Questions and Answers of Strategic Management

How can a public hospital have a low or negative operating margin yet have enough funds to survive and prosper?
What factors affect the magnitude of the time value of money?
What are the advantages and disadvantages of basing strategic decisions on NPV?
How can the use of NPV and IRR together help leaders make better capital allocation decisions?
What is the benefit of basing strategic decisions on payback period? What problems does use of this metric present?
In what situations could breakeven analysis be used effectively?
What is the advantage of performing sensitivity analysis along with breakeven analysis?
Read the 1987 article by Gerald L. Glandon and colleagues titled “An Analytical Review of Hospital Financial Performance Measures” from Hospital and Health Services Administration, volume 32,
Read the Pennsylvania Health Care Cost Containment Council’s April 2017 report at www.phc4.org/reports/fin/16/docs/fin2016report_ volumeone.pdf, and answer the following questions:a. What do the
Access the Indiana State Department of Health’s website at https:// www.in.gov/health/cshcr/reports-on-health-care-facilities/hospitalreports/2019-hospital-audited-financial-statements. Look at the
How does an organization combine its mission and vision with its environmental analyses to develop a strategic plan?
Why is alignment of employees’ perceptions critical for proper strategic action to take place? Why do you think executives’ perceptions might differ from those of other staff?
How can an organization better align its employees’ perceptions?
Why is it not preferable to have more than seven strategic priorities? Would it be better to have fewer?
What critical factors do leaders need to consider when setting goals and objectives?
What are the advantages of using project charters? What might be some disadvantages?
Why might a person or unit in charge of strategic planning also be assigned responsibility for public relations, communications, and business development?
When and why might a governance board want to organize a strategic planning subcommittee?
What methods can a board or strategic planning committee use to increase communication to stakeholders and better understand their needs and perceptions?
Why is it important to have written guidelines for the strategic planning process?
What are the differences between strategic plans and marketing plans?
How should a company determine which customer segments to focus on?
How can a marketing plan help an organization achieve its mission and vision?
What critical points should a marketing plan address?
Honnutti Home Healthcare (HHH) has decided to expand into a new region. It has been successful in its primary market area and is excited to move into a new area. Its primary services include nursing
Ted, the director of strategic initiatives, has been tasked with moving the strategic initiatives established by the board’s strategic planning committee to goals and objectives. To accomplish this
Search the internet for a healthcare organization’s strategic plan.Examine and write a two-page analysis of it. Does it contain all of the components discussed in this chapter? Did the organization
Talk to a person responsible for project management. Determine how his role coordinates with strategic planning.
Find a marketing plan for a healthcare organization and look for the key components discussed in this chapter. On what specific features and attributes does the plan focus? Does it identify a target
How are strategic plans and business plans similar?
How are strategic plans and business plans different?
In what instances could a business plan be used?
How does a business plan encourage disciplined strategic thinking?
What factors determine the components included in a business plan?
When and why might you use a lean startup business plan?
Search the internet for healthcare business plans. Find two plans and write a two-page paper analyzing them. Do they contain all of the components described in this chapter? If the purpose of the
Examine one of the sample traditional business plans on the SBA’s website here: https://www.sba.gov/business-guide/plan-yourbusiness/write-your-business-plan. How could the business plan be
How does organizational structure influence the strategies an organization develops?
Why is there no optimal structure?
What factors affect the successful use of functional, multidivisional, and matrix structures?
Could the three levels of an organization—corporate, business unit, and functional unit—each have a different organizational structure? Why or why not?
What are the corporate office’s key concerns in creating and implementing strategy? Why?
What factors could determine the appropriate span of a manager’s control?
Could a matrix structure be used across a large corporate organization?Why or why not?
What are the advantages and disadvantages of using a functional structure?
How could a large, academic hospital use a multidivisional structure?
How can transfer pricing affect the successful use of a multidivisional structure?
Why might organizations use hybrid organizational structures? How might an organization use part of each of the three structures discussed in this chapter?
How could an ACO use a matrix structure to coordinate care?
Helo Hospital is part of a multistate hospital system that has been adding 5 to 10 hospitals per year for the past decade. Originally, three local hospitals made up the company, and the largest
Participative management has become a popular concept in business. Write a two-page paper on how the components of organizational structure encourage or discourage employee participation.
Matrix structures have been used in academic medical centers to coordinate medical, academic, and administrative functions. What challenges do you think this two-boss structure creates in this
Search online for two ACOs. What organizational structures do they employ?
What makes change so difficult for many organizations?
Jill, the CEO of Redmond Medical Center, and her assistant, Joe, attended the American College of Healthcare Executives’ (ACHE) annual Congress last week and, upon comparing notes, they concurred
Jackie has worked for Tenunt Health for over 20 years and has been in charge of their fledgling health insurance unit for the past three years. In that time her unit has made significant progress,
Review a resource such as John Kotter’s Leading Change (Harvard Business School Press, 1996), Kim Cameron and Robert Quinn’s Diagnosing and Changing Organizational Culture (Jossey-Bass, 2011), or
Read “Why Every Executive Should Be Focusing on Culture Change Now” in MIT Sloan Management Review at
What is the relationship between strategic thinking and strategic management? How do they complement each other? How do they contrast?
Why might it be difficult to possess both strategic thinking and strategic management skills?
How do learning and innovation encourage strategic thinking?
What is the relationship between an organization’s mission and vision and strategic thinking and strategic management?
As environments change, why must assumptions behind decisions likewise change?
How can hubris impede strategic thinking?
How does feedback improve strategic thinking?
What might be some of the core competencies that leaders need to practice strategic management?
How is meeting and committee management a core function of strategic management?
Why is it necessary for a leader to be involved in all phases of strategic planning?
Stephanie Short, CEO of Halburt Hospital, just got a promotion. She previously worked in a consulting firm that had done turnaround consulting at struggling hospitals. Her work was recognized in many
Hospital A was a large, complex teaching hospital in the Middle East. Established in 1972 by a western US hospital company, the organization grew and prospered over the next 30 years. It grew to
Write a two-page paper describing the differences and interactions between strategic thinking and strategic management. Address why many leaders often fail to think strategically. Include experiences
Interview a healthcare leader. Ask her what the leader of an organization can do to encourage learning and innovation. Find out how the organization’s executives encourage strategic thinking
How do organizational strategies, projects, and operations differ? How are they related?
Describe factors that may influence the success of a project.
Consider a project (professional, personal, or educational) that you worked on in the past. Which project management concepts—if any—did you apply? How did they foster success? If you did not
How does project leadership differ from formal leadership roles?
Why is sponsorship important to the success of a project?
How can a project leader keep stakeholders informed of a project’s progress?
What are the potential pitfalls of failing to define a clear project scope?
Why is it important to be structured and flexible at the same time?
Describe use cases for a project timeline versus a Gantt chart.
How can a project leader ensure meetings are effective? Why is this important?
Why is it important to conduct a “lessons learned” discussions at project closeout?
An academic medical center discovered the need to communicate more effectively with external referring providers at the beginning of the COVID19 pandemic. An external referring provider works outside
What is a prospective strategy?
What is an emergent strategy?
Why is it important to understand the difference between prospective and emergent strategies?
Why is there an imperfect matchup between prospective and emergent strategies?
What might interfere with the realization of a prospective strategy?
How might you manage the balance between design and emergence strategizing processes in an organization?
What are the major factors that distinguish levels of strategies in an organization?
The ACA, signed into law in 2010, substantially changed the direction and strategies of most US healthcare organizations. HHS was given the responsibility of implementing many of the provisions that
How does a change in population demographics alter the use of healthcare?
Which components of population demographics have the most significant impact on healthcare?
What is a patient origin study, and how can it inform strategic thinking?
Which of the four market structures would be most preferable to consumers? To organizations’ owners? To governments? Why?
What intermediaries exist between patients and their providers in the United States? What purpose do they serve?
How have technological advancements changed the provision of healthcare, and how might they affect healthcare in the future?
What are some of the exchanges that occur in the healthcare market?
What is the major difference between perfect competition and monopolistic competition?

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