UW Health

at The American Center

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY: Meeting of Board of Directors

Update: UW Health at The American Center

Presented by John Sheehan, President UW Health at The American Center and SVP

June 4, 2014

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Hospital: West Wing Clinics: Center Wing Wellness Center: East Wing

• A 56-bed hospital serving orthopedic and general medical/surgical patients

• 14 Operating Rooms (Day 1 we will open 11) • A 48 room Universal Care

Center for: outpatient diagnostic and treatment procedures, pre- and post- operative care for ambulatory surgery patients and a 24-hour emergency room for treatment or transport to UW Hospital and Clinics

• Dining area

• Two floors of clinic exam rooms serving patients in a variety of clinical specialties: • Cardiology • Medical & Surgical

Weight Management • Hernia • Urology • Orthopedics – housing

Orthopedics Immediate Care(OrthoCare Now)

and Orthopedic Surgery • General Surgery • Neuro Spine • Plastics

• Clinical Laboratory • Gift Shop • Conference Space

• Physical and occupational therapy facilities

• Integrative Medicine • A wellness, fitness and sports

performance area with therapeutic pools, sports court and three-lane elevated sprint track

• Cardiac rehab gym • Demonstration kitchen • Community education and programming

The American Center’s

Three Wings of Health & Wellness

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Strategic Focus Areas Five-Year Aim Role of UW Health at The American Center

Best Work and Academic Environment UW Health is health care’s best work and academic environment. Associates will view the organization as a great place to work exemplified by trust, pride, and camaraderie. We will offer a new and unique learning environment within UW Health.

Integration UW Health functions as though it is a single enterprise. We will provide seamless care to patients no matter how organization structure evolves.

Patient and Family Experience UW Health is clearly distinguished for its culture of patient- and family-centered care and ensures excellence during every patient encounter.

Patients and families will experience: • Minimal wait times • Services pulled to them • A focus on overall wellness • Excellent customer service

Quality Distinction UW Health provides outstanding patient care and is clearly distinguished as a national quality and patient safety leader, performing in the top decile of health care systems on the majority of required and/or publicly reported quality and patient safety measures for both inpatient and outpatient care.

We will provide state of the art care that achieves Top 100 Hospital Benchmarks for like-sized Community Hospitals.

Clinical Model of Care UW Health exemplifies a state-of-the-art, organization-wide model of care that is recognized for: - Superior interdisciplinary team-based care - Excellent Clinical Outcomes - Innovation - Academic Excellence - High demand and/or market strength, both locally and regionally.

We will be recognized for our teamwork and innovation in delivering high quality, efficient care by using: • Cross functional teams • Enhanced/cross-trained roles • Standardized work • Lean principles to optimize value

Primary Care UW Health has an advanced primary care model that drives health status improvement in Wisconsin and assists in optimizing quality, financial performance and patient- and family-centered care.

We will be a leader in care coordination assuring patients have smooth transitions of care.

Population Health UW Health is a high-value (quality and service/cost) delivery system with a multi-pronged focus on local, regional and national populations and population-based research educational missions.

Patients will serve as partners in their care and be engaged in self-help and wellness/lifestyle changes. Care will be managed across the value stream instead of episodically.

Market Focus UW Health is an affiliate/partner of choice of health care organizations (physicians, hospitals, others) in Wisconsin and adjacent parts of surrounding states and national destination for care of selected conditions.

We will be the first choice for health care organizations and patients to partner with for elective surgeries offered. We will be the workshop of choice for surgeons.

Eight Focus Areas from The UW Health Strategic

Plan and

The Role of UW Health at The American Center

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• Physician Leadership Council has been formed:

Dr. Michael Ford, Anesthesia Dr. Michael Garren, Gen. Surgery

Dr. Joseph Holt, Hospitalist Dr. Richard Illgen, Orthopedics

Dr. Brian Sharp, Emergency Services

• Key leadership positions have been recruited and will soon be

engaged full-time.

– Vicki Hill, Vice President Clinical & Interventional Services,

assumes role full-time on June 1, 2014.

– Wendy Horton, Vice President Performance Excellence and

Integrated Operations, assumes full-time role on July 1, 2014.

• Timelines for Associate recruitment, assessment, hiring and training

are in development. Information on the hiring and selection process will

be provided to all UW Health Associates in July, 2014.

Leadership and Associate Selection

Underway

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Front Line Skilled Front

Line Professional Clinical

Supervisors/ Managers

Senior Leaders

Integrity

Continuous Improvement

Patient & Family Centered Care

Collaborative Leadership

Ethical Leadership

Adaptability Leading Change

Patient & Family Centered Leadership

Accountability

Collaboration

Emotional Intelligence

Work Ethic Implementing Results / Work Ethic Drive for Results Strategic Thinking

Judgment Judgment & Decision Making Execution Skills

Integrity

Innovation

Compassion

Accountability

Respect

Excellence

Servant Leadership

DRAFT - UW Health at The American Center Behavioral Competency Progression Map – 2014

DRAFT

Organizational Structure UW Health at The American Center

Advancing the Standard for Healthcare Excellence

Activation Structure & Strategic Framework

President’s Council

Quality

Distinction/

Clinical Model of

Care Council

Organization

Health and

Innovation

Council

Best Work and

Academic

Environment

Council

Patient and

Family

Experience

Council

Facility

Readiness

Council

• Ambulatory

Clinical Process

• Overnight/UCC

Clinical Process

• Peri-Operative

Process

• Diagnostics

• Role of Tele-

Medicine

• Culture Development

• Patient and Family

Advisors

• Partner in Care

• Associate Engagement

• Selection and Hiring

Process

• HR Systems

• Financial

Forecasting and

Planning

• Revenue Cycle

• Service

Line/Business

Development

• Materials

Management

• Medical Equipment

FF&E and Logistics

• Construction/Life

Safety

• Building Operations

Information Systems & Communications

• Integration • Population Health • Market Focus

• Primary Care

• Physician Workshop

of Choice

• Physician

Engagement

• Physician Alignment

Physician

Leadership

Council

Operations & Performance

Improvement Team

(Includes LEAN Sensei)

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The Councils have been hard at work

on… Council Activities

Best Work & Academic Environment Council

• Hired Select International, Inc. as a consultant for recruitment, assessment and hiring. • Developing timelines for associate recruitment, hiring and training to begin in FY15. • Working with Watertown, developing program plan for Wellness initiative. • Championship Playbook, the newsletter of The American Center, is being distributed

monthly to all UW Health associates via email.

Facility Readiness Council • Construction goals and timelines are being met.

• June 11, 2014: we are about half-way there! 14 months from the Groundbreaking with substantial completion expected by June 2015. April 2015 provisional access will allow critical areas with a longer timeline needed to bring equipment and processes online to have a an opportunity to install and test equipment to be “mothballed” until used.

• January 2015: Equipment and Associates required for installation, testing and “mothballing” strategic equipment allowed “hard hat” access to the building.

• April 2015: Associates allowed access to limited areas for training and orientation purposes.

• June 2015: Substantial Completion: Occupancy of the building for training and orientation of Associates

• July 31 – August 1, 2015: Opening Festivities for Associates and the Community • August 17, 2015: 1st Patient Welcomed • Preparing for TJC and Survey Readiness for The American Center. • Working with Fit Out, FF&E and other teams to achieve timelines and safe opening.

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The Councils have been hard at work

on…

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Council Activities

Organizational Health & Innovation Council

• Updated the Business Plan from initial projections. • Determining more accurate volume and staffing projections. • Budget for FY15 completed and developing FY16.

• Validations of individual Physician Practice Commitment and Volume of practice being moved and anticipated at the American Center being confirmed currently with individual physicians, departments and Business Planning & Development data.

Patient & Family Experience Council

• Recruiting Patient – Family Advisors for Councils. • Reviewing Patient Experience Partners for possible training, collaboration

opportunities. • Determining the best learning & development processes for associates. • Active involvement of our Patient & Family Advisors continues with representation

on several Councils at this time.

Physician Leadership Council • Attended initial Leadership Development Training conference. • Finalizing Charter. • Participating in recruitment activities.

Quality Distinction & Clinical Model of Care Council

• UCC Operations and Model of Care utilizing Sr. Elizabeth’s in Appleton as a Best Practice model.

• Learning from experiences at the Digestive Health Center. • Developing the role of tele-medicine, eICU and ITS at The American Center for

medical consults. 5/30/2014

UW Health at The American Center

Organization Chart

President UW Health at The American Center SVP UWHC

John Sheehan

VP Performance Excellence & Integrated Operations

UW Health at The American Center

Wendy Horton

VP Clinical & Interventional Services UW Health at

The American Center Vicki Hill

• Business Development & Financial

Planning/Budgeting/Revenue Cycle

• Organizational Effectiveness

o Associate Engagement/Human Resources

o Patient & Family Experience

o Physician Workshop of Choice

o Marketing Communications

• Professional Services

• Facilities and Support Services

• Lean Support & Quality/JCAHO

• Information Technology/Legal Services/Compliance

• Regional Development/Unity Relationship

• Universal Care Services

• Perioperative Services

• Overnight Care Services

• Clinic Care Services

• Patient Flow

• Care Coordination

Strategic Framework Councils: • Best Work & Academic Environment • Facility Readiness • Organization Health & Innovation • Patient & Family Experience • Quality Distinction/Clinical Model of Care

LEAN Sensei: Tim Prince

Patricia Morrill

• CAMO/CAAO – UW Health will be responsible for Ambulatory Practice Standards at The American Center

• SVP/CNO - UWHC will be responsible for Nursing Practice Standards at The American Center

• Orthopedics & Rehabilitation Service Line reports directly to VP Professional Services - UWHC

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Physician Leadership Council: • M. Ford, MD • M. Garren, MD • J. Holt, MD • R. Illgen, MD • B. Sharp, MD

Orthopedics & Rehabilitation Jane Powers

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Unique Operational Oversight/Governance

of the Focused Care Process Organizational

Model:

• Executive Leadership through President’s Council is a balance of

physician and non-physician management – lean and patient

experience are key responsibilities of all

– President

– Physician/Administrator Dyad – Orthopedics and Rehabilitation

– Key Operations Executives

• Job descriptions of all leadership requires lean training, experience

and ability (including physicians)

• Dedicated (outside) Lean Sensei to the Leadership Council to truly

adopt Lean – may assist with establishing training programs and

forming “maintenance lean team”

• Start small, start simple, show realistic change and improvement

with regards to LEAN.

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Capital Budget Status: May 21, 2014

Cost Amount

Construction $167,510,660

Construction Contingency $1,027,377

Design/IT/Equipment $66,461,963

Total* $235,000,000

*Budget is $235,000,000

Questions?

Thank you for your time and

attention.

• Check out the live on-site webcam: http://www.uwhealth.org/american-center

• Always feel free to contact me directly with questions or

comments: JSheehan@uwhealth.org, or 890-5559

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