There should be a steering group within the HO to lead the
development and implementation of a strategic plan6; this group
should represent all interests and include people with leadership
skills. Ideally, this group should be led by its chief representative,
who will act as the driving force and display strong commitment to
the project and should include someone who is familiar with SP
methodology. The group must have real executive power to avoid
being perceived as a mere planning entity.
When the HO is sufficiently large, it is very useful to provide a
specific physical space (the SP Office), which is the epicenter of the
planning process. Sometimes an ‘‘external facilitator’’ for SP is
contracted; this is the person in charge of organizing, motivating,
and networking all actions, giving them shape and connecting
them in time and space. When required by the circumstances, this
is a role often assigned to a consultant.
To address the different aspects of analysis and generate ideas,
working groups have to be created that report to the steering
group. These should be cross sectional and well coordinated to
avoid duplicating work and to fully focus on the assigned tasks. The
number of these groups will increase, the greater the size of the HO
for which they are attempting to plan.
One aspect that may adversely affect the planning process is
associated with the relative lack of strategic thinking among the
health workers in the HO service.9 Healthcare professionals
manage short-term situations very effectively and make quick
decisions based on current diagnosis and treatment models and
algorithms, which serve as a guide in taking clinical decisions. The
long-term features very little in their daily work, which requires
practical and immediate answers to specific problems that are
usually tangible and quantifiable. Their work is usually efficient
within the known, due to its repetitive nature. In contrast,
physicians manage uncertainty and vagueness with difficulty and
do not go looking for problems as these tend to arrive on their
doorsteps and are usually routine. Physicians have a working
philosophy of ‘‘hands-on’’ and ‘‘first line of action.’’ Strategic
planning may present them with a challenge because they have to
face problems that are not well defined, have no known
precedents, evolve unpredictably, are barely quantifiable, and
yet require a response. Physicians have problems dealing with
ambiguity and problems that cannot be systematized.
To minimize any undesirable effects, the difference between
the professional skills specific to physicians in the HO services and
those required when they are placed in the position of participating
in or leading a strategic plan should be taken into account.
There should be a steering group within the HO to lead the
development and implementation of a strategic plan6; this group
should represent all interests and include people with leadership
skills. Ideally, this group should be led by its chief representative,
who will act as the driving force and display strong commitment to
the project and should include someone who is familiar with SP
methodology. The group must have real executive power to avoid
being perceived as a mere planning entity.
When the HO is sufficiently large, it is very useful to provide a
specific physical space (the SP Office), which is the epicenter of the
planning process. Sometimes an ‘‘external facilitator’’ for SP is
contracted; this is the person in charge of organizing, motivating,
and networking all actions, giving them shape and connecting
them in time and space. When required by the circumstances, this
is a role often assigned to a consultant.
To address the different aspects of analysis and generate ideas,
working groups have to be created that report to the steering
group. These should be cross sectional and well coordinated to
avoid duplicating work and to fully focus on the assigned tasks. The
number of these groups will increase, the greater the size of the HO
for which they are attempting to plan.
One aspect that may adversely affect the planning process is
associated with the relative lack of strategic thinking among the
health workers in the HO service.9 Healthcare professionals
manage short-term situations very effectively and make quick
decisions based on current diagnosis and treatment models and
algorithms, which serve as a guide in taking clinical decisions. The
long-term features very little in their daily work, which requires
practical and immediate answers to specific problems that are
usually tangible and quantifiable. Their work is usually efficient
within the known, due to its repetitive nature. In contrast,
physicians manage uncertainty and vagueness with difficulty and
do not go looking for problems as these tend to arrive on their
doorsteps and are usually routine. Physicians have a working
philosophy of ‘‘hands-on’’ and ‘‘first line of action.’’ Strategic
planning may present them with a challenge because they have to
face problems that are not well defined, have no known
precedents, evolve unpredictably, are barely quantifiable, and
yet require a response. Physicians have problems dealing with
ambiguity and problems that cannot be systematized.
To minimize any undesirable effects, the difference between
the professional skills specific to physicians in the HO services and
those required when they are placed in the position of participating
in or leading a strategic plan should be taken into account.
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