1 Katelyn Strasser SWOT Analysis MPH 548 Internal External SWOT Analysis Outpatient/GI Department Helpful Strengths: Offer specialized procedures that no other facilities in the state perform Physical layout of unit is conducive for efficient care Department has gone through process excellence (LEAN) All nurses have ACLS and conscious sedation competency Harmful Weaknesses: Low satisfaction scores on supervisor survey High employee turnover Dated equipment Location within hospital is not ideal for patient safety and privacy Opportunities: Market to other doctors that don’t currently use facility Increase patient awareness for services we provide Endoscopy certification for nurses Perform new procedures Threats: Competition from three other hospitals in the same city. Current issue of Measure 17 Loss of revenue from out-ofnetwork patients Second GI endoscopy center 2 I decided to conduct a SWOT analysis of my department, which is the Outpatient/GI Services Unit at Avera McKennan Hospital. The first strength of this department is that it offers a wide array of procedures from endoscopy, colonoscopy, bronchoscopy, bone marrow biopsy, and other specialized procedures such as the endoscopic bronchial ultrasound procedure, esophageal ablation, overstitch, and esophageal motility procedure. Also, the unit was recently remodeled and the way that it is configured allows the patient to travel from admitting, to the procedure, and to recovery in a small circle. Patient’s families and friends easily navigate through the department as well. Other strengths are that the department has gone through process excellence to make the department more efficient, and all nurses have proper Advanced Cardiac Life Support (ACLS) certification and conscious sedation training. The first internal weakness is that many employees are not satisfied with our supervisor, and gave her low ratings on her last review. One major complaint from staff was that after being in the unit for a year, our supervisor had still not been trained on the procedures that we do every day. Many times she would make decisions about procedures that she didn’t have experience performing. This, along with other issues, has contributed to high employee turnover in this unit. In one year, six out of thirteen employees have either been fired or left on their own. Another weakness is dated equipment. Right now we are in need of new scopes. The ones that we have keep breaking and are costing the department a lot of money to be fixed. Finally, our location within the hospital is a weakness because it is not where other procedural areas are. If a patient from our 3 unit needs to be transferred to the operating room or ICU, employees must take them up one or two floors and down a hallway. This is not safe and is also not private for the patient. Opportunities that my department has are marketing to both doctors and patients in order to increase business. Many doctors in this city have practicing privileges at multiple facilities. It would be advantageous to reach out to these doctors and let them know what types of procedures we offer. We could also start doing new procedures that would attract more doctors and patients. Another opportunity is for our nurses to earn and maintain endoscopy certification. This is a way for nurses to show superior skill in this area. One of the largest threats to our business is the threat of losing patient business to other facilities. Three other facilities in this city also perform many of the same procedures. Our same hospital also has another GI lab where colonoscopies and endoscopies are performed. Our two units used to be one unit, but the gastroenterologist and surgeons couldn’t work together. The solution was for our unit to keep working with surgeons, and the other unit moved to make a separate suite for the gastroenterologists. Another threat to our business is that some patients are not within our facility’s provider network, and cannot afford to have their procedure at our facility. Along with this same idea is the current issue of Initiated Measure 17. The measure will be on the ballot next Tuesday. A “yes” vote for the measure means that people will be able to choose which health provider they see. A vote “no” means that people will still be kept to seeing a certain list of providers unless they 4 want to pay more for someone outside the preferred network. If the measure passes, it could be a threat because some employees covered by Avera insurance may choose to have procedures at a different facility. However, this could also be an opportunity because people who traditionally could not see providers at our facility would now be able to.