1. Randy Dodd
Vice President
Strategy Development

2. ◦ 17 hospitals in California, Oregon,
Hawaii and Washington
◦ 20,000 employees
◦ 2,600 beds
◦ More than 130 physician and rural
health clinics
◦ 14 home care agencies
◦ Four joint-venture retirement
centers

3.  A-rated by S&P
 $2.71 billion in assets
 $2.17 billion in net
patient revenue

4. Adventist Health
Central Valley Network
Population – 408,780
3000 Square Miles
31 Zip Codes
4 Hospitals
297 IP Beds
23 Rural Health Clinics

5. Dinub
a
Adventist Health
Central California Network
Total Market Area
30 Miles

6. Dinub
a
Adventist Health
Central California Network
Population Density
H H
H H
30 Miles

7.  2007 Fresno Bee - Business of the Year
 2009 & 2010 - Silver CAPE Award Winner
 2010 Kings Economic Development
President’s Award
 2010 New 142 Bed Acute Care Hospital
 2011 Hanford Chamber of Commerce -
Business of the Year
 2011 Selma Chamber of Commerce -
Business of the Year

8. “Planning is bringing the future into the present
so that you can do something about it now”
Alan Lakein

9. Strategy is a starting point for the chain
reaction of "change".
-Business One Consulting
Strategy is a deliberate choice to take a
different fork in the road.

10.  The essence of strategy is choosing a unique
and valuable position rooted in systems of
activities that are difficult to match.
-Michael E. Porter

12.  Strategic planning is an organization's process of
defining its strategy, or direction, and making
decisions on allocating its resources to pursue this
strategy.
 In order to determine the direction of the
organization, it is necessary to understand its
current position and the possible avenues through
which it can pursue a particular course of action.
 Generally, strategic planning deals with at least one
of three key questions:
◦ "What do we do?"
◦ "For whom do we do it?"
◦ "How do we excel?"

13. "82% of Fortune 500 CEO's surveyed indicated
that they feel their organization did an
effective job of strategic planning.
Only 14% of the same CEO's indicated that
their organization did an effective job of
implementing the strategy."
Forbes Magazine

14. The difference between the
Winners and the “also ran”, is
how well they execute their
strategies.

15.  Lack of Ownership
 An Event not a Process
 Lack of Empowerment
 Plan Does not Influence Decision Making
 Lack of Accountability
 Lack of Communication
 Lack of Engagement
 Too Overwhelming or Too Aggressive
 No Buy In
 Only Discussed Annually
 The Performance Measures are not Linked to the
Strategies

16. Mission, Vision & Values
Vision –What we DREAM. Business vision is defined as a
shared view of future reality, what a group of people wish to
see their business be or become.
Values – Who we ARE. Business values are defined as
statements of shared core belief and commitment that guide
decision-making across an organization.
Mission – What we DO. Business mission is a shared
sense of business purpose, the reason for the existence of
the business entity.

17. The job of the Strategic Plan
is to Fulfill the Vision of the
Organization
The job of the Strategic Plan
is to Fulfill the Vision of the
Organization

19. Strategic
Analysis
Strategy
Development
Strategy
Deployment
Strategy
Achievement
Strategy
Improvement

20.  Assess your current location
 Determine your destination
 Map the journey
 Check your rations and crew
 Forecast hazards and weather
conditions
 Start sailing
 Check progress
 Make adjustments as necessary

22.  To travel the world to experience new
cultures with the intent of expanding
personal vision, increasing culture awareness
and sensitivity, reestablishing personal
priorities and awakening spiritual senses.

23.  Visit 50 Countries
 Personally Participate in 10 Mission Trips
 Involve Family in 5 Mission Trips

24.  How many countries are there?
 Which ones are my priority?
 Which ones are the priority of my family?
 What will it cost?
 What are some barriers to travel?
 Who will go?
 What’s the best time of year to visit?
 What will we do when we get there?

25. Afghanistan - Kabul
Albania - Tirane
Algeria - Algiers
Andorra - Andorra la Vella
Angola - Luanda
Antigua and Barbuda - Saint John's
Argentina - Buenos Aires
Armenia - Yerevan
Australia - Canberra
Austria - Vienna
Azerbaijan - Baku
The Bahamas - Nassau
Bahrain - Manama
Bangladesh - Dhaka
Barbados - Bridgetown
Belarus - Minsk
Belgium - Brussels
Belize - Belmopan
Benin - Porto-Novo
Bhutan - Thimphu
Bolivia - La Paz (administrative); Sucre (judicial)
Bosnia and Herzegovina - Sarajevo
Botswana - Gaborone
Brazil - Brasilia
Brunei - Bandar Seri Begawan
Bulgaria - Sofia
Burkina Faso - Ouagadougou
Burundi - Bujumbura
Cambodia - Phnom Penh
Cameroon - Yaounde
Canada - Ottawa
Cape Verde - Praia
Central African Republic - Bangui
Chad - N'Djamena
Chile - Santiago
China - Beijing
Colombia - Bogota
Comoros - Moroni
Congo, Republic of the - Brazzaville
Congo, Democratic Republic of the - Kinshasa
Costa Rica - San Jose
Cote d'Ivoire - Yamoussoukro (official); Abidjan (de facto)
Croatia - Zagreb
Cuba - Havana
Cyprus - Nicosia
Czech Republic - Prague
Denmark - Copenhagen
Djibouti - Djibouti
Dominica - Roseau
Dominican Republic - Santo Domingo
East Timor (Timor-Leste) - Dili
Ecuador - Quito
Egypt - Cairo
El Salvador - San Salvador
Equatorial Guinea - Malabo
Eritrea - Asmara
Estonia - Tallinn
Ethiopia - Addis Ababa
Fiji - Suva
Finland - Helsinki
France - Paris
Gabon - Libreville
The Gambia - Banjul
Georgia - Tbilisi
Germany - Berlin
Ghana - Accra
Oman - Muscat
Pakistan - Islamabad
Palau - Melekeok
Panama - Panama City
Papua New Guinea - Port Moresby
Paraguay - Asuncion
Peru - Lima
Philippines - Manila
Poland - Warsaw
Portugal - Lisbon
Qatar - Doha
Romania - Bucharest
Russia - Moscow
Rwanda - Kigali
Saint Kitts and Nevis - Basseterre
Saint Lucia - Castries
Saint Vincent and the Grenadines - Kingstown
Samoa - Apia
San Marino - San Marino
Sao Tome and Principe - Sao Tome
Saudi Arabia - Riyadh
Senegal - Dakar
Serbia - Belgrade
Seychelles - Victoria
Sierra Leone - Freetown
Singapore - Singapore
Slovakia - Bratislava
Slovenia - Ljubljana
Solomon Islands - Honiara
Somalia - Mogadishu
South Africa - Pretoria (administrative); Cape Town (legislative); Bloemfontein
(judiciary)
South Sudan - Juba (Relocating to Ramciel)
Spain - Madrid
Sri Lanka - Colombo; Sri Jayewardenepura Kotte (legislative)
Sudan - Khartoum
Suriname - Paramaribo
Swaziland - Mbabane
Sweden - Stockholm
Switzerland - Bern
Syria - Damascus
Taiwan - Taipei
Tajikistan - Dushanbe
Tanzania - Dar es Salaam; Dodoma (legislative)
Thailand - Bangkok
Togo - Lome
Tonga - Nuku'alofa
Trinidad and Tobago - Port-of-Spain
Tunisia - Tunis
Turkey - Ankara
Turkmenistan - Ashgabat
Tuvalu - Vaiaku village, Funafuti province
Uganda - Kampala
Ukraine - Kyiv
United Arab Emirates - Abu Dhabi
United Kingdom - London
United States of America - Washington D.C.
Uruguay - Montevideo
Uzbekistan - Tashkent
Vanuatu - Port-Vila
Vatican City (Holy See) - Vatican City
Venezuela - Caracas
Vietnam - Hanoi
Yemen - Sanaa
Zambia - Lusaka
Zimbabwe - Harare
Greece - Athens
Grenada - Saint George's
Guatemala - Guatemala City
Guinea - Conakry
Guinea-Bissau - Bissau
Guyana - Georgetown
Haiti - Port-au-Prince
Honduras - Tegucigalpa
Hungary - Budapest
Iceland - Reykjavik
India - New Delhi
Indonesia - Jakarta
Iran - Tehran
Iraq - Baghdad
Ireland - Dublin
Israel - Jerusalem*
Italy - Rome
Jamaica - Kingston
Japan - Tokyo
Jordan - Amman
Kazakhstan - Astana
Kenya - Nairobi
Kiribati - Tarawa Atoll
Korea, North - Pyongyang
Korea, South - Seoul
Kosovo - Pristina
Kuwait - Kuwait City
Kyrgyzstan - Bishkek
Laos - Vientiane
Latvia - Riga
Lebanon - Beirut
Lesotho - Maseru
Liberia - Monrovia
Libya - Tripoli
Liechtenstein - Vaduz
Lithuania - Vilnius
Luxembourg - Luxembourg
Macedonia - Skopje
Madagascar - Antananarivo
Malawi - Lilongwe
Malaysia - Kuala Lumpur
Maldives - Male
Mali - Bamako
Malta - Valletta
Marshall Islands - Majuro
Mauritania - Nouakchott
Mauritius - Port Louis
Mexico - Mexico City
Micronesia, Federated States of - Palikir
Moldova - Chisinau
Monaco - Monaco
Mongolia - Ulaanbaatar
Montenegro - Podgorica
Morocco - Rabat
Mozambique - Maputo
Myanmar (Burma) - Rangoon (Yangon); Naypyidaw or Nay Pyi Taw
(administrative)
Namibia - Windhoek
Nauru - no official capital; government offices in Yaren District
Nepal - Kathmandu
Netherlands - Amsterdam; The Hague (seat of government)
New Zealand - Wellington
Nicaragua - Managua
Niger - Niamey
Nigeria - Abuja
Norway - Oslo
196 Countries in The World

26.  South Africa
 Italy
 France
 The Netherlands
 Egypt
 Russia
 China
 The Philippines
 Japan
 Ireland
 England
 Australia
 The Caribbean
 The Bahamas
 Hawaii
 Alaska
 Niagara Falls
 Mount Rushmore
 The Grand Canyon
 Washington DC
 New York
 Puerto Rico
 Guatemala
 New Zealand

27.  Mission or Vacation?
 Cost
 Time away from work
or school
 Adult vacation or
family
 Best time to visit
 Planning time needed
 Quiet vacation
 On the go vacation
 Golf
 Scuba
 Beaches
 Mountains
 Skiing
 Fishing
 Number of
destinations
 Cruise, resort, B&B
 Passports
 Safety
 Exchange rate
 Language
 Weather

28.  South Africa
 Italy
 France
 The Netherlands
 Egypt
 Russia
 China
 The Philippines
 Japan
 Ireland
 England
 Australia
 The Caribbean
 The Bahamas
 Hawaii
 Alaska
 Niagara Falls
 Mount Rushmore
 The Grand Canyon
 Washington DC
 New York
 Puerto Rico
 Guatemala
 New Zealand

30. Which islands?
Eastern, Western, Southern?
What mode of travel - Air, Cruise ship?

31.  Budgeting
 Travel Plans
 Passports
 Scuba Certifications
 Weather Forecasting
 House sitting
 PTO Request
 Hotel
 Ground Travel to and from Port
 Activity Plans
 Research Safety Climate

32. Me My Wife
 Golf
 Scuba
 Beach
 Fishing
 Exploring
 Golf
 Golf
 Golf
 Beach
 Shopping

33.  Cruise
 June 30 – July 8
 Eastern Caribbean
 1-Stop Flight to Fort Lauderdale, Florida
 1 Night Hotel Stay
 3 Days at Sea
 1 Round of Golf
 1 Day on the Beach
 1 Day Shopping
 1 Day Adventuring

34.  Unforeseen & Unanticipated Issues
 Financial Limitations
 Lack of Commitment to the Plan
 Lack of Alignment
 Hidden Agendas
 Difficulty in Implementing
 Mistakes
 Poor Communication
 Lack of Accountability
 Poor Timing
 Scope Creep
 Inadequate Resourcing
 Inadequate Capacity & Capability

37.  Course Conditions
 Performance Consistency
 Weather
 Tee Placements
 Pin Placements
 Playing Partners
 Stress Level
 Equipment
 Ability to Adjust to New Information
 Skill Level

38. The Plan - 5
Actual - 7

39. Be Agile!

40. Strategic
Analysis
Strategy
Development
Strategy
Deployment
Strategy
Achievement
Strategy
Improvement

41.  Environmental Assessment Report
◦ Financial Condition
◦ Voice of the Customer
 Patient Satisfaction
 Complaints
 Community Needs Assessment
◦ Voice of the NON-Customer
 Focus Groups
 Community Survey
◦ Workforce Analysis
 Employee Satisfaction
 Employee Capability
 Physician Satisfaction
 Physician Inventory
 Volunteer Satisfaction
 Volunteer Capability
 Leading Indicators – Turnover, Sick Days, Workers Comp Claims

42.  Environmental Assessment Report (Continued)
◦ Key Stakeholder Input
 Vendors
 Suppliers
◦ CAPE Feedback OFI’s
◦ Regulatory Environment
◦ Competitive Environment
◦ SWOT Analysis, Strategic Advantages, Strategic
Challenges
◦ Market Forecast
 Top Industry Innovations
 Distribute All Data to Strategic Planning
Participants for Review

43.  Annual Strategic Planning Retreat
◦ Mission, Vision and Values Statements Review
◦ Core Competencies
◦ Data Analysis Findings – New Strategic Directions
◦ Develop Strategic Objectives
◦ Develop Org-Wide Goals

44.  Plan Approval – Board of Directors
 Deployment Retreat
 Action Planning and Owner Assignments
 Capability & Capacity Coordination
◦ Capital Budget
◦ Operating Budget
◦ Human Resources
 Communication Plan
 Departmental / Director Goal Setting

45.  Systematic Performance Review
◦ Accountability Management (Active Strategy)
◦ President’s Council – Monthly Review, Learning
◦ Board Review – Bi-Monthly Review
 Plan Adjustments (Agility)
◦ New Action Plans to Correct or Accelerate Progress
◦ Mid-Game Changes
 Respond to New Challenges & New Opportunities

46.  Annual Strategic Planning Process Review
◦ Past Performance Review
◦ Whole Process Review
◦ President’s Council Review of Process
◦ Board Chair Review
◦ Board Review
 New Innovations
◦ Conference Attendance

47. Strategic
Analysis
Strategy
Development
Strategy
Deployment
Strategy
Achievement
Strategy
Improvement

48. ?