Development of Strategic Plan for Hillsboro County Home Health Agency

This case study analyzes the development of a strategic plan for the Hillsboro County Home Health Agency (HCHHA). It includes a detailed overview of the agency's mission, vision, and core values. The assignment presents a SWOT analysis, identifying strengths, weaknesses, opportunities, and threats. It outlines grand strategies and long-term strategic priorities, such as improving financial performance, enhancing employee engagement, and implementing electronic health records. The operational and tactical plan covers child health initiatives, financial improvements, and strategies to reduce staff turnover. Key performance and evaluation indicators are discussed, along with a change management plan addressing the size and impact of changes, the organization's readiness, and a comprehensive communications plan. The assignment also includes a training plan, incentives for success, a timeline, and a budget for change management. The strategic plan aims to improve patient care, operational efficiency, and financial stability for HCHHA.

Running head: DEVELOPMENT OF A STRATEGIC PLAN
Development of a Strategic Plan: Case Study of Hillsboro County Home Health Agency, Inc.
(HCHHA)
Name of the Student:
Nam of the University:

1DEVELOPMENT OF A STRATEGIC PLAN
Table of Contents
Developing a strategic plan for Hillsboro County Home Health Agency.......................................3
Mission statement........................................................................................................................3
Vision statement..........................................................................................................................3
Core values..................................................................................................................................3
SWOT analysis............................................................................................................................3
Grand strategies or long-term strategic priorities........................................................................6
Operational and tactical plan.......................................................................................................7
Key performance and evaluation indicators................................................................................9
Change management plan..........................................................................................................11
The size of the change and its impact on the community and the organization........................11
The organization’s readiness for change...................................................................................12
Change management strategy....................................................................................................13
Team structure and responsibilities...........................................................................................15
Sponsor roles and responsibilities.............................................................................................17
Planning and implementation....................................................................................................18
Communications plan................................................................................................................20
Change management resistance plan.........................................................................................21
Training plan..............................................................................................................................22
Incentives and celebration of successes.....................................................................................23
Timeline/schedule of activities..................................................................................................23
Budget for change management................................................................................................26
References......................................................................................................................................27

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3DEVELOPMENT OF A STRATEGIC PLAN
Strategic plan for Hillsboro County Home Health Agency
Overview
HCHHA or Middleboro healthcare organization is aimed to provide needful healthcare
services to area’s population. In the Hillsboro country it is the only medicare certified healthcare
agency. The responsibilities of individuals are decided and distributed among the staffs by the
board members. The officer for the agency is elected by the board members. The management
team has failed to build up appropriate strategic plan for competitive and commercial success of
the agency. A detail strategic plan has been developed for the agency to improve the current
financial, operational, patient care, and telehealth program.
Mission statement
The mission of “Hillsboro County Home Health Agency, Inc” is to offer individual
services to people, their illness and disabilities in the general environment. The health care
agency is aimed to prevent spread of the disease and avoid the effect of all different unavoidable
diseases. The disables are offered quality nurses in terms of high level nursing facilities as well
as therapeutic care. For promotion of health “Hillsboro County Home Health Agency”, provides
encouragement and data to families, individual ill people and community groups.
Vision statement
The vision statement for “Hillsboro County Home Health Agency” is: “to provide high
quality medical care services to people who are retarded and suffering from serious disease”.
Core values
The core values of “Hillsboro County Home Health Agency” are as follows:

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 To implement effective staffing program that can facilitate improved patient care
process including high quality, specialized care to satisfy the staffs, nurses and
physicians
 To become the leading employment choice for the healthcare workers in the
country of Hillsboro by implementing Revenue Cycle Management (RCM)
technologies
 To improve the decision making approach and healthcare information
management system
SWOT analysis
Strength
 “Hillsboro County Home Health
Agency” offers wider range health care
services to patients
 The agency is committed to technology
based advancements
 The Hillsboro or Middleboro agency has
large market share in medicare industry
 It maintains professional telehealth
program for monitoring chronic illness of
individual patients
 The working staffs of this agency have
good leadership, motivational and
Weaknesses
 The financial structure of HCHHA
medicare agency is very weak.
 Due to high political influence, the
management team of the agency is facing
political challenges
 Due to non-supportive of reward and
incentive structure the rate of turnover
among the doctors and nurses in HCCHA
are increasing
 The organizational management structure
of HCHHA is very weak
 Communications among the staffs are very

5DEVELOPMENT OF A STRATEGIC PLAN
supporting capabilities.
 Geographical isolation is the other major
strength for HCHHA
 The agency holds enough of community
support
weak thus, conflict is occurring among the
associates.
 The among of liquid capital is negligible
Opportunities
 The healthcare activities and operational
process of HCHHA identified that it has
opportunity to earn new service line
development program
 Within Jasper community the agency has
opportunities to increase its current
penetration trends.
 In order to organize and manage data and
information the HCHHA uses advanced
Information Technology (IT) based
operations successfully. With the help of
quality advanced IT support the business
operations runs all efficiently.
 The agency is offering prolonged
insurance coverage to their patients as a
result it has opportunities to get market
growth.
Threats
 Some of the older employees are not aware
of advanced IT based activities and
operations. Therefore, threats related to
productivity might rise as a major threat.
 Similar group of physicians can establish in
Jasper as well
 It is required for the healthcare agency to
make periodic improvements in regular
operations and activities.
 Expansion of OHA in jasper is a major
threat.


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Grand strategies or long-term strategic priorities
It is essential for HCHHA, to develop long-term sustainable business strategies. With the
help of these strategies the agency will make long-term economic profit and market level
advantages as well.
Child health initiatives will be increased: The patient care strategies of HCHHA are
patient and employee focused but it lacks child health initiative programs. The agency
must ensure that, prenatal program is included in the health care activities. Maternity
nurses should take the responsibility seriously
The overall financial performance of the company should be improved successfully:
After analyzing the health care agency operations and functional activities, it is
determined that it requires to improve their financial programs. The existing medicare
service do not covers specific service given by divisions. Therefore, each of the division
is required to manage individually allocated financial entity.
The strategies of HCHHA are required to be improved: It is determined that, the
agency’s capability to be eligible for medicare refurbishment is not strong enough thus,
requires further improvement. In order to improve the clinical operation the connection
between the clinical personnel and business office are needed to be improved.
The company requires using the electronic health record keeping system
continuously: Theses days’ data management has become a major challenge for clinical
industry operations which requires effective improvement. For managing large set of data

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the agency requires using E-health record keeping system. The authorized users such as
doctors, patients, nurses and clinical physicians etc will be able to access patient’s health
status related information from the record while required regardless of time and location.
Employee engagement strategies: HCHHA needs to apply effective employee
engagement strategies to keep them interested to assigned responsibilities. It will help to
reduce the employee turnover rate.
The company should qualify for further medical care refurbishment options:
HCHHA requires implementing quality medicare renovation action to ensure that the
predictable medical actions are organization successfully.
Operational and tactical plan
For improving the operational and practical structure of the company different tactical
planning are required to be implemented by company associates. The details of theses planning
are as follows:
Child health program initiatives: The director of community health division has
identified that, child health care initiatives are needed to be incorporated by the healthcare
agency. Children less than 1 year old need special care. Apart from this, bilirubin therapy (“a
photo light therapy”) is required to be incorporated by the associates. HCHHA must develop
proper child health information strategy that is comprises of hierarchy of children registers. At
each level data those have been collected should be analyzed for implementing effective
strategies. The registers are available in practice patient management system, primary health
organization register and district level register. Additionally, the agency needs to develop
effective IT infrastructure to ensure proper information flow between the registers and local

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providers. HCHHA must focus on local as well as regional child service initiatives. In addition to
that, child health workforce plan is also needed by be developed to implement the health
initiative program. The agency head must lead or govern the child health initiative program to
ensure that it is running towards expected direction. The existing child health status analyzing
techniques requires further research, evaluation and improvement.
Development of financial performance: The financial performance of HCHHA requires
to be improved. The agency must ensure that the outstanding debt are recovered, sell assets and
rearrange expenses are reduced. The agency must offer extra payment options using new market
development techniques. Other techniques that may improve financial structure of the agency
include other venture diversification band automated change management actions. Apart from
this, the integrity department of HCHHA agency should create revenue framework. Besides this,
automated charge management system implementation is another mechanism needed successful
financial performance. The finance department should recruit more numbers of staffs so that they
can address and identify potential risks. The challenges associated to revenue cycle will become
easier to identify.
Medical care improvement: The current medical care approach and mechanism is needed
to be improved to earn commercial revenue and effective competitive edges. People who are
seeking for health care services must be searched by the agency. Apart from this, comprehensive
home health initiative is needed to expand the home health care facilities.
Use of E-health record keeping system: HCHHA should use E-health record keeping
scheme for storing patient’s health related information that can be fetched by authorized users
while required. Only precise authorized users such as doctor, nurse and physicians are able to

9DEVELOPMENT OF A STRATEGIC PLAN
retrieve data from server while required. The agency associates are needed to perform workflow
analysis. Using standard clinical guidelines developers need to implement evidence based
activities. Before executing the final program developers should select most suitable vendors and
contractors. In order to provide a better work infrastructure to HCHHA agency, the associates are
needed to invest needful amount of capitals.
Reducing staff turnover rate: The frequently reducing rate of staff turnover has to be
controlled. The agency policy and procedures are required to be employee based for some of the
home care divisions. A good working environment is needed to be created to motivate the
employee and keep them engaged with hr primarily assigned roles and responsibilities. By the
end of every 4 years the remuneration of nurses must be increased by 30%. Apart from that, new
employee sustain program is desired to be implemented.
Key performance and evaluation indicators
The HCHHA or Middleboro home health agency is these days facing major operational
and practical challenge which requires major focus and attention of the associates. The aim of the
agency is to deliver needful patient care services to ill and disable people. However, people care
unit of the agency needs to consider the below Key Performance Indicators (KPI):
 Treatment cost
 Patient wait time
 Safety of the patients
 Patient’s waiting time
 Patient’s satisfaction rate
 Average hospital stay

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The evaluation indicators that are to be considered by HCHHA to improve the overall
infrastructure include the below:
Proper resource allocation: In order to create an effective clinical infrastructure for
HCHHA proper resource utilization is essential. In other words, for individual activity allocation
of proper resources is required. The board committee is comprises of executives, professional
advisory board, building and grounds, publicity and public returns, operation manager,
equipments, hardware, software, e-health record keeping system developers, tester, marketing
team associates etc. It is responsibility of the agency head to check performance, skills and
knowledge of the applicants before recruiting them. Using performance analysis matrix, their
skills need to be analyzed. Based on expertise individuals are needed to be assigned to individual
activity. The agency should make sure that no issues of resource over allocation will occur that
may interrupt the expected revenue.
Identification of method of evaluation: Different evaluation methods such as risk
analysis, human error detection and usability analysis are there. Based on company objectives
the most suitable evaluation method is needed to be considered by the executives. An accurate
evaluation method will help to combine the benchmarking that will help to provide a basis of
setting usability criteria. It will help to make combination with standards to evaluate competitive
comparison.
Data arrangement and measurement instrument: In order to deliver expected services
to ill and retarded patients, information gathering is much essential. Data are needed to be
gathered from different resources and those data should be rearranged accurately. The gathered
data are then categorized into structured data, semi structured data and unstructured data. The

11DEVELOPMENT OF A STRATEGIC PLAN
categorization will make the process of information access faster and easier. Not only this but
also, proper measurement instruments are also should be utilized accurately.
Evaluation question design and development: HCHHA requires developing different
evaluation question. Proper evaluation questions are needed to be developed to ensure the
operational and functional success. The design detail will help to produce unbiased appraisal of
program related benefits. These evaluations are dependent on resources, precision and standard
business effectiveness.
Change management plan
The size of the change and its impact on the community and the organization
The finance committee head of HCHHA is concerned on significant changes in
refurbishment by implementing mandatory modifications in medicare activities for child and
adults. The impacts of the changes in HCHHA are elaborated:
Improvement in patient care: For health care providers process of patient care has
become one of the major concerns. The agency needs to focus on both non-medical and medical
perspectives. In order to improve the patient care process trained personnel in terms of doctors,
nurses are needed to be hired. The agency needs to purchase proper instruments, equipments,
accurate medications etc. Not only this but also, new additional technologies should be adopted
by HCHHA.
If patient care approach is successfully implemented then, the medicare process will be
dynamically improved. In fact quality of patient care process will also be developed.