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PLANNING

Definition

Process of making decisions in the present to


bring about an outcome in the future

Deciding in advance what is to be done and


how it is to be done

What = objectives
How = methods and procedures

Primacy of Planning

Necessary for deciding

Structure of the organization


Ideal organizational outcomes
Kind of people needed and when
Type of leadership that will be most effective
Standards needed for effective control measures

Developing guidelines for making decisions


about intended actions
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Strategic Planning

Pursues large scale, long term planning (5 yrs)


Tries to create a more desirable future results
by: a. Influencing the outside world
b. Adapting current programs & actions
so as to have more favorable outcomes in the
external environment
Provide overall direction to the strategic
management of a company
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Questions to drive strat plan

Key Question

Sources of answers or
actions to get answers

What is important?

Core values & motives,


philosophical & mission
statements

What is the ideal


goal?

Vision statement

What is the real


world like?

Environmental assessment to
inform & validate mission &
vision statements

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Questions to drive strat plan

Key Question

Sources of answers or
actions to get answers

Are adjustments
needed?

Update vision & mission


statements

What direction(s)
to pursue?

SWOT analysis; match goals


& resources

What must be
done?

Formulate strategies

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Questions to drive strat plan

Key Question

Sources of answers or
actions to get answers

How do we get it
done?

Implement strategies

How do we know
how we are doing?

Monitor, do gap analysis,


interpret

How do we
improve?

Determine what has & has not


worked; improve strategies

Whats next?

Do it all again (because


environments are dynamic)

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Analysis of Opportunities

Evaluation of present conditions


Situational analysis

Take a preliminary look at possible future


opportunities
Know where we stand in the light of our strengths
and weaknesses
Understand what problems we wish to solve and
why
Know what we expect to gain
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SWOT Analysis

A conceptual framework for a systematic


analysis that facilitates matching the external
Threats and Opportunities with the internal
Weaknesses and Strengths of the
organization
Involves monitoring the marketing
environment internal & external to the
organization
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SWOT Analysis

Should start with defining a desired end


state or objective
Enables the planners to see if the objectives
are attainable
If attainable, SWOTs are used as inputs to
the creative generation of possible strategies

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SWOT Analysis

External environment

Focus on macroeconomic matters, socialcultural


changes, political, legal, geographic, demographic
& technological factors
Be alert for changes in the marketplace
Determine the competitive situation of the firm
Find out what the customer wants

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SWOT Analysis

External environment

Main external environments that affect business:

Social population , demograohics


Political health & safety regulations
Economic interest rates
Cultural organizations way of doing things
Technological computer networks
Aesthetic organizational & facility images
Consumers those with need for services
Legal possible risks
Environmental impact on nature
Sector - accreditation
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SWOT Analysis

Internal environment

Available resources

Human, capital, physical plant

Organizational structure and operations


Company image & marketing techniques used
Customer relations
Products and services

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SWOT Analysis

STRENGTHS

A resource advantage relative to competitors and


the needs of markets a firm serves or expects to
serve
A distinctive competence when it gives the firm a
competitive advantage in the marketplace
Arise from resources & competencies available to
the firm
Should be from both internal and external
customers
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SWOT Analysis

Weaknesses

A limitation or a deficiency in one or more


resources or competencies relative to competitors
that impedes a firms effective performance
Should be determined from the points of view of
the organization itself and from the customers
Must be acknowledged so that it can be handled
effectively

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SWOT Analysis

Opportunities

A major situation in a firms environment


Changes in technology, government policy, social
patterns
Identification of previously overlooked market
segment, improved buyer or supplier relationships

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SWOT Analysis

Threats

A major unfavorable situation in a firms


environment
Key impediments to the firms current or desired
position
Entrance of new competitors, increased
bargaining power of key buyers or suppliers,
technological changes, new or revised regulations

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Internal Analysis
STRENGTHS & WEAKNESSES

COMPONENTS:
P People
R reputation
I Intellectual property
M Market information
E - Ethos

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F finance
A Agility / Physical Structure
C Collaborators
T - talents

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EXTERNAL ENVIRONMENT
OPPORTUNITIES & THREATS
COMPONENTS:
I - Innovations
C Competitors
E Economic factors
D Demographics
R Regulatory Environment

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I Infrastructure
P Partners
S Social trends

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SWOT Analysis
Internal
STRENGTHS

WEAKNESSES

OPPORTUNITIES

SO strategy
(maxi maxi)

WO strategy
(mini maxi)

THREATS

ST strategy
(maxi mini)

WT strategy
(mini mini)

External

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SWOT Analysis

Intended to summarize a strategic situation


with a view of deciding what the organization
should do next
Aims to differentiate factors from being good
or bad for the companys performance
Where to find information

Company business reports, annual reviews,


published performance data on financial
resources, marketing & operations, current
suppliers & key stakeholder groups
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Planning methodologies

STP process

Situation evaluate the current situation & how it


came about
Target define goals or objectives (ideal state)
Path map a possible route to the goals

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Planning methodologies

Draw see think - plan approach

Draw what is the ideal image


See what is todays situation? What is the gap
from ideal and why?
Think what specific actions must be taken to
close the gap?
Plan what resources are required to execute
activities

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Basic Terms

Goals
Goals are specific accomplishments that
must be accomplished in total, or in some
combination, in order to achieve some
larger, overall result preferred from the
system, for example, the mission of an
organization.
goals are outputs from the system.
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Basic Terms

Strategies or Activities
These are the methods or processes
required in total, or in some combination, to
achieve the goals.
strategies are processes in the system

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Basic Terms

Objectives
Objectives are specific accomplishments
that must be accomplished in total, or in
some combination, to achieve the goals in
the plan.
Objectives are usually "milestones" along
the way when implementing the strategies.

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Basic Terms

Tasks
Particularly in small organizations, people are
assigned various duties required to
implement the plan.
If the scope of the plan is very small, tasks
and activities are often essentially the same.

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Basic Terms

Resources (and Budgets)


Resources include the people, materials,
technologies, money, etc., required to
implement the strategies or processes.
The costs of these resources are often
depicted in the form of a budget.
resources are input to the system

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Typical Phases In Planning

1. Reference Overall Singular Purpose or


Desired Result from System

"Mission

2. Take Stock Outside and Inside the


System

Environmental Scan. This scan usually involves


considering various driving forces, or major
influences, that might effect the organization.
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Typical Phases In Planning

3. Analyze the Situation

conduct a "SWOT analysis"


"measure" the health of systems

4. Establish Goals

establish a set of goals that build on strengths to


take advantage of opportunities, while building up
weaknesses and warding off threats.

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Typical Phases In Planning

5. Options Evaluation

Develop premises

Assumptions about the future & known conditions in


which the plan is to be carried out and how these
conditions will affect the operation of plans
Consider costs and risks

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Typical Phases In Planning

6. Strategy Development

Select a course of action or overall


strategy

Establish Strategies to Reach Goals

methods chosen to reach the goals depend on matters


of affordability, practicality and efficiency.

Establish Objectives Along the Way to


Achieving Goals

Must be timely and indicative of progress toward


goals.
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Typical Phases In Planning

7. Numberize plans

Associate Responsibilities and Time Lines


With Each Objective

process of determining who will do what, when, where,


how and why, and at what cost.
Responsibilities are assigned
Deadlines are set for meeting each responsibility
Set BUDGET

8. Write and Communicate a Plan


Document
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Environmental Analysis Tools

Trend Identification and Extrapolation

Plotting environmental data then anticipating the


next occurrence

Must be supported by financial or statistical data


Environmental issues are ill structured & conjectural

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Environmental Analysis Tools

Solicitation of expert opinion

Delphi technique
Development, evaluation & synthesis of individual points of
view through systematic solicitation & collation of individual
judgments
Nominal group technique, brain storming, focus groups

Dialectic inquiry

Development, evaluation & synthesis of conflicting points of


view (environmental issues) through separate formulation &
refinement of each point of view

Stakeholder analysis
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Analyzing the Internal


Environment
Preservice

Point of
service

After - service

Organizational Culture
Organizational Structure

Strategic resources
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Competitive Advantage

1. identify strengths & weaknesses

Service delivery
Organizational culture
Organizational structure
Strategic resources

2. classify strengths & weaknesses

Resources human & nonhuman; tangible & intangible


Competencies collective knowledge & skills
Capabilities ability to deploy resources & competencies
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Competitive Advantage

3. evaluate competitive relevance

Competitively relevant strengths & weaknesses


Value to customers
Rareness of RCC
Inimitability duplicability of RCC
Sustainability maintenance over time

4. focus on competitive advantage


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Strategic implications of
competitively relevant strengths
Competitively relevant
strength

Competency patient
oriented providers

Basis of competitive
advantage

Uniqueness driver

Strategic implication

Relatively few health


care orgs treat
patients as customers

Capability rewards
Cost driver
based on performance

Pay for performance


improves productivity

Resources state of
the art medical
equipment

High technology can


contribute to improved
medical care

Cost driver

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Clarification of objectives

Specify expected results and indicate


endpoints of what is to be done
Give direction to major plans
Participants in goal setting

Top down approach


Bottom up approach

Size of organization
Organizational culture
Preferred leadership style of executive
Urgency of the plan
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Guidelines

Comprehensive, progressive, flexible


Verifiable, made for formal accountability
Indicate quality & projected cost
Promote professional & personal growth &
development
Individual & departmental obj must blend with
org obj

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Directional strategies

Guide strategists when they make key


organizational decisions
VISION
Organizations
hope for the future

MISSION
Organizations distinctiveness
& stakeholders expectations

Service
category
critical
success
factors

Mission
critical
activities

Strategic
goals

Unit
objectives

VALUES
uncompromised principles of
the org

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Mission: a statement of
distinctiveness

Captures the organizations distinctive


character
A broadly defined but enduring statement of
purpose that distinguishes a health care org
from other orgs of its type & identifies the
scope of its operations in product, service &
market terms

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The mission of Cleveland Clinic Foundation


is to provide compassionate health care of
the highest quality in a setting of education &
research

Mayo Clinic will provide the best care to


every patient through integrated clinical
practice, education & research
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Writing a mission statement

Target customers & clients


Principal services delivered
Geographical domain of the services
delivered
Specific values
Explicit philosophy
Other important aspects of distinctiveness
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Vision : hope for the future

A description of what the org will be like and


look like when it is fulfilling its purpose
Attributes: idealism, uniqueness, future
orientation, imagery
Communicates what the org could be if
everyone worked hard to realize its potentials
statement of destination

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The vision of Childrens Health System is a


better childhood for all children. We envision
a childhood where all children have access to
healthcare, live in safe neighborhoods, grow
up in economically stable families & attend
functional schools within communities that
value each child as a unique human being

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Writing a vision statement

Clear hope for the future


Challenging & about excellence
Inspirational & emotional
Empower employees first
Memorable & provides guidance

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Values as guiding principles

Fundamental principles that (together with


mission) make the org unique
Relate to ethical behavior & socially
responsible decision making

Values of Ascension Health

Service to the poor generosity of spirit


Reverence respect for the dignity & diversity of life
Wisdom integrating excellence & stewardship
Creativity courageous innovation
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Mission critical activities


Service category success
factors (KPI)

Mission critical activities


(KRA)

Ability to serve entire market

Complete range of rehabilitation


services including PT, OT & ST
and rehabilitation products like
splints, orthosis& prosthesis

Ability to replicate services in other By the end of 2011, Star Rehab


geographical markets
Services will have clinics in at
least 1major hospital in each
geographical region of the country
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STRATEGIC GOALS

Major objectives

Reflect what is of greatest significance for the


current & future direction of the org

The OT Dept of the Star Rehab Services will be


recognized as a premier hand rehabilitation center,
specializing in post-traumatic injuries & staffed by
therapists who are board-certified hand rehab
specialists

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Action plan

Contains strategies & activities for achieving


objectives
Competitive strategy
Action oriented

1. Renovate existing space to accommodate a hand


rehab center
2. Recruit therapists with expertise in hand rehab
3. Develop & implement a staff devt program in hand
rehab
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Resources needed

Procedure for monitoring performance

Survey
Status report

Evaluation system

Annual review
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