Friday, March 20, 2020
Cleveland Clinic Strategies Analysis Essay
Cleveland Clinic Strategies Analysis Essay Cleveland Clinic Strategies Analysis Essay Example Cleveland Clinic Strategies Analysis Essay Example Internal Weaknesses and Strengths Cleveland Clinic is a multi-specialty academic organization that combines hospital and clinical care with education and research. The Clinic was founded in 1921 by doctors who used to work in the military. Their experience had taught them that, when physicians work together as a unit, they could increase the chances of improving the care given to the patients. The Clinic is non-profit one; in other words, its primary objective is to provide care to clients. This paper focuses on the analysis of the Clinicsââ¬â¢ internal and external environments in order to understand its strategies and how they relate to the components identified in the evaluation. A SWOT analysis of Cleveland Clinic has revealed that planning is the entityââ¬â¢s greatest weakness. Planning Planning determines activities that are vital for the achievement of Clinicââ¬â¢s goals (Allen, 2014). Cleveland Clinic has a planning process that distinguishes appropriate actions that are likely to result in desirable outcomes. A part of the organizationââ¬â¢s corporate strategy is forming joint alliances with the Community Health Systems, which is a profit-making chain of hospitals. These alliances aim to share the good practices developed at Cleveland Clinic in order to improve healthcare in other hospitals. The venture provides an avenue for Cleveland Clinic to grow. The organizationââ¬â¢s plans include building outpatient facilities; it is an effective response to the trends in the industry. The outpatient facilities that are working to promote care after treatment are on the rise. Despite the existence of the planning process, some flaws in it limit the organizationââ¬â¢s ability to respond to the external threats such as increased competition, for example. A weak ness in the planning process is evident in the decision to focus on heterogeneous clients. The Clinic serves people from all walks of life and treats every illness. The scope denies the Clinic a chance to increase its competencies in specific services. The Clinicââ¬â¢s functional strategy depends on the standardization of processes. A shortcoming of this plan is the fact that there are other healthcare providers that provide specialized services. These corporations have decided to focus on the specialty treatment because they have identified the weakness in such providers as Cleveland Clinic. When a firm specializes in a process or activity, it achieves the learning scale in the field of specialization (Burke, 2010). Consequently, such an establishment can offer better services in its market segment than a competitor that serves various segments. A part of the long-term plans is to focus on increasing the use of technology with the aim to enhance service delivery. An electronic platform is very comprehensive and span across all the aspects of the Clinicââ¬â¢s operations. Although the aim of a holistic integration of technology is to increase efficiency, it may erode intended gains. For instance, the integration reduces the need for online customers to visit healthcare facilities if they can solve their problems virtually. Patients catered for in the in-house settings receive a better high-touch care than online customers. Since the customer perception is an integral part of the quality evaluation system, the gap between the virtual and physical services may cause dissatisfaction and, consequently, lower quality. When a competitor comes with better ways to promote the quality of care, Cleveland Clinic may not have the flexibility to respond appropriately because of the scope of the technological use in its entire system. So me of the technological innovations that have originated from Cleveland Clinic have been spun off to become independent entities. The spinning off may allow companies to have leeway in the security of technologies they create. Since Cleveland Clinic is not a profit-oriented organization, it has managed to ensure that technologies it uses meet all appropriate requirements that would assure clients of their medical recordsââ¬â¢ privacy. The span off firms may prioritize profits at the expense of privacy issues. Any leakage of medical records would lead to legal suits that may taint Cleveland Clinicââ¬â¢s reputation and cause a market share loss. Cleveland Clinic has undertaken several changes in its plans and strategies in the recent past. An organization has changed its operational plans by shifting physiciansââ¬â¢ focus from the volume-based to value-based outcomes. A result of these changes has been the adoption of physician integration, which involves engaging physicians in decision-making that concerns the quality of care. The change entails restructuring of the work processes, and it is very expensive. A considerable drawback of the plan is that, while the costs are high, the results are rather uncertain. When the Clinic undertakes such a venture with uncertain benefits, it incapacitates its response to the emerging economic conditions. For instance, the Clinic is facing reduced reimbursement from the government. Previously, the government provided funding to healthcare providers that had instituted the quality reporting to motivate them to continue with the good practice. However, political decisions by the governm ent in the recent past have made the quality reporting a requirement for all providers. As a result, there is no need to provide financial incentives for the quality reporting. Financial ramifications of such organizations as Cleveland Clinic are enormous. Consequently, Cleveland Clinic may not afford an investment in the environmental sustainability. Numerous firms around the world are focusing on sustainability measures in order to reduce their impact on the environment (Kondalkar, 2010). Sustainability requires financial resources, which are currently scarce due to the prioritization of risky processes. The implication of a weak environmental conservation policy includes reduced funding from charitable institutions that form a part of Cleveland Clinicââ¬â¢s financiers. Moreover, the failure to address sustainability adequately can lead to the loss of clients because customers are currently supporting corporations with a conservation agenda. A planning process should reduce spending on high-risk activities with the aim to cover the cash shortfall resulting from the economic changes. Leading The leading function of Cleveland Clinic has been a strength that supports its strategy implementation. The Clinicââ¬â¢s leadership has been exemplary and has contributed to its reputation. The CEO, Delos Cosgrove, has played a critical role in the organizationââ¬â¢s care measurement since he took over leadership in 2004. His communication skills have assisted him in implementing his vision concerning care measurement in the whole corporation. Since the man is a medical doctor, he possesses skills that empower him to understand effects of his strategies on each aspect of Cleveland Clinic. A part of his strategy is publishing the care measurement plan for the public to see. The move has motivated employees to improve their performance because they do not want to face shame because of underperforming. His participation in the U.S. Air Force as a doctor is ideal for understanding Cleveland Clinic, which was founded by the war veterans. He has a powerful Chief Human Resource Office r (CHRO) with experience in cultural and organizational change and quality systems management. The CHRO has been vital in preparing employees and designing job descriptions that align with the change. Controlling The controlling function is a strength that has empowered Cleveland Clinic by maintaining the quality, curtailing financial wastage, and ensuring practices align with the strategies and objectives. The employee performance appraisals rely on the quality of care instead of the volume of patients served. Making the quality outcomes measurements public allows underperformers to make adjustments and high achievers in order to set new goals and either improve or maintain its productivity. The publicity also appreciates the top performers so that they can remain motivated to sustain the quality standards. The internal financial controls include a certification of controls by the management (Cleveland Clinic Foundation, 2015). The management ascertains on a quarterly basis that there are internal mechanisms that ensure the best practices in financial auditing and reporting. Its information technology is the best in the market because Cleveland is the market leader in healthcare-related tech nologies. Organization The organizing function of the management is a supporting pillar that reflects the strength of Cleveland Clinic. The Clinic uses a matrix organizational design because of the complexity of its operations. The design reflects functions, products, and geographical dispersion of operations. The jobs are designed to align with the institutes, which are the multi-disciplinary systems for collaboration. The Clinic has organized institutes according to organ systems and related diseases. The employees in each institute provide a flawless service to patients through collaboration with the aim to cover every aspect of the illness. Through these institutes, the Clinic enhances the quality of care and reduces readmission. The workers receive salaries and enjoy other benefits, which correlate with their performance on the quality metrics. Cultural inclusion of minorities and diverse people provides the Clinic with a pool of talents that has varied problem-solving skills (Browaeys Price, 2011). Additionally, a diverse workforce helps in the care delivery for the clients because employees understand cultural aspects of patients. Understanding how to manage a diverse workforce increases Clevelandââ¬â¢s flexibility to venture into foreign markets by leveraging the experience. External Opportunities and Threats Porterââ¬â¢s Five Forces Today, new entrantsââ¬â¢ threat is low in the healthcare industry. Existing organizations have gained economies of scale that allows them to offer competitive prices that new entrants cannot afford. Secondly, current operators have exclusive access to distribution channels, which lock out new players. Additionally, the entry is capital intensive; thus, few new competitors can raise the amount required. Therefore, the low threat of new entrants is an opportunity for Cleveland to gain an extra market share. The bargaining power of suppliers in the healthcare industry can be divided into physicians and other professionals. Physicians are suppliers because they refer clients to various hospitals, and their power is high. Material suppliers are numerous; thus, they have a low bargaining power. The high power of physicians is a threat to Cleveland Clinic because they can take away its clients and refer them elsewhere. Material suppliers represent an opportunity because the organization can negotiate for low prices and high-quality products. The rivalry among competitors is intensive because they are numerous and have access to vital resources (Swayne, Duncan, Ginter, 2012). Competitors are threats to Cleveland Clinic because they can reduce its market share and profitability. Despite the need to respond to the competition, the Clinic may not succeed because of the gap in the quality that exists between its online customers and in-house clients. An organization-wide application of technology has made flexibility difficult to respond to such a gap. Many competitors offering similar products and services create powerful substitutes. Substitutes threaten Cleveland Clinicââ¬â¢s products and services because they can serve the same purpose (Lutchman, 2011). The entityââ¬â¢s only advantage is high switching costs, which would curtail its current customers from seeking competitorsââ¬â¢ services. The bargaining power of customers is high because they have a variety of products and services, from which to choose. On the one hand, affluent customers pose a threat to the Clinic because they can always choose other providers. On the other hand, poor clients represent an opportunity to Cleveland Clinic because they have limited options as services of the majority of competitors are too expensive for them. Macro-Environment Forces Global forces represent issues arising from the world markets that affect the performance of an organization. One of the global forces is globalization, which has increased interconnectivity of the markets (MacLennan, 2011). Globalization is an opportunity for Cleveland Clinic because it offers possibilities for the growth in foreign markets. Demographic forces refer to different characteristics of a population such as religion, ethnicity, and nationality. In the American society, demographic forces present an opportunity for Cleveland Clinic. The American society is increasingly diversifying in terms of ethnicity, religion, and origins (Reiss, 2012). Consequently, Cleveland Clinic can build its inclusion program by taking advantage of the talent from around the world, which can empower its workforce. Political and legal forces are a result of the decisions made by governments concerning policies and regulations governing business operations. Some of the recent forces include the requirement for all healthcare providers to report on the quality. Such a requirement has eliminated the reimbursement that Cleveland used to get from the government as an incentive to continue reporting on the quality. Such a requirement is a threat to Cleveland Clinic because it reduces its financial resources. Ethical requirements are potential threats to the Clinic because any violation may lead to negative consequences. For instance, the increased use of electronic records requires ethical considerations to protect the privacy of clients. However, such activities as hacking can threaten the organization by exposing sensitive information to unauthorized personnel. Fulfilling environmental sustainability requirements can create a positive image for Cleveland Clinic, which can attract donors. Since the Clinic is a non-profit entity, it strongly depends on well-wishers. Therefore, it is an opportunity for the organization. However, the scarcity of money due to planning problems may hinder the exploitation of this chance. Technological changes and forces represent opportunities for Cleveland Clinic because it is the current leader in the medical technologies. It can leverage its expertise in order to develop a cutting-edge technology, which can become its competitive advantage. Social changes include such aspects as the lifestyle (Yuxiang Qinghua, 2014). These changes have resulted in the lifestyle diseases. For Cleveland Clinic, such changes are opportunities to provide its excellent quality services and treatments and make a difference in peopleââ¬â¢s lives. Evaluating the SWOT Analysis According to the SWOT analysis, Cleveland Clinic can gain a competitive advantage by making minor changes in its planning process. The organizationââ¬â¢s ability to achieve competitiveness results from the opportunities available in the market and the nature of threats that are facing it. The main obstacle towards achieving a competitive advantage is the Clinicââ¬â¢s inability to address the competition in the market and the substitute products. Competitors have identified a quality gap in Cleveland Clinicââ¬â¢s services caused by the differences in the care of its online and in-house clients. Most market competitors offer specialized care, which makes delivery of the quality care easy. Although Cleveland serves people from different market segments, it can leverage its institutesââ¬â¢ settings in order to ensure that the quality of care is at par with that of competitors. Such a move can reduce the negative effects of competition and the substitutes they offer in the mar ket. Some minor changes in the technology plans can involve the collaboration between Cleveland Clinic, its online clients, and affiliate clinics that are located near customersââ¬â¢ locations to improve the quality of services. Other threats from Porterââ¬â¢s five forces analysis and the macro-environment are not unique to Cleveland Clinic and affect all the other competitors in the market. The current matrix organizational structure is perfect because of multiple affiliates and alliance partners involved. Control systems can be replicated in other geographical regions, to which the company may decide to expand. They have ensured that the company has retained its edge in the quality and financial reporting despite its increase in size. Corporate level strategies include activities such as building outpatient facilities and forming alliances and joint ventures with the aim to expand. The strategies fit the situation as explored by the SWOT analysis because there are numerous opportu nities to be exploited using these corporate strategies. The business level strategy that is remarkable and capable of providing a competitive edge is the formation of institutes and the care they offer to patients. The physician integration taking place at Cleveland Clinic is unprecedented, and once the process is functional full, other competitors may need a while before replicating the competency. Meanwhile, Cleveland Clinic, therefore, can enjoy the first mover advantage before imitators can create any similar institutes. The primary weakness facing Cleveland Clinic is the planning process. All the other management functions represent strengths that the corporation can use to gain a competitive advantage. The aspects of Porterââ¬â¢s five forces analysis that are opportunities for Cleveland Clinic include the threat of new entrants, the power of material suppliers, and the power of poor clients. On the other hand, substitutes, physician suppliers, competition, and rich customers are threats to Cleveland Clinic. In turn, global forces, environmental requirements, technological, demographic, and social changes are promising opportunities. Political and ethical changes threaten the operations of Cleveland Clinic. The company can gain a competitive edge by utilizing its strengths and making few changes in its planning process.
Wednesday, March 4, 2020
Should I Go to a Big or Small College
Should I Go to a Big or Small College SAT / ACT Prep Online Guides and Tips One of the main factors to consider when choosing a college is the size of its enrollment. This is one of the first things college search websites ask you to specify because itââ¬â¢s an easy way to eliminate a bunch of schools. But what if you aren't sure whether youââ¬â¢re interested in big or small colleges or what the benefits and drawbacks are for each? In this article, Iââ¬â¢ll provide a rundown of the characteristics of large and small colleges and the ways they differ from one another. What Is a Big College? Schools with more than 15,000 students are usually considered "big" colleges.These schools offer diverse social experiences and a wide variety of learning opportunities.They are places where you'll constantly encounter new and exciting things to do and meet all different types of people. Examples of big colleges include: New York UniversityUCLAFlorida State UniversityGeorge Mason UniversityTemple University Pros of Attending a Big College There are lots of opportunities for socializing and meeting new people. Big colleges usually have a wider selection ofacademicprograms. There are extensive collections of research materials andstate-of-the-art research facilities. There's more variety in housing choices. There will be more extracurricular clubs and activities. Big colleges havewell-funded athletic programs. They often attract famous or otherwise distinguished faculty. Cons of Attending a Big College You could end up in huge lecture classes that contain hundreds of students, resulting inless individual attention from professors. There's more administrative red tape;if you wanted to switch majors, for example, you might have to get more signatures and approvals than if you went to a small college. If you donââ¬â¢t speak up for your needs and interests, you could get lost in the crowd. You have to be willing to go after opportunities at a big college because no one will seek you out and give them to you. Itââ¬â¢s more common for students to get TOO immersed in the myriad social opportunities and neglect academics. Should You Choose a Big College? A big college may or may not be right for you depending on your personality and what youââ¬â¢re looking to accomplish in the next four years.If youââ¬â¢re someone who constantly seeks out new experiences and loves meeting new people, you may thrive at a big college.Youââ¬â¢ll have the opportunity to meet people from many different cultural backgrounds and attend a huge variety of social events. Since there are so many people, if youââ¬â¢re willing to explore, you're likely to find others who have the same interests as you.Youââ¬â¢ll almost certainly find extracurricular and academic opportunities that align with your passions.If youââ¬â¢re interested in sports, large colleges are also more likely to have well-funded athletic programs and facilities. If you want to gain experience as a research assistant or get your start in academia, a big college might also fit well with your goals.With top-notch research facilities and distinguished faculty, large universities have all the resources you need to find these types of opportunities.If you attend a large research university, you're more likely to be presented with opportunities to collaborate on projects with professors who are leaders in their fields. This could lead to being listed as a coauthor on groudbreaking research papers or presenting research at high-profile conferences. Large universities must provide cutting edge research facilities so that their high-profile faculty can continue to make new discoveries and publish work. Undergraduates can often access these facilities and reap the benefits in their own research endeavors. In many cases, this leads to an advantage in admission to graduate school programs that value students who have already demonstrated a knack for research. If youââ¬â¢re an independent person who is comfortable advocating for yourself, a big college environment will probably play to your strengths.There's less individual attention and direct guidance, but if youââ¬â¢re willing to seek out the resources for yourself, you may have many more opportunities at your disposal than you would find at a small college. Florida State University: It looks pretty, but I can only imagine what kinds of many-legged horrors are hidden in the vegetation. What Is a Small College? Generally, a small college is defined as a school with less than 5,000 students.These schools are characterized by a close-knit student community and a greater focus on undergraduate teaching by professors.Youââ¬â¢ll always run into people you know and will have access to more individual academic attention. Examples of small colleges include: Babson CollegeFranklin CollegeMiddlebury CollegeOberlin CollegeVassar College Pros of Attending a Small College You can get to know most people and will run into familiar faces everywhere you go. At small colleges, the camaraderie amongst students is often very strong. Youââ¬â¢re likely to get more individual attention from professors and have smaller class sizes. Professors, not Teaching Assistants, teach most classes- in general, there is more of a focus on undergraduate education. There are usually opportunities to create individually designed majors rather than being stuck with the programs that are officially offered by the school. Small colleges often have stronger advising systems for students. You may have more opportunities to gain leadership experience because there will be less competition than at big schools. Cons of Attending a Small College There are often fewer research facilities and resources. You'll find less variety in social life and less emphasis on large sporting events. There are usually fewer major choices (although as I mentioned, you can often design your own major which is pretty cool). Small colleges can be very isolating,especially in rural locations. There will be less variety in housing choices. Should YOU Choose a Small College? If you like being part of a strong community and feeling comfortable and familiar with your surroundings, a small college may work for you.Going to a small college can make meeting new people a bit easier.If you become friends with just a few of your classmates, youââ¬â¢ll see them around frequently, and itââ¬â¢s more likely that youââ¬â¢ll find connections with others in the community.Going to a small college makes it easier to relate directly to other students since there is a less dramatic range of experiences on campus. Did you enjoy small class discussions in high school? Did you have a close relationship with your teachers?These are both things that are more likely to be a part of the small college experience.Youââ¬â¢ll have more interaction with your professors and get the opportunity to learn directly from them rather than being taught by TAs. Professors will get to know you on an individual basis and give thoughtful feedback on your work. You may also have more chances to collaborate with professors on research since you won't be competing with a large pools of graduate students. Additionally, curriculum at small colleges tends to be more flexible. If there's a unique academic path that you want to take that doesn't quite fit with the school's requirements, your advisors will help you make it happen.If you have more of an introverted personality and are hoping to find sustained support in college from your professors and advisors, a small college may be the right choice. Oberlin College: I can't think of any stereotypes about Ohio...Ohio's boring! HA The Compromise: Medium-Sized Colleges What about schools that have between 5,000 and 15,000 students?These are the Goldilocks schools - not too small, not too big.If you feel that certain aspects of both large and small colleges appeal to you, you might want to look at these medium-sized schools.This is tricky, though. You could end up getting the best of both worlds or missing out on the things you liked about one or both of the other types of schools. For medium-sized colleges, itââ¬â¢s particularly important to look at the specifics of what the school offers in the form of research facilities, class sizes, and extracurricular opportunities.A medium-sized college may have more big college characteristics or more small college characteristics depending on its location and the composition of its student body.If the school is in a city, the social life might be more like a big college since there will be a lot going on around campus and you'll interact with more people outside the student population. On the other hand, in a rural area, you might get more of a small college sense of community and familiarity. Examples of medium-sized colleges include: Carnegie Mellon UniversityEmory UniversityHoward UniversityTufts UniversityVanderbilt University In the next section, Iââ¬â¢ll show you how to search for colleges by size so you can check out schools that are large, medium, and small and get a clearer picture of how they line up with your preferences. How to Search for Colleges By Size This information is all well and good, but how do you actually find schools that have the enrollment size youââ¬â¢re looking for?I would recommend using College Navigator for your initial search.You can specify thesize range you want if you click on ââ¬Å"more search optionsâ⬠: Notice that you can you cannarrow your search down to schools that are the right size and also specify any other basic qualities that matter to you.The top of the search box allows you to search for colleges bystate or zip code and by program type. Once you get a list of schools, you can add any that sound promising to your ââ¬Å"favoritesâ⬠and even compare statistics side by side to see how they line up with your preferences. College Navigator will give you data about tuition, financial aid, enrollment, and admissions for the schools you choose.Once you have a good idea of which ones you like, you might consult another site to get more information about how students view the school and any other qualities youââ¬â¢re curious about. I would recommend Cappex, a college matchmaking site, for conducting the more in-depth part of your search since it offers both hard data and student reviews on all aspects of campus life.When you create a profile, you can specify your preferences for school enrollment size to get appropriate matches.You can also search for the schools you found on College Navigator and learn more information about them through their Cappex profiles.With these search options, you can start compiling a list of schools that you like by narrowing down your choices by size first and then figuring out if they have other features that interest you. Summary Big and small colleges differ in the characteristics of the social scene, the resources available, and the structure of classes.Big colleges are great places for motivated students to have diverse experiences and access high-quality research materials.Small colleges are great options for students who want to learn directly from professors and gain strong ties to the community.When searching for schools, you should take these characteristics into account and decide which type of college is a better fit for you personality and goals. Here's a quick questionairre that includes some of the major points from above so that you can get a sense of whether a big or small school is right for you. If the majority of your answers are "yes", you should look into big colleges first. If the majority of your answers are "no", small colleges might be better. If the majority of your answers are "sometimes", you might look into medium-sized colleges, or size may not be as important of a factor in your college decision as it is for other people. Yes Sometimes No I love meeting new people. I enjoy being exposed to unfamiliar situations and perspectives and having a wide variety of social experiences in general. I am a very independent learner. Class size is not important to me. I don't feel the need to have a close relationship with my professors. I like attending big sporting events. I'm looking for a school with extensive research facilities. I have a major in mind already. Keep in mind that not all big colleges and small colleges have the same characteristics - these are generalizations, not hard facts.Make sure you do your research to find out exactly what each school offers and how it will make your college experience worthwhile. What's Next? Looking for some great resources that will help you in your college search? Read my article on the best college search websites. The Common Application makes it easy to apply to a bunch of schools without filling out a bunch of different forms. Find out which schools use it here. Aiming high in your college search? Read this article on what it takes to get into Ivy League and other highly selective schools. Want to improve your SAT score by 160 points or your ACT score by 4 points?We've written a guide for each test about the top 5 strategies you must be using to have a shot at improving your score. Download it for free now:
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