Strategy and Performance Excellence 23
(7) How do you establish and implement modified action plans if circumstances require a shift in
plans and rapid execution of new plans?
Here are the comments from the case study evaluation team:
2.1 Strategy Development
Your score in this Criteria item for the Consensus Review is in the 50–65 percentage range. (Please
refer to Figure 5a, Process Scoring Guidelines.)
STRENGTHS
• a(1) The well-deployed, systematic SPP (Figure 2.1-1), used since 1996, evidences AF’s
core competency of collaborative relationships. Key SPP elements are organized by
calendar year. Senior leaders participate in all SPP activities; a cross-location team
ensures that staff members in all services, functions, and locations provide input.
Community members provide input, and key stakeholder groups provide input and
review. In a 1998 improvement, external stakeholders, payors, volunteers, and patient–
family advisory boards were added to the Partners Committee.
• a(3) Multiple methods to collect and analyze relevant data for the SPP ensure that all key
elements are covered. Data sources include board retreats, as well as regular meetings with the
staff, volunteers, and other partners and stakeholders. Strategic advantages and challenges are
OPPORTUNITIES FOR IMPROVEMENT
• b(2) AF’s strategic objectives and action plans (Figure 2.1-2) do not appear to address all
strategic challenges. For example, financial objectives (e.g., to decrease
administrative/indirect patient costs) do not align with action plans to improve collection
rates and relative value units, and no action plans align with the strategic challenges
related to recruiting paid staff members. The lack of alignment between strategic
objectives, action plans, and strategic objectives may limit AF’s ability to maintain its
competitive position and fulfill its mission.
• a(4) A systematic approach to determine which key processes will be accomplished by AF’s
workforce and which by external partners is not evident. For example, the decision-making
process does not appear to include data and information from the SPP People Review (Figure
2.1-1, May) or evidence to support decisions related to improving or augmenting work systems