One of the most common sayings in healthcare is "No margin, no mission." Although that is true, having a healthy margin is no guarantee that the organization is meeting its mission.
Sometimes it is good to stand back and ask what your "real" mission appears to be. In many cases you will find that the unstated mission is economic survival or beat the other guys or something else equally vague.
Most organizations review and perhaps update their mission from time to time. Very few even attempt to measure mission success or effectiveness. Before you attempt to measure mission, you may want to take some time and ask the people who are important to you what they think the mission is. For example, ask:
- Patients, residents, families and customers
- Employees
- Physicians
- Community leaders
- Board members
You might be surprised at their observations. Have you ever asked, not told, them about your mission? Do they know the goals of this planning period relative to mission? Is there a disconnect between what is stated and what is actually done day to day?
Say you are recruiting a new board member. You show them the audited financials; you discuss the strategic plan and the mission. Do you have a way to demonstrate how successful the organization has been in carrying out the mission? Do you have current goals measures?
Can you show new physicians, new board members, new employees the following?
- How you want patients, residents, customers to see the organization?
- Which specific internal processes are critical to success?
- What critical values, skills and technologies employees and the organization must possess?
- How progress toward mission is tracked and measured?
Here are some first steps to take toward measuring mission effectiveness:
- Translate the mission and strategy into operational terms.
- Align the entire organization (top to bottom) to the mission and strategy. Every department, every employee, every day.
- Make this a continual process by linking it to information systems and budgets.
How is your organization measuring mission effectiveness? Email me with your thoughts and comments.