situational analysis in healthcare : different aspects by AbhiManu2

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									  Situational Analysis




By: Dr. Abhishek Tiwari
Guide : Dr. Sonali Kar
Situational Analysis
American Marketing Association
    “ The systematic collection and
study of past and present data to
identify trends, forces &
conditions with the potential to
influence the performance of the
business & the choice of
appropriate strategies”
Invented by Population council
Researchers in
Kenya 1989
   Situation Analysis in Healthcare ?
Describes & analyses the situation regarding the health
status & health services of area e g : a Village ,District or
State
Assess the extent to which health services address
health needs
what’s happening by identifying factors facilitating or
preventing progress of Health
 also prioritises problems and needs so the plans and
strategies can address them
District Health Plan and Report
       A Typical Planning Cycle
1 ) Situation Analysis
2) Priority and objective setting
3) Option appraisal
4) Task setting
5) Monitoring and evaluation
               Importance

First step of a Planning cycle
Effective management tool
Considers both + / - potential
 outcomes
Forecasts changes internal & external
Refreshes strategy & tactics of your
marketing
Compiles Analyses & Evaluates Influences
                  Importance
Applied to corporate,
 Govt. Hospital ,clinics
Identifies gaps in Healthcare System
monitoring , evaluation tool of Health
Services
contributes to district
 health information system
District Health Plan &
 District Health Report
“Understanding where you are today is
 fundamental to achieve your future goals”
      HOW TO CONDUCT
Step 1: Determine a framework
Step 2: Identify what information
        is already available
Step 3: Identify what information
        is still required
Step 4: Collect the required
        information
Step 5: Compile and write the report
Step 6:Distribute & disseminate the report
           Framework-example
1.Assessment of the health district
      Geography / Demography/Socio-economic profile
2.Health Status and Problem
3.Progress to Implement District Health System
4.The Management of Support Systems
   Finance/transport/drug ,vaccine supply & distribution
   Communication/Health information/HR
5.Public Health Sector
   Facilities {Hospitals/Clinics/CHC} Referral system
6.Other Care Providers :Private/ Ayush /NGO
7.Assessment of Key Programmes
8. Other Sectors which Impact on Health
9. Summary of Key Health Problems and Conclusion
           Situational Analysis
Health Care Industry
 Hospital ,
 Nursing Homes,
 Clinics,
 Health Insurance Company,
 Pharmaceutical industry,
 Biotech Company

Application of business principles
Structure + Forces = Strategy
                 5 C Analysis
Situational analysis can be conducted by three methods
1. The 5Cs Analysis
2. Porter five forces analysis
3. SWOT analysis
                  The 5 C Analysis
 Earlier “ 3 C Analysis ”
 Extension to 5 C adds Environmental analysis
 Market based sectors of Health care
1. Company :
 Objectives , strategy & capabilities mission &
   Goals , current position
                   5 C Analysis
2. Competitors :

 Position ,Goal ,mission ,strategy & resources
 Capability in industry & potential threats
 Identify type Direct / Indirect/ new entrants
  Get prepared to compete



3. Customers : Understand needs
    (size ,potential ,demand) Advertising & Motivation
                  5 C Analysis
4. Collaborators : Commitment (new ideas more business)
    Agency/Supplier & distributors ,relationship important
    for growth. Partnership shares assets & liabilities

5. Climate :
 Political & legal : low public high private sector
 Economic : increase in upper middle class
 Socio cultural : life expectancy/lifestyle/urban shift
 Global & Technological : Medical tourism &
    preventive health check up , diagnostic tests
    Situational Analysis
                The PEST Analysis report
•               “very good opportunity for
                 private players in
                 healthcare. Growing
                 population with much
                 deeper pockets and low
                 government participation
                 has lead to higher
                 demands where people
                 are willing to pay high
                 costs for proper medical
                 care.”
Porter’s Five Forces Analysis
      Porter 5 forces Analysis
1) Threat of new entrant:
 Pharmaceutical capital for R & D of new drugs
 Insurance many guidelines
 be able to attract physicians to their network
 best defence is target high value care,
 product differentiation ,
 senior specialists greater emotional intelligence,
 while younger have latest techniques
 Develop brand quality & create barriers
    for new entrants
     Porter 5 forces Analysis
2) Bargaining power of buyers/patients:
 Very limited power , exceeding demand
 Sick will take treatment in any economy
   Medical tourism reduces dependency on local patients

3) Bargaining Power of Suppliers:
New drugs and the latest medications
Hospital need pharmaceutical companies and
 they need the hospitals
Shortage of specialist , large power
    Porter 5 forces Analysis
4) Pressure from Substitutes:
Drug industry affected by substitutes , if patents lapses
Insurance companies : not really affect
Alternative medicine which treat primary care
  problems . Filling of vacant post by untrained staff

5) Competitive Rivalry:
More for Drug & Insurance sector
less amongst hospitals
     Porter 5 forces Analysis
Drug R & D ,one gets patent
More : competitors are of equal size & power , same
geographical area & poor differentiation

Summary : Report ,strategy to maximise the strengths
eg targeting value in health care , Focus on
Preventive methods than control to reduce the
cost and improve quality
SWOT ANALYSIS
SWOT ANALYSIS
         Mainly used for the
           health care
         GOAL “build on
           strengths”
          & “reduce weaknesses”
         Assessment of Health
           status
         monitoring & evaluation
          of health programmes
         to prepare
         the district
         health plan
                                             Weaknesses
S   Strengths
                                        W   Weaknesses
                                             •No speciality, primary service
    •Local & creative approach              •No speciality, primary service
                                             •Lack of funds
    •Experienced physician                  •Lack of funds,salary
                                             •Unequip lab , no instrument
    •Trained ,adequate staff                •Unequip lab , no instrument
                                             •Loss of key staff,understaffed
    •Resources : lab,instrument             •Loss of key staff,understaffed
                                             •No transport, off located
    •Central location                       •No transport, off located
                                             •Patient load: lifestyle
    •Strong commitment & funds              •Patient load
                                             •Lack of technology
    •Transportation                         •Lack of technology



                                            Threats
O   Opportunity
      Opportunity                       T
                                            •No Govt budget, inflation
    •Organization && tech
      •Organization tech
    development                             •Workforce strike, nurse,doctor
      development
    •Participation of local leaders         •Small semi urban nursing home
      •Participation of local leaders
    •Coordination with NGO                  •Patient prefer them
      •Coordination with NGO
                                            •Loss of alliances , NGO
    •Improved safety system
      •Improved safety system
    •Telemedicine for speciality            •Misinformation
      •Telemedicine for speciality
                                            •Competitors has new products
    •Revised measuresystem
      •Strong referral , indicators
 SWOT ANALYSIS OF A RURAL HEALTH CENTRE
                  Positive factors

      S                               O
Strong                           Participation
commitment                       of local
                                 leaders & NGO

Availability of                  Improved
Funds                            safety
                                 system

Central                         Strong referral
location                        system
 SWOT ANALYSIS OF A RURAL HEALTH CENTRE

             Negative factors

    W                           T
LACK OF                    WORKFORCE
                            .


FUNDS , NO                 STRIKE
SALARY                     (NURSE &
                           DOCTORS)
INCREASED
 .
                           PATIENTS
                            .


PATIENT LOAD               PREFER
                           NURSING
                           HOMES
OUTDATED                   COMPETITOR
EQUIPMENT &                HAS NEW
TECHNOLOGY                 PRODUTS
                  Summary
Important areas of progress and development in
the district over the previous year.
The most important and urgent health problems of
the district.
An indication of how these priority problems will be
addressed.
Finally there should be an honest assessment of the
strengths and weaknesses of the
district that lay out the challenges for the future.
          Situational Analysis
References
1) A Guide for Health Districts in South Africa
2) NRHM district health report , 2010 Aurangabad
3) Survey by Tim Size at RWHC with eleven “rural health expert
   respondents”
4) ZYNX Health solutions
5) EPMG emergency physician medical group
6) Targeting value in health care ..by . Corey scurlock
7) www.healthcaresuccess.com
8) Analysis of Fortis hospitals 2010

								
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