DeMarco F J
Case Stud Health Adm. 1990;8:55-60.
Although Carolina Community found itself continuing to grow and expand at a time when most facilities in the area were suffering from census declines, it was obvious that continuation of such growth would require more sophisticated strategic planning. At the time of the study, Carolina Community was growing in all areas. Inpatient census as well as outpatient utilization were taxing the resources of the organization. The strategic location of the facility and the support of a committed medical staff provided the institution with a competitive advantage over the other area facilities in the past. In the span of three months, two major competing institutions made strategically significant organizational changes. Both institutions hired new administrators known for their aggressiveness and organizational abilities. It became obvious very quickly that the playing field would soon be changing. No longer would Carolina Community's administration be able to move aggressively to protect and expand its markets without fear of competition. Carolina Community is a hospital with a long-standing tradition of formal strategic planning forced by a rapid "heating up" of the environment to respond much more quickly than it has had to in the past and much more quickly than it is currently able. The case report describes a change in strategy formulation process which was designed to speed up response time and to modify the organization along Ansoff's eight characteristics to a more environmentally appropriate configuration.
尽管卡罗来纳社区在该地区大多数医疗机构面临人口普查下降的时期仍在持续增长和扩张，但显然这种增长的持续需要更复杂的战略规划。在研究期间，卡罗来纳社区在各个方面都在发展。住院人数以及门诊利用率都在消耗该组织的资源。该机构的战略位置以及敬业的医务人员的支持，过去曾为该机构提供了相对于其他地区机构的竞争优势。在三个月的时间里，两家主要的竞争机构进行了具有战略意义的组织变革。两家机构都聘请了以积极进取和组织能力著称的新管理人员。很快就明显看出竞争格局即将改变。卡罗来纳社区的管理层再也不能毫无竞争之忧地积极采取行动来保护和扩大其市场了。卡罗来纳社区是一家有着长期正式战略规划传统的医院，由于环境迅速“升温”，它被迫比过去更快、比目前能够做到的更快地做出反应。该案例报告描述了战略制定过程的变化，其目的是加快响应时间，并按照安索夫的八个特征将组织调整为更适合环境的结构。
