D1: Strategic Decision Mapping

D1: Strategic Decision Mapping

It is important to think from a practical standpoint about whether the organization should expand, reduce, or maintain its scope once the direction of the organization has been decided. The strategic thinking map of adaptive strategic alternatives provides choices for the organization.

D1: Strategic Decision Mapping

The first question is based on what you have learned in the first three modules and on your own opinion, so that you may begin discussions immediately.

On March 26, 2010, President Barack Obama signed Public Law 111-148, the Patient Protection and Affordable Care Act Links to an external site.

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 (PPACA) into law. One of the elements within the PPACA is Section 2022, The Medicare Shared Savings Program – specifically Accountable Care Organizations 

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 (ACOs). An ACO is an emerging healthcare reform model, limited to a handful of healthcare organizations across the country and defined as an entity that is clinically and fiscally accountable for the entire continuum of care that patients may need.

Remember that, as with prior discussions, the key to an interesting discussion is active engagement. Start with the first question as early as possible, even if you have not yet completed all of your readings. Please note that the first question is based in part on what you have learned earlier in this course so that you can begin right away.

The first question is based on your own experience so that you can begin the discussion immediately without having completed all of the assigned readings. You must apply your assigned readings to subsequent questions.

Lets start with a reflective question based on your experiences, any prior learning, and/or opinion.

  1. Based on what you have learned so far this term, do you think that healthcare organizations tend to give serious consideration to identifying competing alternatives? How so?

Now applying what you have learned from the readings, lets go through the rest of the discussion together, one question at a time. I will guide us through.

  1. Do you believe that ACOs represent a vertical or horizontal form of integration for healthcare organizations?
  2. Why would healthcare organizations and providers be interested in the development of an ACO? Consider different types of organizations and solo providers such as physicians.
  3. Based on what we have learned in chapter 6 of the text and today’s healthcare environment, what opportunities are opened up through ACO’s? What challenges might healthcare organizations face?
  4. Let’s now turn to different types and combinations of strategies. Review Exhibit 6-8 in your text. Organizations often pursue more than one strategy. What are some logical combinations of strategies, and how might they be linked together (e.g. a retrenchment and penetration strategy)? How might a combination of strategies advance the organization’s vision or mission?

Consult the Discussion Posting Guide for information about writing your discussion posts. Be sure to check your work and correct any spelling or grammatical errors before you post it. When you are ready to post, click on the “Reply” button for a new thread or “Reply” beneath an existing post to respond to the post. Then, copy/paste the text from your document into the message field, and click “Post Reply.”


Please read the latest Health Sciences Discussion Rubric  

Download Health Sciences Discussion Rubric

and the new Health Sciences Discussion Guidance. These documents lay out the basis for how you should engage in discussions and how you will be evaluated. Discussions are worth 30% of your final grade.

Participation in this discussion assesses the following module outcomes:

  • Analyze the steps involved in the decision logic of strategy development. (CO 4)
  • Integrate strategic thinking accomplished in situational analysis into a strategic plan for an organization. (CO 4)
  • Compare and contrast the nature of directional strategies, adaptive strategies, market entry strategies, and competitive strategies. (CO 4)
  • Identify strategic alternatives available to healthcare organizations. (CO 4)