This issue does not have a single universally acceptable answer.
In non-healthcare organizations, corporate SP is characterized by
being generated at the strategic apex of the organization and sets
out the main strategic areas (SA) that affect the entire organization
without exception. Deriving from this, there may be a strategic
plan for each business area in which the corporation is active. In
addition, each internal department may have a functional strategic
plan tailored to its needs. For example, a pharmaceutical company
may have a global corporate strategy. Depending on this strategy,
the department of heart medicines may have another strategy that
differs from that of the department of drugs acting on the brain,
which in turn could be different from the diabetes department,
even though the strategic plans for these 3 departments will be
completely consistent with the corporate strategic plan. Within
the department of drugs acting on the heart, there may be a need to
develop a strategic plan for Spain that could differ from that for
Pakistan. Thus, within a sufficiently large organization, distinct
strategic plans may coexist at different levels. The only requirement
is that each of the strategic plans is consistent and aligned
with any other or others at higher levels.
The same criterion should be applied in the HO. Thus, the
Ministry of Health or Health Department should have a strategic
plan and, within the Health Department, the regional health
service should also have a strategic plan that is aligned with the
former body. In turn, there could logically be a strategic plan for
specialized care and, within this, a specific hospital could have a
strategic plan. The only qualification for the implementation
of strategic plans is that they should be well aligned with one other
and not be in conflict or divergent. The justification for their
existence is that that they pertain to a structure which, even
though subordinate, is sufficiently large, complex and different
from the rest of the organization.8 From this point of view, an
integrated management unit, a clinical institute or a clinical
service, depending on its complexity, may well need its own
strategic plan which will differ from the current higherlevel
strategic plan. The only methodological requirement is that
it is aligned with the higher-level strategic plan and is not in
conflict or divergent. In recent years, and within the hospital-based
cardiology, SP has been conducted for subunits such as hemodynamics,
electrophysiology, clinical cardiology, noninvasive diagnosis,
etc. Strategic planning is relevant when the subunit is
sufficiently large, complex and specific, is clearly different from the
rest of the service, and the plan is consistent with the higher-level
strategic plan.
This issue does not have a single universally acceptable answer.
In non-healthcare organizations, corporate SP is characterized by
being generated at the strategic apex of the organization and sets
out the main strategic areas (SA) that affect the entire organization
without exception. Deriving from this, there may be a strategic
plan for each business area in which the corporation is active. In
addition, each internal department may have a functional strategic
plan tailored to its needs. For example, a pharmaceutical company
may have a global corporate strategy. Depending on this strategy,
the department of heart medicines may have another strategy that
differs from that of the department of drugs acting on the brain,
which in turn could be different from the diabetes department,
even though the strategic plans for these 3 departments will be
completely consistent with the corporate strategic plan. Within
the department of drugs acting on the heart, there may be a need to
develop a strategic plan for Spain that could differ from that for
Pakistan. Thus, within a sufficiently large organization, distinct
strategic plans may coexist at different levels. The only requirement
is that each of the strategic plans is consistent and aligned
with any other or others at higher levels.
The same criterion should be applied in the HO. Thus, the
Ministry of Health or Health Department should have a strategic
plan and, within the Health Department, the regional health
service should also have a strategic plan that is aligned with the
former body. In turn, there could logically be a strategic plan for
specialized care and, within this, a specific hospital could have a
strategic plan. The only qualification for the implementation
of strategic plans is that they should be well aligned with one other
and not be in conflict or divergent. The justification for their
existence is that that they pertain to a structure which, even
though subordinate, is sufficiently large, complex and different
from the rest of the organization.8 From this point of view, an
integrated management unit, a clinical institute or a clinical
service, depending on its complexity, may well need its own
strategic plan which will differ from the current higherlevel
strategic plan. The only methodological requirement is that
it is aligned with the higher-level strategic plan and is not in
conflict or divergent. In recent years, and within the hospital-based
cardiology, SP has been conducted for subunits such as hemodynamics,
electrophysiology, clinical cardiology, noninvasive diagnosis,
etc. Strategic planning is relevant when the subunit is
sufficiently large, complex and specific, is clearly different from the
rest of the service, and the plan is consistent with the higher-level
strategic plan.
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