Strategic Planning In Nursing

It is a common belief among healthcare leaders that to improve healthcare, hospitals and physicians must work in partnership. The clinical integration and strategic planning process can lead to better outcomes for the patient as well as improve quality of care at lower costs. With the implementation of the Accountable Care Organizations, hospitals and physicians are able to provide the care to their patients and be rewarded. Lastly, a model that assists physicians when a patient is hospitalized is the hospitalist. This role can have some advantages and some disadvantages for the physician and hospital.

Ontario, Canada 's most populous province with a population of more than 13.5 million, accounts for nearly 40 percent of all Canadians. To render healthcare services to people in Ontario through hospitals, clinics and other medical facilities, registered nurses and specialty nurse practitioners are needed more than ever in Ontario.

Strategy means the approach, plan and knowledge that is used to move in the direction that will allow the company to satisfy the customer’s wants and needs, and obtain their goal, while reaching and maintaining an economical benefit over the competition (Defining Your Business Strategy, 2016). It can further be defined as a means of evaluating at what success level they are currently sustaining, and what success level they desire to obtain and the means they will need to use to get to their desired level (Bryson p. 11). A practical understanding of the value that strategy brings to an organization, is the course that the company is to take and the positioning that the company has for the future, and very possibly survival in a very competitive

2. Statement of measurable goals: The measurable goals, along with the short-term objectives, are listed. The first goal for Jill is for her to develop and maintain a functional level of health related fitness; there are four short-term objectives within this goal. The second goal for Jill is for her to develop and maintain skills in selected leisure sports and activities. There are two short-term objectives for this goal.

The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence

The RN would first review the goals and outcomes of the patient care plan. The next step would be to collect Reassessment Data, " Assess the client response to the interventions."(pg. 128 Treas, Wilkinson) in which include vitals, auscultation of breath sounds, observation of activity, and asking the patient how they are feeling and family for observation. The RN would record the evaluation summary in the nursing note or care plan about the conclusion whether the outcome was achieved and the reassessment data supports the judgment. In order to revise a care plan, an RN must " review all the steps of the nursing process."(pg. 130 Treas, Wilkinson).

The ABC Health Care Center is an acute care facility that has been providing healthcare services in the state of Florida for over five decades. This organization functions under the functional structure and practices the participative leadership model with a top-down flow communication model to communicate with their employees. One of the most important recommendations of the institute of medicine (IOM) 2011 to increase the number nurses with a Bachelor Science of Nursing (BSN) degree from 50% to 80% by 2020 (IOM, 2011). However, this recommendation is not fully implemented by this organization. This goal can only be possible if health care employers are willing to do their

Overview. As one of Southern California's leading full service medical facilities, West Anaheim Medical Center has served its Orange County community for more than 50 years. Now in its 51st year, this facility is comprised of 219-licensed hospital beds, with a focus on acute care. The medical center operates under a functional type of organizational structure. Similar to a large hospital organization, the functional structure exhibits a hierarchy of personnel, with numerous channels of authority and responsibility. At the top of this hierarchy rests the board of directors (as discussed in further detail later), delegating duties to the center's Chief Executive Officer (CEO), who in turn instructs and manages the medical and administrative staff.

Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions. “Shared governance, which gives nurses control over their professional practices, is an essential element of a professional practice nursing model, providing structure and context for health care delivery” (cite shared governance article). This allows each healthcare worker to have a voice in the decision making and encourage input that will expand the business and healthcare.

Once a patient and nurse agree on the diagnosis, a plan of action can be developed. If multiple diagnoses need to be addressed, the Head nurse will prioritize each assessment and devote attention to severe symptoms and high factors. Each problem is assigned a clear measurable goal for the expected beneficial outcome. For this phase, nurses generally refer to the evidence based nursing outcome classification, which is asset of standardized terms and measurements for tracking patients’ wellness. The nursing intervention classification may also be used as a resource for planning.

Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models. All of these things are important for health care administrators to understand about the relationship between a physician and the facility they work at.

The strategic change cycle is one of the processes within strategic planning. This cycle is a ten-step process created to assist organizations in meeting their mandates, satisfying their missions, and constructing public value. “Strategic planning is intended to enhance an organization’s ability to think, act, and learn strategically” (Bryson & Alston, 2011).

The summation of activities that a business expects to carry out in order to attain longstanding objectives can be defined as organizational strategy. Combined, these activities forms a business’s strategic plan. Strategic plans are developed by various level of management. Superior organizational strategy are generated by the top level management whereas the middle level management and lower level management of the company implements objectives and strategies to accomplish the complete strategy gradually. Based on the mission of the business the organizational strategies are put into words. To carry out this report we have selected a company named TESCO which is a worldwide grocery and universal products dealer founded in the year 1919. Worldwide in terms of profit it is considered as third leading retailer and in terms of revenue it is regarded to be the ninth leading retailer. Tesco has expand geographically from the time early 1990’s and into sections like electronics, furniture, and internet services etc.

It can thus be seen as “a process by which managers discover where they are, where they want to go, how they believe they might get there, if they are getting there, and, as they proceed, if they still want to get there”. To do this efficiently and effectively, planning must take into account both the company’s complexity and its relevant environment. It does so in many ways, which include forming different levels of planning.

Operations management (OM) is the business function responsible for managing the process of creation of goods and services. It involves planning, organizing, coordinating, and controlling all the resources needed to produce a company’s goods and services. Because operations management is a management function, it involves managing people, equipment, technology, information, and all the other resources needed in the production of goods and services. Operations management is the central core function of every company. This is true regardless of the size of the company, the industry it is in, whether it is manufacturing or service, or is for-profit or not-for-profit.