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- Title
Cascading strategy in a large health system: Bridging gaps in hospital alignment through implementation.
- Authors
Wood, Suzanne J
- Abstract
Using any number of open system strategic frameworks, the planning process follows a fairly consistent trajectory: formulation, implementation, and evaluation. Most agree that the formulation and evaluation phases are the most straightforward, yet successful implementation remains elusive. If done thoughtfully, taking advantage of a complementary framework suitable for aligning facility-level initiatives with system priorities presents a feasible opportunity for health systems interested in cascading enterprise-wide strategy successfully. This study provides lessons learned from: (a) consulting literature addressing barriers to implementing strategy effectively, and (b) analyzing insights from a participatory action research study designed to overcome impediments to aligning hospital-level initiatives with enterprise-wide goals and objectives. The analysis provides a baseline examination of hospital alignment efforts that underscores best practices and exposes gaps in both process and evaluation. Results suggest specific tools may function to effectively engage internal stakeholders in a cooperative process capable of yielding preferred strategic outcomes, particularly through the implementation and evaluation phases.
- Subjects
ACTION research; COMMUNICATION; EXECUTIVES; HEALTH facilities; INTERVIEWING; MANAGEMENT; ORGANIZATIONAL change; QUALITY assurance; QUESTIONNAIRES; STRATEGIC planning; DATA analysis; CHANGE management; ORGANIZATIONAL goals
- Publication
Health Services Management Research, 2019, Vol 32, Issue 3, p113
- ISSN
0951-4848
- Publication type
Article
- DOI
10.1177/0951484818805371