Checklist of Potential Invitees for Strategic Planning Session

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Checklist of Potential Invitees for Strategic Planning Session

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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