Dweik Raed, Rea Peter, Stoller James K
Respiratory Institute, Cleveland Clinic, Baldwin Wallace University, Berea, OH.
Integrity and Ethics, Parker Hannifin, Baldwin Wallace University, Berea, OH.
Chest. 2021 Sep;160(3):1035-1041. doi: 10.1016/j.chest.2021.02.011. Epub 2021 Feb 10.
Having a strategic plan is important to reach organizational goals. Equally important is knowing how to develop and execute that plan. Also, such plans evolve and are executed in the context of the organization's culture, which is another critical success element. Using a garden metaphor, the arrangement of the plants in the garden is like the strategy. With a good strategy, the arrangement of the plants will be appealing. But the soil in the garden is the organizational culture. If the soil is fouled, no plants will grow, regardless of how appealing the garden plan. This "How We Do It" paper addresses the issue of developing and executing a strategy and then, in a companion piece, the related process of envisioning and cultivating an organizational culture. The strategic planning discussion invokes a "real-win-worth" paradigm to address the real-world case of assuring uniform, best-in-class ICU outcomes across multiple ICUs in a large academic medical center system.
拥有战略计划对于实现组织目标很重要。同样重要的是知道如何制定和执行该计划。此外，此类计划是在组织文化的背景下演变和执行的，而组织文化是另一个关键的成功要素。用花园作比喻，花园里植物的布局就如同战略。有了好的战略，植物的布局会很吸引人。但花园里的土壤就是组织文化。如果土壤受到污染，无论花园规划多么吸引人，都不会有植物生长。这篇“我们如何做”的文章探讨了制定和执行战略的问题，然后在另一篇相关文章中探讨了构想和培育组织文化的相关过程。战略规划讨论引入了一个“真实-获胜-有价值”的范式，以解决在一个大型学术医疗中心系统中确保多个重症监护病房（ICU）实现统一的、一流的ICU治疗效果这一实际案例。
