Strategic and Operational Planning in Healthcare: Navigating Changing Landscapes and Community Expectations

 
Strategic and Operational Planning in a
health service
KPIs
Role of Chief Executive
Risk
 
A strategic plan is an opportunity to articulate a
vision,  create momentum and shared
accountability in creating the organisation’s
future, instead of simply reacting to the
environment.
 
Why have a Strategic Plan?
 
Consider the current environment
Consider emerging challenges: globally, nationally and
locally
Articulate a desired future state for the organisation
 
Recognise the health service is part of a health care
system
Recognise role of government policy, both state and
federal
Role of Statement of Priorities (SOP)
 
 
 
Developing a Strategic Plan
 
 
Rapid population growth (Victoria)
 
Changing healthcare needs: Ageing population, dementia, co-
morbidities (obesity, diabetes), greater complexity of healthcare
needs, increasing mental health, growth in emergency presentations
and more frailty - requires a new and innovative approach to
healthcare delivery
 
Rising costs of healthcare, greater than increase in population: 10%
GDP - unsustainable
 
Role of Digital Health: Rapid advances in technology, leading to
changes in treatment, as well as changes in how healthcare is and can
be delivered
 
 
Environment - Changing landscape
 
The role of the Melbourne Biomedical Precinct
 
Introduction of the Medical Research Future Fund (MRFF)
 
Need to grow Indigenous Health Research
 
Royal Commissions into Aged Care and Mental Health
 
Need to be sustainable – financial and environment
 
Environment-Changing landscape
 
In recent years very significant change in society’s expectations of
workplace culture
 
Greater expectation that patients are integral to decisions about
their care and equal partners in how care is delivered
 
Environment-Changing landscape
 
Response to our environment/changing landscape/community
expectations
 
Needs of community we serve
 
Changing needs of our patients
Current  strengths of the health service
 
Opportunities with which the health service wishes to engage
 
Expectations of government (state), both policy directions and SOP
 
 
 
Develop Strategic Plan based on:
 
Strategic Goals
 
Great place to work
Safety Culture
 
Health and Wellbeing
 
Learning environment
 
Great place to receive care
Safe, timely, effective(outcomes) and patient centred (STEP)
 
Realising the potential of the MBP
Delivery of care across the 4 Parkville Health Services
 
Optimising research opportunities across the MRIs and University
of Melbourne
 
Becoming a Digital health Service
EMR
 
Digitise support processes/services
 
Delivery of health care (telehealth)
 
Remain sustainable
Both environmental and financial
 
Value based healthcare – efficient use of resources providing
patients with outcomes they value
 
Increase impact of RMHF
 
Home First
Optimise care outside the 4 walls of the hospital
 
Keep patients (frequent attenders) well in the community through
case management
 
Optimise use of HITH (acute and subacute) either as part or all of
care
 
Developed by DHHS in consultation with Health Service
Annual priorities and targets to be achieved
Includes:
Strategic priorities
Quality KPIs
Financial KPIs
Activity KPIs
Signed by Minister and Board Chair
 
 
Statement of Priorities
 
 
Strategic plan is operationalised through the
annual operational plan or business plan
with success measured by a range of KPIs
 
Annual Operational/Business
Plan
 
Based on the 5 year Strategic Plan and the annual Statement of
Priorities
 
Operational Plan: Range of initiatives reflecting implementation of
the 5 strategic goals as well as initiatives to achieve the agreed KPIs
in the SOP
 
 
Annual Operational Plan
 
Range of KPIs:
Emergency activity and access
Elective surgery activity and access
Outpatients activity and access
Quality: infection, readmission rates, HH, clinical outcomes, patient
experience measures
People and Culture: annual leave, personal leave, OVA, OH&S, staff
engagement (PMS)
Financial: WIES, financial performance
Progress in achieving strategic goals (eg EMR implementaion, Research
Strategy, Safety Culture, Environmental Strategy, Financial
Sustainability Plan, Home-based care)
 
Appointed by the Health Service Board and Secretary DHHS
 
5 year contract, limit 10 years
 
CEO reports to the Board
 
CEO reports to DHHS
 
Role of Chief Executive
 
Lead the organisation
Responsible for operational and strategic performance
Develop Strategic Plan
Develop and deliver annual Operational Plan
Ensure safe workplace (both physically and psychologically)
Ensure delivery of high quality clinical care
Ensure financial and environmental sustainability
 
Role of Chief Executive
 
Risk Management
 
Enterprise Risk
Clinical Risk –divisional and departmental and clinical care
Interagency Risk
Project Risks
 
Risk appetite
 
Enterprise risks are monitored by the Executive and Board
 
Clinical risks monitored by Quality Committee
 
Project risks monitored by PMO
 
 
Electronic Medical Record
(EMR)
 
 
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Articulating a strategic plan in healthcare is vital to address the evolving landscape and meet community expectations. Factors such as rapid population growth, changing healthcare needs, rising costs, and advances in digital health highlight the need for innovative approaches. Key considerations include responding to current challenges, recognizing the role of government policies, and aligning with community needs to ensure sustainable and effective healthcare delivery.

  • Healthcare
  • Strategic Planning
  • Operational Planning
  • Community Expectations
  • Changing Landscapes

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  1. Strategic and Operational Planning in a health service KPIs Role of Chief Executive Risk

  2. Why have a Strategic Plan? A strategic plan is an opportunity to articulate a vision, create momentum and shared accountability in creating the organisation s future, instead of simply reacting to the environment.

  3. Developing a Strategic Plan Consider the current environment Consider emerging challenges: globally, nationally and locally Articulate a desired future state for the organisation Recognise the health service is part of a health care system Recognise role of government policy, both state and federal Role of Statement of Priorities (SOP)

  4. Environment - Changing landscape Rapid population growth (Victoria) Changing healthcare needs: Ageing population, dementia, co- morbidities (obesity, diabetes), greater complexity of healthcare needs, increasing mental health, growth in emergency presentations and more frailty - requires a new and innovative approach to healthcare delivery Rising costs of healthcare, greater than increase in population: 10% GDP - unsustainable Role of Digital Health: Rapid advances in technology, leading to changes in treatment, as well as changes in how healthcare is and can be delivered

  5. Environment-Changing landscape The role of the Melbourne Biomedical Precinct Introduction of the Medical Research Future Fund (MRFF) Need to grow Indigenous Health Research Royal Commissions into Aged Care and Mental Health Need to be sustainable financial and environment

  6. Environment-Changing landscape In recent years very significant change in society s expectations of workplace culture Greater expectation that patients are integral to decisions about their care and equal partners in how care is delivered

  7. Develop Strategic Plan based on: Response to our environment/changing landscape/community expectations Needs of community we serve Changing needs of our patients Current strengths of the health service Opportunities with which the health service wishes to engage Expectations of government (state), both policy directions and SOP

  8. Strategic Goals A great place to work Realising the potential of the Melbourne Biomedical Precinct Becoming a digital health service Remain Home First sustainable and A great place to receive care

  9. Great place to work Safety Culture Health and Wellbeing Learning environment Great place to receive care Safe, timely, effective(outcomes) and patient centred (STEP)

  10. Realising the potential of the MBP Delivery of care across the 4 Parkville Health Services Optimising research opportunities across the MRIs and University of Melbourne

  11. Becoming a Digital health Service EMR Digitise support processes/services Delivery of health care (telehealth)

  12. Remain sustainable Both environmental and financial Value based healthcare efficient use of resources providing patients with outcomes they value Increase impact of RMHF

  13. Home First Optimise care outside the 4 walls of the hospital Keep patients (frequent attenders) well in the community through case management Optimise use of HITH (acute and subacute) either as part or all of care

  14. Statement of Priorities Developed by DHHS in consultation with Health Service Annual priorities and targets to be achieved Includes: Strategic priorities Quality KPIs Financial KPIs Activity KPIs Signed by Minister and Board Chair

  15. Strategic plan is operationalised through the annual operational plan or business plan with success measured by a range of KPIs

  16. Annual Operational/Business Plan Based on the 5 year Strategic Plan and the annual Statement of Priorities Operational Plan: Range of initiatives reflecting implementation of the 5 strategic goals as well as initiatives to achieve the agreed KPIs in the SOP

  17. Annual Operational Plan Range of KPIs: Emergency activity and access Elective surgery activity and access Outpatients activity and access Quality: infection, readmission rates, HH, clinical outcomes, patient experience measures People and Culture: annual leave, personal leave, OVA, OH&S, staff engagement (PMS) Financial: WIES, financial performance Progress in achieving strategic goals (eg EMR implementaion, Research Strategy, Safety Culture, Environmental Strategy, Financial Sustainability Plan, Home-based care)

  18. Role of Chief Executive Appointed by the Health Service Board and Secretary DHHS 5 year contract, limit 10 years CEO reports to the Board CEO reports to DHHS

  19. Role of Chief Executive Lead the organisation Responsible for operational and strategic performance Develop Strategic Plan Develop and deliver annual Operational Plan Ensure safe workplace (both physically and psychologically) Ensure delivery of high quality clinical care Ensure financial and environmental sustainability

  20. Risk Management Enterprise Risk Clinical Risk divisional and departmental and clinical care Interagency Risk Project Risks Risk appetite Enterprise risks are monitored by the Executive and Board Clinical risks monitored by Quality Committee Project risks monitored by PMO

  21. Electronic Medical Record (EMR)

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