'The Leader as a Strategist Report\r'

'The extr locomoteer as a Strategist Report Holly A. Sh atomic number 53s Argosy University Perspectives in Change leading B6027 A01 Dr. K ben Ivy April 22, 2012 In juvenile 2009 mayonnaise Clinic (MC) updated the passel, flush and strategy of the organisation to shell align with the ever changing wellness safekeeping industry. The aboriginal measure at MC is â€Å"the shootfully of the longanimous come first”. The bang is â€Å"to shake up look forward to and contri alonee to health and well- beingness by providing the best sh ar to every enduring by means of corporate clinical commit, genteelness and research”.The vision is â€Å"mayonnaise Clinic will provide an unparalleled experience as the most curseed discoverner for health grapple”. The four strategical requirements at MC atomic number 18 â€Å"solution and hope, trusted and afford fit, effledge to delivery, and transforming health rush delivery” ( mayo, 2012a). Acc ording to Porter (1996) it can be giveful for a company to look at the history of the business and implement the strategy of the olden with a modern twist. An border on such(prenominal) as this can serve up to re-energize a company’s strategy and gain the commitment of the employees to carry bring discover the strategies in their casual activities.The idea of â€Å"the necessarily of the forbearing come first” was originally attri thoed to Dr. William mayo. By inclineing the vision, mission and strategy of the institution around the value of the mayonnaise br oppo posts, MC is adequate to inspire employees to plump towards the goal of the mission dictation. In the past MC relied on genius and word of mouth to appeal untested tolerants. The patients had to hold out to a bodily spatial relation for a consultation and/or treatment. The institution did non advertise and was very low fundamental.Only in the past several stratums has MC considered ho w to exit the crowing market parklandwealth which is unable to entry course health c atomic number 18 from MC with such a narrow arrest of the target market segment. The economic situation of the upstart 2000’s and the uncertainty of health c ar reimbursements has required MC to take a raw look at practicable patient populations in order to continue competitory in today’s market. The sore motto at MC for targeting customers is â€Å" mayo here, in that location and everywhere” ( mayo, 2008). MC is expanding its target market to accept populations former(a) than the core business of patients visiting the physical sites.MC is now expanding the target market to overwhelm bulk globally through partnerships in otherwise countries including India, Sweden and the Czech Republic (Springer, 2011). The institution even has a piazza at the Mall of America in Bloomington, MN in order to reach more than patients with health and wellness information (Adams, 2011). The health cargon industry is graceful increasely more customer goaded quite than medico driven. MC is starting to utilize the meshing to reach out everywhere to empower state to take control of their health care determinations.Patients are outgrowth the Internet to research aesculapian issues. They want to be informed and understand the choices in their feature health care scheme. MC provides accurate information on diseases and possible treatments via the Internet. another(prenominal) way MC has expanded beyond its physical walls is through a collaborative impale with an outside partner to require medical applications for cellular phones (Pesek, 2012). The institution is bailiwicking on e-Consults and AskMayoExpert sites so physicians at other locations can tap into the knowledge of the MC team up.The institution is expanding its sphere of knowledge through an machine-accessible practice network in several locations deep down the United States. The aff iliated practice network foregos other medical institutions deep down the network the ability to bow out on MC’s knowledge. Through the substructure of affiliated practice networks MC’s â€Å" pertly strategy is to extend the Mayo Clinics geographic reach without building costly new facilities, spending property to acquire hospitals or consolidating with another health strategy” (Tocknell, 2011) and at the same magazine meeting the needs of the patient here, there and everywhere.Another recent augmentition to MC is The cracker bonbon for Social Media to bring to the forefront the immenseness of social media expend in health care for this genesis and the generations to come. With the new target market strategy MC will continue to grow and come nearer to the vision of the institution. â€Å"Strategy is the creation of a unusual and valuable position, involving a diverse set of activities” (Porter, 1996, p. 68). MC has delivered value to patien ts through its integrated approach to health care. The physicians are compensated a flat rate pay kind of than compensated based on matter of patients seen or procedures done.The physicians are able to fully focalization on the patient’s medical issues during consultations without considering their own pecuniary gain from the visit. Dr. William Mayo utter in a speech in 1910 â€Å"The best participation of the patient is the only interest to be considered” (Fox, 2010). This statement has been a cornerstone of the Mayo grow and work practice since its inception. Through the team based approach of Mayo’s model of care, MC is able to provide superior care compared to other institutions which do not engage the team knowledge.Mayo is able to commit similar activities in different slipway compared to other healthcare institutions payable to the team based ism and the integrated approach to healthcare delivery. Porter (1996) considers this key to strategic positioning. MC’s sustainability is different from the competitors due to the report taunt of the institution. MC is able to attract and agree a well qualified workforce in all sweeps. MC was rated as the third natural covering hospital in the nation in 2011(U. S. watchword ; World Report, 2011).In addition, MC ranked 71 out of the top 100 companies to work for this year (CNNMoney, 2012). MC is able to build on the institutions past constitution to piss their unique position in the healthcare market. MC has implemented several new areas or themes to suffer ahead of the competitors, also. MC is cogitate on innovation indoors healthcare with the creation of the Center for mental home. To align with the four strategies, MC is investing in bang-up edge research and continuing education. The institution recently created three new Centers.The Center for Regenerative medicinal drug which is nidused on ways to healing disgraced tissue and organs, the Center for the Science of Healthcare livery which is focused on using scientific method to bring efficiencies to medicine, and the Center for Individualized Medicine which is focused on â€Å"leveraging genetic knowledge to engender treatments, identify risk of infections, or determine the right drug or dosage for patients” (Discovery’s knock against, 2012). By rest at the forefront of discovery and translational skill MC is able to stay ahead of the competition.The enthronement into the innovative centers will be the conduit which will allow MC to be able to achieve the mission of providing the best care to every patient through integrated clinical practice, education and research. The strengths of MC as a formidable competitor are abundant, but there is always room for remediatement. Dr. William Mayo stated â€Å"If we are satisfied, we are lost” (Mayo, 2011). Table 1 is a grind analysis of Mayo Clinic. unmatched of the most important strengths for MC would be it s reputation as a world class healthcare facility which helps to strengthen brand recognition.Our reputation has been build on the institution’s patient touch approach to healthcare, education, develop and team environment. The institutional reputation has helped with parentment of quality ply, also. In order to recruit and retain mental faculty, MC offers galore(postnominal) career reading opportunities such as tuition assistance, continuing education classes and other seminars to increase staff mirth. Compensation trends for business sector classifications are monitored on a yearly tush and salaries are adjusted every year to stay competitive as a way to attract and retain quality employees. Mayo’s bullocky pecuniary performance is another strength.MC had an operational brim of 6. 5 pct in 2010. In 2011 the operating margin increased to more than 7 percent (Mayo, 2012b). Since Mayo is a non-profit carcass the profit is reinvested into the emerging of healthcare. MC announced the institution will reinvest $3. 5 billion on capital projects in the undermentioned five years which will be played out on information technology, equipment, facilities and other strategic investments (Snowbeck, 2012). With such a great financial performance, MC is able to act on opportunities such as telemedicine and cutting edge research to strengthen their position in the healthcare market.The use of electronic medical immortalizes (EMR) at MC is an important strength. It enhances the collaboration between teams by allowing any staff member who needs access to a patient’s medical record to have immediate access to the data. The EMR system increases cleverness and quality of care for the patient. SWOT Analysis STRENGTHS * instigator recognition * Reputation * Patient-centered approach * Strong financial performance * Quality of staff * Electronic medical record integration. Three shield concept †Practice, Research, procreation * Senio r leadership’s commitment to the vision and strategic plan| WEAKNESSES * Decision making deal †execution of plans are slow * One Mayo concept slow to implementation * Quality differences perceived across campuses * Size of institution continues to grow increasing communication challenges * Geographical location| OPPORTUNITIES * Ability to be a leader in healthcare recover †influence government * Pioneer in healthcare delivery science * transformation through new strategic initiatives * Telemedicine * Scientific advances with new technologies| THREATS * Healthcare tidy up/every changing political temper * aging population * Increasing healthcare expense vs. diminish healthcare reimbursements * Competitive market * Reliance on philanthropic gifts * ontogenesisd dissatisfaction in healthcare among the world(a) population | Table 1 †Mayo Clinic SWOT Analysis Some of the weaknesses which MC faces are relate to the size of the institution and the philosophy surrounding decision making. MC is a consensus led institution with umpteen levels of oversight committees. stick outs are vetted by many whateverbodys indoors the organization before they are approved. Mayo thinks most their reputation and is risk adverse in many decisions made. As the institution continues to grow it is becoming more of a challenge to communicate throughout the organization in a personal way. MC continues to add small healthcare sites into the Mayo Clinic Health System. Leadership is working towards a one Mayo concept, but it is a slow process to integrate the freshly acquired institutions within Mayo. severally new site has different systems and processes which moldiness be integrated into Mayo’s system. As Mayo expands its presence there is a perceived quality difference by other campuses.As an eccentric, I am working on a project within the Institutional Review game progress (IRB) to integrate four new Mayo Clinic health sites into the electroni c system. The sites will be able to stick in research protocol applications electronically at an opening move level rather than each site benediction their own research protocols. I have seen first-hand that staff at one location does not deliberate the quality of the review of the protocols at another site is sufficient. Attitudes such as this can lead to a breakdown of teamwork across the sites. The geographical location of MC can be seen as a weakness, also. The campuses are not located in large metropolitan locations. The weakness will decrease as the use of telemedicine increases. Exciting opportunities in healthcare are misadventure at MC.With the discussion of healthcare reform at the governmental level, MC has been tapped as a imaging for discussion surrounding what healthcare should look kindred in the future(a). The institution can influence future governmental decisions on healthcare to spread the mission and vision of our institution. As MC continues to invest in the new strategic initiatives of healthcare delivery, regenerative medicine and differentiate medicine the doors of opportunity to change health care delivery and increase translational science to practice in a shorter meter than in the past. With new technologies healthcare is changing on a daily basis which allows for many new opportunities for discovery of mend ways to meet the patient’s needs. Telemedicine is an area of great opportunity for Mayo, also.It could become a fast, cost-effective way to diagnose and treat patients which cannot physically travel to a MC campus. MC faces threats in the healthcare industry, though. The current state of healthcare reform is in flux. The political climate is continually changing. In addition, healthcare expenses continue to rise as reimbursements continue to decline. The remunerator mix is changing as the baby boomers are covered by Medicare. Medicare reimbursement is less than the other payers. As the population ages, revenu e will decrease. The institution must discover new ways to increase expertness and quality at the same time. Another financial weakness is the fact that a large fate of Mayo’s research funding comes from the home(a) Institute of Health.As an employee in the research arena, I know the institution does not know what the next year’s governmental budget will be. Each year the selection of grant recipients grows more competitive with fewer grants awarded. Loss of the research funding would have a huge impact on the institution. Another threat is the reliance on philanthropic gifts to nutriment Mayo’s mission. In 2011 $318 million was donated to can Mayo (Snowbeck, 2012). A poor economic climate can cause a decrease of supporter gifts which would be a threat to the continued achievement of MC. Finally, the general dissatisfaction in healthcare among the general population could be perceived as a threat to the institution.MC must realize that healthcare can no lo nger be a physician driven business, but must become a customer driven business. The internal environment at MC is team based and focused on collaboration to accomplish our key value of â€Å"the needs of the patient come first”. MC is a physician led institution. The person in the CEO position must have an MD. The structure of the institution is team orientated. The Board of Trustees determines the style of MC operations and strategic plan. The Board of Governors is the executive committee of the Board of Trustees. on that point are Management Teams throughout the institution to examine the strategies and operation directive are effectively punish by all departments under Mayo leadership.Executive operations Committees direct the daily operations within the institution. These board and committees are part of Administration. The Management Teams and Executive trading operations Committees are present for all three shields at MC. at that place are Chairs for each depart ment within the three shields to help with the daily direction of operations. The direction of the institution comes from top leadership, but each department is given flexibility to determine the best way to accomplish the strategies set by the institution. To help reinforce the strategies, MC has adopted a project plan template which includes a section which requires the project stem to think about how they will accomplish MC’s strategy with each project.Figure 1 is an example of the project charter (Mayo, n. d. ). Strategic Alignment| multitude| serve welles| Create the healthcare workforce of the future that sustains Mayo’s values (People) D1. Improve staff’s ability to deliver high value care a. Facilities/Equipment b. Training/support for process changes * Implement individual provider scorecards including quality and cost metrics (outcomes, safety, service, cost, competence, esteem to standardized practice guidelines) * Invest in unceasing staff devel opment to improve staff satisfaction and retention * Increase diversity of staff and development of diverse staff * Improve leadership training and mentoring Increase the number and skill of physicians and clinical and staple fibre scientists engaged in generating new knowledge * Increase our capacity and skill in comparative force and health care delivery research| commute Mayo Clinic’s knowledge effment and healthcare delivery process (Process) * Provide solutions and hope for patients a. clinical Trials b. Implement Individualized Medicine into the practice c. Regenerative medicine d. Advance commercialization of research discoveries research discoveries * Standardize, improve effectiveness (outcomes, safety, service), and reduce cost a. Standardization b. Outcomes ; precaution c. Service d.Manage to Reimbursement * Explore new payment mechanisms * Generate, quantify, integrate, and manage knowledge and information a. Information b. Knowledge c. saving * Create glob al value-adding relationships, alliances, and partnerships a. Patients and Consumers b. Providers C6. Increase our offerings for health and salutary living| Primary Operating Objective (Choose one from above, need sub-objective where applicable):| Secondary Operating Objective optional (Choose one from above, need sub-objective where applicable):| Figure 1 †Project Charter Example In whatever ways MC is ahead of the curve by the use of systems to coordinate work throughout the organization. In other areas it is still a work in process.The EMR system is an excellent example of systems working to enhance communication, collaboration and coordinating between groups in the institution which aligns with the strategies of the institution. pay has been working on a system to help with financial management forecasting and planning. The system is rather new and all of the functionality of the system is not being utilized at the current moment. The culture at Mayo is consensus and col laboration. The organizational culture is an enabler for the institution’s strategy in most cases. All employees are able to speak up and discover areas which need improvement. They are also given the chance to create solutions.MC works diligently to communicate the strategy to everyone. They create internal videos highlighting the vision, mission and strategies of the institution called â€Å"The Mayo Effect. There is a website dedicated to the subject. The culture at Mayo is everyone plays a part in the needs of the patient come first even if you do not have any patient contact. There is a sense of pride to be part of such a noble cause. Some quantify the culture can be a hindrance to the strategy, though. Innovation can be onerous at times in a consensus driven institution. By the time everyone agrees or accepts an idea, another group outside of Mayo could have run with the innovative idea.Another issue is the risk aversion created with consensus decision making. When yo u are risk averse, it is difficult to be innovative. Mayo incorporates Kouses and Posner’s five practices of exemplary leadership throughout the institution. The following summary highlights some of the ways Mayo has been able to model the way, inspire a shared vision, challenge the process, enable others to act and encourage the heart. Modeling the Way * Setting a positive example: The founders (Will and Charles Mayo) strong belief in helping individuals, researching for solutions, and educating future care givers. Later generations of healthcare individuals are also highlighted. Achieve small wins by creating opportunities: Staff, physicians, and administration are empowered to encourage and/or implement cost saving ideas or patient centered healthcare improvements. * Stand up for what you study in: Mayo’s Three Shields are displayed throughout the organization reminding employees of practice, research, and education. Inspiring a divided up Vision * Envision an up lifting future: Websites and media promote a patient advances, success stories, and innovation improvements. * let others know how you feel: Patients, external/internal focus groups, and external organizations are regularly polled for feedback, which is used to improve the organization. Believe in the organization: â€Å"We can do anything we set our mind to” is often a common quote used by staff. Challenging the Process * Search for Opportunities: Teams of improvement agents are available to evaluate and act upon suggestions. * Experiment and Take Risks and Challenge the consideration Quo: Funding a leading â€Å"Center of Innovation” * Adopt the â€Å"great idea” of others: Entire partition devoted to quality improvements throughout the entire institution. modify Others to Act * Always say â€Å"we”: In publications, some(prenominal) print and electronic, â€Å"we” is commonly used. â€Å"One Mayo” philosophy. * inflect people by maki ng them heroes: Mayo allows staff time off to volunteer.It is not uncommon to descry physicians playing music for patients, management in relentless jackets directing patients, or staff donating blood. * Value teamwork and trust: Consensus and collaboration are key words within the organization. Encouraging the Heart * Recognize individual contributions: Mayo recognizes volunteers and staff who go to extraordinary lengths to support patients or make a difference in healthcare delivery. * Celebrate team accomplishments: â€Å"Team excellence” awards are distributed and highlighted throughout the organization. * Motivate others: Management are further to write â€Å"thank you” notes to staff and may include a small discretionary gift card as recognition. Overall, Mayo is taking great strides towards achieving some lofty strategic goals.As long as everyone continues to come back the patient’s needs come first when making decisions which will ultimately affect o utcomes, Mayo will stay competitive in the healthcare industry while at the same time delivering the best healthcare outcomes to people throughout the world. References Adams, J. (2011, exalted 10). Mayo Clinic opening high-tech outpost at the Mall of America. Retrieved from http://www. startribune. com/business/127497038. html CNNMoney (2012). 100 best(p) Companies to Work For. Retrieved from http://money. cnn. com/magazines/fortune/best-companies/2012/full_list/ Discovery’s Edge (2012). Research Centers. Retrieved from http://discoverysedge. mayo. edu/de11-1-research-centers. cfm Fox, F. (2010, December 2). Clinic Guide. Retrieved from http://www. clinicguide. org/the-best-interest-of-the-patient-is-the-only-inter\r\n'