Mission Bay Operations Planning Update for

Clinical Affairs Committee

June 22, 2011

High Level Timeline

UCSF Medical Center at Mission BayProject and Operations Planning: DRAFT

Clinical Enterprise Governance (CEG)

Mission Bay Steering Committee

Executive Sponsor, Operations PlanningKen Jones, COO

Mission Bay Hospitals ProjectCindy Lima,

Executive Director

Faculty/Physician Subcommittee

Elena Gates MDScott Soifer MD

Mark LaretCEO

MB IT SteeringCommittee

TBD

MB Finance Committee

Barrie StricklandSpencer Kowal

Operational PlanningKim Scurr, Director

Operational Readiness Process flows New operations/programs Process implementation, process redesign, work streams Staffing requirements, Medical model MB budget needs Transition/move planning

Role and Responsibilities – Physician Work Group Leaders

Role and Responsibilities

Leads/drive project activities for their respective operational areas to ensure that patient clinical needs are addressed and services are fully coordinated

Focuses on physician operations design, process improvement, process integration with a goal of best practices – will require working with own operational areas and other departments

Identifies performance metrics Provides subject matter expertise for their respective area Manages project resources for their respective groups Works with project manager to create work plan Ensures that activities are completed in a timely manner Identifies and resolves issues – including identification of options by working

with team members and across functional groups or services as appropriate Coordinates and executes implementation activities with other groups as

needed Identifies potential areas of risk and recommends appropriate intervention

steps Works with project manager to communicate project status to project

management Evaluates project deliverables as needed Identifies Mission Bay staffing and other resource needs (e.g., budget,

equipment, technology) for operations and transition planning, actual move, and 2015 operations at Mission Bay

Issues Addressed Physician care delivery and processes Physician operational readiness Physician staffing model Transition planning

4DRAFT

Key Design Work for Physician’s Group

• Visioning– Vision/Guiding Principles - Review and confirm suggestions

for vision and guiding principles

• Strategies for Care Delivery– Emergency Department - new department at UCSF;

Children's ED + adult coverage

• High-Risk OB Services- Need to maintain UCSF hallmark safety and quality of care including quick access to all adult specialists for a variety of specialized conditions (e.g., intracranial bleeding, organ failure, complex hematologic or autoimmune conditions). There are impacts to the NICU.

– Need to provide access to specialty consults

– Need to identify MB to Parnassus transfer protocols

– Need to identify process and facilities for providing OB care at Parnassus after the move

Key Design Work for Physician’s Group

• Right care for the right patients and Pedi/Adult and Consults - Relationship between adult and pediatric specialties at Mission Bay and the role of pediatric specialists in adult care, cancer and OB/GYN, and of adult specialists in the care of pediatric patients. Questions:

– Is a pediatric specialist appropriate for adult cancer patients, OB patients, and gynecology patients?

– Are hospitalists the source of adult inpatient coverage?

– How will specialist consults be covered at MB? On call? Paid for by whom? Leased by medical center?

– Who provides clinical coverage in the ED and after hours imaging for pediatrics and adults?

– SFGH Faculty - Could they be used for consults?

– Who provides in-house anesthesia coverage after hours?"

Key Design Work for Physician’s Group

• Pediatric Services provided by Adult Departments - Ortho, Neuro, ENT, Transplant. Will Adult providers continue to provide coverage nights and weekends?

• Adult cancer - Outpatient cancer clinics at Mount Zion with cancer surgery at Mission Bay; difficult logistics for surgeons. Initiate planning of adult outpatient building?- Identical issues for GYN

• Adult ICU - Managed by which department? Primary team? Need OB intensivist?

• New model of care delivery - given private and double rooms (ICNs) and increased geography, determine medical delivery model for Mission Bay

• Telemedicine/Central Monitoring – What is the role of telemedicine?

• Ambulatory care - determine model of care and business model. Identify any differences between children and adult ambulatory care

Alfio LevyInterim Program Manager

Ambulatory

ED/Urgent Care

Support Services

ITTBD

BCH

Adult Peri-Op

Women’s and Cancer

Diagnostic Imaging & Image Guided

Therapy

Peds Peri-Op

OR Integration Equipment Planning

DSS: Analytics (e.g. volume)

Patient & Staff Services/Service

Excellence

Clinical Services

PMO Logistics & Internal Communications

Workgroup = Later start

Kim Scur

DirectorHospital Operations Planning Mission Bay

TBDProject Manager

Finance Committee Barrie StricklandSpencer Kowal

PhysiciansElena Gates MDScott Soifer MD

TBDProject Manager

Alfio LevyProject Manager

TBDProject Manager

MB PMO Future Staffing