Description

Based on extensive experience in the business sector, A. H. Mesch developed a series of questions to determine if an organization needs environmental analysis. Answer each of the seven questions posed by A.H. Mesch in relation to a current employer (organization and location), for example Erlanger Health System, Chattanooga, TN. These are fundamental organizational questions that apply to every organization. Even if Mary's are not presently employed in health care, Mary still will be able to respond to the questions.

Additionally, refer to the five health care segments identified on pages 45-46. For each segment, identify a specific health care organization within the health care environment for Mary's current employer.

Part 1

Demonstrate or explain the questions Mesch poses and provide a short example every time Mary answer "yes" to a question.

Part 2

Identify a specific health care organization for each of the five segments within the health care environment for Mary's current employer. For example, The University of Tennessee Health Science Center, College of Medicine, Chattanooga is a specific example of a "secondary provider" that provides resources to Erlanger Health System in Chattanooga, TN.

Part 3

In Mary's professional opinion supported by professional and scholarly sources, does the organization need to conduct an analysis of the general and health care environments? Why or why not?

References

1. Ginter, P., Duncan, J., & Swayne, L. (2018). Strategic management of health care organizations (8th ed.). Hoboken, NJ: John Wiley & Sons, Inc. Chapter 2.

CHAPTER 2 EXTERNAL ANALYSIS 45 Exhibit 2-3 lists the types of organizations and individuals within each segment and provides examples. The categories of health care organizations listed under each of the health care segments are not meant to be all-inclusive, but rather to provide a starting point for understanding the wide diversity and complexity of the industry. EXHIBIT 2-3 Organizations in the Health Care System Planning/Regulatory Organizations Federal regulating agencies . Department of Health and Human Services (DHHS) Center for Medicare and Medicaid Services (CMS) Centers for Disease Control and Prevention (CDC) . Food and Drug Administration (FDA) . U.S. Agency for Toxic Substances and Disease Registry (ATSDR) Environmental Protection Agency (EPA) State regulating agencies Public Health Departments . State Health Planning Agency (e.g. Certificate of Need or CON) Voluntary regulating groups . The Joint Commission (accredits 21,000 health care organizations in the United States) National Committee for Quality Assurance (NCQA) Primary Providers (Organizations that Provide Health Services) Hospitals . Voluntary (e.g. Barnes/Jewish Hospital) . Governmental (e.g. Veteran's Administration Hospitals) Investor-owned (e.g. HCA - The Healthcare Company, Tenet) State public health departments Non-hospital health care facilities Skilled nursing facilities (e.g. HCR ManorCare) Assisted living facilities (e.g. Brookdale Senior Living Solutions) Intermediate care facilities (e.g. Avalon Memory Care) Ambulatory care institutions (e.g. Ambulatory Care Centers) Hospices (e.g. Hospice Care & Palliative Care, Inc.) Home health care institutions (e.g. CareGivers Home Health) Physicians' offices Secondary Providers (Organizations that Provide Resources) Educational institutions . Medical schools (e.g. Johns Hopkins, University of Alabama at Birmingham [UAB]) . Schools of public health (e.g. The University of North Carolina at Chapel Hill, Harvard) . Schools of nursing (Presbyterian School of Nursing) . Health administration programs (University of Washington, The Ohio State University) Organizations that pay for care (third-party payers) . Government (e.g. Medicaid, Medicare) (See Essentials for a Strategic Thinker 2-1, "What is Government Health Care Insurance?" for an overview of public health insurance) . HMOs and IPAs (e.g. United Healthcare) (Continued) Insurance companies (e.g. Prudential, Metropolitan)GIC MANAGEMENT OF HEALTH CARE ORGANIZATIONS EXHIBIT 2-3 (Continued) Businesses (e.g. Microsoft, Ford Motor Company) Social organizations (e.g. Shriners, Rotary Clubs) Pharmaceutical and medical supply companies Drug distributors (e.g. Mckesson) . Drug and research companies (e.g. Bristol Myers Squibb) . Medical products companies (e.g. Johnson & Johnson, 3M, GE) Organizations that Represent Primary and Secondary Providers National associations . American Medical Association (AMA) American Hospital Association (AHA) State associations (e.g. Illinois Hospital Association, New York Medical Society) Professional associations . Health care (e.g. American College of Healthcare Executives [ACHE] or Medical Group Management Association [MGMA]) . Physicians (e.g. American College of Physician Executives [ACPE]) . Medical products (e.g. Pharmaceutical Manufacturers Association [PMA]) Individuals and Patients (Consumers) . Independent physicians Nurses Non-physician professionals (Physician Assistants, X-ray Technicians) . Patients and consumer groups (American Heart Association) Source: Adapted from Beaufort B. Longest Jr., Management Practices for the Health Professional, 4th edn (Norwalk, CT: Appleton & Lange, 1990). ESSENTIALS FOR A STRATEGIC THINKER 2-1 What Is Government Health Care Insurance? In the United States, there are several govern- Medicare is a federal program that provides ment programs that enhance access to health health insurance coverage to persons over the care for specific groups of eligible beneficiar- age of 65, some disabled workers, and people ies. Some programs only provide health insur- with end-stage renal disease (ESRD). IndividualsAssignment 1.2: Strategic Questions & Health Care Segments Name: Organization & Location (city/state/): 1. Seven Strategic Questions Yes or No. Your For "yes" answers, please answer reflects your provide a specific example. organization's perspective. 1. Does the external environment influence capital allocation and decision-making processes? 2. Have previous strategic plans been scrapped because of unexpected changes in the environment? 3. Has there been an unpleasant surprise in the external environment? 4. Is competition growing in the industry? 5. Is the organization becoming more marketing oriented? 6. Do more and different kinds of external forces seem to be influencing decisions, and does there seen to be more interplay between them? 7. Is management unhappy with past forecasting and planning efforts? 2. Health Care Organization Segments Planning/Regulatory Organizations Primary Providers Secondary Providers Organization that represents the primary and secondary providers Individuals and patients 3. Professional Opinion In 250 words or less, in your professional opinion supported by professional and scholarly sources, does your organization need to conduct an analysis of the general and health care environments? Why or why not? References