Aligning Strategic Goals to People Development

Aligning Strategic Goals to People Development

Volume 12

Issue 1

March 2014

 

Performance Appraisal at Telespazio: Aligning Strategic Goals to

People Development

 

Case1 prepared by Professors Silvia PROFILI,2 Alessia SAMMARRA,3 Laura INNOCENTI4

and Gabriele GABRIELLI5

 

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Part A

 

“Dear colleague,

 

The Telespazio Performance Appraisal is one of the primary tools for human resource development

and management, and its correct use is one of your main responsibilities. Aligning Strategic Goals to People Development

 

Our organization sets important challenges at the transnational level, leveraging on personnel

motivation. Optimal use of the appraisal system is extremely important when it comes to achieving

this. For these reasons, this year, I am looking forward to receiving your full commitment to the

management of the process, which is divided into two phases:

 

– Phase 1: evaluations related to the previous year must be finished by no later than April l5th, 2011.

 

– Phase 2: you are asked to define the 2011 objectives for your subordinates by no later than

April 30th, 2011.

 

Regarding Phase 1, I have to stress the importance of the evaluation, which must be based on fair and

realistic criteria, while also respecting deadlines.

 

I look forward to receiving your full commitment to the appraisal process.”

 

It was January 2011 when Telespazio’s CEO, Carlo Gualdaroni, sent this letter to all of the

company’s managers in order to strengthen their commitment to the appraisal program.

Gualdaroni considered the Performance Management System to be crucial to the organizational

change process undertaken by the company. As a matter of fact, the top management team had

 

____________

1 The authors wish to thank the Telespazio HR team, guided by Giorgio Dettori, for its continuous support. Particular thanks go

to Marta Di Santo, who is in charge of the Organizational Development, Management and Training Function, for her input and

enthusiastic involvement. Without her support, this case study would not have been possible. Special thanks also go to Stefania

Tomassi, who heads the Development Function, for her valuable contributions to the writing of this case.

2 Silvia Profili is an Associate Professor of Management at the European University of Rome, Italy. Aligning Strategic Goals to People Development

3 AlessiaSammarra is an Associate Professor of Organization Theory and HR Management at the University of L’Aquila, Italy.

4 Laura Innocenti is an Adjunct Professor of Organizational Behavior and Human Resources Management at the LUISS Guido

Carli University, Italy.

5 Gabriele Gabrielli is an Adjunct Professor of Human Resources Management at the LUISS Guido Carli University, Italy.

© HEC Montréal 2014

All rights reserved for all countries. Any translation or alteration in any form whatsoever is prohibited.

The International Journal of Case Studies in Management is published on-line (http://www.hec.ca/en/case_centre/ijcsm/), ISSN 1911-2599.

This case is intended to be used as the framework for an educational discussion and does not imply any judgement on the

administrative situation presented. Deposited under number 9 30 2013 010 with the HEC Montréal Case Centre, 3000, chemin de

la Côte-Sainte-Catherine, Montréal (Québec) Canada H3T 2A7.

 

 

been renewed and a new organizational matrix model had been introduced in the fall of 2010.

This re-organization also involved the HR Function. With the change in top management, the

entire HR Management and Development System had been redesigned by the new Organizational Development, Management and Training Function. Marta di Santo was in charge of this, and it had been validated by the senior management team. The CEO, Carlo Gualdaroni, stated: “For the very first time, all of the components of the HR System (Development, Organization, HR Management and Training) fall under a single coordinating structure in the HR Department; this can only provide a new momentum to Telespazio, which will be even more market-driven,

international and based on a matrix model” (Figure 1).

 

The company had become increasingly present on foreign markets, which required a more

articulated structure to manage its global dimension. For this reason, Telespazio undertook a

major reshaping of the group model, adopting a matrix approach in order to produce a

transnational organization that focused on both geographic markets and business lines.

The new organizational model was characterized by:

– Double reporting, both regional and business, with a strong controlling model.

– Responsibilities allocated on a dual basis (central and local).

– Simultaneous control of market and business strategies.

– The opportunity to take advantage of synergies.

 

This new model had several advantages, but also introduced a new challenge, especially related

to HR management, because of the dual line of authority.

.

This organizational model was complicated by the fact that in the last decade, Telespazio had

focused on project teams in an attempt to deal with the constant and rapid innovation required by

the business environment. For example, the company was involved in major international space

programs, including: Galileo, EGNOS, GMES, COSMO-SkyMed, SICRAL and Göktürk. These

programs involved employees from different business units and departments, who would be

temporarily assigned to a project on a full-time basis.

 

The appraisal system could play a strategic role for this organizational change. However, the HR

Department had to make important decisions about how to manage the ambiguity and potential

conflict inherent in the matrix model. Should the responsibility for employees’ evaluations be

shared between two managers, with different views and competencies, or should the

responsibility be allocated to a single supervisor (the Business Unit Manager or the Country

Manager)?

 

Mr. Dettori, Director of Human Resources, was aware that the time had come to review the

appraisal system, taking into account the complexity of this new organizational model.

 

Telespazio: From Its Origins to Its Development into a Leading Global

Company in the Space Industry

Telespazio, a space services company, headquartered in Rome (Italy), has roots dating back to

1961, when Italcable and RAI founded the business under the auspices of the CNR (National

Research Council) and the Ministry of Posts and Telecommunications.

 

From the very beginning, the heart of the firm’s activities was telecommunications using artificial satellites, and it quickly partnered with NASA. The creation of the company opened the horizons of space to Italy, and enabled the country to take part in experiments with new forms of

telecommunication.

 

In just a few years, Telespazio expanded by way of its successful technological developments,

achieving important goals that marked the history of telecommunications, such as the live

television broadcast of the moon landing on July 20, 1969, which was made possible by the

parabolic antennas at Fucino, the Space Centre inaugurated by Telespazio in 1967. The Fucino

Space Centre was, at that time, one of only four such stations on the continent (the others being

PlemeurBodou in France, Goonhilly in the UK and Raisting in West Germany) that were capable of receiving TV signals via satellite from anywhere in the world.

 

Over the course of 50 years, Telespazio quickly became a point of reference in the space

industry, expanding its operations from the design and development of space systems to the

management of launch services and in-orbit satellite control, and from Earth observation services,

integrated communications, satellite navigation and localization to scientific programs.

 

The company’s growth and diversification was accompanied by important changes in its

governance structure through subsequent mergers and acquisitions. The most important transition occurred in 2002, when Telespazio became part of the Finmeccanica Group, the leading Italian manufacturer of high technology, which was ranked among the top 10 global players in the aerospace, defense and security industries.

 

In 2007, Telespazio, along with Thales Alenia Space, was transformed into a joint venture

between Finmeccanica (67%) and the French company Thales (33%) as a result of the new Space Alliance signed by these two giants of the European aerospace industry.

 

In 2010, Telespazio was ranked among the leading global companies in satellite management and Earth observation, satellite navigation, integrated connectivity and added value services.

With437 million Euros in annual revenues and approximately 2,500 people employed in 25 sites

worldwide, the company managed a network of four space centres, including the Fucino Space

Centre, the world’s largest civilian teleport (Figure 2). In Europe, the company was now present

in France, Germany, the United Kingdom, Spain, Hungary and Romania. Worldwide, Telespazio

operated in the U.S. via Telespazio North America and had consolidated its presence in South

America with Telespazio Brazil and Telespazio Argentina.

 

 

 

Performance Appraisal at Telespazio (PAT)

 

A performance appraisal system (PAT) was designed in 2005 to align employees’ efforts with the organizational and the Group’s challenging goals, both locally and in the international arena. The system was conceived as a means to support decisions regarding employee management, such as rewards, compensation, career advancement, mobility, and training. Its aim was to promote the following values:

 

– Transparency

– Sharing

– Joint definition of objectives

– Reference to observable behaviors

– Focus on roles and competencies

 

The evaluation system covers all employees and managers, with the only exception being

executives, who are part of the Finmeccanica management review process.

 

The last, but by no means least important advantage of this system is the fact that it is totally

paperless.

 

What is assessed?

 

The aim of the system is twofold: (1) to ensure that the company achieves positive results, and

(2) to promote the professional development of employees. Accordingly, it focuses on two

aspects of employee performance: goals/objectives and competencies/skills (Figure 3).

Duties/objectives

Technical and

professional skills

Organizational

Goals/objectives

 

The identification of objectives is a crucial phase, as it is considered to be the basis on which

each employee focusses his/her efforts throughout the year.

 

Each objective should: be related to an individual department’s budget plan, be coherent with the

activities planned for an employee’s team, and cover an employee’s development needs. Along

with business related objectives, attention should also be paid to the definition of goals that are

geared towards an employee’s professional development, such as the attainment of an advanced

proficiency in English, or the acquisition of the technical knowledge needed to operate a specific

application.

 

Importantly, in order to ensure joint ownership of, and involvement in, this process, the system

allows middle managers, professionals and specialists to set their own objectives and enter them

directly into the system. Their supervisor can then modify them or add new ones with the

approval of the employee.

 

Objectives should be set and assessed as far as possible on the basis of measurable factors, such

as facts, deadlines and figures. For the system to be effective, it is important to not only achieve

results, but to reach them in the right way. An objective accomplished using inappropriate or

inconsistent conduct is considered to be more harmful to the organization than an unmet goal.

The achievement of each objective is then evaluated through an appropriate rating scale with

three levels:

For middle managers, professionals and specialists,

  1. Not achieved
  2. Achieved
  3. Exceeded

and, for employees and operators,

  1. To be improved
  2. Standard
  3. Outstanding

 

Skills and competencies

 

All of the skills and competencies related to each organizational role have been identified and

included in the Competency Management System, and each manager is asked to communicate

with his/her staff about their role. This enables a thorough communication of the organization’s

expectations for each role in terms of skills and competencies.

The Competency Management System includes both organizational and technical/professional

skills, which are derived from the business drivers. Organizational skills include behaviors and

methods adopted by an employee to deal with specific situations and achieve set objectives.

Examples of organizational skills for middle managers, professionals and specialists include:

‘Value creation’ and ‘Market and Customer orientation’ (Figure 4).

 

Figure 4 – Organizational Skills for Middle Managers, Professionals and Specialists

Examples of organizational skills for employees and operators include: ‘Flexibility and

Interfunctionality’ and ‘Customer Service orientation’ (Figure 5). Technical and professional

skills refer to specific knowledge and competencies required for a particular role.

 

Moreover, each manager can add specific skills or professional experience to the role-specific

skills, selecting them to be included in the list of competencies in the Competency Management

System. These additional skills are not assessed, but can provide useful information on an

employee’s experience.

 

For the system to be really effective, managers are asked to focus on performance and the

behavior exhibited by an employee during the assessment period. They are also required to base

the evaluation of competencies/skills on the observation of concrete facts, adopting a three-level

scale: to be improved, standard, outstanding.

Value creation:

Market and customerinternational

development

Basic steps for effective performance management

 

The appraisal process must be completed by the first quarter of each new year, as employees

must have enough time to plan the activities required to meet their objectives. To set the goals

half way through the year or, even worse, at the end, is considered to be ineffectual or, in many

cases, harmful.

 

The interview as the core of the appraisal process

 

The evaluation process has several steps, which are described in Figure 6. The interview is the

key part of the process. Indeed, it is so central to the process that it should be regarded as the

performance appraisal. Accordingly, particular attention must be paid to preparing for the

interview; both managers and employees need to carefully gather all of the information available

to support their discussions with concrete evidence. During the meeting, the manager should

focus on the results achieved and the gaps between the expected level of skills for the role and

those exhibited by the employees. The manager must see the interview as an opportunity to both

fully explore areas of performance and skills that require improvement and define the appropriate

training.

 

For his/her part, the employee should make a list of his/her achievements and skills, and is also

invited to suggest training activities that could be useful for improving weaknesses. Employees should not regard the meeting as an ‘exam’, but as a relevant and constructive opportunity to get

feedback on both strengths and areas that could be improved.

 

According to the HR development team, the PAT system should be used as a management tool,

and is designed to motivate and develop employees, rather than simply ‘reward’ or ‘punish’

them. In this regard, negative feedback is also relevant, as it should encourage employees to

recognize their weaknesses, face their problems and take appropriate action to improve their

skills.

 

 

 

 

A paperless appraisal

 

The appraisal process is completely electronic. In order to ensure standardized and comparable

analyses, all of the information about employee objectives and skills are gathered on specific

forms made available by SAP-HR (Figure 7), one for middle managers, professionals and

specialists, and another for employees/operators.

 

The forms also serve to collect all of the data related to training needs and improve the

information available with which to evaluate the company’s quality and return on investment in

training. The SAP system collects the information required to prepare specific training plans for

each individual that are coherent with the company’s strategies. The effectiveness of an

employee’s training, in terms of the impact on work performance, during the year is evaluated by

the manager and included.

 

Employees are expected to take an active part in the performance evaluation, writing their

comments in the appropriate section, which includes several questions aimed at encouraging

them to explain their points of view on key aspects of the appraisal. Both managers and

employees are asked to complete this section. If the sections are blank, the appraisal process is

considered incomplete and the system does not accept it.

 

The adoption of the SAP tool enables the HR Function and all managers to have real-time access

to specific and aggregate data that is valuable for managing and developing employees.

 

 

Overall appraisal

 

The evaluation of objectives and competencies flows into an overall assessment of employees

and uses a three-level scale: to be improved, standard and outstanding. The system itself, on the

basis of all of the information obtained, suggests the most appropriate level. The supervisor can

modify this value if an employee’s professional track record suggests a different evaluation.

 

Who is in charge of the appraisal?

 

The performance appraisal at Telespazio is based on the views of one evaluator, the direct

supervisor. Evaluation is a primary responsibility of each manager, which ensures the appropriate visibility of results by the management level immediately above. An exception to this rule occurs when employees are assigned to project teams on a regular basis, with a mix of line and project responsibilities. In these cases, the performance appraisal is completed by both the Project Manager and the Line Manager. More specifically, the definition of the objectives for each new year is the Project Manager’s role, as he/she is responsible for the project’s budget and timing. While the Line Manager is responsible for the performance interview, as this is the core of the appraisal process. This approach has two objectives: (1) the attainment of the team’s project goals and (2) ensuring the employee’s long-term professional growth (Figure 8).

 

The planning and coordination of the entire appraisal process is the responsibility of the HRDepartment, which is also in charge of analyzing and preparing monitoring reports on the overall results

Supporting implementation of PAT through ongoing communication

 

Each year, several means of communication are used to ensure that important information and the values associated with the program go out to all employees. Indeed, both the managers who are in charge of evaluating their staff and the workers who will be appraised must be fully aware of the rules of the game. As stated by the HR team: “transparency and equity are essential to

guaranteeing that the program is successfully implemented.”

 

At the start of each year, the CEO sends out a letter as a way of engaging all of the company’s

managers in the process. This letter is accompanied by the setting-up of a Management Forum for all of the managers involved in the appraisal process, and by a more detailed communication

from the Director of Human Resources, Giorgio Dettori, to all employees. Moreover, a section of

the company’s intranet is dedicated to a PAT description and timeline. There also exists a PAT

brochure which explains the evaluation objectives and process.

 

Assessing the PAT system

 

On April 14th, 2011, Mr. Dettori and Ms. Di Santo met the HR staff to determine the program for

the upcoming Management Forum, the annual workshop where the Human Resources

Department presents the overall results of the performance appraisal process to Telespazio’s

management. The Development Unit had prepared a detailed presentation for the meeting in

which it planned to highlight both the positive aspects of the PAT program as well as critical

issues, with the aim of making recommendations with respect to potential changes.

 

Marta Di Santo said: “After six full years since PAT’s introduction, we have several reasons to

be satisfied. We have gone from a context in which it was necessary to demonstrate the value of a formal performance appraisal process, to an organizational environment that has finally

understood its importance. Today, most supervisors acknowledge that PAT is a useful tool that

allows them to manage structured feedback with their subordinates. Moreover, employees have

begun to appreciate PAT as a tool that ensures a transparent and consensual evaluation process.”

 

Stefania Tomassi added: “Initially we had to ‘chase down’ supervisors to get them to complete

PAT; now, employees themselves pressure their boss to complete the evaluation process. I

realized that we were finally able to bring about a real cultural change when the trade unions

came to ask for our intervention with respect to the supervisors who were not completing the

appraisal process, as they thought that this wasn’t in line with the best practices set by the

company.”

 

Marta Di Santo continued her presentation by illustrating the results of the competence gap

analysis for all of Telespazio’s organizational roles (Exhibit 1). As she noted, the PAT program

provides valuable data when it comes to assessing average competency levels and evaluating

their appropriateness against role requirements. These data were crucial for planning targeted

training programs.

 

Although these results were considered to be extremely positive, Ms. Di Santo did have some

concerns about the program:

The timing of the performance appraisal process. Although the PAT process was deemed

an essential responsibility for managers, delays against the planned schedule were still a

problem; pressing budget deadlines took precedence over performance appraisal.

Equity and selectivity. Although the company made significant investments in targeted

training and coaching for assessors, the analysis of the data generated from the Human

Resources Management System showed that the rating distributions were often biased

towards positive performance and uneven between different business units and

departments (Exhibit 2).

– Some remarks were made regarding the system’s alleged rigidity.

 

Mr. Dettori considered the equity and selectivity issue to be the most critical: “After several years devoted to developing a culture of appraisal, I don’t see many steps forward in the ranking

distribution.” Marta Di Santo added: “Most ratings are inflated, others are not

differentiated…some managers award superior ratings to all of their staff!” Mr. Dettori

continued: “These kinds of appraisal risk having a demotivating effect on those employees who

have been correctly evaluated by their boss, and who come out below the average. Last year, we

were in the same situation and decided that more effort was required in terms of communication

and training. But this wasn’t enough! It’s time to make some changes. Our managers have to be

aware that differentiation among their employees is essential to the system’s effectiveness. We

have to evaluate carefully every possible action that goes in this direction. The revision of PAT

should also address the important organizational change we’re facing. The new organizational

model needs to be assimilated by our colleagues; they still need to feel confident with this new

way of working. We must attain a stronger integration of our operations across the world and

adjust to a multicultural context. The worldwide implementation of the performance appraisal

program will be crucial to communicating the new organizational requirements and sustaining the process of global integration.”

Part B

 

T-PAD. The revised appraisal program

 

At the end of April 2011, the HR development team decided on how to improve the PAT

program. The major revisions included:

  • Revised rating categories: the old numerical, three-level rating scale for the evaluation of

both objectives and competencies was replaced by a new four-level rating scale that is

consistent with the one used for the overall evaluation. This expansion was made at the

request of a number of different evaluators, who expressed the need to have a better

opportunity to differentiate between different performance levels. Figures 9 and 10 set out

the new four-level rating scale introduced for both targets and competencies.

  • More selectivity in the appraisal process: all company managers were advised that in every

department/function, the number of employees with an outstanding performance should not

exceed 15% of the overall number of people working in the unit.

 

 

  • Assessment of new competencies: two competencies were added to support the

implementation of the new model (i.e., international orientation and business orientation).

 

These revisions were communicated to all managers and employees through an email sent by the

CEO during the launch phase of the new appraisal process for 2012. Furthermore, a meeting with

all supervisors was planned, with the objectives being to share the previous year’s evaluation

results and to explain how to handle the new program. The revised PAT, now named T-PAD

(Telespazio Performance Appraisal for Development), was illustrated in an article published on

the intranet. A new brochure was also distributed to all employees.

 

As 50% of Telespazio’s employees work outside Italy, the goal set for the 2012-2014 period was

to ‘export’ the Roles and Competencies System and the updated T-PAD to all of the countries

where the company’s subsidiaries operated. The HR team defined the schedule of the operational

plan for the introduction of the T-PAD program to the company’s sites abroad. The pilot country

would be Telespazio Argentina in 2012, with the objective being to extend the appraisal program

to all of the other foreign subsidiaries by the end of 2014.

 

The situation in 2012

 

On September 24th, 2012, Mr. Dettori met the HR team to take stock of the situation and asked

Marta Di Santo to report on the goals achieved during the year. Ms. Di Santo started her

presentation by illustrating the partial results of the 2012 rating distribution among different

organizational units (Exhibit 3): “I think we’ve made some steps forward. The introduction of a

four-level scale together with the supervisors’ training and coaching activities have paid off. Four

evaluators used the outstanding level for less than 20% of their staff and no one rated his/her

entire staff as outstanding. The assessments now definitely have a more normal distribution

compared to those from 2011. The best cases are represented by units 7, 8 and 10, where the

managers used the entire rating scale. But we are still some ways from having a really selective

evaluation approach.”

 

According to Ms. Di Santo, the T-PAD had other positive outcomes: “These figures are very

important, but we need to go beyond them. We’ve been able to bring about a real cultural shift

among our line managers. Most of them are now fully aware that the T-PAD is a powerful tool

with which to manage their staff effectively and achieve their unit’s goals. All the decisions

regarding employee development (training and career advancement) and economic incentives are

taken exclusively on the basis of the evaluation results.” Stefania Tomassi added: “Last week I

met Francesco Rossi, who has recently been appointed as Operations Manager of the Network

Division, and he told me: ‘It’s a good thing we have the T-PAD! Thanks to this system, I had the

chance to conduct structured interviews with my new staff and to get to know each of them in

greater depth. Moreover, the SAP forms allowed me to easily reconstruct the personal history of

each employee… until a few days ago, I didn’t even know them, but today I feel like I’ve been

working with them for the last 20 years!’ He was very enthusiastic about the appraisal system and its potential.”

 

Ms. Di Santo took the floor again: “We all know that the most important task set by our team in

2012, in line with the company’s expectations, is the extension of the T-PAD to all of the foreign

subsidiaries by the end of 2014. The program’s worldwide extension will be crucial to sustaining

the company’s global integration. We started this year by implementing the system in Telespazio

Argentina, the pilot country, and we didn’t have any problems; we worked well with the local HR Department. The local HR Manager, Camila Beliera, was conscious that the subsidiary really

needed a structured appraisal system and worked hard to bring all 10 of the local supervisors

onboard, making them aware of the appraisal system’s strategic role. Moreover, I know Camila,

as she used to work for a big Italian company in Rome and we have the same people management philosophy…working with her was easy.”

 

Stefania Tomassi added: “By the end of September 2013, we have to complete the

implementation process in Germany and France. These countries’ subsidiaries have very different managerial systems and leadership styles… Telespazio France has nearly 400 employees, a very strong national culture and a well-established local evaluation system. This will make the transfer of our T-PAD not easy at all…I don’t think that French managers will simply accept our program!”

 

The HR team was aware that the international implementation needed to be carefully planned.

 

2014-03-06

 

© HEC Montréal 16

WHAT IS THE DIFFERENCE BETWEEN PUBLIC HEALTH AND INDIVIDUAL HEALTH?

The main goal of public health is to prevent diseases and promote health of a population level.
Using the South University Online Library or the Internet, identify, research, and read about a public health issue of your interest. Based on your research, express your views on the following:

What is the difference between public health and individual health?
How does the system of health care delivery in the United States support the goals of public health?
Is the health issue identified by you during the research being adequately addressed? Why or why not?
What initiatives are in place to address your identified public health issue? Explain at least two such initiatives.
What are the risks or social factors associated with your identified health issue?
How are the three levels of government (national, state, and local) working together to address your identified health issue?

To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

The Influence of Mission and Vision on Planning

Discussion 1: The Influence of Mission and Vision on Planning

As you read the following mission statements, think about what you might deduce about each organization:“Nurses advancing our profession to improve health for all,” American Nurses Association“The American Red Cross prevents and alleviates human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors,” American Red Cross“The mission of Southwest Airlines is dedication to the highest quality of Customer Service delivered with a sense of warmth, friendliness, individual pride, and Company Spirit,” Southwest Airlines“To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research,” Mayo Clinic“Provide telehealth solutions and executive medical research management to enhance and support military healthcare and promote innovative medical technologies,” Telemedicine & Advanced Technology Research Center (TATRC)“Google’s mission is to organize the world’s information and make it universally accessible and useful,” GoogleAn organization’s mission describes its core purpose. In partnership with the organization’s vision, which communicates a future-focused direction, the mission provides a basis for planning and decision making at all levels of the organization.For this Discussion, you compare mission and vision statements from multiple organizations and consider how these statements relate to planning.To prepare:Review the information related to the planning hierarchy and mission and vision statements in this week’s Learning Resources.Research the mission and vision statements of three different types of organizations: a for-profit health care organization, a not-for-profit health care organization, and an organization outside of health care. As you examine the organizations’ mission and vision statements, consider the following:                   How effectively do the mission statements articulate the organization’s purpose?How effectively do the vision statements reflect future aims?Do the mission and vision statements convey who (which groups) the organizations serve? Do they indicate obligations to various stakeholders?Are the statements an appropriate length?What do you glean about how leaders in health care and in other industries envision and convey mission and vision?What do you discern about the interdisciplinary nature of crafting mission and vision statements by looking across organizations, including those outside of health care?Identify key insights you have gained by comparing the mission and vision statements of these three organizations.Consider how an organization’s mission and vision relate to the planning hierarchy. For each organization you have selected, think about how the mission and vision could or should influence planning. What elements of each mission and vision stand out as especially significant?
By Day 3Post a comparison of the mission and vision statements of the three organizations selected. Explain how specific elements of each organization’s mission and vision statements might inform planning in that organization. Include references/links for the organizations’ mission and vision statements in your post.

Required Readings

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.Review Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82)Chapter 7, “The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursing’s Future Action” (pp. 117–143)                                                Chapter 7 addresses elements of the strategic planning process, which includes mission and vision.Cady, S. H., Wheeler, J. V., DeWolf, J., & Brodke, M. (2011). Mission, vision, and values: What do they say? Organization Development Journal, 29(1), 63–78.Retrieved from the Walden Library databases. This article addresses research on mission, vision, and values from 300 different organizations.Desmidt, S., Prinzie, A., & Decramer, A. (2011). Looking for the value of mission statements: A meta-analysis of 20 years of research. Management Decision, 49(3), 468–483.Retrieved from the Walden Library databases. This article looks at the relationship of organizational mission and financial performance. It includes a discussion of what a mission statement is and the purpose(s) it serves.Hirota, S., Kubo, K., Miyajima, H., Hong, P., & Won Park, Y. (2010). Corporate mission, corporate policies and business outcomes: Evidence from Japan. Management Decision, 48(7), 1134–1153.Retrieved from the Walden Library databases. The authors examine the implications of the mission statement for organizational practices and performance.King, D. L., Case, C. J., & Premo, K. M. (2012). An international mission statement comparison: United States, France, Germany, Japan, and China. Academy of Strategic Management Journal, 11(2), 93–119.Retrieved from the Walden Library databases. This article examines the content of mission statements, stakeholder involvement, and the development of goals and objectives.

EXAMINE THE EXISTING PROCEDURES RELATED TO ESSENTIAL PUBLIC HEALTH SERVICES.

You have just been hired as a new Vice President of quality and safety for a full-service 600-bed government healthcare organization.  Within your first month on the job, the national security threat level has been raised to Imminent, which means there is a credible, specific, and impending terrorist threat against the United States, and your facility may be directly impacted. The Chief Executive Officer has requested an immediate six to eight-page report of your proposal for handling such a situation.
Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.
Write a 6 page paper in which you:

Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency.
Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.
Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.
Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position.
Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.
Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

JUSTIFY WHY SOCIAL MARKETING IS NEEDED IN TODAY’S SOCIETY TO PROMOTE HEALTH INITIATIVES.

Social Marketing and Healthcare
The past decade has seen an enormous surge in social marketing to convey various messages. Social marketing has also been established as an essential health communications tool to promote health initiatives. Social marketing should not be the only tool to communicate information to the general public, but to complement the existing practices in place.
This week, you will examine the use of social marketing as a communication channel in healthcare. Review the following website article:

Centers for Disease Control and Prevention. (2012). Gateway to health communication & social marketing practice. Retrieved from http://www.cdc.gov/healthcommunication/

Using the readings for the week, the South University Online Library, and the Internet, create a 15- to 20-slide Microsoft PowerPoint presentation with a separate title and reference slide. Include the following:

Justify why social marketing is needed in today’s society to promote health initiatives.
List the numerous communication channels that are used in developing a health campaign.
Describe the process used to identify the population segment that can benefit from a specific health behavior.
Explain how you will evaluate the effectiveness of your communications campaign.
Provide a specific example of how social marketing was used in a health campaign.

In addition, include a minimum of five scholarly references in support of your statements. Be sure to support your statements with appropriate examples.
Submission Details

Submit your assignment to the Submissions Area by the due date assigned.
Name your Microsoft PowerPoint Presentation SU_PHE5005_W4_A2_LastName_FirstInitial.ppt.
Cite all sources using the APA format

DEVELOP A PAMPHLET TO INFORM PARENTS AND CAREGIVERS ABOUT ENVIRONMENTAL FACTORS THAT CAN AFFECT THE HEALTH OF INFANTS.

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link:

Part I: Pamphlet

Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.
Use the “Pamphlet Template” document to help you create your pamphlet. Include the following:
Select an environmental factor that poses a threat to the health or safety of infants.
Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.
In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.
Provide a written summary of the teaching / learning interaction. Include in your summary:
Demographical information of the parent and child (age, gender, ethnicity, educational level).
Description of parent response to teaching.
Assessment of parent understanding.
Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
Please use the attached Templates to the assignment.

EXPLAIN HOW TELEHEALTH, CLOUD COMPUTING AND RADIO FREQUENCY IDENTIFICATION TECHNOLOGY CAN BE USED TO IMPROVE HEALTH CARE DELIVERY.

There are exciting trends in healthcare technology today, of that there is no doubt. Three of the most interesting trends are telehealth, cloud computing, and radio frequency identification technology. Select one of these emerging technologies, and explain how it can be used to improve health care delivery.

Please include the name of the person or question to which you are replying in the subject line. For example, “Tom’s response to Susan’s comment.”

(ALSO PLEASE RESPOND TO ANOTHER STUDENTS COMMENT BELOW)

Telehealth can be used to improve health care delivery in that a patient does not need to leave their home for certain services. I have seen first hand the ease of this type of patient health service. My 73 year old father has high blood pressure and diabetes. He needs to monitor his sugars and blood pressure on a daily basis. Telehealth allows him to avoid having to go to the VA because he does all of his monitoring at home. He takes his blood pressure every morning and the results are transmitted to a nurse at the VA directly. Within hours, if his blood pressure is high or low a nurse calls him to address it. This type of health care delivery has helped him control his high blood pressure because he gets instant results without having to travel the hour it would take him to get the the VA. He can adjust his meds as needed at home or refrain from hollering at my mom for that day.

TECHNOLOGY THAT AN HEALTHCARE ORGANIZATION CAN IMPLEMENT THAT WOULD IMPROVE THE DELIVERY OF CARE TO THE ORGANIZATION’S PATIENTS.

Power point presentation 

Instructions
Several weeks ago, your healthcare organization’s board of directors asked you, along with a team of others within your department, to research the following two topics:

improvements in the delivery of health care to patients and
workplace safety plans and violence prevention programs and the cost of implementing them.

The time has now come for you and your team to present your findings to the board. Create a PowerPoint presentation of no less than 10 slides in which you cover the following information:

at least three examples of new technology that your healthcare organization can implement that would improve the delivery of care to the organization’s patients and
descriptions of at least one healthcare workplace safety plan and one violence prevention program. Be sure to include the costs associated with each plan/program.

The 10-slide requirement does not include your title and reference slides. You must include at least three outside sources, one of which can be your textbook. The other two sources must be found within the CSU Online Library.

ROLE OF LEADERSHIP IN MANAGING QUALITY AND SAFETY INITIATIVES IN HEALTHCARE IN SAUDI ARABIA.

locate and read three scholarly research articles on the role of leadership in managing quality and safety initiatives in healthcare in Saudi Arabia. Select articles that demonstrate three different styles of leadership (e.g., servant, transformational, transactional).

Based on your readings, prepare a power point presentation summarizing the three leadership styles you researched, and their pros and cons as they relate to quality and safety initiatives. Then share which style of leadership more closely aligns with your current leadership style. Then explain the impact leadership styles have on Saudi healthcare quality improvement initiatives.
Your power point should meet the following requirements:

Be 3-4 pages in length, not including the cover or reference pages.
Provide full APA citations for articles selected along with associated in-text citation

Q2

Please answer each question separately. Each question must be 250-300 words each. Please be plagiarism free. 

1. Discuss how the Biblical concept of planning can assist Christian health administrators handle the complexities of health care finance.

2. Based on Paul’s letter to the Corinthian church, the focus was on equity rather than strict equality. Discuss how these teachings might guide the Christian health administrator in mastering the challenges of addressing cost, quality, and access in healthcare delivery.

IDENTIFY THE DISTRIBUTION OF NATIONAL HEALTH SPENDING BY TYPE OF FINANCING SOURCE.

4 PAGES 

1. Identify the distribution of national health spending by type of financing source.
2. Identify the distribution of health insurance coverage among the U.S. population.
3. Discuss the impact of the Patient Protection and Affordable Care Act and the difficulties that might be encountered by those mandated to participate.
4. Discuss the origin of employment-based health insurance.
5. Explain the difference between fully insured and self-insured health plans.

Claxton, G. (2008). How Private Health Care Coverage Works: A Primer. A Henry J. Kaiser Family Foundation Report. Available at http://www.kff.org/insurance/upload/7766.pdf (Retrieved 11/21/2012)

Blumenthal D. (2006). Employer-Sponsored Health Insurance in the United States – Origins and Implications. New England Medical Journal, 355(1), 82-88. Retrieved from ProQuest on 11/21/2012.

RAND Corporation. (2010). US Health Care Today: Coverage. Available at http://www.randcompare.org/us-health-care-today/coverage#current-levels-of-coverage (Retrieved 11/21/2012)

Bodenheimer, T. (2005). High and Rising Health Care Costs. Part 1: 
Seeking an Explanation. Annals of Internal Medicine, 142 (10), 847-854. Available at: http://annals.org/article.aspx?articleid=718406

Choudhry, N., Rosenthal, M. & Milstein, A. (2010). Assessing the Evidence for Value-Based Insurance Design. Health Affairs, 29 (11), 1988-1994. Retrieved from ProQuest on 11/21/2012.