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Bài giảng Tư duy hệ thống về quản lý y tế

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TƯDUYHỆTHỐNG
VỀQUẢNLÝYTẾ
DimitryTran,CFA,MBA



TrầnĐặngMinhTrí

TRƯỜNG THPT
CHUYÊN
LÊ HỒNG PHONG


ÁpLựcCảiTiến


KinhNghiệmCảiTiếnQuốcTế


Business Horizons (2007) 50, 199–209

www.elsevier.com/locate/bushor

Building a strong services brand: Lessons from
Mayo Clinic
Leonard L. Berry a,⁎, Kent D. Seltman b
a
b

Mays Business School, Texas A & M University, 4112 TAMU, College Station, TX 77843–4112, USA
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA



KEYWORDS
Services branding;
Services marketing;
Word-of-mouth
marketing;
Brand protection;
Mayo Clinic

Abstract A strong services brand is built and sustained primarily by customers’
interactions with the provider. A services branding model depicts the dynamics of
brand creation. From the interrelationships among the presented brand, external
communications, and customers’ experiences emerge brand awareness, meaning,
and, ultimately, equity. The Mayo Clinic case study illustrates the services branding
model by showing how one organization has created, extended, and protected a
powerful brand through an unwavering commitment to the well-being of its
customers. Managers outside of healthcare can benefit from three branding lessons
embedded in the Mayo Clinic story: (1) attend to organizational values; (2) play
defense, not just offense; and (3) turn customers into marketers.
© 2007 Kelley School of Business, Indiana University. All rights reserved.

1. Mayo Clinic: A brand to behold
Mayo Clinic has developed one of the most powerful
services brands in the world and, arguably, the
leading healthcare brand in the United States. In a
2003 national study, primary decision-makers in US
households were asked what healthcare institution
they would choose for themselves or a family member if insurance or finances would enable them to go
anywhere for a serious medical problem such as
cancer treatment, heart surgery, or neurosurgery.

Responses were unaided and Mayo Clinic was not
identified as the study sponsor. As shown in Table 1,
Mayo Clinic was mentioned by nearly 19% of respondents, with an additional 8% including Mayo Clinic in
⁎ Corresponding author.
E-mail addresses: (L.L. Berry),
(K.D. Seltman).

a follow-up question asking for “other institutions”
they would consider. Preference for Mayo Clinic is
almost three times greater than for the secondranked institution (Mayo Clinic Brand Monitor,
2003).
The purpose of this article is to distill how Mayo
Clinic has built and sustained such a strong services
brand, and to suggest branding lessons managers in
other service organizations can glean from the Mayo
case study. The Mayo Clinic brand story is nothing
short of remarkable: the organization opened shop
more than 140 years ago in a small, isolated Minnesota town, had a one-person marketing staff from
1986 until 1992, and uses little media promotion to
this day (defying the commonly held assumption
that great brands require great advertising).
In undertaking our study, we begin by summarizing a generic model of services branding. Next, we
present the Mayo Clinic case study, which illustrates

0007-6813/$ - see front matter © 2007 Kelley School of Business, Indiana University. All rights reserved.
doi:10.1016/j.bushor.2007.01.005


TừAnToànNgườiBệnĐếnTựChủTàiChính
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Source:JohnsHopkinsSchoolofPublicHealth

SỰCỐ
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EVENT)

BIẾNCHỨNG
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NGƯỜIBỆNHBỊHẠI
(HARM)


PhóMặcChoMayRủi
TRỞVỀ
BÌNHTHƯỜNG

SUÝTSAI

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SAISÓT
THIẾTBỊ

SAISÓT

CONNGƯỜI

TÌNHHUỐNG
NGUYHIỂM

HỆTHỐNG
ANTOÀN
MONGMANH

CANTHIỆPMAY
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CON
NGƯỜI
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Source:JohnsHopkinsSchoolofPublicHealth

NGUYHIỂM
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Ngườibệnhvànhânviênhoangmang.
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HỆTHỐNGMONGMANH
(VULNERABLESYSTEM)
SAISÓTYTẾ
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SỰCỐYKHOACÓTHỂTRÁNHĐƯỢC
(PREVENTABLEADVERSE EVENT)


ChúngtacầnkiếntạoHệThốngBềnVững.

HỆTHỐNGBỀNVỮNG
(RESILIENTSYSTEM)

SỰCỐYKHOACÓTHỂTRÁNHĐƯỢC
(PREVENTABLEADVERSE EVENT)


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BẤTCHẤPsaisótkhôngchủđích.
SAISÓTYTẾ
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HỆTHỐNGBỀNVỮNG
(RESILIENTSYSTEM)


SỰCỐYKHOACÓTHỂTRÁNHĐƯỢC
(PREVENTABLEADVERSE EVENT)


ChuyênGiaATNB- BernieHarrison


Xâydựng“VănHoáCônGBằng”


TráchNhiệmVớiHànhVicủaChúngTA
SaiSótcủa
ConNgười

HànhVi
RủiRo

HànhVi
NguyHiểm

Hànhvikhôngcốý:vô
tình,mấttậptrung

Quyếtđịnhchấpnhận
mộtrủiro

Cốtìnhgâyrarủiro

Quảnlýthôngquathay

đổi:

Quảnlýthôngqua:

Quảnlýthôngqua:

•Xoábỏcácđộngcơcho
việcgâyrarủiro
•Tạoracácđộngcơgây
rủi
•Tăngcườngsựnhận
thứctìnhhuốngnguy
hiểm

•Xửlýhànhchính
•BiệnPhápChếTài

•Quytrình
•PhươngPháp
•ĐàoTạo
•ThiếtKế

HỗTrợ

HướngDẫn

TrừngPhạt


Prof.AtulGawande– HarvardUniversity



ĐỉnhCaoYHọccủaThếKỷ20– PhânTử


ĐỉnhCaoYHọccủaThếKỷ21– HệThống


TừAnToànNgườiBệnĐếnTựChủTàiChính
TựChủTàiChính

QuảngCáo
&TruyềnThông

DoanhThu

ChiPhí

SốLượngNB

GiảmLãngPhí

ThươngHiệu

HàiLòngNB
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BảnĐồChiếnLược:HệThốngCảiTiếnYTếTíchHợp
StrategyMap– LeanHealthcarev.10.08.17

Trần Đặng MinhTrí,CFA,MBA©
F.ENVIRONMENTALINFLUENCES

E.REALIZINGVALUE

(69)FairDistribution
&Re-investment
(68)Sustainable
Profit

(70)HealthInsurers
(71)Social-Economic
Factors

(65)PaymentProcessing
(62)Pricing

(66)Revenue

(67)OperationalCosts

(63)PatientVolume

(64)AssetandHuman
ResourceUtilisation

(60)Organisational
Brand

(72)Media


(61)Marketing&
PublicRelations
D.PATIENTSATISFACTION

(59)PatientSatisfaction

(73)Competing
HealthcareOrganisations

(56)PatientExperience

(57)Patient’sHealth
Literacy&Collaboration

C.EFFECTIVEHEALTHCARE

(50)DeliveringHighQualityHealthcare(LEAN)=

(75)LegalFramework

(51)
Appropriateness

×(

(52)
Outcomes

+


(77)Accreditation
(83TC,JCI,ACHS)

(53)
Service



(47)CrossCheckonHigh
RiskProcesses

(48)StandardisedWork

(44)IdentifyandReport
Variation&Risks

(45)TrainingWithinIndustry
Method(TWI)

(76)QualityManagement
Frameworks

(54)
Wastes
(49)CollectKeyPerformance
Indicators(KPI),KeyRiskIndicator(KRI)
(46)RegularSkillAudit

(43)Consensuson

BestPractices
(41)ApplyingProven
ImprovementBundles

(42)ContinuousImprovement
throughPDSACycles
(40)AnalysingtheWorking
Environment

(78)Consultants

(38)UnderstandingPatient
Journey

(39)Communicate&
CollaboratewithColleagues

B.READYSTAFF

(37)Empathy
(79)Professional
Organisations

• AnToànNgườiBệnh
• ChấtLượngYTế
• NhânViênTậnTâm

(33)EmployeeMotivation/Engagement/Satisfaction
(34)Expectation
CanIdothistask

satisfactorily?

(80)Professional
InterestGroups

+

(35)Performance
WhatcanIexpect
asareward?

+

(30)InternalRelation

(31)Training
&Coaching

(27)EmotionalIntelligent
Leader

(28)Responsible&
EmpoweringLeader

(36)Reward
HowmuchdoIvalue
thereward?
(32)CareerDevelopment
Planning
A.FOUNDATION


(26)Leadership
(81)SeriousMedical
Incidents

(7)Knowledge
(82)Education
Organisations

(8)Skills

(83)International
Organisations

(9)Value(Motivation,
Priorities,Attitude)

(84)HealthPolicy
(85)Government
Funding

(29)CultureofRespect
&Safety

(10)Information

(6)HumanResources

(11)ProcessData


(16)RiskData/Enterprise
RiskManagement

(12)ScientificData

(17)Governance/Policy
Data

(22)Planning

(13)ClinicalData/
MedicalRecord

(18)Equipment&
FacilityData

(23)OptimalAcquisition

(14)HumanResource
Data

(19)FinancialData

(24)Usageand
Maintenance

(15)CustomerData

(20)StrategyData


(25)EndofUse

(21)Equipment/Facility

(5)10YearVision:Developanorganisationthatdeliversthebestpatientcarequality,
basedonemployeeengagementandfinancialsustainability

(86)PrivateFunding
(87)SocietalEthical
Standards

• BềnVữngTàiChính

(58)PatientExpectation

(55)Collaborate&
EducatePatients

(74)Collaborating
HealthcareOrganisations

CùngLúcĐạtĐến:

(0)CoreValue

(1)Interdependence
&Compassion

(2)Learning&
Improvement


(3)Fairness&
Transparency

(4)Service&
Collaboration

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