New growth platform framework for Swiss acute hospitals; an empirical study for the development of dynamic capabilities

  • Zoran Alimpic University of applied sciences Technikumstrasse 21, CH-6048 Horw Alpiq EcoServices Hohlstrasse 188, CH-8026 Zuerich

Abstract


Swiss health care is confronted with fundamental changes. On the one hand, there are increasing costs in patient treatments, caused by innovative technology with new high-capacity medical devices, and a lack of effectiveness and efficiency in the organisation of a hospital. On the other hand, hospitals do have decreasing revenues with the introduction of the new patient classification and tariff system DRG (Diagnosis Related Groups) by 2012. For every DRG, hospitals will receive a fixed price, separate from the actual costs of the patient treatment. In this paper it was explored the case of 13 successful Swiss private acute hospitals which are also confronted with these pressures to reduce their costs of patient treatment and therefore to optimise their processes of care. This research focuses on dynamic capabilitie of the hospitals. The research is started with the evaluation of new trends, key customers’ needs, and capabilities, with questionnaires for attending physicians and hospital managers. The NGP approach gives hospital managers the enough crucial information for a strategy formulation in fundamental changing environments, which is the key contribution of this manuscript.

References

Barney, J.B. (1986). Organizational culture: can it be a source of sustained competitive advantage? Academy of Management Review, 11(3):656–665.

Collis, D.J., & Rukstad, M.G. (2008). Can you say what your Strategy is? Harvard Business Review: 1-9.

Conant, J.S., Mokwa, M.P., & Varadarajan, P.R. (1990). Strategic types, distinctive marketing competencies and organisational performance: A multiple measures-based study. Strategic Management Journal, 11 (5): 365-383.

Eisenhardt, K.M., & Martin, J.A. (2000). Dynamic Capabilities: What are they? Strategic Management Journal, 21: 1105-1121.

Hair, J.F., Black, W.C., Babin, B.J., Anderson, R.E., & Tatham, R.L. (2006). Multivariate Data Analysis. 6th Edition. Upper Saddle River, NJ: Pearson/Prentice Hall.

Helfat, C.E., Finkelstein, S., Mitchell, W., Peteraf, M.A., Singh, H., Teece, D.J., & Winter, S.G. (2007). Dynamic Capabilities: Understanding Strategic Change in Organizations. Oxford: Blackwell Publishing.

Huber, G. & Power, D. (1985). Retrospective Reports of Strategic-level Managers: Guidelines for Increasing Their Accuracy. Research Notes, 6: 171-180.

Jager, C.J., Vos, S., Borgers, M., Harmsen, F., Brinkkemper, S., & Wijngaert, L., (2008). Controlling risk prior to offshore application development. Department of Information and Computing Sciences, Utrecht University, Technical Report UU-CS-2008-009, ISSN: 0924-3275.

Laurie, D.L., Doz, Y.L., & Sheer, C.P. (2006). Creating New Growth Platforms. Harvard Business Review, 84(5): 80-90.

Miles, R.E, & Snow, C.C. (2003). Organisational Strategy, Structure, and Process. 2nd edition. California: Stanford Business Books, University Press, Stanford.

Parks, D.M. (1988). Business Level Strategy, Competitive Forces, and Performance; an empirical study of mid-size manufacturing firms. Docoral dissertation, Texas A&M University.

Porter, M.E., & Teisberg, E.O. (2006). Redefining Health Care: Creating Value-Based Competition on Results. Boston: Harvard Business School Press.

Sirmon, D.G., Hitt, M.A., & Ireland, R.D. (2007). Managing firm resources in dynamic environments to create value: looking inside the black box. Academy of Management Review, 32(1): 273-292.

Teece, D.J., Pisano, G., & Shuen, A. (1997). Dynamic Capabilities and Strategic Management. Strategic Management Journal, 18(7): 509-533.

Tin, T.J. (2003). An empirical study of medium to large-sized companies in Singapore – Environment, Competency, Strategy types and Performance. Docoral dissertation, The Henley Management College, Brunel – The University of West London.

Winter, S.G. (2003). Understanding dynamic capabilities. Strategic Management Journal, 24(10): 991-995.

Published
2013/10/08
Section
Original Scientific Paper