Affiliation Comparison and Miller’s IAF Worksheet
Instructions:
Use this worksheet to help you evaluate affiliation considerations for three affiliation candidates: Mayo Clinic, Intermountain Healthcare, and an organization of your choice. Based on the results of the affiliation comparison, you will select the best organization for affiliation. Once the affiliation candidate has been selected, assess the potential impact the selected organization will have on TPMC using Miller’s Impact Assessment Framework: Affiliation Comparison and Miller’s IAF Worksheet.
Affiliation Comparison
For this section of the assignment, research the organizations listed and answer the questions in the given table. See the “Engage” portion of assignment 3 in the course for guidance on how to research each organization.
| Strategic Topics | Mayo Clinic | Intermountain Healthcare | Institution of Your Choice |
| 1. Community goals
How will an affiliation with each organization ensure service access and patient satisfaction, as well as promote and deliver health services to meet emerging demographic and market needs? |
Mayo Clinic organizes its patient care services to deliver high-quality treatment services that serve individual patients (Mayo Clinic, 2020). Directly aligning services will expand TPMC’s care delivery range because it will access Mayo’s specialized medical and research experience for underserved populations. | Prevention services and community health initiatives constitute the core focus at IHC (Intermountain Healthcare, 2020). Through affiliation, TPMC would pursue its mission to enhance healthcare accessibility for rural communities that need improved medical services. | By using an integrated care model, Kaiser Permanente concentrates on delivering both preventive care and population health management services (Kaiser Permanente, n.d.). The affiliation with TPMC and Kaiser Permanente would enable expansion while helping to produce better care results for patients thanks to Kaiser’s managed care skills. |
| 2. Strategic plans
What are the critical elements for each affiliation? Do the initiatives mesh well together? |
The strategic plans of the Mayo Clinic center on innovative measures while promoting research activities and specialized care access expansion (Mayo Clinic, 2020). TPMC’s service improvement targets converge with its mission to create better clinical results. | Value-based care, together with cost reduction measures and population health improvements, represent the core elements of IHC’s strategic objectives. The strategy matches TPMC’s financial responsibility goals which promote equal care delivery for patients. | Kaiser Permanente’s strategic directives concentrate on producing integrated medical treatment alongside preventive health initiatives with streamlined operational costs. TPMC supports its mission of cost reduction alongside quality care delivery standards. |
| 3. Clinical services, quality, and outcomes
How will affiliates collaborate to achieve the goals for improving clinical services and quality? How will an affiliation with each organization govern the delivery of existing programs and services, develop new services, enhance major service lines, expand geographic reach, and increase the quality of care while reducing costs? |
TPMC can extend its hospital-based programs by joining with Mayo Clinic, which gives access to state-of-the-art research and specialized care practitioner expertise alongside medical best practices guidance. A governance structure would unite joint quality improvement efforts and implement shared service standards across two organizations. Mayo’s telehealth services, together with specialized centers, would stretch TPMC’s service locations beyond current boundaries while its data platform approach would improve medical care and cut expenses. | Through a partnership, IHC could introduce value-based care models that focus on preventive health patient safety along with population management. Through collaboration, both entities would implement evidence-based practices and enhance their telehealth capabilities and chronic disease management programs. Operational efficiency with governance would enable broader telemedicine coverage and rural health outreach service development to improve access for patients while enhancing both quality and cost-effectiveness. | TPMC would integrate preventive care with population health programs under an affiliation agreement with Kaiser Permanente. Through collaboration, Kaiser’s team approach and data-based decision systems would help enhance clinical success rates. Governance at TPMC would direct efforts toward enhancing current programs alongside the preparation of wellness and population health expansion and achievement of efficient managed care framework operations. |
| 4. Clinical and staff commitments and support
What kind of clinical expertise (e.g., medical specialties) does each organization offer? How will clinical expertise be utilized across the affiliation to achieve the goals? |
At Mayo Clinic, medical experts specialize in treating both unusual and complicated health conditions (Mayo Clinic, 2020). Through an affiliation TPMC staff members could obtain Mayo’s clinical knowledge and benefit from their training programs. | At IHC, staff development programs combine with clinical excellence to serve as their core commitments. Through an affiliation, TPMC staff members can enhance their professional development while gaining access to IHC clinical resources. | As part of its integrated model, Kaiser Permanente focuses on delivering healthcare through multidisciplinary teams. Through an affiliation TPMC staff would receive training on population health management and preventive care programs. |
| 5. Facilities, IT, and other capital commitments
How will facilities and technical support be utilized across the affiliation to achieve the goals? |
Mayo Clinic operates with state-of-the-art facilities accompanied by its advanced IT infrastructure. TPMC would gain access to both Mayo Clinic technology and infrastructure under affiliation status, which would increase operational efficiency. | The healthcare information system of IHC is developed properly while they embrace telehealth programs. Defining an alliance will improve IT capabilities throughout TPMC and increase telehealth service capabilities across rural areas. | Kaiser Permanente demonstrates robust IT systems alongside its commitment to care decisions based on data. Through affiliation, TPMC can improve its information technology base to support data-driven operational decisions. |
| 6. Mission, vision, and values
What are the critical elements of the mission, vision, and values for each organization? Where is there alignment? Where is there misalignment? |
Mayo Clinic exists to inspire hope while making contributions to the health and well-being of patients. Although capturing TPMS’s patient-centered approach, the organization differs from TPMC regarding research interest. | Through its mission IHC aims to assist people in achieving their best possible health outcomes (Intermountain Healthcare, n.d.). IHC’s values reflect the community health and equitable care activities TPMC prioritizes. | As part of its mission, Kaiser Permanente desires to deliver high-quality healthcare that remains affordable for patients (Kaiser Permanente, n.d.). The organization’s values match TPMC’s commitment to fair care; however, its care management system operates divergently from TPMC’s community-based model. |
| 7. Culture
What are the cultural implications of each organization’s mission, vision, and value statements? What are the defining cultural aspects of each? What challenges or advantages do these cultures present? |
At Mayo Clinic, collaborative work practices and patient-orientated care function alongside intensive research approaches and innovative activities (Mayo Clinic, 2020). Together, TPMC and Mayo Clinic share a patient-first culture, yet their research priorities maintain distinct approaches. | Teamwork alongside fiscal responsibility combined with community health serve as core principles that guide IHC’s workplace culture (Intermountain Healthcare, 2020). With these values, TPMC maintains a culture that prioritizes local healthcare delivery along with financial discipline. | Integrated care, along with preventive services, forms the cultural foundation at Kaiser Permanente (Kaiser Permanente, n.d.). The managed care model represents a difference between TPMC and Kaiser Permanente, although both organizations share a patient-first organization philosophy. |
| 8. Employees
What strengths or limitations does each organization bring that will affect your plan for retaining executives, managers, and employees? |
The workforce at the Mayo Clinic consists mainly of experts who focus on research activities (Mayo Clinic, 2020). An affiliation will give TPMC staff opportunities for professional growth; however, they may need cultural adjustments to match up with Mayo’s standards. | All employees at IHC demonstrate both staunch dedication to neighborhood wellness and support for value-based medical methods. The workforce would match TPMC’s structure while possibly necessitating modifications to include IHC’s team-organizational model. | Kaiser Permanente trains all its employees to deliver preventive care and population health services (Kaiser Permanente, n.d.). Through an affiliation the staff of TPMC would obtain new skills but would need to update current practices to match the managed care approach of Kaiser. |
| Organization selected for affiliation: | Intermountain Healthcare (IHC) |
Miller’s Impact Assessment
For this section of the assignment, assess the potential impact your selected organization will have on Twin Pines Medical Center (TPMC). The following table is based on Figure 2 in the “Miller’s Impact Assessment Framework” resource located in the course. For each dimension (A–H), determine which outcomes (A1–H2) will have an impact on TPMC and what that impact will be.
Refer to this table to review each dimension and its outcomes:
| Individual
A1: Experience of health A2: Health across settings A3: Privacy A4: Empowerment A5: Behavior Health Services B1: Patient safety and quality of care B2: Advancing the standard of care B3: Care efficiency B4: Provider experience of care B5: Health services model
Community C1: Access to health services C2: Public health C3: Population health management C4: Community engagement
Operations D1: Capacity and utilization D2: Facilities and fixed assets D3: Logistics and supply chain D4: Productivity and optimization
|
Organization and Workforce
E1: Leadership and culture E2: Organizational structure E3: Personnel E4: Human resources E5: Performance
Strategy and Finance F1: Revenue F2: Operating costs F3: Investment and debt F4: Financial performance F5: Business strategy F6: Innovation strategy
Risk Management G1: Clinical G2: Regulatory G3: Financial G4: Operational G5: Ethical
Information Management H1: Information H2: Systems
|
| Dimension | Outcome | Potential Impact |
| A. Individual | A1: Experience of health
A4: Empowerment |
Patients will achieve better outcomes from healthcare because effective coordination improves preventive care availability, which raises both their health success rates along with treatment satisfaction (Youn et al., 2022).
Through IHC’s commitment to preventive care education and self-management programs, patients will gain a stronger ability to manage their health. |
| B. Health Services | B1: Patient safety and quality of care
B2: Advancing the standard of care |
Through its value-based care model, IHC achieves enhanced safety outcomes and better care quality by reducing medical errors while enhancing clinical results.
Through practice implementation from IHC, TPMC will adopt evidence-based methods together with advanced clinical procedures to deliver enhanced patient results with superior care quality. |
| C. Community | C1: Access to health services
C3: Population health management |
Through its telehealth initiatives and community health programs, IHC offers expanded healthcare service access, which specifically benefits underserved population locations and remote rural areas.
IHC health services strengthen population health through their chronic disease management and social factors interventions which produce healthy urban communities. |
| D. Operations | D1: Capacity and utilization
D4: Productivity and optimization |
IHC optimizes the system capacity while maximizing utility through disciplined resource management so TPMC can assist patient needs efficiently.
Operations at IHC achieve higher efficiency through the implementation of their best practices that include lean management along with process improvement programs. |
| E. Organization and Workforce | E1: Leadership and culture
E3: Personnel |
IHC established multi-partner collaboration while emphasizing teamwork which led to a reinforced patient-focused organizational culture.
Improvements to personnel development happen because of IHC’s training and professional growth programs which results in a skilled and engaged workforce. |
| F. Strategy and Finance | F1: Revenue
F4: Financial performance |
The value-based care strategy of IHC along with its expanding patient demographic generates enhanced revenue for the organization that results from TPMC’s enhanced services attracting more patients.
Value-based care together with cost efficiency approaches from IHC optimize financial performance thus supporting TPMC’s long-term operational sustainability. |
| G. Risk Management | G1: Clinical
G4: Operational |
IHC works to decrease clinical dangers by prioritizing patient safety together with quality care to minimize errors which causes adverse events.
System efficiency together with standardized processes operated by IHC assists in risk reduction which preserves operational continuity. |
| H. Information Management | H1: Information
H2: Systems |
The advanced IT systems at IHC improve information management by providing access to secure accurate patient data for providers.
Improved systems integration through IHC’s focus on data-driven care will better enable communication and coordination both within TPMC’s departments and with outside partners.
|
References
Intermountain Healthcare. (2020). About Intermountain. https://intermountainhealthcare.org/about/
Intermountain Healthcare. (n.d.). Our mission, our vision, our fundamentals of extraordinary care, and our values. https://intermountainhealthcare.org/about/who-we-are/mission-vision-values/
Kaiser Permanente. (n.d.). Integrated care stories: Overview. Kaiser Permanente Institute for Health Policy. https://www.kpihp.org/integrated-care-stories/overview/
Kaiser Permanente. (n.d.). Our mission. Kaiser Permanente. https://about.kaiserpermanente.org/who-we-are/our-mission
Mayo Clinic. (2020, August 28). About Mayo Clinic. https://www.mayoclinic.org/about-mayo-clinic
Miller, C. (n.d.). Impact assessment framework. Master of Health Leadership Program. Western Governors University. https://wgu.yourlearningportal.com/wgu/resources/courses/wgu_courses/hcm/mhl/C980_MHL5110_innovation_solutions/resources/impact_assessment_framework.pdf
Youn, S., Geismar, H. N., & Pinedo, M. (2022). Planning and scheduling in healthcare for better care coordination: Current understanding, trending topics, and future opportunities. Production and Operations Management, 31(12), 4407–4423. https://doi.org/10.1111/poms.13867
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Question 
Evaluate potential organizations and choose the best fit for affiliation with TPMC.
For this assignment, you will complete the Affiliation Comparison and Miller’s IAF worksheet and decide which organization to affiliate with. This worksheet will be submitted with the assessment.
Affiliation Comparison and Miller’s IAF Worksheet
For Assignment 3, do the following:
- Research and evaluate the relative merits of three candidates for affiliation by closely examining the resources within this assignment page and any outside resources you see fit.
- Complete Table 2 of the Affiliation Comparison and Miller’s IAF worksheet for Mayo Clinic, IHC, and an organization of your choice.
- Using Strategic Partnering and Affiliation Guide as a framework, select the best candidate for affiliation.
- The affiliation comparison for Mayo Clinic, IHC, and an organization of your choice
- The candidate you selected for affiliation, using Strategic Partnering and Affiliation Guide as a framework
- The Miller’s Impact Assessment for your selected organization
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