Checklist of Potential Invitees for Strategic Planning Session
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THI Stakeholder Analysis Tool
ORGANIZATION: ______
CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT Please add name, title, organization, address, phone and email for each invitee. Thank you!
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
STAKEHOLDER GROUP 1: Business
Chambers of Commerce
Local Major Employers
Retired Business Leaders
Minority Chambers of Commerce
8501 N. MoPac Expressway, Austin, Texas 78759 512.279.3910 Fax: 512) 279-3911
CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
Media
Bankers
STAKEHOLDER GROUP 2: Insurance
Health Insurance Companies
Insurance Brokers
STAKEHOLDER GROUP 3: Consumers
Consumers
2 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
STAKEHOLDER GROUP 4: Community Leaders
United Way
PTA
Rotary/Lions/Kiwanis
Junior League
Faith Community
Community or Neighborhood Organization
3 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
STAKEHOLDER GROUP 5: Government
Elected Officials (state and national)
Mayor and Council
County Judge and Commissioners
Hospital District Board
Department of Public Health
Sheriff/ Police
4 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
Judges (juvenile and family)
Superintendent(s)/Principals(s)/Boar d Member(s)
School Counselors
University/College/Junior College Faculty
Area Health Education Center (AHEC)
STAKEHOLDER GROUP 6: Providers and Suppliers of Health Care Services
Physicians
5 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
Hospitals
Medical Society and Auxiliaries
Nurses
ER Physicians/Nurses
EMT/ Paramedics
Allied Health Providers (Dietitian, Occupational Therapist, Physical Therapist etc.)
Providers of Complementary and Alternative Medicine
6 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
ORGANIZATION ATTENDEE #1 ATTENDEE #2 ATTENDEE #3 ATTENDEE #4 ATTENDEE #5
Community Health Clinics
Pharmacists
Pharmaceutical Company Distributor
Other Clinics
Dentists
7 CHECKLIST FOR COMMUNITY STAKEHOLDER INVOLVEMENT
STAKEHOLDER GROUP 7: Philanthropy
National
State
Local
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