This document discusses strategic management and business-IT alignment. It explores key concepts like vision, mission, strategies, and operations from a business and IT perspective. It examines how IT relates to and supports all of these areas. The document uses metaphors like a sailboat, destination, and sea conditions to illustrate how context is important to consider when aligning IT strategies. It emphasizes understanding an organization's strengths, weaknesses, opportunities, and threats to effectively align IT with business strategies and goals.

1. Strategic Management &
Business-IT Alignment
Nawanan Theera-Ampornpunt
January 25, 2021

2. 2
Organization
The sailboat image source: Uwe Kils via http://en.wikipedia.org/wiki/Sailing

3. 3
Discussion Points
• What is a Vision, a Mission, a (Business) Strategy,
an Action Plan, and a Business Operation?
• What are their relationships?
• How are they developed?
• How does IT relate to all these?
• What are differences between IT Strategy,
IT Projects & IT Operations?
• Are they different across industries?
• What are implications for healthcare?

4. 4
Context
The sailboat image source: Uwe Kils via http://en.wikipedia.org/wiki/Sailing
The destination
The boat
The sailor(s) &
people on board
The tailwind The headwind
The direction
The speed
The past journey
The sea
The sail
The current location

5. Management Point:
Know Your Context &
Align IT with Context

6. 6
Destination & Direction
• Vision
• Mission
• Strategic goals & business strategies
SMART Criteria
• Specific?
• Measurable?
• Achievable/Attainable?
• Relevant/Realistic/Resourced?
• Time-bound?

7. 7
A Good “Vision”
Marchewka (2006)
“Our goal is to land a man on the
moon and return him safely
to the earth by the end of the decade.”
John F. Kennedy (1961)

8. 8
Technology
Process
People

9. 9
“The Boat”
• Size
• Resources
• Structures
• Work Processes
• Facilities/Geography
• Etc.

10. 10
“The Sea”
• Target customers
• Local competitiveness
• Relationship of hospital to local players
• Inter-organizational collaboration
• IT market environment
• National/international trend
• Regulations
• Standard of care
• Etc.

11. 11
SWOT Analysis
Strengths Opportunities
Weaknesses Threats
“The Boat” “The Sea”
“The Tailwind” “The Tailwind”
“The Headwind” “The Headwind”

12. 12
Carr (2004) Carr (2003)
IT as “The Sail”

13. 13
4 Quadrants of Hospital IT
Strategic
Operational
Clinical
Administrative

14. 14
Strategic
Operational
Clinical
Administrative
CPOE
ADT
LIS
EHRs
CDSS
HIE
ERP
Business
Intelligence
VMI
PHRs
MPI
Word
Processor
Social
Media
PACS
CRM
4 Quadrants of Hospital IT

15. 15
IT As A Strategic Advantage
Resources/
capabilities
Valuable ?
Non-Substitutable?
Rare ?
Inimitable ?
No
Competitive
Disadvantage
Yes
No
Competitive
necessity
No
Competitive
parity
Yes
Yes
No
Preemptive
advantage
Yes
Sustainable
competitive
advantage
From a teaching slide by Nelson F. Granados, 2006 at University of Minnesota Carlson School of Management

16. Management Point:
Identify Your
Strategic IT Assets

17. 17
IT-Business Alignment
Vision
Mission
Business Strategies
IT Strategies

18. 18
IT & Business
Vision
Business Strategies
IT Strategies
IT Projects
IT
Operations
Business Operations
IT
Operations
Other
Operations