A3-X - Strategic Plan

Transcription

1 DRAFT November A-X - Strategic Plan MISSION: We provide high quality health care that enables San Franciscans to live vibrant, healthy lives. VISION: To be every San Franciscan s first choice for health care and well-being. correlation / contribution Value-based care (revenue, cost/value optimization) Develop our people through lean EHR readiness Safety: Actionable knowledge anytime, anywhere Quality Care Experience: Actionable knowledge anytime, anywhere Workforce: Develop our people Financial Stewardship Equity True North themes strategic initiatives True North outcomes FY'7-'8 performance measures FY'8-'9 FY'9-'0 FY'0-' Financial Stewardship: 70% of targets 70% 70% TBD TBD Quality: 70% of targets 70% 70% TBD TBD 00% SFHN sections complete EPIC gap analysis by [date] 00% of SFHN sections will complete GFI plans by [date] By [date], XX% Likelihood to recommend organization as a place to work By [date], XX% excellent communication among staff By [date], XX% management is committed to a patient/resident-centered care By [date], XX% of YYY SFHN leaders attend A training By [date], XX% of YYY SFHN practice in Daily Mgmt System 7 Pickens (Director, SFHN) Alice Chen (Deputy Director, SFHN) Albert Yu (CHIO, SFHN) Greg Wagner (CFO, DPH) Valerie Inouye (Dir, Finance, SFHN) Susan Ehrlich (CEO, ) Jim Marks (Chief Perf Exc, ) Mivic Hirose (Exec Admin, LHH) Kelly Hiramoto (Director, Transitions) Hali Hammer (Dir, Primary Care) Lisa Golden (Dir, KPO, DPH) Mary Hansell (Dir, MCAH) Kavoos Ghane Bassiri (Dir, Behavioral Health Lisa Pratt - Dir, Jail Health Jenny Louie (DPH Budget Dir/SFHN BIU) Rhonda Simmons (Dir, HR Wkforce Dvlpm Ayanna Bennett (Dir, Interdiv Initiatives) Reena Gupta (Med Dir, PRIME) TBD (Dir, Ambulatory Care) TBD (COO, SFHN) TBD (Dir, Clinical Operations, SFHN) Safety: 70% of targets 70% 70% TBD TBD = strong correlation or team leader Care Experience: 70% of targets 70% 70% TBD TBD = Workforce: 70% of targets 70% 70% TBD TBD = Equity: 70% of targets 70% 70% TBD TBD correlation / contribution important correlation or core team member weak correlation or rotating team member rona consulting group

2 TRUE NORTH METRICS - Overview BASE LINE: July, 0 - June 0, COLLECTION PERIOD: July, - June 0, QUALITY SAFETY CARE EXPERIENCE WORKFORCE Improve the health of the people we serve Eliminate harm to patients and staff. Provide the best heatlh care experience Create an environment that values and respects our people Division/Section Metrics Reduce ambulance diversion Reduce hospital admissions Reduce incidence of pressure ulcers Reduce incidence of preventable complications Safe discharge home for joint replacement patients Reduce resident falls resulting in major injuries Increase patient satisfaction ratings for courteous and respectful communication Increase patient satisfaction ratings for food taste Increase resident satisfaction ratings Leaders adopting leader standard work Total leaders trained in A thinking Improve overall job satisfaction ratings among staff FINANCIAL STEWARDSHIP Provide financially sustainable health care services Meet monthly expediture targets Decrease overtime utilization EQUITY Eliminate disparities patient/client race, ethnicity, language, sexual orientation and gender identity homeless data LHH Increase staff flu vaccination Reduce preventable staff injuries Increase average monthly patient referrals to Acute Rehabilitation Decrease disparities in resident satisfaction with LHH services among limited English speaking residents Increase delivery of tobacco cessation counseling Reduce hospital readmissions (SFHN patients) Improve timely access to primary care services Improve overall staff engagement ratings Improve quality of clinical documentation Improve blood pressure control among patients with hypertension, including a specific focus on African American hypertensive patients Improve patient satisfaction ratings data about LGBT patients JHS Improve care transitions for discharged HIV patients Improve medication safety Improve hospital and ED discharge follow-up Improve access to nurse triage services Reduce workplace stress Appropriate medical staff allocation to get the patient the right care at the right place and right time. data about LGBT patients BHS Increase successful transitions from Intensive Case Mgmt to OP care Increase completion of quarterly Illness & Injury Prevention Program requirements Reduce no-shows within first months of treatment Improve staff preceived support for their professional development Reduce number of high cost beneficiaries Increase percentage of clinicians who have completed Transgender 0 training MCAH Increase prenatal support for pregnant women in San Francisco Reduce preventable employee injuries Increase food security for San Francisco children Increase staff ratings of respect in the workplace Increase ability to know and access Medi-Cal status Reduce disparities in preventative oral health service delivery among children of color Updated /0/ Printed //

3 Page / Desired direction of improvement On / Off / Data not available* QUALITY Reduce ambulance diversion 8.0%.7% 0.0% Reduce hospital readmissions RRP.%.8%.0% LHH Reduce incidence of pressure ulcers.%.%.% LHH Increase staff flu vaccination 9.% 80.0% 9.0% Increase delivery of tobacco cessation counseling by behavioral health staff 8.% 8.% 88.% JHS Improve care transitions for discharged HIV patients.0% 7.% 80.0% BHS Increase successful transitions from Intensive Case Management to outpatient care 9.0%.8%.7% MCAH Improve linkages to prenatal care for pregnant women.0%.0% 8.0% SAFETY Reduce incidence of preventable complications HAC VBP /mo 0/mo < 0/mo Increase safe discharge home for joint replacement patients.0%.0% 0.0% LHH Reduce resident falls resulting in major injuries.%.%.% LHH Reduce preventable staff injuries.0 Data Pending 0. Reduce hospital readmissions (SFHN patients) PRIME.8%.%.% JHS Improve medication safety JHS Improve hospital and ED discharge follow-up 0.0% 9% 8.0% Improve completion of quarterly Illness & Injury Prevention Program TBD In development TBD BHS requirements MCAH Reduce preventable employee injuries 79.0% Data Pending 80% 00.0% CARE EXPERIENCE Increase patient satisfaction ratings for respectful and courteous communication.7%.% 70.0% Increase patient satisfaction ratings for food taste.% 8.9% 0.0% LHH Increase resident satisfaction ratings 98.0% Data Pending 99.0% LHH Increase average monthly patient referrals to Acute Rehabilitation.0. Improve patient satisfaction ratings 8.7% 7.7% 7.0% Improve timely access to primary care services days 9 days days JHS Improve access to nurse triage services 77.0% 97% 8.0% BHS Reduce no-shows within first months of treatment.%.%.9% MCAH Increase client response rates for satisfaction surveys 7.0% 77.% 78.0%

4 Page / Desired direction of improvement On / Off / Data not available WORKFORCE Increase number of leaders adopting leader standard work 0.0%.0% 00.0% Increase number of leaders trained in A thinking 77.0% 9.0% 00.0% LHH Improve overall job satisfaction ratings among staff 77.0% In development TBD Improve overall staff engagement ratings 7.0% In development 7.0% JHS Decrease workplace stress...00 BHS Improve staff percieved support for their professional development TBD In development TBD MCAH Increase staff ratings of respect in the workplace 8.0% In development.0% FINANCIAL STEWARDSHIP Meet monthly expenditure targets 0.8% -0.9% 0.0% LHH Decrease overtime utilization.% Data Pending.0% Increase timeliness and accuracy of documentation to increase total revenue JHS Improve clinician productivity TBD In development TBD BHS Reduce number of high cost beneficiaries TBD In development TBD MCAH Increase ability to know and access Medi-Cal status % % 7.0% EQUITY patient/client race, ethnicity, language, sexual orientation and gender identity PRIME n/a In development Yes LHH homeless data n/a In development Complete LHH Decrease disparities in resident satisfaction with LHH services among limited English speaking residents TBD Data pending TBD patient gender identity PRIME n/a In development Yes Improve blood pressure control among patients with hypertension, including a specific focus on African American hypertensive patients BAA: % Data pending BAA: 8% Total: 70% Data pending Total: 7% JHS patient gender identity n/a In development Yes BHS Increase percentage of clinicians who have completed Transgender 0 training 0% Data pending 00% MCAH Reduce disparities in preventative oral health service delivery among children of color 7.% Data pending 77.%

5 Page *LEGEND* Metric is On to meet the goal by June 0, Included in CMS Star Rating Metric is Not on to meet the goal by June 0, HAC Included in CMS Hospital-Aquired Conditions Reduction Program No data is available due to one of the following reasons: PRIME Included in PRIME - Data pending: Reporting is delayed due to lag in data collection RRP Included in CMS Readmissions Reduction Program - In development: Data collection methods and/or metric definitions are still being developed VBP Included in CMS Value-Based Purchasing Program - On hold: Metric is under review, data collection is on hold - Collected annually: Reporated on an annual basis will be reported in a later quarter SFHN True North Metrics - SFHN True North Metrics by Section - 00% % 0% 0% 0% 0% SFHN Goal: 70% Q S CE W FS EQ Number of Metrics LHH JHS BHS MCAH On Off No Data On Off No Data