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Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans, June, 2011

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Page 1: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking and Strategic Planning Implications for Public Health Nursing

RADM Newton E. Kendig

USPHS Scientific and Training Symposium

New Orleans, June, 2011

Page 2: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Objectives

Define Forward Thinking

Articulate pitfalls in strategic planning that a Forward Thinking construct can address

Conceive potential ways that Forward Thinking concept could help advance public health nursing

Page 3: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking

Vision

Creativity

Innovation

Flexibility

• Forward thinking embraces the mindset that the future is not clearly predictable but a roadmap of possible futures can be constructed based on confirmed trends

Page 4: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking

Vision

Creativity

Innovation

Flexibility

• Forward Thinking recognizes that we live in unprecedented times of technological advancements and globalization.

Page 5: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

1983!

Page 6: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,
Page 7: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Moore’s Law

• “Every two years computers are doubling their intelligence!”

Page 8: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking

Vision

Creativity

Innovation

Flexibility

• Effectively addressing the challenges of the possible futures will require vision, flexibility, creativity, and innovation

Page 9: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking

• Can you imagine a world 20 to 25 years from today?

Page 10: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

FT Uses Three-phase Implementation

Issue Identification

Trends Analysis

Scenario Development

Page 11: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Phase I – Issue Identification

• Brainstorm globally on broad categories with a 25 year time horizon

• Social• Technology• Environment• Economics• Politics

Page 12: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Phase I – Issue Identification

Cluster similar ideas

Group trends by theme

Group sufficiently

similar trends

Combine into trend

groups

Page 13: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Phase I – Issue Identification

Issue impact analysis

Assess probability and

degree

Trend scales

Highly likely to unlikely

Low impact to high impact

Backbone of future research

Highly likely and high impact

Page 14: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Phase II – Trends Analysis

• Research– Commonalities– Validation– Elimination

• Trends narrowed• Formulate scenarios

– Best case– Worst case– Expected future– Wild card

Page 15: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Phase III – Scenario Development

The overall purpose of scenarios is to help the reader envision and intellectually experience these potential futures—best, worst, and expected

Page 16: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Phase III – Scenario Development

Expected Future Scenario 2025

Best Case Scenario 2025

Worst Case Scenario 2025

Wild Card Event

Page 17: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Strategic Planning Pitfalls

• Not thinking globally • Not thinking beyond 5 years• Not thinking beyond a single discipline –

monocular vision• Not considering an array of future scenarios • Not making the process continuous and

evolutionary

Page 18: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

BOP FT Initiatives

• All BOP Executive Staff decision papers require FT review

• Director establishes workgroups to advise him and the Executive Staff on key issues/concerns– Re-engineering the inmate reentry process– Achieving zero inmate population growth– Management of sex offenders– Self-sustaining prisons

Page 19: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

FT and BOP Health Services

• Medical Director has trained health services scanners assigned to National Governing Body subcommittees to advise on health care staffing, biotechnology, informatics, and clinical care

• Workgroups established to use FT process to advise on key issues/concerns of the future:– Dialysis needs/tissue transplantation– Nursing home bed space/geriatrics

Page 20: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking and PHS

• What will be the public health needs of the future?

• What workforce will be required to meet those needs?

• How will evolving technologies affect the delivery of public health services?

Page 21: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking and PHS Nursing

• What will be the public health issues of the future that PHS nurses can address?

• What type of training will be required for nurses to meet those needs?

• How will technology affect nursing practice in the future?

Page 22: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking and PHS Nursing

• Nurse scanners could advise the NPAC on global trends that affect the nursing profession

• A FT nursing group could develop future scenarios for public health nursing in 2036

• PHS nurses could adopt the FT process to assess key nursing concerns of the future– Recruitment and retention– Evolving scope of practice– Leadership development

Page 23: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

Forward Thinking

Vision

Creativity

Innovation

Flexibility

• Forward thinking embraces the mindset that the future is not clearly predictable but a roadmap of possible futures can be constructed based on confirmed trends

Page 24: Forward Thinking and Strategic Planning Implications for Public Health Nursing RADM Newton E. Kendig USPHS Scientific and Training Symposium New Orleans,

You are our Future!Create New Possibilities!!!!!!!!!!!

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