Crossing the strategic synapse: aligning hospital strategy with shared system priorities in ontario, Canada.
The dominant system-level strategic priorities facing Ontario hospitals were elicited and validated. Researchers employed a multi-stage survey and focus group process to solicit the opinions of senior hospital managers and other healthcare stakeholders. Four shared, system-level priorities emerged: (i) improved clinical and staff recruitment; (ii) stronger inter-hospital partnership and vertical integration along the continuum of care; (iii) improved patient safety; and (iv) the implementation of decision support systems. A subsequent CEO validation survey showed strong endorsement of these system priorities. The authors conclude that a survey, focus group, and validation process can reveal shared system priorities and can highlight emergent organizational strategies designed to resolve them. This process, in which a hospital learns of the priorities facing other hospitals in a system, is a potentially useful managerial tool to promote "strategic synapse"-whereby management can adjust internal organizational strategy and local scorecards to align with shared system priorities.
Department of Health Policy, Management and Evaluation, University of Toronto, Canada.
Adalsteinn D
AD
Brown
L Miin
LM
Alikhan
Neil L
NL
Seeman
D003266:Continuity of Patient Care; D003299:Cooperative Behavior; D003625:Data Collection; D020000:Decision Support Systems, Clinical; D017144:Focus Groups; D006739:Hospital Administration; D006740:Hospital Administrators / Q000523:psychology; D006801:Humans; D009313:National Health Programs; D009864:Ontario; D009937:Organizational Objectives; D010560:Personnel Selection; D017751:Safety Management