Internal Situation / Environment Assessment and Analysis for Hospitals

Internal Situation / Environment Assessment and Analysis for Hospitals

Posted on November 7, 2012

Internal Situation / Environment Assessment and Analysis for Hospitals
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

November 7, 2012

In every strategic and annual planning conference of hospitals, there is a need to do an internal  situation / environment assessment and analysis to identify weaknesses and strengths inside the hospital and then use these data to formulate general and specific action plans to ensure continuous financial viability and organizational sustainability of the hospital.  (Note: The Weaknesses and Strengths [WS] are part of the so-called SWOT Analysis.  OT stands for Opportunities and Threats.  OT or TO is for external environment [outside the hospital, usually beyond the hospital control] and WS or SW is for the internal environment [usually and must be within the hospital control].   The results of the WS assessment and analysis, though initially done separately from OT, should eventually be correlated and integrated with those of the OT assessment and analysis).

To facilitate doing internal situation / environment assessment and analysis year-in and year-out, first, hospitals must come out with a template or standard operating procedures in doing this activity.  This SOP, once established and developed, not only will institutionalize such an important planning activity, but also facilitate updating and monitoring of needed data and continual improvement of the procedures.

Second, the hospitals must establish a system to constantly monitor changes inside the hospital, or the so-called internal environment, that may occur anytime and in between set formal planning conferences.   My personal recommendation is to establish a project calledHealth and Hospital Industry Watch whose primary goal is to monitor occurrence of events inside the hospital (and simultaneously, those outside the hospital) that will prompt the hospital administration / management to change its strategic and annual plans on time.

Internal Situation / Environment Assessment and Analysis for Hospitals

 

I recommend the use of local and international documented sets of quality and performance standards for the internal situation / environment assessment and analysis.

I recommend the following sets:

  • Baldrige Health Care Criteria for Performance Excellence / Philippine Quality Award Criteria for Performance Excellence
  • ISO Quality Management System
  • PhilHealth Benchbook (including PH statutory and regulatory requirements)
  • Joint International Commission, Accreditation Canada International (either one or both)
  • Investors in People

 

  • Baldrige Health Care Criteria for Performance Excellence / Philippine Quality Award Criteria for Performance Excellence
    • Designed to help provide hospitals with an integrated approach to organizational performance that results in
      • Delivery of ever-improving value to customers and stakeholders, contributing to organizational sustainability
      • Improvement of overall organizational effectiveness and capabilities
      • organizational and personal learning
      • ISO Quality Management System
        • The ISO 9000 family of standards is related to quality management systems and designed to help organizations ensure that they meet the needs of customers and other stakeholders  while meeting statutory and regulatory requirements related to the product.
        • PhilHealth Benchbook (including PH statutory and regulatory requirements)
          • Designed to encourage Philippine hospitals improve on their quality management system and to improve quality and safe patient care
          • Joint International Commission, Accreditation Canada International (either one or both)
            • Designed to improve quality and safe patient care
            • Designed to assess and improve organization performance based on internationally agreed standards and stimulating continuous improvement to achieve optimum outcomes on healthcare
            • Investors in People
              • Designed to transform business performance through people

 

General Guidelines in Doing an Internal Situation / Environment Assessment and Analysis

 

  • Formulate integrated checklists with rating scales integrating all the abovementioned documented sets of local and international quality and performance standards.
  • Using internal and external auditors, assess the hospital using the formulated integrated checklists.   From the assessment, the weaknesses and strengths are identified.
  • For the weaknesses, formulate innovative solutions to convert them to strengths.
  • For the strengths, use them to formulate strategies and action plans to manage the threats and opportunities identified in the OT assessment and analysis.  For the threats, use the strengths to convert threats to opportunities for growth.  For the opportunities, use the strengths to maximize growth.
  • Formulate general and specific action plans (in consideration of the results coming from the external and internal situation / environment assessment and analysis) to ensure safety of the hospital and maximal utilization of hospital services that will be offered, thereby leading to continuous financial viability and organizational sustainability of the hospital.

(To be refined further)

Advertisements
This entry was posted in Hospital Administration. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s