Nursing Vision and Strategic Priorities Case Study

Nursing Vision and Strategic Priorities Case Study

Nursing Vision and Strategic Priorities Case Study

Question Description
Case Study 7-1 “Creating a Common Nursing Vision and Strategic Priorities Across a System” activity and case study questions 1-5 (pp. 161-163).

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The case study questions include the following:

What lessons are learned from reviewing the strategic plan and progress made in XYZ HS?
What factors were most significant in driving 47 diverse hospital nurse leaders toward a common vision and priority?
Of the key steps articulate, which do you think was most important?
Are there other steps you would advise employing in this process?
How does size abs scope help or hinder strategic success?
SEE Below for case study

CASE STUDY 7-1 Creating a Common Nursing Vision and Strategic Priorities across a System

Joyce Young

XYZ Health System (HS) is one of the largest health systems in the United States, and it is continuing to grow. The health system comprises more than 56,000 full-time equivalent employees, which includes more than 11,000 active physicians (3,400 employed physicians and residents) and more than 16,000 registered nurses (RNs) practicing in 47 hospitals across 10 states. A shared mission and common values connect these 47 diverse hospitals. Additionally, XYZ HS understands the importance of a shared vision to bring leaders together in strategy and the pursuit of transformational change.

Creating a common nursing vision to determine and drive strategy across a large, diverse health system is clearly a challenge but is worthy of undertaking. The XYZ HS nursing leaders recognized the power of leveraging the talent bank of 47 diverse hospitals and nursing leaders toward a common vision and strategies; in fact, they saw this as critical to leading change and preparing for a reformed future of healthcare delivery. The leaders recognized that success in this endeavor required essential keys steps, beginning with awareness or understanding of the pivotal role of nursing. Only with awareness and understanding can an effective strategy be determined.

Awareness

Events of the past decade, and certainly since the Patient Protection and Affordable Care Act was signed into law on March 23, 2010, have fueled interest within the healthcare industry and in the nursing profession in understanding what a reformed healthcare delivery system looks like and how to position the industry and profession for success.

In the IOM and Robert Wood Johnson Foundation report The Future of Nursing: Leading Change, Advancing Heath (IOM, 2010), it was noted that the U.S. healthcare industry is fraught with fragmentation as well as barriers to care and the ability to provide cost-effective, high-quality care. The report said the solutions may reside in a transformed nursing profession. The report outlined recommendations directing not only nursing leaders but also policy makers, payers, licensing bodies, and other healthcare leaders to align the industry and care delivery system with the current era of reform. Similarly, the Advisory Board Company’s report Perfecting the Patient Care Services Strategic Plan (2012) wove nursing innovation strategy throughout the five core components of service, quality, finance, people, and growth.

The universal theme in these reports clearly points to the pivotal role that nursing must play in designing the future of health care. In a seminal speech given at the Institute for Healthcare Improvement national forum, Berwick articulated what he called “the moral test” (Berwick, 2011). Berwick spoke to the impending changes that the healthcare industry is facing and stated, “This is the threshold we have now come to, but not yet crossed; the threshold from the care we have to the care we need…. Our vision is for healthcare that is just, safe, infinitely humane, and that takes only its fair share of our wealth” (2011, p. 11).

The vision Berwick spoke of was embraced by the XYZ HS nursing leaders. This vision became the impetus for unifying the XYZ HS nursing leaders’ commitment to a system-wide strategic focus and transformational change. In an industry bombarded with high-velocity change, focus was quickly identified as the next key to success in this important strategic work.

Focus

Given the size and complexity of XYZ HS, along with the pace of change in the industry, the need for focus could not be understated. For XYZ HS, the ability to focus was fostered through the commitment of dedicated time (over several months) and to a clear understanding of the current state. Focus enables the ability to identify what is most important.

An appreciative inquiry approach was used to integrate feedback and information that had been gathered over a dedicated time period (Tagnesi, Dumont, Rawlinson, & Byrd, 2009). The numerous nurse leaders from the 47 diverse hospitals were then divided into three small work groups. In the spirit of shared leadership, each work group was tasked with identifying and proposing three to five strategic goals. The resulting 9 to 15 proposed strategic goals were then taken back to the full group for voting. The voting results served as the basis for determining three system-wide strategic nursing priorities.

Guided by a vision of health care that is just, safe, and infinitely humane, the three strategic priorities promoted the pivotal role of nursing. The size and scope of nursing leaders from 47 diverse hospitals across 10 states leveraged the profession in leading change and readiness for a reformed future of healthcare delivery. Focus ensured the appropriate strategic goal selection and prioritization; this set the direction for the work required to execute the strategy.

Commitment and accountability round out the keys to success in creating a common nursing vision and strategic priorities across a system. The XYZ HS leaders understood that it was through commitment and accountability that they would get where they desired to go. Accountable, empowered work teams were created to execute each strategic priority. Milestones were identified along with due dates, metrics, and reporting requirements. The process described in this case exemplar was grounded in the shared leadership principles of partnership, equity, commitment, and accountability.

One year later, progress is encouraging and the journey continues. Thanks to a common vision, thoughtfully determined strategic priorities, and empowered, accountable, highly committed leaders, the XYZ HS is successfully positioned to meet the challenges of the future.

Case Study Questions

1. What lessons are learned from reviewing the strategic plan and progress made in XYZ HS?

2. What factors were most significant in driving 47 diverse hospital nursing leaders toward a common vision and strategic priorities?

3. Of the key steps articulated, which do you think was most important?

4. Are there other steps that you would advise employing in this process?

5. How does size and scope help or hinder strategic success?

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
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I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
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Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
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The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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