How might you engage these types of stakeholders in a strategic planning process (Research videos and websites about mission and vision statements in healthcare organizations ) 1 Respond to the following 2 What did you find the most interesting 3 What did you find to be the most positive 4 Were there any mission and vision statements that seemed disconnected from each other or out of alignment with the 5 goals of the organization If so, how might you change them Review the Stevens District Hospital Strategic Planning Scenario about a fictional, not for profit acute care hospital in Jefferson City The hospital provides a range of services, including medical surgical, rehab, and emergency care in a regional market of 80,000 people This assignment and future course assignments will use the hospital and scenario information Imagine the following Your role in this planning process will be as the director of the radiology department at Stevens District Hospital Your department performs a wide variety of X ray procedures, nuclear medicine, ultrasound, and MRI testing In this planning process, you will evaluate the strengths, weaknesses, opportunities, and threats (SWOT) to the hospital and the role your department can play in increasing business for the hospital Review the following mission and vision statements Option 1 Mission To improve health by providing high quality care Vision Provide the highest level of service in the county Option 2 Mission To improve health by providing high quality care Vision Provide the broadest range of services in the county Option 3 Mission To be deeply committed to the communities we serve we enhance population health and well being Vision Deliver an exceptional experience with every encounter Select the most appropriate mission and vision statement for the hospital from the previous list and use the statements for this assignment (Assignment Directions) I have to write a summary that includes Identify the mission and vision statements you selected for Stevens District Hospital Explain the rationale for why you selected the mission and vision statements Identify the specific strengths of the mission and vision statement selected Identify the weaknesses of the mission and vision statements not selected Explain how the mission and vision statements drive the strategic plan for Stevens District Hospital Cite 2 peer reviewed, scholarly, or similar references to support your summary (Stevens District Hospital Strategic Planning Scenario) Background Stevens District Hospital is a 162 bed acute care hospital that is qualified as a not for profit facility The hospital was originally a county owned facility, and its status was transferred to an independent facility three years ago The hospital receives no external funding from government agencies for operations The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year The hospital has an aggressive quality management program and a low volume of medical malpractice claims The hospital is in Jefferson City, which is a city of 50,000 people with 80,000 in the regional market The hospital provides a general range of acute care services, including medical surgical, rehab, and emergency care Current Performance Analysis Current Mission and Vision Statements Our mission To improve health by providing high quality care, a comprehensive range of services, and exceptional service Our vision Stevens District Hospital and its affiliates will be the healthcare provider of choice for physicians and patients Our five year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women's services Currently, the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non invasive cardiologist Previous Strategic Plan Review Goals and Progress Table Goals Progress Toward Meeting Goals Increase market share by recruiting three family practice physicians During the past year, the hospital was able to recruit only one family practice physician to increase primary care market The limited number of state medical school graduates makes local recruitment difficult Improve quality HCAHPS scores in all six criteria to a baseline of the 85 th percentile The hospital improved HCAHPS scores in four of six criteria Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary care patient satisfaction Market Forces Affecting the Hospital Volumes Volume Changes Last Year Versus This Year Patients The continued growth of chronic disease will require changes to the care management model Percent of Population by Age Table Age Ranges Five Years Ago Five Years From Now Under 18 24 18 18 44 46 32 45 65 26 30 Over 65 4 20 More than 53 of residents have at least some college education, with just over 29 having an associate's, bachelor's, or graduate degree More than 90 of residents have at least a high school diploma The average unemployment rate in the county is 9 9 Market Share Distribution Percentage Comparison Table Hospital Market Share Distribution Five Years Ago Market Share Distribution Last Year Stevens District Hospital 48 35 Competitor Hospital 30 43 Out of County Hospitals 22 22 Figure 1 Patient Origin by Zip Code Figure 1 In the Patient Origin by Zip Code pie chart, 96101 is Stevens District Hospital zip code and 94963 is major competitor hospital zip code 52 are from 96101, 20 are from 94963, 16 are from 92106, and 12 are from 93921 Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years Chronic Disease Predictions Payment There will be continued focus on pay for performance and increased wellness programs The Affordable Care Act (ACA) is leading to more people being covered however, there are often high deductibles The median household income for county residents is $59,548 On average, households in the county earn more than the state median household income of $44,446 and more than the national average of $53,650 The addition of a new automotive manufacturing plant to the local market next year is projected to add 1,500 production line jobs and 300 administrative jobs by year end Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits Percentage of Population by Insurance Figure 2 Current Payer Mix Figure 2 The Current Payer Mix pie chart shows that 35 are covered by Medicaid, 30 are covered by Medicare, 24 are covered by commercial insurance, 9 are uninsured, and 2 are noted as other Figure 3 Projected Payer Mix in 5 Years Figure 3 The Projected Payer Mix in 5 Years pie chart shows that 38 are covered by Medicare, 24 are covered by Medicaid, 32 are covered by commercial insurance, 4 are uninsured, and 2 are noted as other As part of your review of this data, consider the following factors A portion of the population will become Medicare eligible The addition of manufacturing positions that include benefits will increase commercial insurance coverage Changes from the ACA will increase the number of patients in the market with insurance coverage Employers There is expected growth in large employers with the addition of the automotive factory in the northwest sector of the county Physicians The continued shortage of medical staff, especially in orthopedics, oncology, and primary care, will require increased recruitment efforts Competitors Hanover County Hospital, which is the other hospital in the county, has an updated facility that has drawn more market share to its facility Competitor Analysis Table Competitor Name Competitor Type Key Areas of Competition New Programs and Facilities Risk to Market Share Hanover County Hospital Primary competitor Facility upgrade Quality scores Significant renovation of core hospital to update aesthetics Added new wide bore MRI machine last year Reached the 95 th percentile in five of six HCAHPS categories Drawing patients to newer facility Accommodating patients with a wider range of body weights Patient perception of higher quality and patient satisfaction Medical Center Located in County South of Stevens District Hospital Primary competitor Physician clinics Financial stability E visits with specialists Low debt and high cash on hand Drawing patients out of primary and specialty care at Stevens District Hospital Ability to cash flow projects Retail Pharmacy Instant Clinic Secondary competitor Low acuity office visits Pharmacy added instant clinic in north part of county 6 months ago Loss of patients from primary care physicians' practices Technology A competing hospital has added e visits for physician practices, which is causing a shift of patients to the competitor hospital's physician practices Regulatory Changes Healthcare reform through the ACA has increased the number of patients with some form of insurance payment These patients are now seeking care from a primary care physician in greater numbers Stevens District Hospital struggles with accommodating patient scheduling requests to establish care with a primary care physician Planning Components Explanation Planning Components Explanation Table Components Definition Examples Measurement Goal Organization goals that cover broad strategic issues, such as quality, finances, and growth Improve HCAHPS scores by 5 Improve operating margin by 3 Increase market share in 96103 zip code by 5 Percentage increase in operating margin Percentage change in market share Objective Broad action items that address organizational goals, such as increased market share, increased use of technology, and increased physician satisfaction Improve emergency department patient satisfaction survey by 5 Grow urgent care visits by 10 Percentage change in the emergency department (ED) satisfaction survey Percentage change in urgent care visits Actions Action item that meets an objective, such as implementing EMR, renovating physician lounge, and increasing marketing for specific products Implement urgent care center in north zip code Purchase tablets for physicians for EMR rounding Number of patient visits at new urgent care center Percentage increase of EMR use Financial Summary Financial Summary Table Revenues and Expenses This Year (In $) Last Year (In $) Operating Revenues n a n a Net revenues from services to patients 343,737,280 344,726,245 Other operating revenues 16,846,309 20,311,534 Total operating revenues 360,583,589 365,037,779 Operating Expenses n a n a Salaries and benefits 192,053,379 182,853,245 Supplies and other expenses 130,173,477 135,560,131 Depreciation 18,969,799 20,644,157 Interest 2,695,623 2,226,437 Foundation 628,184 1,182,308 Total operating expenses 344,520,462 342,466,278 Income From Operations 16,063,127 22,571,501

Question

How might you engage these types of stakeholders in a strategic planning process  (Research videos and websites about mission and vision statements in healthcare organizations ) 1  Respond to the following  2  What did you find the most interesting  3  What did you find to be the most positive  4  Were there any mission and vision statements that seemed disconnected from each other or out of alignment with the 5  goals of the organization  If so, how might you change them  Review the Stevens District Hospital Strategic Planning Scenario about a fictional, not for profit acute care hospital in Jefferson City  The hospital provides a range of services, including medical surgical, rehab, and emergency care in a regional market of 80,000 people  This assignment and future course assignments will use the hospital and scenario information  Imagine the following  Your role in this planning process will be as the director of the radiology department at Stevens District Hospital  Your department performs a wide variety of X ray procedures, nuclear medicine, ultrasound, and MRI testing  In this planning process, you will evaluate the strengths, weaknesses, opportunities, and threats (SWOT) to the hospital and the role your department can play in increasing business for the hospital  Review the following mission and vision statements  Option 1  Mission  To improve health by providing high quality care  Vision  Provide the highest level of service in the county  Option 2  Mission  To improve health by providing high quality care  Vision  Provide the broadest range of services in the county  Option 3  Mission  To be deeply committed to the communities we serve  we enhance population health and well being  Vision  Deliver an exceptional experience with every encounter  Select the most appropriate mission and vision statement for the hospital from the previous list and use the statements for this assignment  (Assignment Directions) I have to write a summary that includes  Identify the mission and vision statements you selected for Stevens District Hospital  Explain the rationale for why you selected the mission and vision statements  Identify the specific strengths of the mission and vision statement selected  Identify the weaknesses of the mission and vision statements not selected  Explain how the mission and vision statements drive the strategic plan for Stevens District Hospital  Cite 2 peer reviewed, scholarly, or similar references to support your summary  (Stevens District Hospital Strategic Planning Scenario) Background Stevens District Hospital is a 162 bed acute care hospital that is qualified as a not for profit facility  The hospital was originally a county owned facility, and its status was transferred to an independent facility three years ago  The hospital receives no external funding from government agencies for operations  The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year  The hospital has an aggressive quality management program and a low volume of medical malpractice claims  The hospital is in Jefferson City, which is a city of 50,000 people with 80,000 in the regional market  The hospital provides a general range of acute care services, including medical surgical, rehab, and emergency care  Current Performance Analysis Current Mission and Vision Statements Our mission   To improve health by providing high quality care, a comprehensive range of services, and exceptional service  Our vision   Stevens District Hospital and its affiliates will be the healthcare provider of choice for physicians and patients  Our five year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women's services  Currently, the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non invasive cardiologist  Previous Strategic Plan Review Goals and Progress Table Goals Progress Toward Meeting Goals Increase market share by recruiting three family practice physicians  During the past year, the hospital was able to recruit only one family practice physician to increase primary care market  The limited number of state medical school graduates makes local recruitment difficult  Improve quality HCAHPS scores in all six criteria to a baseline of the 85 th percentile  The hospital improved HCAHPS scores in four of six criteria  Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary care patient satisfaction  Market Forces Affecting the Hospital Volumes Volume Changes Last Year Versus This Year Patients The continued growth of chronic disease will require changes to the care management model  Percent of Population by Age Table Age Ranges   Five Years Ago   Five Years From Now Under 18 24  18  18 44 46  32  45 65 26  30  Over 65 4  20  More than 53  of residents have at least some college education, with just over 29  having an associate's, bachelor's, or graduate degree  More than 90  of residents have at least a high school diploma  The average unemployment rate in the county is 9 9   Market Share Distribution Percentage Comparison Table Hospital Market Share Distribution   Five Years Ago Market Share Distribution   Last Year Stevens District Hospital 48  35  Competitor Hospital 30  43  Out of County Hospitals 22  22  Figure 1  Patient Origin by Zip Code Figure 1  In the Patient Origin by Zip Code pie chart, 96101 is Stevens District Hospital zip code and 94963 is major competitor hospital zip code  52  are from 96101, 20  are from 94963, 16  are from 92106, and 12  are from 93921  Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years  Chronic Disease Predictions Payment There will be continued focus on pay for performance and increased wellness programs  The Affordable Care Act (ACA) is leading to more people being covered  however, there are often high deductibles  The median household income for county residents is $59,548  On average, households in the county earn more than the state median household income of $44,446 and more than the national average of $53,650  The addition of a new automotive manufacturing plant to the local market next year is projected to add 1,500 production line jobs and 300 administrative jobs by year end  Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits  Percentage of Population by Insurance Figure 2  Current Payer Mix Figure 2  The Current Payer Mix pie chart shows that 35  are covered by Medicaid, 30  are covered by Medicare, 24  are covered by commercial insurance, 9  are uninsured, and 2  are noted as  other   Figure 3  Projected Payer Mix in 5 Years Figure 3  The Projected Payer Mix in 5 Years pie chart shows that 38  are covered by Medicare, 24  are covered by Medicaid, 32  are covered by commercial insurance, 4  are uninsured, and 2  are noted as  other   As part of your review of this data, consider the following factors  A portion of the population will become Medicare eligible  The addition of manufacturing positions that include benefits will increase commercial insurance coverage  Changes from the ACA will increase the number of patients in the market with insurance coverage  Employers There is expected growth in large employers with the addition of the automotive factory in the northwest sector of the county  Physicians The continued shortage of medical staff, especially in orthopedics, oncology, and primary care, will require increased recruitment efforts  Competitors Hanover County Hospital, which is the other hospital in the county, has an updated facility that has drawn more market share to its facility  Competitor Analysis Table Competitor Name Competitor Type Key Areas of Competition New Programs and Facilities Risk to Market Share Hanover County Hospital Primary competitor Facility upgrade Quality scores Significant renovation of core hospital to update aesthetics Added new wide bore MRI machine last year Reached the 95 th percentile in five of six HCAHPS categories Drawing patients to newer facility Accommodating patients with a wider range of body weights Patient perception of higher quality and patient satisfaction Medical Center Located in County South of Stevens District Hospital Primary competitor Physician clinics Financial stability E visits with specialists Low debt and high cash on hand Drawing patients out of primary and specialty care at Stevens District Hospital Ability to cash flow projects Retail Pharmacy Instant Clinic Secondary competitor Low acuity office visits Pharmacy added instant clinic in north part of county 6 months ago Loss of patients from primary care physicians' practices Technology A competing hospital has added e visits for physician practices, which is causing a shift of patients to the competitor hospital's physician practices  Regulatory Changes Healthcare reform through the ACA has increased the number of patients with some form of insurance payment  These patients are now seeking care from a primary care physician in greater numbers  Stevens District Hospital struggles with accommodating patient scheduling requests to establish care with a primary care physician  Planning Components Explanation Planning Components Explanation Table Components Definition Examples Measurement Goal Organization goals that cover broad strategic issues, such as quality, finances, and growth Improve HCAHPS scores by 5   Improve operating margin by 3   Increase market share in 96103 zip code by 5   Percentage increase in operating margin Percentage change in market share Objective Broad action items that address organizational goals, such as increased market share, increased use of technology, and increased physician satisfaction Improve emergency department patient satisfaction survey by 5   Grow urgent care visits by 10   Percentage change in the emergency department (ED) satisfaction survey Percentage change in urgent care visits Actions Action item that meets an objective, such as implementing EMR, renovating physician lounge, and increasing marketing for specific products Implement urgent care center in north zip code  Purchase tablets for physicians for EMR rounding  Number of patient visits at new urgent care center Percentage increase of EMR use Financial Summary Financial Summary Table Revenues and Expenses This Year (In $) Last Year (In $) Operating Revenues n a n a Net revenues from services to patients 343,737,280 344,726,245 Other operating revenues 16,846,309 20,311,534 Total operating revenues 360,583,589 365,037,779 Operating Expenses n a n a Salaries and benefits 192,053,379 182,853,245 Supplies and other expenses 130,173,477 135,560,131 Depreciation 18,969,799 20,644,157 Interest 2,695,623 2,226,437 Foundation 628,184 1,182,308 Total operating expenses 344,520,462 342,466,278 Income From Operations 16,063,127 22,571,501

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Goals	Progress Toward Meeting Goals
Increase market share by recruiting three family practice physicians.	During the past year, the hospital was able to recruit only one family-practice physician to increase primary care market. The limited number of state medical school graduates makes local recruitment difficult.
Improve quality HCAHPS scores in all six criteria to a baseline of the 85^th percentile.	The hospital improved HCAHPS scores in four of six criteria. Lagging elements in HCAHPS scores are inpatient patient satisfaction and primary-care patient satisfaction.

Age Ranges	% Five Years Ago	% Five Years From Now
Under 18	24%	18%
18-44	46%	32%
45-65	26%	30%
Over 65	4%	20%

Hospital	Market-Share Distribution % Five Years Ago	Market-Share Distribution % Last Year
Stevens District Hospital	48%	35%
Competitor Hospital	30%	43%
Out-of-County Hospitals	22%	22%

How might you engage these types of stakeholders in a strategic planning process? (Research videos and websites

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Competitor Name	Competitor Type	Key Areas of Competition	New Programs and Facilities	Risk to Market Share
Hanover County Hospital	Primary competitor	Facility upgrade Quality scores	Significant renovation of core hospital to update aesthetics Added new wide-bore MRI machine last year Reached the 95^th percentile in five of six HCAHPS categories	Drawing patients to newer facility Accommodating patients with a wider range of body weights Patient perception of higher quality and patient satisfaction
Medical Center Located in County South of Stevens District Hospital	Primary competitor	Physician clinics Financial stability	E-visits with specialists Low debt and high cash on hand	Drawing patients out of primary and specialty care at Stevens District Hospital Ability to cash-flow projects
Retail Pharmacy Instant Clinic	Secondary competitor	Low acuity office visits	Pharmacy added instant clinic in north part of county 6 months ago	Loss of patients from primary care physicians' practices

Components	Definition	Examples	Measurement
Goal	Organization goals that cover broad strategic issues, such as quality, finances, and growth	Improve HCAHPS scores by 5%. Improve operating margin by 3%. Increase market share in 96103 zip code by 5%.	Percentage increase in operating margin Percentage change in market share
Objective	Broad action items that address organizational goals, such as increased market share, increased use of technology, and increased physician satisfaction	Improve emergency department patient satisfaction survey by 5%. Grow urgent care visits by 10%.	Percentage change in the emergency department (ED) satisfaction survey Percentage change in urgent care visits
Actions	Action item that meets an objective, such as implementing EMR, renovating physician lounge, and increasing marketing for specific products	Implement urgent care center in north zip code. Purchase tablets for physicians for EMR rounding.	Number of patient visits at new urgent care center Percentage increase of EMR use

Revenues and Expenses	This Year (In $)	Last Year (In $)
Operating Revenues	n/a	n/a
Net revenues from services to patients	343,737,280	344,726,245
Other operating revenues	16,846,309	20,311,534
Total operating revenues	360,583,589	365,037,779
Operating Expenses	n/a	n/a
Salaries and benefits	192,053,379	182,853,245
Supplies and other expenses	130,173,477	135,560,131
Depreciation	18,969,799	20,644,157
Interest	2,695,623	2,226,437
Foundation	628,184	1,182,308
Total operating expenses	344,520,462	342,466,278
Income From Operations	16,063,127	22,571,501

How might you engage these types of stakeholders in a strategic planning process? (Research videos and websites

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Entrepreneurship

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