NRS-451V Health Organization Evaluation

NRS-451V Health Organization Evaluation

NRS-451V Health Organization Evaluation

Health Organization Evaluation

Health organization evaluation is a critical assessment, through thorough processes, of an organization’s aspect to determine whether it meets its objectives. It assesses various areas of the organization and conducts gap analyses to determine where the organization may best benefit from defining, clarifying, training, tightening systems, or setting direction (Egener et al., 2017). This paper seeks to describe a health organization in the U.S, including its overall readiness, and propose a strategic plan to promote readiness.

Nursing leader’s server as advocates within their organizations. Leaders have requisite knowledge, skills, and understanding and represent the front door into the healthcare service delivery. Nursing leaders need to be comfortable withing their administrative structures to use their powers to advocate for the role of nurses. Advocating in policy discussions to help reduce health care cost and improvement in patients’ outcomes and quality of life through collaborative team-based care. (Stevenson, 2021) Advocating for nursing staff can begins with assessing needs. Do the nurses have the correct tools they need to provide best practice care. Are nurses being treated fairly and are they assuring measures to prevent nursing fatigue and burn out such as appropriate breaks and lunches.

Health Care Organization Description

Vanguard Health Systems, Inc. is a healthcare system that owns and manages acute care hospitals, outpatient facilities, and associated health plans predominantly located in urban and suburban markets. It currently manages 15 acute care hospitals with more than 4,135 bed-capacity in San Antonio, Texas; Metropolitan Phoenix, Arizona; Metropolitan Chicago, Illinois; and Massachusetts (Vanguard Health Systems, 2017). The organization offers health care services, including acute and emergency care, internal medicine, general surgery, cardiology, orthopedics, obstetrics, and neurology services.

Vanguard Inc. has, in the past, concentrated its operations in markets with high population growth and median income above the national average.  The organization’s objective is to assist communities in achieving health for life by providing an ideal patient-centered experience in a highly dependable care environment (Vanguard Health Systems, 2017). Vanguard endeavors to strengthen its financial operations to finance more investments in these communities. It has established a corporate values framework comprising safety, respect, excellence, integrity, and accountability to support its mission and the corporate and regional business strategies that will characterize its future success.

Organization’s Overall Readiness

Vanguard, Inc. is adequately prepared to meet the health care needs of its target population in the next decade. The readiness is demonstrated by its hospitals’ operations, management team, health plan operations, information systems, and compliance program. Vanguard provides a full range of acute care services as well as outpatient and ancillary healthcare services, which are vital to meet the needs of its target clients while increasing clientele and increasing care management efficiencies (Vanguard Health Systems, 2017). Vanguard has a senior management team with extensive experience in managing multi-facility hospital networks and plays a major role in the strategic planning for the facilities. It has supported the local management teams in aspects of business office, revenue cycle,  legal, clinical efficiency, managed care, physician services, and other administrative functions. Furthermore, Vanguard has established three health plans that help generate a greater volume of patients and help attract quality physicians to the communities the organization serves.

The organization has invested extensively in clinical information technology in cost-effective information systems that meet the needs

NRS-451V Health Organization Evaluation
NRS-451V Health Organization Evaluation

of the hospital management, medical staff, and nurses.  Lastly, Vanguard Inc. has established a company-wide compliance program developed to ensure that the staff maintain high standards of ethics and conduct in the operation of the organization’s business (Vanguard Health Systems, 2017). The program is also designed to implement policies and procedures for all the staff to comply with all laws, regulations, and company policies.

Strategic Plan

A strategic plan communicates an organization’s goals, vision, and strategies to achieve the goals and vision. This section will describe a strategic plan for Vanguard Inc. to address network growth, nurse staffing, resource management, and patient satisfaction.

Network Growth

Vanguard needs to increase its network growth by increasing the volume of patients seeking health services in its hospitals. The strategic plan to promote network growth will include implementing an outpatient growth strategy to improve cost efficiencies across its hospitals (Egener et al., 2017). In addition to the outpatient strategy, the strategic plan will increase the organization’s commitment to improving shareholder value by repositioning the organization to generate higher margins and better cash flow.

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Nurse Staffing

Vanguard’s strategic plan on nurse staffing will include offshore outsourcing of nurses as the organization’s turnaround plan. The nursing workforce accounts for 70% of the organization’s costs and is the most significant driver of hospitals’ operating expenses.  The offshore plan will increase staffing levels and ensure the delivery of quality nursing care.

Resource Management

Vanguard Inc. is at risk of losing revenue because of a lack of operational structures to direct resource management. The strategic plan for resource management will include developing a framework that will direct financial management and auditing. The framework will guide Vanguard in managing its financial resources and improve service delivery since resources will be readily available.

Patient Satisfaction

Vanguard Inc. has implemented a comprehensive patient satisfaction monitoring program to evaluate its success in providing an ultimate patient-centered experience. The strategic plan to improve patient satisfaction will include a hospitalist model, which entails having hospitalists coordinate patient care between specialist physicians and the nursing staff (Berchuck, 2018).  The presence of a strong, reputable group of hospitalists will increase confidence in admitting physicians that patients will receive high-quality, coordinated care while in the hospital (Berchuck, 2018). The hospitalist model will increase patient satisfaction owing to increased specialized physician encounters that patients experience.

Current or Potential Issues within the Organizational Culture

Current issues within Vanguard’s organizational culture include communication flowing only downwards rather than both up and down. The issue may affect the strategic plan on network growth since employees’ opinions at the bottom level need to be considered on how to increase the volume of patients. There is a potential issue of a high nursing turnover, which may affect the strategic plan to improve nurse staffing ratios. A high turnover rate may result in a nursing shortage, reducing the quality and safety of nursing care. Compromised safety and quality of care will ultimately affect the plan on improving patient satisfaction.

Theory or Model That Could Support Implementation of the Strategic Plan

The strategic plan for Vanguard Inc. can be implemented using the Cascade Strategic Planning Model. The model is composed of structure and governance (Wood, 2019). The elements of structure include: Identifying the Vision Statement; Defining the organization values; Identifying the focus areas; Creating the organization’s objectives; Defining the organization KPIs; Specifying the organization projects (Wood, 2019). Elements of governance include Monthly Strategic Updates, Project Updates, and KPI Exceptions. The model’s structural elements guide an organization in planning and implementing a strategic plan and thus will best support Vanguard’s strategic plan implementation. By identifying the vision, Vanguard will determine where it wants to get within a defined period. Besides, defining values will guide the organization in implementing the plan according to its set values.


Vanguard Inc. seeks to change how healthcare is delivered in the communities through its corporate and regional business strategies. Its readiness to achieve its objectives is seen in its hospitals’ operations, management team, health plan operations, information systems, and compliance program. The strategic plan for network growth will be to implement an outpatient growth strategy. Nurse staffing will be increased through offshore outsourcing of nurses. Besides, resource management will be improved by developing a framework to direct financial management and auditing. Patient satisfaction will be enhanced by establishing a hospitalist model, which will increase encounters of patients with specialized physicians.


Berchuck, C. A. (2018). New hospitalist model for managing high-cost, high-need patients. Harvard Business Review Digital Article.[cited 2019 May 17]. Available from: hbr. org, published10/9.

Egener, B. E., Mason, D. J., McDonald, W. J., Okun, S., Gaines, M. E., Fleming, D. A., … & Andresen, M. L. (2017). The charter on professionalism for health care organizations. Academic Medicine92(8), 1091.

Vanguard Health Systems. (2015). Vanguard health systems Inc. NASDAQ | Sample Links.

Wood, S. J. (2019). Cascading strategy in a large health system: Bridging gaps in hospital alignment through implementation. Health services management research32(3), 113-123.

Healthcare organizations have the responsibility of providing care to various populations. While some organizations may operate within a given region, others may have the objective of expanding to the national and even the international levels. In the United States of America, there are healthcare organizations that offer their services not only at the state level but also at the federal level. They often attempt to expand their services to numerous states. United Healthcare Organization is one of the healthcare institutions that operate in different states. Other similar institutions may include Banner Health and Vanguard. For private healthcare institutions, the provision of healthcare services to various states often leads to an increase in revenues and protection of many people’s lives. The paper provides an evaluation of the United Healthcare Organization, including overall readiness to operate in various environments as well as its strategic plans.

Description of Healthcare Organization (United Healthcare Organization)

United Healthcare organization is an American for-profit company based in Minnetonka, Minnesota. The institution offers insurance services and health care products to its members. United Healthcare Company is the largest healthcare organization globally by revenues as of 2019. In the same year, the organization recorded total revenues of close to $242.2 billion (Branch et al., 2019). The company’s revenues encompass 80% of the group’s overall revenue. The company is also ranked 6th on the Fortune 500 as of the year 2019 (Branch et al., 2019).

United Healthcare organization serves millions of people across different states of America.  The institution offers services to the people from their earliest years of development, through to their working lives and into retirement. What keeps the organization’s reputation is the mission to enable people to live healthier and better lives amidst the emergence of diseases and complex situations in healthcare delivery services. The organization also works to make the healthcare system work for every individual within their areas of operation (Jacobson et al., 2017). United Healthcare Organization is working to develop an integrated system that is more affordable for all the people. Also, the organization works to establish a system that can deliver high-quality care that is responsive to the needs of every person and the communities.

United Healthcare’s Overall Readiness

United Healthcare Company has an elaborate workforce that is able to transform the institution’s desires. Employees work in line with organizational objectives and mission. Given the wide variety of services offered to different people across different states in America, the company has policymakers who are able to analyze trends in the healthcare industry and offer implicit decisions on the way forward. The company has made this possible due to the committed workforce and careful analysis of the markets and various healthcare industries for the company.

The company also has several healthcare plans that can benefit different persons, depending on their needs and income levels. Some of the plans include UnitedHealthcare select plus, UnitedHealthcare select, UnitedHealthcare Choice, which operate as HMO where there is also an option of choosing preferred specialists. These healthcare plans are available for all individuals who plan to get access to medical services. United Healthcare Company provides commercial group insurance plans in different states within the United States of America over various products name with different offerings (Branch et al., 2019).

United Healthcare organization has perfect transformation strategies to counter continuous changes in the healthcare system. Continuous improvement processes in quality delivery is one of the strategies that is geared towards improving the overall quality of services offered. The company also formulates policies that enhance the operational processes and adhere to the possible transformations in the market. United Health Company works in collaboration with other healthcare organizations to facilitate the delivery of quality care at affordable costs. The partnerships and associations formed to define the overall healthcare readiness to tackle some of the challenges associated with the variations in the market and possible disruptions caused by technology and new operational environments (Salmond & Echevarria, 2017). Through collaboration, the organization can initiate a transformative agenda that may enhance the operational processes.

Strategic Plan

In most cases, preparing for the planning arrangement, clear mission, vision, and agreement priority are some of the strategic planning processes. Many times, preparation for the strategic plans should be a comprehensive process as it needs to cover the required arrangements to ensure the affluence of an organization. Through the following three steps in strategic planning, there is always the need to eliminate weaknesses, including the gaps in the range of the available products. Strategies enable the businesses to achieve the mission and vision as well as the successful outcome.


The mission is to provide better healthcare services, and decision-making supports for better healthcare outcomes.


To be the leading healthcare provider through enhanced medical and insurance services globally.

Financial Planning

United Health Company plans to increase revenues by expanding their services to different states. They also tend to offer more options for healthcare plans to ensure that many people are registered to receive quality healthcare services. Huge financial resources are expected to go to healthcare plans.

Network Growth

The company anticipates expanding its network growth through collaboration with other healthcare organizations such as hospitals and healthcare centers. Also, the management plans to collaborate with other healthcare insurance companies to realize their full potential in the global healthcare industry.

Nurse and Staffing

With the increasing customer base, the organization plans to increase the number of workers to handle various services. At the same time, the human resource department has been tasked with the responsibility of enhancing the skills and technical abilities of the workers to ensure effective service delivery.

Resource Management

As the company is expanding, there is always the need to increase the number of resources and to provide proper management services. United Healthcare is engaged in the development of strategies to enhance resource allocation and effective utilization. With the continuous expansion of services, United Healthcare Company plans to set up more offices and healthcare centers in different states and increase the services offered. Also, the company plans to increase technological services. With the growth in technology, the organization plans to invest more in technology to enhance service delivery and efficiency in care.

Patient Satisfaction

In United Healthcare Company, patient satisfaction is the key. The organization tends to invest more resources in enhancing service delivery to promote patient satisfaction. The increased use of technology is expected to enhance service delivery, a scenario that will, in turn, promote patient satisfaction. One of the organization’s main plans in terms of patient satisfaction is the facilitation of the self-care delivery models that will enable patients to receive satisfactory services.

Current Issues with the Organizational Culture

United Health Organization holds strong cultural values that enable the workforce to stick to effective operational processes. The organization has a strong culture of collaboration, appreciation, support, and community . Also, patient care is at the center of its cultural practices. Effective service delivery and patient satisfaction further contribute to strong cultural values. The above cultural practices may enhance the development and achievement of the strategic plans. A culture of ensuring patient satisfaction, for instance, enhances the achievement of the organizational objective of providing sufficient services to the customers. In general, the organizational culture guides the workforce as well as the management in establishing the goals or objectives within the organization.

Issue-Based Strategic Planning Model

An issue-based strategic planning model can support the implementation of the above strategic plan for the United Healthcare Organization. The issue-based strategic model can be used to provide strategies for present and future plans. The model is critical as it aims at identifying the possible challenges or problems that an organization might face. It starts by ironing out issues before expanding and shifting the strategies that are applied in the implementation of the strategic plans. The issue-based strategic planning is the best given that fact that it considers all the factors or barriers that an organization might face.


United Healthcare Organization is one of the institutions that offer healthcare services, including health insurance plans to millions of people in the United States of America. Because of the strong organizational values and a strong and committed workforce, it ranked as one of the best healthcare companies globally. The organization also partners with different care providers where they collaborate to improve general patient care. The organization is also operating to create a more sustainable healthcare system that can provide quality services to every person involved.















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Jacobson, G., Damico, A., Neuman, T., & Gold, M. (2017). Medicare Advantage 2017 spotlight: enrollment market update. accessed on August20, 2017.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing36(1), 12.