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Emanuel Medical Center Situational & Decision Analysis

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Emanuel Medical Center Situational & Decision Analysis
STATE UNIVERSITY OF NEW YORK AT ALBANY

Emanuel Medical Center
Situational & Decision Analysis
James T. Onisk 4/29/2012

Table of Contents Situational Analysis Appendices External Analysis Appendix A: S.W.O.T. Analysis Appendix B: External Trend/Issue Analysis Appendix C: Environmental Trends/Issues Plot Appendix D: Stakeholder Map Appendix E: Service Area Profile Appendix F: Service Area Structural Analysis Appendix G: Service Area Competitor Analysis Appendix H: Critical Success Factor Analysis Appendix I: Mapping Competitors Appendix J: Synthesizing the Analysis Internal Analysis Appendix K: Financial Analysis Appendix L: Value Chain Strengths and Weaknesses Appendix M: Value Chain Competitive Advantages Relative to Strengths Appendix N: Value Chain Competitive Disadvantages Relative to Weaknesses Appendix O: Strategic Implications of Strengths and Weaknesses References Decision Analysis Decision Analysis Appendices Appendix P: Directional Strategies Appendix Q: Adaptive Strategies Appendix R: Market Entry Strategies Appendix S: Strategic Positioning Appendix T: Value-Chain Funcations References 1 2-11 12-13 14-17 18-29 30-36 37-50 51-60 61-66 67 I-VII

68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV

106-109 110-122 123-125 126-128 129-135 136

Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation of the EMTALA laws and lower reimbursement rates for federally run insurance programs, changes in service area demographics, and the evolution of the services that locally competing hospitals offer, all have contributed to five consecutive negative operating margins for Emanuel Medical Center. Emanuel Medical Center’s poor infrastructure and inability to adapt to these changes has left the hospital on the brink of closure. Highlights of the S.W.O.T. Matrix Federal regulations through the


References: Brophy, M. (April 4, 2011). Doctors detail high costs of fighting malpractice claims. MSN Health. Available at: http://health.msn.com/health-topics/doctors-detail-high-costs-of-fighting-malpracticeclaims deBruyn, J. (2011). When picking a hospital, patients stay close to home. Triangle Business Journal. Paragraphs 1 and 2. Available at: http://www.bizjournals.com/triangle/printedition/2011/06/24/when-picking-a-hospital-patients-stay.html Hsiao, I. (10-15-1999). Hospital building heart center. Wildcat Online News. Available at: http://wc.arizona.edu/papers/93/39/01_2_m.html Kowalczyk, L. (02-10-2011). Plans steer patients to lower-cost hospitals. The Boston Globe. Paragraphs 1 and 2. Available at: http://www.boston.com/lifestyle/health/articles/2011/02/10/plans_steer_patients_to_lower_cost_ hospitals Reinberg, S. (Dec. 9, 2008). Cancer to surpass heart disease as world’s leading killer. US News and World Report. Available at: http://health.usnews.com/health-news/familyhealth/cancer/articles/2008/12/09/cancer-to-surpass-heart-disease-as-worlds-leading Swayne, L.E., Duncan, J.W., & Ginter, P.M. (2010). Strategic Management of Health Care Organizations (6th ed.). San Francisco, California; John Wiley & Sons Ltd. P. 219, paragraph 2; 221 paragraph 3; 226 paragraph 3; 228 exhibit 6-10; 229, paragraphs 2-4; 230 paragraph 4; 231, paragraphs 3-6; p 232, exhibit 6-11; 273 exhibit 7-16; 281, exhibit 7-21; 675, paragraph 2; 678, paragraph 3; 679, paragraph 1; 680, paragraphs 3-6; 681, paragraph 4; paragraph 5; 684, paragraph 1,2; 685, paragraph 1; 687, exhibit 13/6; 686, paragraph 5; 690, paragraph 7; 981, paragraph 4; Trading Economics. (no date provided). United States Inflation Rate: date selection: January 1999 through April 2003. Available at: http://www.tradingeconomics.com/united-states/inflation-cpi. 136
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