Strategic Management

What is forecasting?

Forecasting is made up of: * identifying relationships between issues and environmental categories; and * developing alternative projections.

Where did strategic management originate from?

The development of strategic management came from the business sector because the business sector needed some idea of future sales in order to forecast operating budgets.

What is environmental analysis part of?

Environmental analysis is part of the situational analysis section of the strategic planning map.

What makes up pharmaceutical and medical supply companies?

Examples of Pharmaceutical and medical supply companies include: * drug distributors; * drug and research companies; and * medical products companies.

What are some examples of barriers to entry?

Examples of barriers to entry are: * Existing organizations have economies of scale; * Certificate of need laws; * Existing product or service differentiation; * Capital requirements; * Switching costs; * Access to distribution channels; * Cost advantages of established competitors; & * Government and legal constraints.

What are examples of regulatory organizations?

Examples of regulatory organizations are: * Federal regulating agencies; * State regulating agencies; and voluntary regulating groups.

What are examples of state regulating agencies?

Examples of state regulating agencies are: * state public health departments; and * state health planning agencies.

What are examples of third party payers?

Examples of third party payers are: * the government; * insurance companies; * businesses; and * social organizations.

Explain the Five Forces Model.

Harvard's Michael Porter developed a five forces framework for analyzing the external environment through examination of the competitive nature of the industry.

What does having a periodic structured process initiate?

Having a periodic structured process initiates: * a reconsideration; * discussion; & * documentation of all the assumptions.

Are the external environment, internal environment, and directional strategies separate activities within situational analysis within strategic planning?

No, these three activities are not completely separate, as they interact with and influence one another.

What makes up the support activities?

Organizational culture, organizational structure, and strategic resources make up the support activities.

What do organizations and individuals within the external environment generate?

Organizations and individuals within the external environment generate legislative, economic, and other changes that will affect different industries, and therefore, external organizations engaged in their own processes and pursuing their own missions and strategic goals will affect other industries, organizations, and individuals.

Is strategy also influenced by internal resources?

Yes, strategy is also influenced by internal resources, competencies and capabilities, and this is what an organization can do.

What does identifying distinctiveness for competitive advantage require?

Identifying this distinctiveness requires shifting the focus to the internal environment and asking the question, 'What can the organization do?'

Give examples of individuals involved?

Individuals and consumers include physicians, nurses, healthcare professionals, and patients and consumers

What organizations regulate primary and secondary providers?

Planning and regulatory organizations are organizations that regulate primary and secondary providers.

In the general environment, changes affect what sectors of the economy?

In the general environment, changes usually affect a number of different sectors of the economy.

How is internal environmental analysis accomplished?

Internal environmental analysis is sometimes accomplished by evaluating functional areas where each function or sub-system is analyzed and a list of strengths and weaknesses are developed and evaluated. This approach is useful, but not adequate.

What do strategic managers who do environmental analysis detect?

Strategic managers who do environmental analysis often detect signals of change before it has become apparent to others.

Recap the definition of value.

Value is the perceived relationship between satisfaction and price; it is not based solely on price.

How is this value created?

Value may be created in the service delivery subsystem, (the upper portion of the value chain), and by effective use of the support subsystem, (the lower portion of the value chain).

What is assessing?

Assessing is made up of: * evaluating the significance of the forecasted issues; and * identifying the forces that must be considered in the formulation of directional strategies.

What happens if all five forces within Porter's Five Force Model are unfavorable?

If all five forces within Porter's Five Force Model are unfavorable, then: * there is a great deal of unfriendly competition or high competition; * it is easy for new competitors to enter the industry; * there are many good substitute products and services; * buyers will control the price, quality, and volume; and * suppliers will control the inputs to production.

What did Porter say is the most critical factor in an organization's environment?

Porter suggested that the level of competitive intensity within an industry is the most critical factor in an organization's environment.

What did Porter say is the most critical factor in an organization's environment?

Porter suggested that the level of competitive intensity within the industry is the most critical factor in an organization's environment.

What are pre-service activities made up of?

Pre-service activities are made up of: * market research; * target market; * branding; * pricing; * promotion; * distribution; and * logistics activities.

What is the external environment made up of?

The external environment is made up of: * the general environment; * the healthcare environment; and * the service area.

What is strategic planning comprised of , (or made up of)?

Strategic planning is made up of: * situational analysis; * strategy formulation; and * planning the implementation.

Define and explain strategic planning.

Strategic planning is the periodic process of developing a set of steps for an organization to accomplish its mission and vision using critical thinking.

What kind of mindset does strategic thinking require?

Strategic thinking requires a mindset or way of thinking that acknowledges: * The reality of change; * Questions current assumptions and activities; * Builds an understanding of systems; * Envisions possible futures; * Generates new ideas; and * Considers fitting the organization into the environment.

How is strategy influenced by directional strategies?

Strategy is also influenced by a common mission, vision, and values, known as the directional strategies, and directional strategies reveal what an organization wants to do.

When are suppliers powerful?

Suppliers tend to be powerful if: * There are few suppliers; * There are few substitutes; * The product suppliers' products are differentiated or unique; * The product or service supplied is important to the buyer's business; * The buyer's industry is not considered an important customer; and * the supplier pose a threat of forward integration.

What are the five forces in the five forces framework?

The five forces in the five forces framework are: * 1) threat of new entrants; * 2) level of rivalry among existing organizations; * 3) threat of substitute products and services; * 4) bargaining power of buyers; * 5) bargaining power of suppliers.

What makes up the general environment within the external environment?

The general environment within the external environment is made up of: * government institutions; * business organizations; * educational institutions; * religious institutions; * research organizations; and * individuals and consumers.

What is the greatest change in the health care industry in the past decade?

The greatest change in the health care industry in the past decade is that buyers have become more powerful.

The healthcare environment can be grouped into what five segments?

The healthcare environment can be grouped into the following five segments: * 1) planning and regulatory organizations; * 2) primary providers; * 3) secondary providers; * 4) provider representatives; and * 5) individuals and consumers.

Why are the identification and evaluation of the issues in the general environment important?

The identification and evaluation of the issues in the general environment are important because the issues will accelerate or slow down changes taking place within the industry and could affect the organization directly.

What is the objective of long range planning?

The objective of long range planning is to predict for some specified time in the future the site of demand for an organization's products and services and to determine where the demand will occur.

What is the second part of strategic planning, (with situational analysis as the first part)?

The second part of strategic planning is strategy formulation.

How is the viability of the service category assessed by the Five Forces Framework?

The strength and impact of these five forces must be carefully monitored and assessed to determine the viability of the service category and may be used to assess the changes likely to occur in the future.

What are the three activities of strategic management in order?

The three activities of strategic management, in order, are: * 1: strategic thinking; * 2: strategic planning; and * 3: strategic momentum.

How many elements of service delivery are there & what do they incorporate?

The three elements of service delivery incorporate the production or creation of the service of healthcare and include operational processes and marketing activities.

Use of Porter's Five Forces in Healthcare can be referred to as what?

Use of Porter's Five Forces in Healthcare can be referred to as service area structural analysis.

How are strategies for delivery best chosen?

Strategies must be developed that best deliver the products and services to customers through preservice point of service and after service activities.

What is strategy formulation?

Strategy formulation involves: * directional; * adaptive; * market entry; and * competitive strategy decisions.

What do target market activities have to do with?

Target market activities have to do with the determination of the determination of the appropriate segment to satisfy with health services.

What happens if all five forces within Porter's Five Forces Model are favorable?

If all five forces are favorable, then: * there is little competition; * it is difficult for new competitors to enter the industry; * there will be few or no good substitute products or services; * buyers will not control the price, quality, or volume; and * suppliers will not control the inputs to production.

Who are the individuals involved in health care?

Individuals and patients include: * physicians; * nurses; * patients and consumers.

What are provider representatives?

Provider representatives are organizations that represent primary and secondary providers?

What facilitates and improves service delivery activities?

Support activities facilitate and improve service delivery activities.

What are the fundamental processes common to environmental analysis efforts?

The 4 fundamental processes common to environmental analysis efforts include: * 1. Scanning to identify signals of environmental change; * 2. Monitoring identified issues; * 3. Forecasting the future direction of the issues; and * 4. Assessing the organizational implications of the issues.

What are some examples of organizations that regulate primary and secondary providers?

Examples of organizations that regulate primary and secondary providers include: * federal regulating agencies such as the Dept. of Health and Human Services; and * state regulating agencies such as State Health Departments.

Name some examples of preservice activities.

Examples of preservice activities include the research and promotion that goes into flu shot measures.

What do forces in the external environment do regarding situational analysis within strategic planning?

Forces in the external environment tell what an organization should do.

When are health care organizations successful?

Health care organizations are successful when they create value for patients, physicians, and stakeholders.

If buyers are powerful, then competitive rivalry will be __________________?

If buyers are powerful, then competitive rivalry will be high.

What activities make up strategy formulation?

The activities that make up strategy formulation include: * Directional strategies; * Adaptive strategies; * Market entry strategies; and * Competitive strategies.

What is the assumption and theory behind strategic planning?

The assumption and theory underlying strategic planning is that there is so much economic, social, and technological change that the leadership of an organization must periodically evaluate: * whether it should be offering its present products and services; * whether it should offer different products and services; * or whether it should be operating and marketing in a fundamentally different way.

The healthcare system can be grouped into how many segments & what are they?

The healthcare system can be grouped into 5 segments, which are: * 1. Organizations that regulate primary & secondary providers; * 2. Organizations that provide health services, (primary providers); * 3. Organizations that provide resources for the health care system, (secondary providers); * 4. Organizations that represent primary and secondary providers; and * 5. Individuals involved in health care and patients, (consumers of health care services).

How are the implementation plans of strategies developed?

The implementation plans are made up of strategies developed in the key areas that create value for an organization.

What is decision consistency central to?

Decision consistency is central to strategy.

What does external environment analysis limit?

External environment analysis seeks to limit surprises that could arise.

Go into more detail regarding what happens without a group process?

Without a process: * ideas are not discussed; * conclusions are not reached; * decisions are not made; * strategies are not adopted; and * strategic thinking is not documented.

What is monitoring?

Monitoring is made up of: * specifying the sources of data, (organizations, individuals, or publications); * confirming or disproving issues, (trends, developments, and possibility of events).

When are organizations successful?

Organizations are successful when they create value for their customers.

What are point of service activities made up of?

Point of service activities are made up of clinical operations and marketing.

What do point of service activities have to do with?

Point of service activities have to do with the creation of value at the point where health care is actually delivered to the patient.

How does strategic planning differ from long range planning?

Strategic planning differs from long range planning because long range planning assumes that it should continue to offer its current products and services.

Does strategic planning focus on time or not?

Strategic planning does not focus too much on time as it compresses time, & where things that might usually take decades now take a few short years.

How is strategic planning for organizations usually accomplished?

Strategic planning for organizations is usually a group process, & it involves a number of key participants working together to develop a strategy.

Who are the individuals involved?

The individuals and consumers include individuals involved in health care and their patients.

What kind of approach does a value chain utilize?

The value chain utilizes a systems approach

How do managers use the information and data in the external environment?

There is an abundance of information and data in the external environment. For it to be useful, managers must classify the data into information.

What are the factors that result in intense rivalry among competitors?

Factors that result in intense rivalry among competitors include: * Numerous or equally balanced competitors; * Slow industry growth; * High fixed costs; * A lack of differentiation; * Diverse competitors; * High strategic stakes; * High exit barriers.

To recap the Process of Environmental Analysis: How many fundamental processes are common to environmental analysis efforts?

Four fundamental processes are common to environmental analysis efforts.

What does managing strategic momentum concern?

Managing strategic momentum concerns the day-to-day activities of managing the strategy to achieve the strategic goals of the organization.

What specifically is managing strategic momentum?

Managing strategic momentum is: * the actual work done to accomplish objectives; * it concerns decision-making processes and their consequences; * it provides the style and culture of the organization; * it evaluates strategy performance; * it is a learning process; and * it relies on and initiates new strategic thinking and periodic planning.

Pre-service activities are made up of what?

Pre-service activities are made up of: * marketing; * research; * target market; * services offered; * pricing; * distribution; and * promotion activities.

What do pre-service activities focus on?

Pre-service activities focus on the creation of value prior to the actual delivery of healthcare.

Name something else that pre-service activities have to do with?

Pre-service activities have to do with the creation of value prior to the actual delivery of health care.

What is pricing?

Pricing is the determination of the charge schedule for available services.

What are primary providers?

Primary providers are organizations that provide health services.

What are some specific examples of primary providers?

Primary providers include: * hospitals; * state public health departments; * long-term facilities; and * physicians' offices.

What does promotion have to do with?

Promotion has to do with the communication of information to customers concerning the health care offering, and this includes advertising, events, social media, and so on.

Recap what keys to success are in the group process?

The nature of the group and the process are often the keys to success.

What is the overall intent of environmental analysis?

The overall intent of environmental analysis is to position the organization within its environment.

What does the process of strategic planning define?

The process of strategic planning defines: * where the organization is going; * sometimes where it is not going; * provides focus; and * sets the direction for the organization.

What is the result of the strategic planning process?

The result of the strategic planning process is a plan or strategy.

The value chain is a __________________?

The value chain is a strategic thinking map that works as a framework for assessing the internal environment of an organization.

What is the value chain useful for?

The value chain is a useful tool for identifying and assessing how healthcare organizations create value.

The value chain is an effective way of showing what?

The value chain is an effective way of showing how and where value may be created within an organization.

The value chain serves as a framework for assessing what?

The value chain serves as a framework for assessing the internal environment of the organization. It also serves as a framework for developing implementation strategies.

What does strategy mean?

The word strategy comes from the Greek strategos which means general or to lead. Strategy is an ancient concept that was contemplated by the Greeks, and Chinese as well as other ancient civilizations. It was particularly relevant regarding military uses.

What groups can these organizations and institutions be classified into?

These organizations and individuals can be classified into groups such as: government institutions, business organizations, educational institutions, religious institutions, research organizations, foundations, individuals, and consumers.

What are third party payers?

Third party payers are organizations that pay for care.

What are some barriers to the industry?

Some barriers to the industry include: * product or service differentiation; * capital requirements; and * certificate of need laws.

What does strategic planning do specifically?

Strategic planning * provides a sequential, step-by-step process for creating a strategy; * it involves periodic group strategic thinking sessions; * it establishes an organizational focus; * it facilitates consistent decision making; * it helps to reach consensus on what is required to fit the organization with the external environment; and * it results in a documented strategic plan.

Why did strategic planning develop out of long range planning?

Strategic planning came out of long range planning because businesses during that time became more volatile.

How did strategic planning develop?

Strategic planning came out of long range planning, and eventually led to strategic management.

What is a good working definition of strategic planning?

Strategic planning is the periodic process of developing a set of steps for an organization to accomplish its mission and vision using strategic thinking.

What does strategic planning provide and establish?

Strategic planning provides a sequential step by step process for creating a strategy, and establishes an organizational focus.

When was strategic planning most popular?

Strategic planning was very popular in the 1960s and 1970s before the formation of strategic management in the 1980s.

What is the Five Forces Framework?

The Five Forces Framework is a way of analyzing the external environment through an examination of the competitive nature of the industry.

In what health care sector is the Five Forces Model most appropriately applied?

The Five Forces Model, (Framework), is most appropriately to apply to the service category of the health sector.

What activities make up managing strategic momentum?

The activities that make up managing strategic momentum include: * Managerial action; * Strategy evaluation; * Emergent learning; and * The re-initiating of strategic thinking.

What activities make up planning the implementation?

The activities that make up planning the implementation include: * Service delivery strategies; * Support strategies; and * Action plans.

What activities make up situation analysis?

The activities that make up situation analysis include: * External Analysis; * Internal Analysis; and * Directional Strategies.

What activities make up strategic planning?

The activities that make up strategic planning include: * Situational Analysis; * Strategy Formulation; and * Planning the implementation.

What activities make up strategic thinking?

The activities that make up strategic thinking include: * External Orientation; * The analysis of data; * The questioning of assumptions; and * The generation of new ideas.

What are the benefits of strategic management?

The benefits of strategic management include: * it ties the organization together with a common sense of purpose and shared values; * it improves financial performance in many cases; * it provides the organization with specific goals as well as guidance and consistency in decision-making; * it helps management understand the present, think about the future, and recognize the signals that suggest change; * it requires managers to communicate both vertically and horizontally; * it improves overall coordination; and * it encourages innovation and change within the organization.

In assessing the internal environment, what it deemed essential to the organization?

The creation of some type of competitive advantage is essential.

What causes a greater likelihood of substitute products?

Usually, the more diverse the industry, the more likely there will be substitute products and services.

How can value be created?

Value can be created through either service delivery or support activities.

What is value?

Value is a combination of good price and good results, and satisfaction is a key component of value as well.

What is value?

Value is essentially the amount of satisfaction received relative to the price and the expected outcome or results.

Within external environmental analysis, what must strategic managers go beyond?

Within external environmental analysis, strategic managers must go beyond what is known and speculate on the nature of the industry as well as the organization.

What happens without a planned, recurring group process?

Without a planned process, managers never quite get to reconsideration, discussion, and documentation of the assumptions.

Are there products and services that can perform as substitutes for the original?

Yes, for many products and services, there are various substitutes that perform the same function as the original products.

Re: Bargaining Power of Suppliers: Can suppliers affect the intensity of competition?

Yes, much like the power of buyers, suppliers can affect the intensity of competition through their ability to control prices.

Do organizations and individuals within the external environment generate change?

Yes, organizations and individuals within the external environment generate change.

Is strategic management a part of the decision making activity?

Yes, strategic planning is a large part of the decision making activity, which decisions are often supported by data, but sometimes informed judgments must be made.

Do substitute products limit returns?

Yes, substitute products limit returns to an industry because at some point consumers will switch to alternative products and services.

Does the strategy of one organization affect other organizations, & if so, how?

Yes, the strategy of one organization affects other organizations within an industry, and typically actions by one competitor foster reactions by others.

What are examples of educational institutions?

Examples of educational institutions include: * medical schools; * schools of public health; and * nursing schools.

What are the three elements of service delivery?

The three elements of service delivery are: * pre-service; * point of service; and * after service activities.

What are examples of federal regulating agencies?

Examples of federal regulating agencies are: * the Department of Health and Human Services; and * the Center for Medicare and Medicaid Services;

Name an essential key to successful strategic planning?

A key to successful strategic planning is to have a recurring group process.

What is a major substitution in the health care industry?

A major substitution in the health care industry is the switch from inpatient care to outpatient alternatives.

What is a better way to accomplish internal environmental analysis?

A better approach is to evaluate the various ways the organization creates, (value), for customers and stakeholders.

What is a value chain?

A value chain is a means of showing how and where value can be created within an organization.

Regarding Internal Environmental Analysis: When and why does situational analysis shift to the organization?

After assessing the external environment and external issues including competitors, the emphasis of situational analysis shifts to the organization and the ways in which competitive advantage may be established.

Who does an effective leader of an organization incorporate into the strategic planning process?

An effective leader of an organization incorporates a variety of individuals with different backgrounds and perspectives into the strategic planning process to provide input to the process.

What is an example of a voluntary regulating group?

An example of a voluntary regulating group is: * The Joint Commission on Accreditation of Health Organizations.

What must an organization engaging in strategic management must try to sort out?

An organization engaging in strategic management must try to sort out fundamental changes being generated in the external environment.

What can protect existing organizations from the threat of new entrants?

Barriers to entry protect existing organizations because if barriers to entry are substantial, then the threat of entry is low.

Re: Bargaining Power of Buyers: What do buyers of products and services attempt to obtain?

Buyers of products and services attempt to obtain the lowest price possible while demanding high quality and better service.

How can companies be protected from new entrants?

Companies can be protected from new entrants if there are barriers to the industry.

What does competitive advantage require?

Competitive advantage requires an organization to develop a distinctiveness that competitors do not have and cannot easily imitate.

What doe conclusions reached in the environmental analysis affect?

Conclusions reached in the environmental analysis will affect the directional strategies and internal analysis.

What does distribution and logistics have to do with?

Distribution and logistics has to do with actions that aid patient/customer entry into the health delivery system, and this includes appointments, registration, and parking.

What will early identification of external changes enhance?

Early identification of external changes will greatly enhance the planning efforts in health organizations.

What does effective strategic planning require?

Effective strategic planning requires an exchange of ideas.

What does environmental analysis consist of?

Environmental analysis consists of strategic thinking and planning, and it also consists of understanding the issues in the external environment to determine the implications for the organization.

What are examples of insurance companies that pay for health care?

Examples of insurance companies that pay for health care are: * Prudential; * Met Life.

What are examples of government programs that pay for health care?

Examples of organizations that pay for health care include: * Medicaid; * Medicare; and * the Children's Health Insurance Program.

What are some examples of primary providers?

Examples of primary providers are: * Hospitals; (For profit; not-for-profit; and governmental) * public health departments; * physicians' offices; * long-terms care facilities; * skilled nursing facilities; * hospices; * ambulatory care facilities; and * home health care institutions.

What are examples of provider representatives?

Examples of provider representatives include: * The American Medical Association; * The American Hospital Association; * State Associations; and * Professional Associations such as the American College of Health Care Executives.

What does external analysis require knowledge of?

External environment analysis attempts to: * identify and interpret environmental issues * as well as provide information for the analysis of the internal environment and the development of directional strategies.

Regarding Environmental Analysis: What are external issues?

External issues consist of: * legislative or political issues; * economic; * social; * technological; and * competitive issues.

Who participates in the strategic planning process?

For most organizations, it is not possible for everyone in the organization to be a full participant in the strategic planning process, and if this were the case, consensus may never be reached. Therefore, a few key players, senior staff, top management or a leadership team are needed to provide balance and informed points of view.

In Porter's model, what is intensity a function of?

In Porter's model, intensity is a function of: * the threat of new entrants to the market; * the level of rivalry among existing organizations; * the threat of substitute products and services; * the bargaining power of buyers; and * the bargaining power of suppliers.

In addition to delivery strategies, what other strategies must be developed for organizations?

In addition to delivery strategies, strategies must be developed for value adding support areas such as the organization's: * culture; * structure; and * strategic resources.

Still continuing with environmental analysis,--What can what leaders already believe about the industry do?

In many cases, what leaders already believe about the industry or social or competitive factors inhibits their ability to perceive or accept signals for change.

Why does intense rivalry result?

Intense rivalry is the result of: * equally balanced competitors; * slow industry growth; * high fixed costs; * diverse competitors; * high exit barriers; and * a lack of differentiation.

What does market research have to do with?

Market research has to do with the identification of recognizable groups or segments that make up the market as well as information to improve quality.

Who developed the Five Forces Framework?

Michael Porter was a professor from Harvard Business School that developed the Five Forces Framework.

Explain additional reasons why new entrants are a threat?

New entrants are also a threat because: * new entrants may have substantial resources; * new entrants often attempt to rapidly gain market share, &this can force prices & profits down.

Regarding Threat of New Entrants: Why are new entrants into a market typically a threat to existing organizations?

New entrants into a market are typically a threat to existing organizations because they increase the intensity of competition.

Why are new entrants a threat to existing organizations?

New entrants into a market are typically a threat to existing organizations because they increase the intensity of competition. Also, new entrants can have substantial resources and often attempt to rapidly gain market share. This can force prices and profits down.

What happens after the strategy for the organization has been formulated?

Once the strategy for the organization has been formulated, implementation plans that accomplish the organizational strategy are developed.

Regarding Value Creation: When are organizations successful?

Organizations are successful when they create value for their customers and stakeholders.

What are some organizations that represent primary and secondary providers?

Organizations that represent primary and secondary providers include: * the AMA; * the AHA; and * state and professional associations.

Regarding Components Within the Healthcare Environment: What do organizations within the healthcare environment do?

Organizations within the healthcare environment * develop new technologies: * deal with changing demographics; * address legislative change; and * compete with other healthcare organizations.

What are some other goals of environmental analysis?

Other goals of environmental analysis include: * analyzing current important issues and changes that will affect the organization in order to determine likely future issues and changes; * to provide organized information for the development of the organization's internal analysis, mission, values, goals, and strategy; * and to foster further strategic thinking throughout the organization.

Regarding Intensity of Rivalry Among Existing Organizations: Why does rivalry occur?

Rivalry occurs because competitors attempt to improve their position.

Why does rivalry occur?

Rivalry occurs because competitors attempt to improve their position. Typically, actions by one competitor foster reactions by others.

What is scanning?

Scanning is made up of: * viewing external environmental information; * organizing this information into categories; and * identifying issues within each category.

What are secondary providers?

Secondary providers are organizations that provide resources for the health care system.

What makes up secondary providers?

Secondary providers include: * Educational institutions; * third-party payers; and * pharmaceutical and medical supply companies.

What are some examples of secondary providers?

Secondary providers include: * educational institutions, such as medical schools and schools of nursing.

What are service delivery activities made up of?

Service delivery activities are made up of: * pre-service; * point of service; and * after service activities; and they are fundamental value creation activities, which are supported by support activities.

What are service delivery activities in the value chain?

Service delivery activities are the activities in the value chain that are directly involved in ensuring access to provision of and follow up of health services.

What are the fundamental value creation activities?

Service delivery activities are the fundamental value creation activities.

What does service delivery have to do with?

Service delivery has to do with the creation of value that is directly involved in ensuring access to, provision of, and follow up of health care services.

What do services offered and branding have to do with?

Services offered and branding activities have to do with the dissemination of information to prospective patients and stakeholders regarding the prices, range of products, and location of available services by a health care organization.

How is situational analysis within strategic planning accomplished?

Situational analysis within strategic planning is accomplished by three separate strategic thinking activities, and these three activities drive the strategy, and the three activities are: * 1. external environment analysis; * 2. internal environment analysis; and * 3. the development of directional strategies.

What are some of the limitations of environmental analysis?

Some of the limitations of environmental analysis include: * external environmental analysis does not guarantee success; * environmental analysis cannot foretell the future; * managers cannot see everything; * the organization may not respond quickly enough to take advantage of the issue detected; * the greatest limiting factor is the preconceived beliefs of management.