilience and sustainability; second, an organization has in inherent responsibility and need to plan for replacements and prioritize allocation of resources; and third, succession management planning aids in the establishment of organizational resilience and stability amid contingencies.

Practical implications

This work examines how, ultimately, succession management and planning is a means to risk/crisis management aimed at reducing gaps and associated problems related to changes among human capital distribution.

Social implications

While this work is written with emphasis placed upon managing transition among healthcare organizations and personnel, the information is equally relevant and applicable to a broader audience. In an applied sense, this model provides management professionals with concepts related to orchestrating change at both the individual and organizational levels.

Originality/value

While there is a dearth of literature examining succession management in a variety of industries, little information is directed specifically toward healthcare. This manuscript provides concepts related to effective risk mitigation via defined succession management and planning.

Details

International Journal of Public Leadership, vol. 11 no. 2
Type: Research Article
ISSN: 2056-4929

Keywords

Article
Publication date: 12 August 2014

Bita Arbab Kash, Aaron Spaulding, Larry D. Gamm and Christopher E. Johnson

The purpose of this paper is to examine how two large health systems formulate and implement strategy with a specific focus on differences and similarities in the nature of…

3447

Abstract

Purpose

The purpose of this paper is to examine how two large health systems formulate and implement strategy with a specific focus on differences and similarities in the nature of strategic initiatives across systems. The aim is to gain a better understanding of the role of resource dependency theory (RDT) and resource based view (RBV) in healthcare strategic management.

Design/methodology/approach

A comparative case study design is used to describe, categorize and compare strategic change initiatives within a children's health and a multi-hospital system located in two competitive metropolitan markets. A total of 61 in-person semi-structured interviews with healthcare administrators were conducted during 2009. Summary statistics and qualitative content analysis were employed to examine strategic initiatives.

Findings

The two health systems have as their top initiatives very similar pursuits, thus indicating that both utilize an externally oriented RDT method of strategy formulation. The relevance of the RBV becomes apparent during resource deployment for strategy implementation. The process of healthcare strategic decision-making incorporates RDT and RBV as separate and compatible activities that are sequential.

Research limitations/implications

Results from this comparative case study are based on only two health systems. Further, the RBV perspective only takes managerial resources and time into consideration.

Practical implications

Given that external resources are likely to become more constrained, it is important that hospitals leverage relevant internal resources, in the identification of competitive advantages and effective execution of strategic initiatives.

Originality/value

The author propose a refined healthcare strategic management framework that takes both RDT and RBV into consideration by systematically linking strategy formulation with deployment of resources.

Details

Journal of Strategy and Management, vol. 7 no. 3
Type: Research Article
ISSN: 1755-425X

Keywords

Article
Publication date: 14 March 2016

Mohammed Mesabbah and Amr Arisha

Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare

2634

Abstract

Purpose

Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services.

Design/methodology/approach

An extensive review of relevant HSE’s publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented.

Findings

PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals’ management systems.

Research limitations/implications

The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE’s PM framework, with a particular interest in acute hospitals and emergency services.

Originality/value

This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system.

Details

International Journal of Health Care Quality Assurance, vol. 29 no. 2
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 25 June 2020

Radoslaw Nowak

The purpose of this paper is to investigate whether employees' understanding of their organization's strategic objectives could be used by business organizations to develop a…

1061

Abstract

Purpose

The purpose of this paper is to investigate whether employees' understanding of their organization's strategic objectives could be used by business organizations to develop a desired type of organizational culture that will improve business performance.

Design/methodology/approach

Structural equation modeling (SEM) was conducted on the data collected in 2018 from professionals working in the healthcare industry in the USA.

Findings

SEM revealed the positive effect of employee understanding of their organization's strategic objectives on the development of a serving culture, and the mediating effect of serving culture on the relationship between employee understanding of strategic objectives and performance.

Research limitations/implications

This study emphasizes that having a well-defined mission and strategic goals may not be sufficient. Business organizations must also ensure that all employees clearly understand the meaning of such objectives. Employee understanding can become instrumental, as it could allow business organizations to develop a desired type of organizational culture that will support the implementation of the firm's strategic objectives.

Originality/value

The study is a valuable addition to past research. First, it advances the literature on strategy by exploring the critical role of employee understanding of their organization's strategic objectives in the context of culture and performance. Thus, it allows scholars to better explain how business organizations could more effectively utilize their process of strategic planning. In the domain of organizational culture, the paper contributes by identifying a new antecedent of serving culture. Furthermore, the paper also contributes to the literature on service management by identifying a mechanism that service organizations could use to increase their performance.

Details

Journal of Strategy and Management, vol. 13 no. 4
Type: Research Article
ISSN: 1755-425X

Keywords

Article
Publication date: 29 May 2020

Julie Aultman, Diana Kingsbury, Kristin Baughman, Rebecca Fischbein and John M. Boltri

A detailed strategic planning process is presented that entails several beneficial and effective strategies and goals for interdisciplinary academic, clinical and/or service…

Abstract

Purpose

A detailed strategic planning process is presented that entails several beneficial and effective strategies and goals for interdisciplinary academic, clinical and/or service departments. This strategic planning process emerged due to the need to adapt to organizational and structural changes within an institution of higher medical education.

Design/methodology/approach

A strategic planning framework was developed, along with an inclusive process that used an appreciative inquiry methodology, to examine past and present strengths and potentials in a diverse, interdisciplinary family and community medicine department.

Findings

The success of this strategic plan and relevant approaches is evidenced by the development of a community medicine course, student-run free clinic to meet the needs of underserved patients, an increase in primary care research and increase in student choice of family medicine as specialty choice.

Research limitations/implications

The described strategic planning process serves as an illustration of the benefits and limitations of identified approaches and outcomes useful for other departments and organizations undertaking similar efforts.

Originality/value

The integration of multiple goals and a shared vision in a strategic planning process leads to successful program development and meeting the needs of future healthcare professionals and the patients and communities they serve. The authors have provided a model for such success.

Open Access
Article
Publication date: 29 February 2024

Erlend Vik and Lisa Hansson

As part of a national plan to govern professional and organizational development in Norwegian specialist healthcare, the country’s hospital clinics are tasked with constructing…

Abstract

Purpose

As part of a national plan to govern professional and organizational development in Norwegian specialist healthcare, the country’s hospital clinics are tasked with constructing development plans. Using the development plan as a case, the paper analyzes how managers navigate and legitimize the planning process among central actors and deals with the contingency of decisions in such strategy work.

Design/methodology/approach

This study applies a qualitative research design using a case study method. The material consists of public documents, observations and single interviews, covering the process of constructing a development plan at the clinical level.

Findings

The findings suggest that the development plan was shaped through a multilevel translation process consisting of different contending rationalities. At the clinical level, the management had difficulties in legitimizing the process. The underlying tension between top-down and bottom-up steering challenged involvement and made it difficult to manage the contingency of decisions.

Practical implications

The findings are relevant to public sector managers working on strategy documents and policymakers identifying challenges that might hinder the fulfillment of political intentions.

Originality/value

This paper draws on a case from Norway; however, the findings are of general interest. The study contributes to the academic discussion on how to consider both the health authorities’ perspective and the organizational perspective to understand the manager’s role in handling the contingency of decisions and managing paradoxes in the decision-making process.

Details

Journal of Health Organization and Management, vol. 38 no. 9
Type: Research Article
ISSN: 1477-7266

Keywords

Article
Publication date: 15 June 2012

Rhonda J. Richards, Victor R. Prybutok and Sherry D. Ryan

The purpose of this article is to present a conceptual model that posits the strategic relationships between information technology, clinic operations and physicians and the…

5215

Abstract

Purpose

The purpose of this article is to present a conceptual model that posits the strategic relationships between information technology, clinic operations and physicians and the subsequent outcomes to patients, physicians and clinics which can lead to competitive advantages in the healthcare environment.

Design/methodology/approach

This paper is based on a review of the literature and proposes a conceptual model of the strategic relationships essential for success. The scope of the paper is based on the legal, economic and political triggers impacting the strategic relationship between electronic medical records, clinic interoperability and physicians as owners/users.

Findings

The paper presents the formation of a conceptual model which identifies the strategic alignment between clinics, physicians and information technology, more specifically, electronic medical records.

Research limitations/implications

This paper is limited in that it is not an empirical investigation but a conceptual model of future research endeavours. Future research endeavours should seek empirical findings related to the relationships proposed in the model.

Practical implications

Physicians, clinics and patients should be aware of the impact electronic medical records have on the health environment as well as the potential competitiveness due to health consumerism enabled by electronic medical records.

Social implications

Electronic medical records, personal health records and electronic health records are infiltrating society; subsequently health consumers should determine how this technology may impact their healthcare.

Originality/value

The value of this paper is to provide a conceptual model as a basis for future empirical research and awareness of changes in the competitiveness of the healthcare environment.

Details

International Journal of Quality and Service Sciences, vol. 4 no. 2
Type: Research Article
ISSN: 1756-669X

Keywords

Article
Publication date: 9 July 2018

Parvaneh Esfahani, Ali Mohammad Mosadeghrad and Ali Akbarisari

Although strategic planning promised to boost organizational performance, many health care managers found it difficult to implement it successfully. The purpose of this paper is…

3165

Abstract

Purpose

Although strategic planning promised to boost organizational performance, many health care managers found it difficult to implement it successfully. The purpose of this paper is to investigate the success of strategic planning in health care organizations of Iran.

Design/methodology/approach

This descriptive and cross-sectional study was conducted in 2016 using a valid and reliable questionnaire completed by 99 health care managers in Tehran province, Iran.

Findings

Strategic planning was positively related to organizational performance including employees’ and patients’ satisfaction and organizational productivity. However, strategic planning was moderately successful in enhancing organizational performance of Iranian health care organizations (score of 2.84 out of 5). The most and least success was observed in the planning and employee management constructs of organizational performance. Process management, organizational culture and customer management constructs had the most effect on the success of strategic plans in health care organizations.

Practical implications

Strategic planning is effective and provides a clear focused direction for health care organizations. Understanding the success factors of strategic planning would enable managers to develop more effective methods for developing, implementing and evaluating strategic plans in health care organizations.

Originality/value

This paper highlights the relationship between strategic planning and organizational performance and offers suggestions on how to develop and implement strategic plans to achieve higher organizational performance.

Details

International Journal of Health Care Quality Assurance, vol. 31 no. 6
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 6 February 2009

Archie Lockamy and Douglas L. Smith

The purpose of this paper is to provide a conceptual framework along with underlying propositions for the design and deployment of telemedicine projects which provide healthcare

2917

Abstract

Purpose

The purpose of this paper is to provide a conceptual framework along with underlying propositions for the design and deployment of telemedicine projects which provide healthcare organizations with strategic benefits.

Design/methodology/approach

Field research conducted at four healthcare organizations along with academic literature in the areas of telemedicine and process management form the basis for the conceptual framework and propositions provided in this paper.

Findings

Telemedicine can be used as a process enabler for enhanced healthcare‐delivery systems. However, there are several challenges which must be considered prior to its implementation. The framework and propositions provided in the paper can be used to facilitate successful telemedicine project deployments.

Research limitations/implications

The framework and propositions are derived from a small sample and must be validated through more rigorous empirical research studies.

Practical implications

The concepts presented in the paper can be used by healthcare planners to increase the likelihood of telemedicine deployment success within their organizations.

Originality/value

This paper begins to fill a void in the literature concerning how telemedicine can be used as a process enabler for improving healthcare‐delivery systems.

Details

Business Process Management Journal, vol. 15 no. 1
Type: Research Article
ISSN: 1463-7154

Keywords

1 – 10 of over 18000