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strategic management
Questions and Answers of
Strategic Management
articulate the role of health information system development and integration;
demonstrate the use of healthcare information in management and organizational decision making;
critically analyze current issues affecting health information systems in the healthcare environment; and
identify the strategic impact of health information systems.
What role does information play in strategic planning in healthcare?
How can HIT help healthcare providers adapt to the rapidly changing healthcare environment? Provide examples of several HIT systems experiencing significant growth.
CMC failed to plan for investment in HIT. Develop a list of three HIT systems the center should consider implementing and the impact they could have on the organization.
Develop an IT strategic plan for CMC.
Who should be involved in IT strategic planning, and at what point should you involve them?
How would you determine whether the IT strategic plan was successful?
In light of the book’s discussion of leadership and your knowledge of hospital staffing patterns, identify five hypothetical individuals, by specialty role or category, whom you would like to
Using the databases introduced in this chapter, list which ones would be the most useful in your strategic planning of the new center of excellence in women’s healthcare.
Identify the type of data provided by each website, and explain its use in the planning process.
How is the health and well-being of a state’s population important?
How does education appear to affect the well-being of different states in the United States?
What is the importance of economics to healthcare?
In light of your analysis in the preceding three questions, which state would you rather live in, and why?
understand basic communication theory and the appropriate use of communication technology;
analyze healthcare situations and choose the most effective way to communicate with the audience;
demonstrate strong communication skills when conducting research, writing, and verbally presenting healthcare strategic plans;
develop effective interpersonal communication skills;
apply basic principles of critical thinking, problem solving, and communication in the development of healthcare business plans; and
apply skills in written, visual, and oral communication.
Who are the key stakeholders in a healthcare organization? Provide an example of a motivating statement that might engage one of these groups.
Discuss the key components of a healthcare presentation. Highlight three items you think are most important.
Over the past two years, CMC has experienced declining performance. Develop a motivating statement that will generate support among CMC’s employees for the implementation of the strategic plan.
In the future, when CMC allocates its resources during the strategic planning process, which is more important, developing the strategic plan or communicating the strategic plan?
Can the United States afford its current level of healthcare expenditures?
Does US society get good value for its healthcare expenditures?
Can an individual have an impact on healthcare expenditures?
What is the role of healthcare organizations in assessing and improving efficiency and quality?
Will the ACA have a positive effect on US healthcare?
understand the interparty relationships associated with healthcare joint ventures and accountable care organizations (ACOs);
understand some of the dynamics and controversies surrounding the concept of ACOs as an alternative approach to the current marketplace;
understand the basics of the patient-centered medical home and how it supports networkbased delivery systems;
master the concept of physician–hospital alignment and health system integration, including consumer, provider, and regulatory developments; and
assess the emerging role of medical groups and hospital-owned group practices across the continuum of healthcare services.
How does involving physicians in strategic planning help a hospital reach its goals?
Why is physician alignment important in the current healthcare environment?
Choose one of the models for hospital–physician integration discussed in the chapter, and list the advantages and disadvantages for hospitals and physicians under this model.
Using the material from this chapter and the Coastal Medical Center (CMC) case study, do you think adoption of the ACO model is a viable strategy for CMC?
How would you assess physician engagement at CMC?
How should physicians be involved in strategic planning at CMC, and at what point should you involve them?
What do you see as the future of physician involvement at CMC?
Is Dr. Gonzalez’s solo practice viable for the future?
Should Dr. Gonzalez recruit new providers or merge with another practice?
Should Dr. Gonzalez do just primary care or consider a multispecialty group? Identify the pros and cons of each decision.
Can expanding the practice size reduce expenses, increase net income, maintain the practice’s independence, and increase contracting power?
Should Dr. Gonzalez sell her practice to CMC and become an employee?
How many years should the contract be guaranteed if she sells to CMC?
What compensation model is appropriate, including base salary and increases based on productivity or downstream revenue?
What is their license status?
Where did they attend medical school?
Where did they receive their clinical training (residency, fellowship)?
Do they have any discipline on file or public complaints?
Where do they hold staff privileges?
What specialty certification do they have?
evaluate the availability of post-acute care services in local communities,
identify the appropriate post-acute care interventions used to meet the healthcare needs of older adults,
identify quality issues affecting the provision of post-acute care,
discuss the challenges faced by healthcare executives as they develop a strategy to meet post-acute care needs,
Many older patients, discharged from acute care hospitals after undergoing procedures such as knee-replacement surgery, need extensive rehabilitation services. From a strategic planning perspective,
Research shows the number of older Americans with chronic health conditions is growing significantly. What strategic implications does the increasing demand for skilled nursing care have for the
Given the demographics of the US population, what do you see as strategic planning opportunities in the area of hospice services?
What type of PAC does Coastal Medical Center (CMC) provide? What is its competition in this area?
Outline a PAC plan appropriate for CMC.
Who should be involved in strategic planning for PAC services, and at what point should strategic planners involve these individuals?
How will you know if CMC’s PAC plan is a success?
Which three nursing homes would you recommend in your local community?
Of these three, which one would you choose, and why?
Assuming that your grandmother is a Medicare patient, what payer would pay for her nursing home care?
Does this payment rate make your grandmother an attractive nursing home patient?
What are the financial implications if your grandmother cannot return home to her independent living facility and becomes a long-term nursing home resident?
Describe the role and responsibilities of the board of directors in corporate governance AppendixLO1
Explain how the composition of a board can affect its operation AppendixLO1
Describe the impact of the Sarbanes–Oxley Act on corporate governance in the United States AppendixLO1
Discuss trends in corporate governance AppendixLO1
Explain how executive leadership is an important part of strategic management.AppendixLO1
What are the roles and responsibilities of an effective and active Board of Directors?AppendixLO1
What are the issues that suggest the need for oversight of a particular company’s management team?AppendixLO1
Explain the role of executive leadership in building the strategic vision in corporations.AppendixLO1
Is there a close relationship between the composition of a board of directors and the organizational performance?AppendixLO1
Why is the combined Chair/CEO (or Managing Director) positions being increasingly criticized by most management scholars?AppendixLO1
What is the role of codetermination? In your opinion, is the incorporation of lower-level employees on the board appropriate?AppendixLO1
How should a board of directors be involved in the executive leadership of an organization?AppendixLO1
Explain the three key issues that corporate strategy addresses AppendixLO1
Apply the directional strategies of growth, stability, and retrenchment to the organizational environment in which they work best AppendixLO1
Apply portfolio analysis to guide decisions in companies with multiple products and businesses AppendixLO1
Develop a parenting strategy for a multiple-business corporation.AppendixLO1
List the means available to a company for horizontal growth and explain why a company might pursue one over another?AppendixLO1
Evaluate the types of retrenchment strategies that might be used by companies in stagnant industries.AppendixLO1
How is a diversification strategy related to the sustainable growth and development of an organization?AppendixLO1
What are the major factors that an organization needs to analyze before it can consider entering a foreign market?AppendixLO1
Explain the vertical integration continuum.AppendixLO1
How is corporate parenting different from portfolio analysis? How is it alike? Is it a useful concept in a global industry?AppendixLO1
Describe the major issues that impact successful strategy implementation AppendixLO1
Explain how you would develop programs, budgets, and procedures to implement strategic change AppendixLO1
List the stages of corporate development and the structure that characterizes each stage.AppendixLO1
Explain how matrix, network and modular structures are used to implement strategy AppendixLO1
Discuss the issues related to centralization versus decentralization in structuring organizations AppendixLO1
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