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Developing a Volunteer Structure for Patient Services: A Presentation for Alianza GIST. Daniel Armstrong, Ph.D. University of Miami Miller School of Medicine Florida Division, American Cancer Society March 28, 2012. Strategic Thinking. 2 major principles Form Follows Function
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Developing a Volunteer Structure for Patient Services:A Presentation for Alianza GIST Daniel Armstrong, Ph.D. University of Miami Miller School of Medicine Florida Division, American Cancer Society March 28, 2012
Strategic Thinking • 2 major principles • Form Follows Function • KISS Principle- “Keep It Simple, Stupid” • The more moving parts there are, the more likely things are to go wrong
Mission Statement • What is it that you want to accomplish? • Improve knowledge • Increase access • Support local patient organizations • Encourage collaboration and coordination • Question: How can you operationalize each of these component parts?
Mission Statement • New organizations usually want to do everything. • New organizations usually can’t do everything. • Make strategic decisions • What is the reasonable timeline for us to accomplish each of the mission components? • If the timeline is too long, should we wait to add the component to the mission statement? • In 2 years, what would our accomplishments look like for each of the components of our mission statement?
Mission Statement • Will others (volunteers, donors, community partners) agree with and embrace our mission and its components? • Need to get input from others about these questions…if the mission is too narrow, or too poorly defined, the organization will flounder.
Implementation of Mission • What specific activities do we envision as the face of each component of our mission statement? • Improve knowledge: will this include a website, fliers, television and radio PSAs and interviews? • Remember, knowledge is different from awareness • Increase access: will this involve registration for health insurance, advocacy with physician and hospital groups, transportation assistance, advocacy with pharmaceutical groups for low-cost medications, activities to increase availability and participation in clinical trials?
Implementation of Mission • Support local organizations • Do these local organizations want support? If so, what kind? • How much involvement do these organizations want your group to have with their internal workings? • Will your program be a funder, facilitator, or service deliverer?
Implementation of Mission • Encourage collaboration and coordination with the physician community • Do you have physician champions for GIST? • Is there government support for your efforts (e.g., does government health insurance cover the kind of care needed?) • Are there any “downsides” to physician involvement with GIST (e.g., poor payment for lots of work)?
Implementation of Mission • What barriers to your mission can you envision? • Different healthcare systems in different countries? • Competing diseases/organizations for your base? • Sufficient funding to allow a foundation for sustainability to be established
Structure • The governance structure follows all of the earlier consideration about mission, activities, and barriers • The structure should be created to allow the mission and its components to be carried out • Efficiently • Effectively • With high impact
Structure • From the beginning, structure should be focused on delivery of mission, not preservation of the organization or internal roles within the organization • This is the most difficult challenge of any organization…easier at the beginning, but with time there is a risk of internal focus and organizational implosion
Structure • Issues to be decided • Leadership structure • Leadership responsibilities • Mission outcomes • Financial outcomes • Committees • Meetings- how often, how long?
Structure: Critical Elements • Structure works and does not frustrate • Structure is inclusive…different constituent groups feel ownership and high level of participation • Structure has built-in flexibility • Structures need to be able to change with • Changes in factors external to the organization • Changes in mission priorities, accomplishments • Structure has core principles that can be sustained for continuity
Challenges • This is a human endeavor, and involves people • People change • Emotions often overrule rationality • Change is resisted • Others are competing with you for funding, attention, recognition
Concluding Thoughts • Orphan diseases need champions • There are partners in unexpected places…look for them • Focus on Mission • Focus on Mission and Implementation • FOCUS ON MISSION!