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HAS 6400

HAS 6400. Session 1 Dr. Burton. Deep thoughts. If I taught something and no one learned it, what happened? Diane Halpern. “Give me a lever long enough…and single-handed I can move the world.”. It's not the pace of life that concerns me, it's the sudden stop at the end. Causes of Death.

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HAS 6400

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  1. HAS 6400 Session 1 Dr. Burton

  2. Deep thoughts If I taught something and no one learned it, what happened? Diane Halpern

  3. “Give me a lever long enough…and single-handed I can move the world.”

  4. It's not the pace of life that concerns me, it's the sudden stop at the end.

  5. Causes of Death Source: Wall Street Journal Almanac

  6. Human Genome Project • $3 Billion Budget June 2000 • 30,000 – 100,000 genes • 3 billion genetic sequences • > 1000 genetic disease

  7. Bio-Bypass = Grow your Own Gene Therapy Sprouts Growth of New Blood Vessels; VEGF-2 -Dr. Jeff Isner St. Elizabeth Medical Center (Boston) Source: American Heart Association Nov 9, 1997 Note: VEGF-2, Vascular Endothethial Growth Factor

  8. Diagnostic Gene Chip • Miniaturized DNA Probes on Silicon Chips • Near-Immediate, Cost effective results

  9. Drug Factories • Milk Containing Advanced Bio Tech Drugs • Transgenic Herds Reproduce themselves • Reliable Source leads to new uses: • Fibrogen Bandages, Factor VIII & IX

  10. U.S. Drug DevelopmentProjects in Progress (1999) • Number Disease • 316 Cancer • 113 AIDS • 87 Heart & Stroke • 28 Arthritis • 27 Osteoporosis • 25 Depression/Schizophrenia • 21 Diabetes • 17 Alzheimer’s Disease Source: PhRMA, “1999 industry Profile” TECHNOLOGY FUTURES REPORT tm

  11. Alternative MedicineMeets HMOs% Plans Recommending Care 80% 70% 40% 30% Massage Homeopathy Naturopathy Acupuncture Source: Adapted from “Medical Benefit Report,” Novartis, June, 1998

  12. Transgenic PigsTo the Rescue Near-Human Metrics: Heart, Lung, Kidney, Liver, etc.

  13. Faith, Medicine & Health “A study of 232 patients at Dartmouth Medical School found that elderly heart patients were 14 times less likely to die following surgery if they found strength and comfort in their religious faith and remained socially involved.” -Psychosomatic Medicine 1995 “Heart patients who had someone praying over them-without Their knowledge-suffered 10 percent fewer complications.” -Archives of Internal Medicine 1999 Source: William S. Harris, PhD., et.al, “A Radomized, Controlled Trial of Effects of Remote, Intercessory Prayer on Outcomes in Patients Admitted to the Coronary Care Unit.” Archives of Internal Medicine Vol 159(19). 10/25/99) Chicago Tribune Nat. Institute of Healthcare Research: www.NIHR.org Technology Futures Report tm

  14. NanometerHow Small is Small? Human 2M 2.0M Ant 10-2M 0.01M Cell 10-6M 0.000001M Nanometer 10-9M 0.000000001M Cubic Nanometer Holds 258 Carbon Atoms

  15. If you don’t have a map, any route you take will get you where you are going. Peter Drucker If a man take no thought about what is distant, he will soon find sorrow near at hand. He who will not worry about what is far off will soon find something worse than worry. Confucius

  16. The origin of Strategy • Greek title “Strategos” > A supreme commander of armed forces • Stratos > Army • Agein > to lead • The leader-strategist’s primary task is to have a vision and effectively articulate and communicate it.

  17. Strategic Management Formulation Implementation Control

  18. Elements of Change in a Dynamic Environment Legislative/political Economic Competitive CHANGE Social/Demographic Technological

  19. Change Process Contemporary view Chaos Permanent White Water

  20. Deliberate Strategy Intended Strategy Unrealized Strategy Emergent Strategy Intended vs Realized Strategy Realized Strategy Source: Mintzberg

  21. Managed Care Supply Side Cost Containment Unrealized Savings & Profits Health promotion Demand Management Prevention CQI DecisionMaking Theory Nurse Advice Lines Patient Advocacy State of Nature (The way things really are)

  22. Situational Analysis Situational Analysis Situational Analysis Situational Analysis Strategy Control Strategy Control Strategy Control Strategy Control Strategy Formulation Strategy Formulation Strategy Formulation Strategy Formulation Strategy Implementation Strategy Implementation Strategy Implementation Strategy Implementation Corporate Level Division Level Organizational Unit Level Functional Unit Level

  23. Long-range & short-range perspectivesvsStrategic Management • Time line = extending present operations to some point in the future • Strategic Management = constantly questions the relationship between the environment and organization and the organization’s basis for competition

  24. Case One boomer bulge will reach 65 as early as 2011

  25. % Dist of Nation Health Expenditures 2002

  26. National Health Expenditures as % of GDPSource: CDC Statistics $1.5 Trillion 1960 1970 1980 1990 1995 1996 1999 2000 2001 2002

  27. Projected Expenditures as a % of GDP $4.031 Trillion $2.879 Trillion $2.016 Trillion Projected

  28. Public Funds Private Funds

  29. STRESS

  30. Habits of a Successful Strategic Leader • Visionary • Involves people for all levels and backgrounds • Manages tomorrow rather than today • MBWA • Doesn’t play the blame game • Builds leaders throughout the org. • Doesn’t micromanage • Makes heroes out of innovators • Allows time for the process to work • Leads by example • Empowers employees to solve problems.

  31. What if you don’t work for a strategic leader?

  32. P O S I T I O N CEO Autocratic VP Mid-level Laissez-Faire First- Line Degree of Autonomy

  33. Second tierLeaders Subordinate to a senior executive who has ultimate decision-making authority over the organization. May have complete responsibility for all other managers and employees. Usually has significant autonomy in day to day decision-making for the organization. Typical position: Executive VP, COO, CFO.

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