Walden University Developing a Strategic Plan Paper

Course Project: Developing a Strategic Plan

Tools for Strategic Planning—Balanced Scorecard and Other Tools

Effective leader-managers seek to understand how a proposed strategic change may affect performance and follow up with sound analysis to evaluate progress throughout implementation and assess the costs and benefits.

This week, you examine the use of performance metrics to gauge an organization’s standing and the impact of changes on finances, customer/client satisfaction, internal business processes, and learning and growth within a group, unit, or organization. For your Course Project, you begin to develop a balanced scorecard to measure performance related to your proposed change.

Section 3: Balanced Scorecard

Managers, like pilots, need instrumentation about many aspects of their environment and performance to monitor the journey toward excellent future outcomes.—Robert S. Kaplan and David P. Norton, The Balanced Scorecard: Translating Strategy Into Action

To prepare:

As introduced in Week 8,continue to refine your balanced scorecard. (Refer to Week 8 for the preparatory instructions as necessary.) Your balanced scorecard is one tool you can use to evaluate the effects of your planned change on performance.

To complete:

Section 3: Balanced Scorecard

As you continue to develop your Course Project, it is important to consider how to evaluate the effects of your planned change on performance. Based on the work you have done thus far on your Course Project, this week you create a balanced scorecard.

To prepare:

  • Review your work on the summary of the issue and SWOT analysis from previous weeks.
  • Review the information about and examples of balanced scorecards presented by Dr. Carol Huston in this week’s media program and in the other Learning Resources. Conduct additional research to see additional examples of balanced scorecards and to deepen your understanding of how balanced scorecards are used in various organizations.
  • Reflect on the comments related to balanced scorecards exchanged in this week’s Discussion.
  • Conceptualize a balanced scorecard that could be used to measure and evaluate the impact of your planned change on performance, and determine if the costs are justified in terms of the outcomes. Consider what you would measure in terms of finances, customers, internal process, and learning and growth.
  • Think about how you would gather valid and reliable data.
  • Begin to create your balanced scorecard, which will be submitted next week.
  • Create a balanced scorecard that could be used to measure and evaluate the impact of your planned change on performance, and determine if the costs are justified in terms of the outcomes.
  • Include what you would measure in terms of finances, customers, internal process, and learning and growth
  • Learning Resources
    Learning Resources

    Required Readings
    Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health
    care. Sudbury, MA: Jones and Bartlett.
    Chapter 8, “Overview of Strategic Planning Theories: Strategic Planning Architecture” (pp.
    147–166)
    Fields, S. A., & Cohen, D. (2011). Performance enhancement using a balanced scorecard in a
    patient-centered medical home. Family Medicine, 43(10), 735–739.
    Copyright 2011 by Society of Teachers of Family Medicine. Reprinted by permission
    of Society of Teachers of Family Medicine via the Copyright Clearance Center.
    The authors discuss using a balanced scorecard for quality improvement in patientcentered medical homes.
    Groene, O., Brandt, E., Schmidt, W., & Moeller, J. (Aug 2009). The balanced scorecard of
    acute settings: Development process, definition of 20 strategic objectives and
    implementation.International Journal for Quality in Health Care, 21(4), 259–271.
    Copyright 2009 by Oxford University Press – Journals. Reprinted by permission of Oxford
    University Press – Journals via the Copyright Clearance Center.
    In this article, the authors discuss the use of a balanced scorecard as a tool for strategic
    planning in hospitals. The article includes an example of a strategy map, timeline, and
    balanced scorecard.
    Jeffs, L., Merkley, J., Richardson, S., Eli, J., & McAllister, M. (2011). Using a nursing balanced
    scorecard approach to measure and optimize nursing performance. Nursing Leadership,
    24(1), 47–58.
    Copyright 2011 by Longwoods Publishing Corporation. Reprinted by permission
    of Longwoods Publishing Corporation via the Copyright Clearance Center.
    Kollberg, B., & Elg, M. (2011). The practice of the balanced scorecard in health care services.
    International Journal of Productivity and Performance Management, 60(5), 427–445.
    The authors look at the use of a balanced scorecard for health care performance
    management in Sweden.
    Lupi, S., Verzola, A., Carandina, G., Salani, M., Antonioli, P., & Gregorio, P. (2011).
    Multidimensional evaluation of performance with experimental application of balanced
    scorecard: A two year experience. Cost Effectiveness and Resource Allocation, 9(1), 7.
    This article examines the application of a balanced scorecard within a unit in a
    hospital to compare performance results and goal achievement.
    Balanced Scorecard Institute. (2013). Balanced scorecard basics. Retrieved
    fromhttp://www.balancedscorecard.org/BSCResources/AbouttheBalancedScorecard/tabi
    d/55/Default.aspx
    View the information on this website to learn about balanced scorecards.
    Mountain State Group. (n.d.) Balanced scorecards for small rural hospitals: Concept overview
    and implementation guidance. Retrieved March 13, 2013,
    fromhttp://www.ruralcenter.org/sites/default/files/Final%20BSC%20Manual%2010.18F.
    pdf
    The Scarborough Hospital. (2013). Balanced scorecard. Retrieved from
    http://tsh.to/pages/Balanced-Score-Card
    This website provides an example of a balanced scorecard.
    Sunnybrook Health Sciences Centre. (2013). Balanced scorecard. Retrieved
    fromhttp://sunnybrook.ca/scorecard/index.asp#sr
    This website provides an example of a balanced scorecard.
    Required Media
    Laureate Education (Producer). (2013a). The balanced scorecard approach [Video
    file]. Retrieved from the https://class.waldenu.edu
    Note: The approximate length of this media piece is 3 minutes.
    Dr. Carol Huston discusses the elements and use of a balanced scorecard as a strategic
    planning evaluation tool.
    Accessible player
    Credit: Provided courtesy of the Laureate International Network of Universities.
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Feedback: Points: Points: Points: Points Range: 5 (5%) - 5 (5%) Points Range: 4 (4%) - 4 (4%) %7B%220.05000 %7B%220.04000 Uses correct APA format with no errors. Contains a few (1-2) APA format errors. Feedback: Feedback: Points Range: 3.5 (3.5%) - 3.5 (3.5%) %7B%220.03500 Contains several (3-4) APA format errors. Points: Points Range: 0 (0%) - 3 (3%) %7B%220.00000 Contains many (≥ 5) APA format errors. Feedback: Feedback: Show Feedback Quality of Work Submitted: The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.-- Levels of Achievement: Excellent 27 (27%) - 30 (30%) %7B%220.27000 Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics. Good 24 (24%) - 26 (26%) %7B%220.24000 Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics. %7B%220.21000 Fair 21 (21%) - 23 (23%) Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed. %7B%220.00000 Poor 0 (0%) - 20 (20%) Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed. Feedback: Quality of Work Submitted: The purpose of the paper is clear.-Levels of Achievement: Excellent 5 (5%) - 5 (5%) %7B%220.05000 A clear and comprehensive purpose statement is provided which delineates all required criteria. Good 4 (4%) - 4 (4%) %7B%220.04000 Purpose of the assignment is stated, yet is brief and not descriptive. Fair 3.5 (3.5%) - 3.5 (3.5%) %7B%220.03500 Purpose of the assignment is vague or off topic. Poor 0 (0%) - 3 (3%) %7B%220.00000 No purpose statement was provided. Feedback: Assimilation and Synthesis of Ideas: The extend to which the work reflects the student's ability to: Understand and interpret the assignment's key concepts.-Levels of Achievement: %7B%220.09000 Excellent 9 (9%) - 10 (10%) Demonstrates the ability to critically appraise and intellectually explore key concepts. %7B%220.08000 Good 8 (8%) - 8 (8%) Demonstrates a clear understanding of key concepts. Fair 7 (7%) - 7 (7%) %7B%220.07000 Shows some degree of understanding of key concepts. Poor 0 (0%) - 6 (6%) %7B%220.00000 Shows a lack of understanding of key concepts, deviates from topics. Feedback: Assimilation and Synthesis of Ideas: The extend to which the work reflects the student's ability to: Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.-Levels of Achievement: Excellent 18 (18%) - 20 (20%) %7B%220.18000 Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view. Good 16 (16%) - 17 (17%) %7B%220.16000 Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view. Fair 14 (14%) - 15 (15%) %7B%220.14000 Minimally includes and integrates specific information from 2-3 resources to support major points and point of view. Poor 0 (0%) - 13 (13%) %7B%220.00000 Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view. Feedback: Assimilation and Synthesis of Ideas: The extend to which the work reflects the student's ability to: Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.-Levels of Achievement: Excellent 18 (18%) - 20 (20%) %7B%220.18000 Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice. Good 16 (16%) - 17 (17%) %7B%220.16000 Summarizes information gleaned from sources to support major points, but does not synthesize. Fair 14 (14%) - 15 (15%) %7B%220.14000 Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped. %7B%220.00000 Poor 0 (0%) - 13 (13%) Rarely or does not interpret, apply, and synthesize concepts, and/or strategies. Feedback: Written Expression and Formatting Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused--neither long and rambling nor short and lacking substance.-Levels of Achievement: Excellent 5 (5%) - 5 (5%) %7B%220.05000 Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity Good 4 (4%) - 4 (4%) %7B%220.04000 Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time. Fair 3.5 (3.5%) - 3.5 (3.5%) %7B%220.03500 Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time. Poor 0 (0%) - 3 (3%) %7B%220.00000 Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time. Feedback: Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation-Levels of Achievement: Excellent 5 (5%) - 5 (5%) %7B%220.05000 Uses correct grammar, spelling, and punctuation with no errors. Good 4 (4%) - 4 (4%) %7B%220.04000 Contains a few (1-2) grammar, spelling, and punctuation errors. Fair 3.5 (3.5%) - 3.5 (3.5%) %7B%220.03500 Contains several (3-4) grammar, spelling, and punctuation errors. Poor 0 (0%) - 3 (3%) %7B%220.00000 Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Feedback: Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.-Levels of Achievement: Excellent 5 (5%) - 5 (5%) %7B%220.05000 Uses correct APA format with no errors. Good 4 (4%) - 4 (4%) %7B%220.04000 Contains a few (1-2) APA format errors. Fair 3.5 (3.5%) - 3.5 (3.5%) %7B%220.03500 Contains several (3-4) APA format errors. Poor 0 (0%) - 3 (3%) %7B%220.00000 Contains many (≥ 5) APA format errors. Feedback: Total Points: 100 Name: NURS_6241_Week_9_Assignment_1_Rubric Exit Running head: IDENTIFYING RESOURCES 1 Identifying Resources Name Tutor Institution Course Date IDENTIFYING RESOURCES 2 My strategic plan that aims at addressing the needs of cancer caregivers will be supported by three resources: financial resources, personnel, and time. Personnel such as stakeholders will be involved in raising money to fund this program. Without finances, this program will not be successful because many requirements will be purchased. New hospital personnel will be hired to provide care for the caregivers. Their role will be to offer therapeutic services for the caregivers and help them to manage strains that arises while at work or even in personal life. The personnel will require salaries and benefits just like other employees of the hospital; therefore, financial resources will be required. The personnel will require new offices, desks, uniforms, office utilities, etc., which will all require to be purchased. Resources that will be useful for providing treatment to caregivers will also be sourced. The caregivers will be using a variety of treatments, both therapeutic and nontherapeutic. Time will also be invested in this plan because specialized personnel have to be recruited and trained to meet the needs of the caregivers. Caregiver groups will also require time to create and manage effectively. These caregiver groups will be resourceful because individuals can share success stories and empower others. Caregivers will be provided with affordable care services to help them curb psychological stress (Wang et al., 2018). The three resources, personnel, time and financial resources will be leveraged to accomplish the strategic plan. Financial resources are beneficial for funding the program; to purchase all the resources needed. Personnel will implement the strategic plans to accomplish the strategic goals. Investing time will be beneficial to ensure that strategies are well planned and implemented (Lennick et al., 2018) IDENTIFYING RESOURCES 3 References Lennick, D., Geer, R., & Goulart, R. (2018). Leveraging your financial intelligence: At the intersection of money, health, and happiness Wang, T., Molassiotis, A., Chung, B. P. M., & Tan, J. Y. (2018). Unmet care needs of advanced cancer patients and their informal caregivers: a systematic review. Retrieved from: BMC palliative care, 17(1), 96. STRATEGIC PLAN Strategic Plan Courtney Pribonic Walden University 4/17/2020 STRATEGIC PLAN 2 SWOT Analysis Strengths a) There is a wide pool of experts e.g. psychologists who can render their services in support of cancer caregivers b) The National Cancer of Institute is willing to support cancer caregivers Weakness a) Lack of active education content to assist caregivers overcome psychological strain b) Cancer treatment is heavily inclined to patients and largely ignores caregivers c) There is limited research so far on the psychological and emotional strain of cancer caregivers with focus mainly being on patients Opportunities a) There is a wide range of treatment options to handle psychological strain b) Caregiver groups where individuals can share success stories and empower others c) Many cancer stakeholders who are available to support e.g. in terms of fundraising for caregivers cause Threats a) Lack of unified education policies relating to cancer patients caregivers b) The cost of accessing healthcare by cancer caregivers c) A wide range of factors may result to psychological and emotional strain of caregivers making it difficult for experts to treat STRATEGIC PLAN 3 Unmet Needs of Cancer Caregivers Unmet needs are perhaps most rampant when handling terminal diseases and, in particular, cancer. According to the World Health Organization, cancer is one of the leading causes of death worldwide, with the terminal illness claiming up to 9.6 million in 2018 (World Health Organization, 2018). Despite the high number of casualties claimed by the disease, the most intriguing bit about the illness is the physical and psychological impacts that it has not only on the patient but on family members. It is along these lines that cancer records the highest number of unmet needs compared to other diseases. An unmet needs list published by the Belgian Institute for Health and Disability Insurance in 2018 was dominated by cancer ailments that comprised 54.7% of the 64 diseases that were reviewed (Anticancer Fund, 2018). One of the most significant unmet needs related to cancer patients relates to caregivers in hospices and other clinical settings that give care to these patients. Most of the focus is usually given to patients, but mostly, the caregivers go through a lot of physical, psychological, and emotional stress in their line of duty. Caregivers, especially those of advanced cancer patients, may find it difficult taking in the suffering of the patients and have been referred in many quarters to be fellow sufferers alongside the terminally ill patients. Informal caregivers are worst affected, and some of the challenges are summarized below. STRATEGIC PLAN 4 Requested help in endof-life decisions 25% Requested for help to manage physical and emotional stress 27% High emotional stress Financial strain Chart 1: Issues arising from cancer caregivers. Source: National Cancer Institute (2020) What has Been Attempted in the Past Previously, focus on the wellbeing of caregivers was not given adequate importance in hindsight of the immense psychological pressure they experience when working. The neglect of the emotional health of the caregivers is what perhaps has resulted in the main challenges such as financial strain, physical and emotional stress faced by this group of persons (Wang et al., 2018). The strategic plan reinforces the need to evaluate the psychological wellbeing of caregivers in tandem with cancer patients, and to support them amicably as this is the only way that they will be able to provide adequate care to the patients. Stakeholder to be Included in the Strategic Planning Process Key stakeholders that should be involved include psychologists, especially those who have related to cancer patients, the National Cancer Institute, families of the caregivers, cancer lobby STRATEGIC PLAN 5 groups, caregiver associations, and welfare groups. These are the people who are most concerned about the entire process of cancer treatment and hence are most likely to understand the plight of caregivers who play a frontline role in caring for cancer patients. The Initial Vision for Addressing the Need An essential goal of the strategy is to ensure that caregivers can easily and freely seek emotional and psychological support or treatment should the need to arise. Many caregivers may have a challenge sharing out their feelings with their colleagues or specialists e.g., for fear of being viewed as a weak person or only due to self-denial. A critical success measure of the strategic plan, therefore, relates to how easy it is for caregivers to seek out help from psychologists and other experts for their emotional and psychological wellbeing. Broader Issues to Analyze Broader issues to be considered include how the psychological strain arising from the care of cancer patients will be differentiated from other sources of stress e.g., the case of a caregiver who is in a troublesome marriage. Another vital aspect to be analyzed relates to the cost of providing psychological support to caregivers and who is responsible for its provision. STRATEGIC PLAN 6 References Anticancer Fund. (2018). Addressing unmet needs. Retrieved from: https://www.anticancerfund.org/en/addressing-unmet-needs National Cancer Institute. (2020). Informal Caregivers in Cancer: Roles, Burden, and Support. NIH. Retrieved from: https://www.cancer.gov/about-cancer/coping/familyfriends/family-caregivers-hp-pdq Wang, T., Molassiotis, A., Chung, B. P. M., & Tan, J. Y. (2018). Unmet care needs of advanced cancer patients and their informal caregivers: a systematic review. Retrieved from: BMC palliative care, 17(1), 96. World Health Organization. (2018). Cancer. Retrieved from: https://www.who.int/newsroom/fact-sheets/detail/cancer

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