Five Forces Framework

The five forces framework was developed by Michael Porter to allow organizations to analyze the competing external surroundings that may impact the attractiveness of the organization or a service component. The five forces framework can be applied to an institution, as a whole, or a specific service category or area within the institution to assess the viability of the institution or category in the present state and future. The five forces within the framework, include “intensity of rivalry, threat of new entrants, threat of substitutes, bargaining power of customers and suppliers” (Ginter, Duncan, & Swayne, 2013, p. 97). Porter’s five forces can be applied to any service area or component in the healthcare environment. Pediatric Home Vent Program (PHVP) is influenced by each of the five categories as defined by Michael Porter’s system. Children who go through the procedure of tracheostomy and are depended on ventilator for long term are enrolled in PHVP. A tracheostomy is a surgical procedure to create an opening through the neck into the trachea (windpipe). A tube is most often placed through this opening to provide an airway and to remove secretions from the

The surgeon makes an incision low in the neck. The trachea is identified in the middle and an opening is created to allow for the tracheostomy tube to be inserted below the voice box. Newer techniques utilizing special instruments have made it possible to perform this procedure via a percutaneous approach, a less invasive approach using a piercing method rather than an open surgical incision. After the surgery, patient is placed on the ventilator. On average, a child needs about two years to grow and develop trachea, and have the ability to breath without the ventilator. In some cases, tracheostomy tube is removed once ventilator is not needed, while some continue to need tracheostomy tube even if they do not need a