The rapidly changing health care delivery environment requires continued adaptation and change if an organization is to survive and fulfill its mission. Strategic planning is concerned with the decisions that must be made for the entire organization for the long-term. The Indian Health Service Urban Health Program, and the individual urban Indian health programs, are at a critical juncture as health care reform is developing for the future. In August 1991, the Indian Health Service published the ""Indian Health Service Executive Reference Guide on Strategic Planning."" This report applied the Strategic Planning and Management Model to the Urban Indian Health Program. Although it sets forth the entire steps of the strategic planning model, it is more accurately a progress report through the first eight steps of the strategic planning model. Subsequent analysis should then continue the process for steps 9 through 11.
Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857.
American Indian Health Care Association. Urban health program strategic planning report. Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857. 1993