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Module VIII
A strategic planning process involves four fundamental steps to develop a strategic plan:
situation analysis, strategy formulation, strategy implementation, and strategic control. These
steps reveal vital strengths and potential weaknesses when assessing an organization's readiness
for culturally competent care. In the first step, a situation analysis evaluates internal and external
factors that shape an organization's cultural competence readiness (Miake-Lye et al., 2020). The
external environment encompasses various demographic factors such as age, gender, race,
religion, lifestyle, socioeconomic status, and ethnicity. Meanwhile, the internal climate assesses
the strengths and weaknesses of the organization, including its organizational culture, structure,
and strategic resources.
The second step is strategy formulation, which involves developing a clear vision and
actionable goals for culturally competent care. Effective collaboration among interdisciplinary
teams can leverage diverse expertise, enhancing the comprehensiveness of the strategy (Brown et
al., 2023). However, a weakness may occur if the strategy relies too heavily on standardized
approaches without considering the unique cultural context of the patient population, leading to a
lack of customization in care provision. The third stage, strategy implementation, is crucial for
leaders to promote and facilitate this change through discussion and visibility, starting at the top
and filtering down to the patient-provider level. Notably, engaging both the organizational and
external community is critical to success. More so, communication, such as employee
newsletters, patient pamphlets, or websites, should consistently convey the message of culturally
competent care.
A strength at this stage could be fostering a supportive environment where employees are
empowered to implement culturally competent practices. Regular feedback loops and
communication channels can enable continuous improvement. Conversely, a weakness might
emerge if the organization encounters resistance or needs more resources to implement cultural
competence initiatives effectively. The last and fourth stage is strategic control, the evaluation
stage, where criteria and goals are developed to measure the organization's effectiveness in
implementing culturally competent care. This involves various evaluation methods, such as
patient satisfaction surveys, staff evaluations, public forums, and verbal feedback. Collecting
quantitative and qualitative data, including patient stories, is essential to comprehensively
understand the outcomes (Handtke et al., 2019).
Strengths here involve measuring tangible improvements in patient satisfaction, health
outcomes, and employee engagement through culturally competent care. However, a potential
weakness could arise if evaluation metrics focus solely on short-term gains and fail to capture the
long-term, systemic changes necessary for sustainable cultural competence. In summary,
applying the four strategic planning process steps to assess an organization's readiness for
culturally competent care is a comprehensive approach that helps identify strengths and
weaknesses in the process and guides the organization toward providing better care to a diverse
patient population.
References
Brown, S., Sparapani, R., Osinski, K., Zhang, J., Blessing, J., Cheng, F., Hamid, A.,
MohamadiPour, M. B., Lal, J. C., Kothari, A. N., Caraballo, P., Noseworthy, P., Johnson,
R. H., Hansen, K., Sun, L. Y., Crotty, B., Cheng, Y. C., Echefu, G., Doshi, K., . . . Olson,
J. (2023). Team principles for successful interdisciplinary research teams.
American
Heart Journal Plus: Cardiology Research and Practice
,
32
, 100306.
https://doi.org/10.1016/j.ahjo.2023.100306
Handtke, O., Schilgen, B., & Mösko, M. (2019). Culturally competent healthcare – A scoping
review of strategies implemented in healthcare organizations and a culturally competent
healthcare provision model.
PLoS ONE
,
14
(7).
https://doi.org/10.1371/journal.pone.0219971
Miake-Lye, I. M., Delevan, D. M., Ganz, D. A., Mittman, B. S., & Finley, E. P. (2020).
Unpacking organizational readiness for change: An updated systematic review and
content analysis of assessments.
BMC Health Services Research
, p.
20
.
https://doi.org/10.1186/s12913-020-4926-z
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