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Higher Purpose. Greater Good. ™ TEAM Town Hall November 15 th , 2017
Higher Purpose. Greater Good.™
TEAMTownHallNovember15th,2017
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Ourvision
Growtoachieveleadingfinancialresultsandaleadershippositioninthemarket,benefitingourmission,faculty,andstaff
Becomethedesireddestinationforfaculty,staff,andstudentsbyensuringtheyaredevelopedandempowered
Setthestandardforqualitypatient-centriccareandacademicexcellence
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Culture: Driveacultureofexcellenceandaccountability
Increaseclinicalvolume Fostergrowthinteachingandresearch
Optimizesupportstaffingforeffectivenessandefficiency
Buildthestrategicplanforthenext5-10years
Integrateacademic,research,andclinicalcomponentsofthe
SchoolofMedicine
Continuouslyimprovehigh-qualitypatientinteractions
TransformativeExcellenceinAcademicMedicine(TEAM)isaboutdeliveringthatvisioninsixkeyareas
PatientAccess ResearchandEducation
SupportingCapabilities StrategicPlan
DELIVERQUALITYANDGROWTHINEVERYTHINGWEDO
IntegratedOrganization
ClinicalQuality
• Optimizeclinicalcapacity- developstandardsonworkinghours,productivity,scheduling,andCARTS
• Reduceandmitigatetheimpactofcancellations,noshows,&bumps
• Sustainablydevelopprogrammaticresearchtogrowexternalfundingresources(NIH,clinicaltrials,andothers)
• ImproveGraduateMedicalandGraduateResearchEducation
• ReinstatefullLCMEaccreditation
• Improveandintegrateinterprofessionalhealthprofessionstraining
• Implementstandardizedprocessestoensurebilling&codingcompliance
• ConsolidateEpicEHR
• TransitiontotheEpicrevenuecyclemanagementsystem
• Developa5-yearroadmaptoachieve‘full-potential’growthandpatientoutcomes
• ImplementtheIntegratedDeliveryNetworkPlanwithSSM
• BuildthenewhospitalandACCandmoveclinicalinfrastructure
• Redesigntheacademiccampus
• Shifttoaninstitutemodeltoenhanceperformancewhilemaintainingidentity
• Clarifydecisionrightsandaccountabilities
• Redesignbudgetandfundsflowprocess
• Improverecruiting,hiring,anddevelopmentprocesses&standardizejobtitles
• Centralize&standardizesupportfunctions
• Rolloutnewfaculty compensationmodel
• Improveclinicalqualityacrossthecontinuumofcare
• Developinfrastructureforhighperformanceinvalue-basedpaymentcontracts
• Developapatientexperienceprogram
PatientAccess ResearchandEducation
SupportingCapabilities StrategicPlanIntegratedOrganization
ClinicalQuality
TEAMhasestablishedinitiativesbehindeachofourpriorities
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Initiativeownershavebeenassignedforeachinitiative
Initiative Co-OwnersImprove clinical quality across the continuum of care Beth Page, Nicole BurkemperDevelop infrastructure for high performance in value-based payment contracts Beth Page, Bill ManardDevelop a patient experience program Beth Page, Mary McLennanOptimize clinical capacity-develop standards on working hours, productivity, scheduling, and CARTS Peggy Fisher, Ali Kosydor, Michael Lim, Jenny SchmidtReduce and mitigate the impact of cancellations, no shows, & bumps Peggy Fisher, Ali Kosydor, Michael Lim, Jenny SchmidtSustainably develop programmatic research to grow external funding resources Enrico Di Cera, Daniel Hoft, Joel Eissenberg, John Edwards, Paul HauptmanImprove Graduate Medical and Graduate Research Education Jane McHowat, Julie GammackReinstate full LCME accreditation Kevin Behrns, Chad MillerImprove and integrate interprofessional health professions training David Pole, Christine JacobsShift to an institute model to enhance performance while maintaining identity Bob Heaney, Kevin Behrns, Tom BurrisClarify decision rights and accountabilities Christina Moore, Bob WilmottRedesign budget and funds flow process Gary Whitworth, Mike Meyer, Sameer SiddiquiImprove recruiting, hiring, and development processes & standardize job titles HR/SLUCare Administration, Charlene Prather, Jane McHowatCentralize & standardize support functions Peggy Fisher, Ali Kosydor, Mike Meyer, David Wathen, Sameer SiddiquiRollout new faculty compensation model Wes Maurer, Carole Vogler, Yadira HurleyImplement standardized processes to ensure billing & coding compliance Elizabeth Cooley, Chetana Reddy, Alyce LanxonConsolidate Epic E HR Nilesh Patil, Bill ManardTransition to the Epic revenue cycle management system Alyce Lanxon, Mike Meyer, Jastin AntisdelDevelop a 5-year roadmap to achieve 'full-potential' growth and patient outcomes Kevin Behrns, Bob Heaney, Jules GrotemeyerImplement the Integrated Delivery Netowrk Plan with SSM Kevin Behrns, Bob Heaney, Jules GrotemeyerBuild the new hospital and ACC and move clinical infrastructure Bob Heaney, Don Jacobs, Jeff BrownRedesign the academic campus Bob Heaney, Kevin Behrns
Clinical Quality
Patient Access
Research and
Education
Integrated Organization
Supporting Capabilities
Strategic Plan
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FacultyadvisorshavebeenselectedbytheFacultyAssembly
• YadiraHurley– Dermatology/Pathology
• JennySchmidt– GeneralInternalMedicine
• LiaLowrie – Pediatrics
• Anjan Bhattacharyya– Psychiatry
• SameerGadani – Radiology
•GinaYosten– Pharmacology&PhysiologicalScience
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Today,wewillfocusontheinstitutemodel,whichiscriticaltoachievingourvision
“Foryou,andforothers,weteachresearch-inspired,high-valuehumanisticcare”
Enhanceclinicalcareandpatientexperience
patient-centricfocus
Attractresearchgrantsandhighvalueclinicalcases
innovativeresearch
Facilitatepracticalinterprofessional teaching
educationexperience
Thesefocusareasallowustocreatepositiveexperiencesforourpatients,faculty,staff,andstudentsandachievefinancialresultsinsupportofourmission
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Ourgoalsdefineacoresetofdesignprinciplesthathaveinformedourinstitutemodeldesign
Des
ign
Prin
cipl
es• Patientscomefirstintheclinic,ourresearch,andoureducation
• Organizeourselvestodeliverinterprofessionalcare
• Integrateourmissionsofclinicalcare,research,andteaching
• Newmodelmustimprovefinancialresults
• Clearerdelineationofroles,responsibilities,andaccountabilitiesforleaders
• FundsflowbecomesmoretransparentandorientedtowardstheobjectivesoftheSchoolasawhole
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Wehavedefined11institutesFORMALINSTITUTENAMESNOTFINALIZED
NeurologicalDiseases
Heart&Vascular
Cancer
Women’s
Children’s
Immunology
PrimaryCare
AcuteCare
GI/Liver/Transplant
SpecializedCare/Surgery
Diagnostics/Services
Basicscientistswillaffiliatewithinstitutesbasedontheirresearchfocus.
Academicdepartmentswillfocusonteachingandprofessionalidentity.
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Basedonworkshops,feedback,andexternalresearch,wehavedefined11institutes
CARDIOLOGY
HEART&VASCULAR
CARDIOTHORACICSURGERY
VASCULARSURGERY
PULMONARY(Non-critical/Non-sleep)
HEMONC(Non-surg./Non-transplants)
CANCER
BONEMARROWTRANSPLANTS
OB/GYNONCOLOGY
SURGICALONCOLOGY
RADIATIONONCOLOGY
HEAD/NECKCANCER
OB/GYN&WOMEN’SHEALTH
WOMEN’S
GYNSURGERY
BREASTSURGERY
OB/GYNUROLOGICALGYNECOLOGY
OB/GYNREPRODUCTIVEENDOCRINOLOGY
PEDIATRICS
CHILDREN’S
PEDIATRICSURGERY
PEDIATRICANESTHESIOLOGY
PEDIATRICORTHOPEDICS
PEDIATRICUROLOGY
PEDIATRICPLASTICS
INFECTIOUSDISEASES
IMMUNOLOGY
ALLERGY
ARTHRITIS/RHEUM
VACCINECENTER
MOLECULARMICROBIOLOGY&IMMUNOLOGY
VIROLOGY
NEUROLOGY
NEUROLOGICALDISEASES
NEUROSURGERY
NEUROSCIENCECENTER
GERIATRICS
PSYCHIATRY
SPINESURGERY
SLEEPMEDICINE
INSTITUTES
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Basedonworkshops,feedback,andexternalresearch,wehavedefined11institutes
HEPATOLOGY/LIVERCENTER
GI/LIVER/TRANSPLANT
LIVER/KIDNEYTRANSPLANTS
NEPHROLOGY
GASTROENTEROLOGY
GENERALSURGERY(incl.colorectalsurgery)
TISSUETYPING
PATHOLOGY
DIAGNOSTICS/SERVICES
NON-INTERVENTIONALRADIOLOGY
OPHTHALMOLOGY
SPECIALIZEDCARE/SURGERY
OTOLARYNGOLOGY(Non-cancer)
DERMATOLOGY(Includingskincancer)
ORTHOPEDICSURGERY(Non-spinal/Non-
trauma/Non-pediatrics)
ADULTUROLOGY
PLASTICS/COSMETICS
OUTPATIENTANESTHESIOLOGY
(Procedural)
EMERGENCYMEDICINE
ACUTECARE
CRITICALCARE
TRAUMASURGERY
ORTHOTRAUMA
RECONSTRUCTIVEPLASTIC
HOSPITALISTS
INPATIENTANESTHESIOLOGY
INTERVENTIONALRADIOLOGY
GENERALINTERNALMEDICINE
(Non-hospitalists)
PRIMARYCARE
FAMILYMEDICINE
MEDICALFAMILYTHERAPY
BEHAVIORALHEALTH
ENDOCRINOLOGY
PAINANESTHESIOLOGY
SLUCOR&POP.HEALTH
INSTITUTES
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Example:Geriatrics
CARDIOLOGY
HEART&VASCULAR
CARDIOTHORACICSURGERY
VASCULARSURGERY
PULMONARY(Non-critical/Non-sleep)
HEMONC(Non-surg./Non-transplants)
CANCER
BONEMARROWTRANSPLANTS
OB/GYNONCOLOGY
SURGICALONCOLOGY
RADIATIONONCOLOGY
HEAD/NECKCANCER
OB/GYN&WOMEN’SHEALTH
WOMEN’S
GYNSURGERY
BREASTSURGERY
OB/GYNUROLOGICALGYNECOLOGY
OB/GYNREPRODUCTIVEENDOCRINOLOGY
PEDIATRICS
CHILDREN’S
PEDIATRICSURGERY
PEDIATRICANESTHESIOLOGY
PEDIATRICORTHOPEDICS
PEDIATRICUROLOGY
PEDIATRICPLASTICS
INFECTIOUSDISEASES
IMMUNOLOGY
ALLERGY
ARTHRITIS/RHEUM
VACCINECENTER
MOLECULARMICROBIOLOGY&IMMUNOLOGY
VIROLOGY
NEUROLOGY
NEUROLOGICALDISEASES
NEUROSURGERY
NEUROSICENCECENTER
GERIATRICS
PSYCHIATRY
SPINESURGERY
SLEEPMEDICINE
INSTITUTES
Example
Manyadvancementopportunitiesingeriatricsarerelatedtotheagingbrain
Enablesresearchdifferentiationandmarketcompetitiveness
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Example:Endocrinology
HEPATOLOGY/LIVERCENTER
GI/LIVER/TRANSPLANT
LIVER/KIDNEYTRANSPLANTS
NEPHROLOGY
GASTROENTEROLOGY
GENERALSURGERY(incl.colorectalsurgery)
TISSUETYPING
PATHOLOGY
DIAGNOSTICS/SERVICES
NON-INTERVENTIONALRADIOLOGY
OPHTHALMOLOGY
SPECIALIZEDCARE/SURGERY
OTOLARYNGOLOGY(Non-cancer)
DERMATOLOGY(Includingskincancer)
ORTHOPEDICSURGERY(Non-spinal/Non-
trauma/Non-pediatrics)
ADULTUROLOGY
COSMETICS
OUTPATIENTANESTHESIOLOGY
(Procedural)
EMERGENCYMEDICINE
ACUTECARE
CRITICALCARE
TRAUMASURGERY
ORTHOTRAUMA
RECONSTRUCTIVEPLASTIC
HOSPITALISTS
INPATIENTANESTHESIOLOGY
INTERVENTIONALRADIOLOGY
GENERALINTERNALMEDICINE
(Non-hospitalists)
PRIMARYCARE
FAMILYMEDICINE
MEDICALFAMILYTHERAPY
BEHAVIORALHEALTH
ENDOCRINOLOGY
PAINANESTHESIOLOGY
SLUCOR&POP.HEALTH
INSTITUTES
Example
PositioningwithinPrimaryCareiscriticalforpatientonboardingand
continuityofintegratedcare,giventhefocusondiabetescases
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Example:Orthopedicsurgery
HEPATOLOGY/LIVERCENTER
GI/LIVER/TRANSPLANT
LIVER/KIDNEYTRANSPLANTS
NEPHROLOGY
GASTROENTEROLOGY
GENERALSURGERY(incl.colorectalsurgery)
TISSUETYPING
PATHOLOGY
DIAGNOSTICS/SERVICES
NON-INTERVENTIONALRADIOLOGY
OPHTHALMOLOGY
SPECIALIZEDCARE/SURGERY
OTOLARYNGOLOGY(Non-cancer)
DERMATOLOGY(Includingskincancer)
ORTHOPEDICSURGERY(Non-spinal/Non-
trauma/Non-pediatrics)
ADULTUROLOGY
COSMETICS
OUTPATIENTANESTHESIOLOGY
(Procedural)
EMERGENCYMEDICINE
ACUTECARE
CRITICALCARE
TRAUMASURGERY
ORTHOTRAUMA
RECONSTRUCTIVEPLASTIC
HOSPITALISTS
INPATIENTANESTHESIOLOGY
INTERVENTIONALRADIOLOGY
GENERALINTERNALMEDICINE
(Non-hospitalists)
PRIMARYCARE
FAMILYMEDICINE
MEDICALFAMILYTHERAPY
BEHAVIORALHEALTH
ENDOCRINOLOGY
PAINANESTHESIOLOGY
SLUCOR&POP.HEALTH
INSTITUTES
ORTHOTRAUMAORTHOPEDICSURGERY
(Non-spinal/Non-trauma/Non-pediatrics)
Groupedwithotherspecialtiesthatrequireexcellenceinanoutpatientenvironment
Groupedwithotherspecialtiesthatareprimarilyfocusedon
criticalcare
Eachorthopedicfacultymemberwillbeaffiliatedwith oneprimaryinstitutethatbestalignswiththeirclinicalandresearchfocus.
Facultymemberswillstillbeabletocontributeacrossinstitutes,e.g.traumacall.
However,theirperformancereviewsandtimeallocationwillbemanagedthroughtheirprimaryinstitute.
Example
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Clinicalandresearchfaculty inputwillbesolicitedaspartoftheinstituteaffiliationprocess
Finalization(January)
Feedbacksessions
(Dec.– Jan.)
Provideinput(by11/22)
Receivesurvey(11/9)
• Eachclinicalfacultymemberhasreceivedasurveylinkviaemail
• Clinicalfacultyprovideinputontheirproposedaffiliationviathesurvey
• Individual conversationswithclinicalfacultywherethereareoutstandingquestionsaboutaffiliation• Wewillhavediscussionswithallresearchfaculty
• Eachfacultymemberwillreceiveaplacementmemotoconfirmtheirinstituteaffiliation
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DATESARETENTATIVE ClinicalFaculty
ResearchFaculty
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ClinicalfacultyinstituteaffiliationsurveyshouldbecompletedbyNovember22nd
Eachsurveyispersonalizedtotherecipient,givingthemtheopportunitytoconfirmthattheproposedinstituteaffiliatingmakessenseortoproposeadifferentinstituteaffiliation.
Wewillusefeedbacktoscheduleindividualmeetings,asneeded.
51%
86%ofclinicalfacultyhavecompletedthesurvey
offacultywhohavecompletedthesurveyagreewiththeirproposedinstituteaffiliation
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Instituteswillfocusfacultyonresearchandpatientcare,supportingthemwithacommoninfrastructure
Institutes
AcademicDepartments
Infrastructure/SupportCaredelivery/
protocols
Research
CARTSallocation
Facultyclinicalschedules
Facultyproductivity/performance/comp
reviews
Teaching
Continuingmedicaleducation
Residencyprogram
Budgeting&fundsflow
Compensation
Ambulatorybusinessplanning
Clinicalstaffing
Staffmanagement
Scheduling
Billing/coding
Pre-arrival
Patientcontactcenter
Clinicalperform.metrics/informatics
Patientexperience
Quality
Compliance
Extramuralprofessionalorganizations
RulesofCARTS
Facultyoffices
Researchadmin.
Fellowshipprogram
Facultyhiringprocesses
Facultypromotionprocesses
PhDprograms&graduateeducation
IT/EHR
Note:highlightskeyactivities,butisnotacomprehensiveview
ClinicalAffairstosetschedulesincollaborationwithInstitutes
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Whatdoesthismeanforfaculty?
• Instituteswillbetheinvestmentvehicleforclinicalandresearchactivities
• Allfacultywillreportintoaninstitute,ledbyanInstituteDirector
• InstituteDirectorswilloverseeactivitiesincludingfacultyperformancereviews,CARTSallocation, andclinicalschedules
• Facultywillalsobemembersofacademicdepartments- Facultytitleswillreflectmembershipinthatdepartment(e.g.,
“AssociateProfessorofNeurology”)
• AcademicDepartmentChairswilloverseeacademicdepartmentsfocusedonteachingprogramsandprofessionalidentity- AViceDeanofEducationwilloverseetheirworkasAcademic
DepartmentChairs- AcademicDepartmentChairswillstillindividuallybemembersof
institutesandreporttoInstituteDirectors- AsinglepersoncouldserveasbothanAcademicDepartmentChair
andanInstituteDirector
Institu
tes
Acad
emicDep
artm
ents
Focusonpatient-centriccareand
research
Focusonteaching,academic
programs,andprofessionalidentity
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ProposedInstituteDirector(ID)HiringProcessforagiveninstitute
IdentifyandannounceinterimIDs
AppointSearchCommitteeandlaunchformalpermanentIDsearchprocess
Identifyandinterviewinternalandexternalcandidates,includinginterimIDs
FinalizeoffersandannouncepermanentIDsonarollingbasis
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Shiftinactivitieswillsupportfacultyfocusonteaching,clinicalcare,andresearch- whatdoesthismeanforstaff?
ClinicalAffairs
Dr.Heaney
Finance
GaryWhitworth
Clinicalstaff(e.g.RNs,LRNs,MAs)
Budgeting&fundsflow
Scheduling
Billing/coding Patientcontactcenter
Clinicalperformancemetrics/
informatics
Patientexperience
Quality
Compliance
IT/EHR
Researchadmin.
INFRASTRUCTURE/SUPPORT
Ourgoalforthisprogramistoachievegrowth,butwewillneedtolookdifferentlyasanorganizationtoaccomplishthat.Asinitiativesmoveforwardandaclearerpictureevolvesonhowthiswillimpact
staff,wewillbetransparentaboutit.
• MoststaffwillreportdirectlyintoFinanceorClinicalAffairs
• Staffwillbeabletofocuseffortsonformingbestinclassinfrastructure/supportfunctions
• Fostersprofessionaldevelopmentopportunitiesforourstaff
PMO
Financialplanningandanalysis
Financialreporting
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Thisisnotrestructuring;thisisaholisticchangetoourpatientcaredeliverymodeldrivenbyyourparticipationandleadership
supportinfrastructure
mindsets
governance
communication
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Implementationprocess
OCTOBER NOVEMBER DECEMBER JANUARY 2018
“Blueprint”design
Implementation
Detaileddesign
PRELIMINARY
Includesfinalizationofinstituteaffiliationsforfacultyandengagementofleadersand
stafftodiscussinstituteaffiliation
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WecommittoatransparentprocessforTEAM,withmanyopportunitiesforengagement
Announcements
One-on-ones
Forums(e.g.,departmentmeetings,
TownHalls)
TEAMemail&website
• Regulare-mailcommunicationsfrom DeanBehrns andRDOExecutiveLeads
• Listeningtour:reachouttofacultyreps,Dr.RaviNayak andDr.SameerSiddiqui,todiscussTEAM(feedbackcanbeanonymous)
• OfficehourswithDeanBehrns: signupforperiodicofficehourswiththeDean(contacttheDean’soffice)
• Department,division,andstaffmeetings:reachouttoyourdepartmentchair,divisionlead,orclinic/businessmanagertorequestaTEAMleadershipupdateatanupcomingmeeting
• TownHalls:Attendfuturetownhallstohearaboutourprogressandaskquestions
• [email protected] andthroughtheTEAMwebsite
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Questions?TextQuestionsto217-556-1007
