You are a subject matter consultant brought on by an operationally struggling medium sized community hospital in

rural Nebraska. The hospital wants a comprehensive strategic plan to help it better engage and satisfy the needs and wants of its patients and other stakeholders, attract accomplished practitioners, and be more competitive with nearby other hospitals. Before you can make recommendations, you need to understand where the hospital stands and where it wants to go.

Within 10 years, the hospital wants to be a fully integrated healthcare delivery system for the community and to provide cancer care that ensures the highest quality services and ease of access. Which of the following is not an indicator for measuring the success in this scenario?