Strategic Health Care Planning

Prepare a 2-3 page environmental analysis briefing report that examines environmental issues that affect the health care organization you have selected, including the strengths, weaknesses, opportunities, and threats you have identified for the organization.

An organization needs to understand the environments in which it operates. The external environment includes competitors, partners in collaboration, governmental and social factors, as well as economic factors. The internal environment includes all the systems and processes involved in the organization's operations.

Analyzing the external and internal environments tells an organization where it stands and provides a framework for making strategic decisions. In this assessment, you will examine environmental issues that affect the organization you selected.

Reminder: Complete the assessments in this course in the order they are presented. You will complete sections of a strategic management plan for each assessment. In this assessment, you will continue to use the same organization and the factor from the AHA’s most recent Environmental Scan report that you chose in the first assessment.

Professional Context
Once health care leaders understand the importance of strategic planning and the organization's key core concepts and components, they must determine if the goals of the organization align with its mission, vision, and values and if the current strategic plan has been met.

Next, health care organization leaders need to understand the internal and external environment in which they operate and anticipate and respond to the significant shifts taking place within that environment. Most often this is established by analyzing the external and internal environments that affect an organization's operations.

In an internal environmental analysis, leaders carefully examine each function or organizational subsystem and then develop and analyze a list of strengths and weaknesses for each. This approach has been successful in some cases; however, an internal environmental analysis alone does not adequately address strategic issues. Health care leaders must assess both the internal and external factors that affect the organization's outcomes, and this can be achieved by conducting both an internal and an external analysis.

In an external environmental analysis, leaders carefully conduct an environmental scan of the external factors that impact its operations. An environmental analysis enables the organization to identify current challenges and opportunities in preparation for future strategic planning and goal identification. Insightful diagnosis of a company's external and internal environments is a prerequisite for leaders to succeed in crafting a strategy that is an excellent fit within the company’s operations. These evaluations assist the organization in exploring alternative strategies and business models that culminate in leaders choosing a specific strategy.

Health care leaders often use tools such as the TOWS, SWOT, PESTEL, et cetera, to evaluate where the strengths, weaknesses, opportunities, or threats exist. In addition, an essential element in evaluating a health care organization's overall strategy entails examining the company's resources and competitive capabilities. The weaknesses and threats often indicate issues that should be addressed. This will help the organization clarify its strategic objectives to drive and improve all aspects of operations. A well-executed environmental analysis provides the basis for crafting the organization's strategic plan.

Full Answer Section

         

Executive Summary

  Aga Khan University Hospital, Nairobi (AKUH, N) operates within a dynamic and often challenging healthcare landscape in East Africa. This report specifically scrutinizes the pervasive issue of workforce shortages and burnout, a significant external and internal environmental factor impacting the hospital's operations, quality of care, and strategic objectives. While AKUH, N possesses considerable strengths in its reputation and quality infrastructure, it faces substantial weaknesses related to staff retention and workload. Opportunities exist in leveraging technology and innovative training models, but the overarching threats of a competitive talent market, brain drain, and the high cost of living in Nairobi pose considerable challenges to maintaining a robust and motivated workforce. Addressing this factor is paramount for AKUH, N to sustain its leadership position and achieve its mission of providing high-quality, accessible healthcare.
 

2. External Environmental Analysis: Workforce Shortages and Burnout

  The external environment presents several facets of the workforce shortage and burnout issue that directly impact AKUH, N.
  • Governmental and Social Factors:
    • Limited Public Sector Capacity: Kenya's public healthcare system, while the primary provider for most citizens, often struggles with underfunding, poor working conditions, and inadequate remuneration for healthcare professionals. This pressure on the public sector indirectly affects private institutions like AKUH, N, as it exacerbates the overall demand for qualified personnel and creates a competitive hiring landscape.
    • Brain Drain: There's a persistent phenomenon of highly skilled Kenyan healthcare professionals migrating to developed countries (e.g., UK, Canada, USA) in search of better pay, working conditions, and professional development opportunities. This significantly depletes the national talent pool, making it harder for organizations like AKUH, N to recruit and retain staff.
    • Global Shortage: The global demand for healthcare workers, intensified by events like the COVID-19 pandemic, means that Kenyan professionals are sought after internationally, further fueling the brain drain.

Sample Answer

       

Environmental Analysis Briefing Report: Aga Khan University Hospital, Nairobi

  Organization Selected: Aga Khan University Hospital, Nairobi (AKUH, N) Selected Factor from AHA's Environmental Scan (Adapted for Kenyan Context): Workforce Shortages and Burnout This report provides an environmental analysis of Aga Khan University Hospital, Nairobi (AKUH, N), focusing on the critical issue of workforce shortages and burnout, an increasingly prominent factor in global healthcare, highly relevant to Kenya. We will examine the internal and external environments, followed by a SWOT analysis.