What type of analysis involves reviewing the inner workings of the healthcare organization to determine strengths and weaknesses of the business practice and process?

Measures used to assess and compare the quality of health care organizations are classified as either a structure, process, or outcome measure. Known as the Donabedian model, this classification system was named after the physician and researcher who formulated it.

Structural Measures

Structural measures give consumers a sense of a health care provider’s capacity, systems, and processes to provide high-quality care. For example:

  • Whether the health care organization uses electronic medical records or medication order entry systems.
  • The number or proportion of board-certified physicians.
  • The ratio of providers to patients.

Process Measures

Process measures indicate what a provider does to maintain or improve health, either for healthy people or for those diagnosed with a health care condition. These measures typically reflect generally accepted recommendations for clinical practice. For example:

  • The percentage of people receiving preventive services (such as mammograms or immunizations).
  • The percentage of people with diabetes who had their blood sugar tested and controlled.

Process measures can inform consumers about medical care they may expect to receive for a given condition or disease, and can contribute toward improving health outcomes. The majority of health care quality measures used for public reporting are process measures.

Outcome Measures

Outcome measures reflect the impact of the health care service or intervention on the health status of patients. For example:

  • The percentage of patients who died as a result of surgery (surgical mortality rates).
  • The rate of surgical complications or hospital-acquired infections.

Outcome measures may seem to represent the “gold standard” in measuring quality, but an outcome is the result of numerous factors, many beyond providers’ control. Risk-adjustment methods—mathematical models that correct for differing characteristics within a population, such as patient health status—can help account for these factors. However, the science of risk adjustment is still evolving. Experts acknowledge that better risk-adjustment methods are needed to minimize the reporting of misleading or even inaccurate information about health care quality.


Also in "Select Measures to Report"

Page last reviewed July 2015

Page originally created February 2015

Internet Citation: Types of Health Care Quality Measures. Content last reviewed July 2015. Agency for Healthcare Research and Quality, Rockville, MD.
https://www.ahrq.gov/talkingquality/measures/types.html

What type of analysis involves reviewing the inner workings of the healthcare organization to determine strengths and weaknesses of the business practice and process?

SWOT Analysis

SWOT is an acronym used to describe the particular Strengths, Weaknesses, Opportunities, and Threats that are strategic factors for a specific company. A SWOT should represent an organization’s core competencies while also identifying opportunities it cannot currently use to its advantage due to a gap in resources.

The SWOT analysis framework has gained widespread acceptance because of its simplicity and power in developing strategy. Just like any planning tool, a SWOT analysis is only as good as the information that makes it up. Research and accurate data is vital to identify key issues in an organization’s environment.

What type of analysis involves reviewing the inner workings of the healthcare organization to determine strengths and weaknesses of the business practice and process?

Get the SWOT Guide Here

For even more of a deep dive on the subject, you can watch our video on How to Perform a SWOT Analysis.

What type of analysis involves reviewing the inner workings of the healthcare organization to determine strengths and weaknesses of the business practice and process?

Assess your market:

  • What is happening externally and internally that will affect our company?
  • Who are our customers?
  • What are the strengths and weaknesses of each competitor? (Think Competitive Advantage)
  • What are the driving forces behind sales trends?
  • What are important and potentially important markets?
  • What is happening in the world that might affect our company?
  • What does it take to be successful in this market? (List the strengths all companies need to compete successfully in this market.)

Assess your company:

  • What do we do best?
  • What are our company resources – assets, intellectual property, and people?
  • What are our company capabilities (functions)?

Assess your competition:

  • How are we different from the competition?
  • What are the general market conditions of our business?
  • What needs are there for our products and services?
  • What are the customer-market-technology opportunities?
  • What are the customer’s problems and complaints with the current products and services in the industry?
  • What “If only….” statements does a customer make?

Opportunity is an area of “need” in which a company can perform profitably.

Threat

A challenge posed by an unfavorable trend or development that would lead (in absence of a defensive marketing action) to deterioration in profits/sales.

An evaluation needs to be completed drawing conclusions about how the opportunities and threats may affect the firm.

EXTERNAL: MACRO- demographic/economic, technological, social/cultural, political/legal / MICRO- customers, competitors, channels, suppliers, publics
INTERNAL RESOURCES: the firm

Competitor analysis is a critical aspect of this step.

  • Identify the actual competitors as well as substitutes.
  • Assess competitors’ objectives, strategies, strengths & weaknesses, and reaction patterns.
  • Select which competitors to attack or avoid.

The Internal Analysis of strengths and weaknesses focuses on internal factors that give an organization certain advantages and disadvantages in meeting the needs of its target market. Strengths refer to core competencies that give the firm an advantage in meeting the needs of its target markets. Any analysis of company strengths should be market oriented/customer focused because strengths are only meaningful when they assist the firm in meeting customer needs. Weaknesses refer to any limitations a company faces in developing or implementing a strategy. Weaknesses should also be examined from a customer perspective because customers often perceive weaknesses that a company cannot see. Being market focused when analyzing strengths and weaknesses does not mean that non-market oriented strengths and weaknesses should be forgotten. Rather, it suggests that all firms should tie their strengths and weaknesses to customer requirements. Only those strengths that relate to satisfying a customer need should be considered true core competencies.

The following area analyses are used to look at all internal factors affecting a company:

  • Resources: Profitability, sales, product quality brand associations, existing overall brand, relative cost of this new product, employee capability, product portfolio analysis
  • Capabilities: Goal: To identify internal strategic strengths, weaknesses, problems, constraints and uncertainties

The External Analysis takes a look at the opportunities and threats existing in your organization’s environment. Both opportunities and threats are independent from the organization. Differentiating between strengths/weaknesses and opportunities/threats is to ask this essential question: Would this be an issue if the organization didn’t exist? If yes, it is an issue that is external to the organization. Opportunities are favorable conditions in an organization’s environment that can produce rewards if leveraged properly. Opportunities must be acted on if the organization wants to benefit from them. Threats are barriers presented to an organization that prevent them from reaching their desired objectives.

The following area analyses are used to look at all external factors affecting a company:

  • Customer analysis: Segments, motivations, unmet needs
  • Competitive analysis: Identify completely, put in strategic groups, evaluate performance, image, their objectives, strategies, culture, cost structure, strengths, weakness
  • Market analysis: Overall size, projected growth, profitability, entry barriers, cost structure, distribution system, trends, key success factors
  • Environmental analysis: Technological, governmental, economic, cultural, demographic, scenarios, information-need areas Goal: To identify external opportunities, threats, trends, and strategic uncertainties

The SWOT Matrix helps visualize the analysis. Also, when executing this analysis it is important to understand how these elements work together. When an organization matches internal strengths to external opportunities, it creates core competencies in meeting the needs of its customers. In addition, an organization should act to convert internal weaknesses into strengths and external threats into opportunities.

What type of analysis involves reviewing the inner workings of the healthcare organization to determine strengths and weaknesses of the business practice and process?

Focus on your strengths. Shore up your weaknesses. Capitalize on your opportunities. Recognize your threats.

Identify

  • Against whom do we compete?
  • Who are our most intense competitors? Less intense?
  • Makers of substitute products?
  • Can these competitors be grouped into strategic groups on the basis of assets, competencies, or strategies?
  • Who are potential competitive entrants? What are their barriers to entry?

Evaluate

  • What are their objectives and strategies?
  • What is their cost structure? Do they have a cost advantage or disadvantage?
  • What is their image and positioning strategy?
  • Which are the most successful/unsuccessful competitors over time? Why?
  • What are the strengths and weaknesses of each competitor?
  • Evaluate competitors with respect to their assets and competencies.

Size and Growth: What are important and potentially important markets? What are their size and growth characteristics? What markets are declining? What are the driving forces behind sales trends?

Profitability: For each major market consider the following: Is this a business in which the average firm will make money? How intense is the competition among existing firms? Evaluate the threats from potential entrants and substitute products. What is the bargaining power of suppliers and customers? How attractive/profitable is the market now and in the future?

Cost Structure: What are the major cost and value-added components for various types of competitors?

Distribution Systems: What are the alternative channels of distribution? How are they changing?

Market Trends: What are the trends in the market?

Key Success Factors: What are the key success factors, assets and competencies needed to compete successfully? How will these change in the future?

Environmental Analysis: An environmental analysis is the fourth dimension of the External Analysis. The interest is in environmental trends and events that have the potential to affect strategy. This analysis should identify such trends and events and estimate their likelihood and impact. When conducting this type of analysis, it is easy to get bogged down in an extensive, broad survey of trends. It is necessary to restrict the analysis to those areas relevant enough to have significant impact on strategy.

This analysis is divided into five areas: economic, technological, political-legal, sociocultural, and future.

Economic: What economic trends might have an impact on business activity? (Interest rates, inflation, unemployment levels, energy availability, disposable income, etc)

Technological: To what extent are existing technologies maturing? What technological developments or trends are affecting or could affect our industry?

Government: What changes in regulation are possible? What will their impact be on our industry? What tax or other incentives are being developed that might affect strategy development? Are there political or governmental stability risks?

Sociocultural: What are the current or emerging trends in lifestyle, fashions, and other components of culture? What are their implications? What demographic trends will affect the market size of the industry? (i.e. growth rate, income, population shifts) Do these trends represent an opportunity or a threat?

Future: What are significant trends and future events? What are the key areas of uncertainty as to trends or events that have the potential to impact strategy?

Internal Analysis: Understanding a business in depth is the goal of internal analysis. This analysis is based on resources and capabilities of the firm.

Resources: A good starting point to identify company resources is to look at tangible, intangible and human resources.

Tangible resources are the easiest to identify and evaluate: financial resources and physical assets are identified and valued in the firm’s financial statements.

Intangible resources are largely invisible, but over time become more important to the firm than tangible assets because they can be a main source for a competitive advantage. Such intangible resources include reputational assets (brands, image, etc.) and technological assets (proprietary technology and know-how).

Human resources or human capital are the productive services human beings offer the firm in terms of their skills, knowledge, reasoning, and decision-making abilities.

RESOURCE MAIN CHARACTERISTICS KEY INDICATORS
Tangible
Financial The firm’s borrowing capacity and its internal funds generation determines its capacity to weather fluctuations in demand and profits overtimes.
  • Debt-to-equity ratio
  • Ration of net cash to capital expenses
  • Credit rating
Physical The physical resources related to plan, equipment, assets, technology, raw materials.
  • Resale value of assets
  • Age of capital equipment
  • Flexibility of PPE
Intangible
Technological Stock of technology in the form of proprietary technology (copyright, patents, trade secrets) and expertise in the application of technology (know-how).
Reputation Reputation with customers through the ownership of brands, established relationships with customers, reputation of the firm’s products and services.Reputation of the company with suppliers, employees, etc.
  • Brand recognition
  • Price premium over competing brands
  • Percent of repeat buying
  • Level and consistency of company performance
Human Resources Training and expertise of employees determine the skills available to the firm.Adaptability of employees determines key aspects of strategic flexibility of the firm.Commitment and loyalty of employees determines the capacity of the firm to attain and maintain competitive advantage.
  • Educational, technical and professional qualifications of employees
  • Compensation relative to industry
  • Record of labor disputes
  • Employee turnover

Capabilities

Resources are not productive on their own. The most productive tasks require that resources collaborate closely together within teams. The term organizational capabilities is used to refer to a firm’s capacity for undertaking a particular productive activity. Our interest is not in capabilities per se, but in capabilities relative to other firms. To identify the firm’s capabilities we will use the functional classification approach. A functional classification identifies organizational capabilities in relation to each of the principal functional areas.

Functional Area Capability
Corporate
  • Financial management
  • Expertise in strategic control
  • Effectiveness in motivating and coordinating business units
  • Management of partnerships
  • Overall company management/ resource management
Information Management
  • Comprehensive and effective information system that can be used for managerial decision making
Research and Development
  • Capability in basic research
Product Design
  • Design capability
Marketing
  • Brand management and promotion
  • Promotion and exploiting reputation for quality
  • Understand of and responsiveness to market trends
Sales and Fulfillment
  • Effectiveness in promoting and executing sales
  • Efficiency and speed of fulfillment
  • Quality and effectiveness of customer service

What is the senior management of a healthcare organization the people who oversee a broad functional area or group of departments or services quizlet?

Executive management- is the senior management of a healthcare organization, the people who oversee a broad functional area or group of department or services.

What is it called when all employee job tasks responsibilities and relationships are clearly defined quizlet?

Functional definition. All employee job tasks, responsibilities, and relationships toward each other are clearly defined.

What is the plan that outlines the outcomes and goals for a company?

Strategic planning is a process in which an organization's leaders define their vision for the future and identify their organization's goals and objectives. The process includes establishing the sequence in which those goals should be realized so that the organization can reach its stated vision.

What term refers to the ability of an organization to learn?

Learning and development (L&D) is a function within an organization that is responsible for empowering employees' growth and developing their knowledge, skills, and capabilities to drive better business performance.