LEADERSHIP PROFILE. Tufts Medical Center Chief Executive Officer. Prepared by: Kimberly A. Smith, FACHE Stephen C. Davis Julie A.

Transcription

1 LEADERSHIP PROFILE Tufts Medical Center Chief Executive Officer Prepared by: Kimberly A. Smith, FACHE Stephen C. Davis Julie A. Rosen March 2018

2 Tufts Medical Center CEO i Table of Contents The Opportunity 1 Organization Overview 3 Market Overview 8 Position Summary 9 Goals and Objectives 13 Candidate Qualifications 15 The Community 18 Timeline 19 Procedure for Candidacy 20 Appendix: Organization Chart 21

3 Tufts Medical Center CEO 1 The Opportunity Tufts Medical Center seeks a dynamic, committed leader to serve as its next Chief Executive Officer. This is a truly unique opportunity for an experienced and passionate executive to guide one of the most respected academic medical centers in the United States. The institution traces its roots back to 1796, when Paul Revere, Samuel Adams and other local patriots established the area s first permanent medical facility. Today, Tufts Medical Center remains an essential fixture of the local community, emblematic of Boston s famed grit and determination and a model of an engaged, mission-driven academic medical center. Tufts Medical Center takes pride in its ability as a mid-size tertiary and quaternary care facility to offer high-touch, exceptional, full-service medical care within the highly competitive Boston healthcare marketplace. The next chief executive will embrace the organization s tenacity, its compassionate and close-knit culture, as well as its mission to put patients and their families... at the center of everything we do. On the CEO s agenda will be the championing of service excellence, care quality, patient safety and experience, product line innovation, and financial growth. The CEO will fill the position currently held by Michael Wagner, MD, FACHE, as Dr. Wagner assumes the role of Chief Physician Executive for the Wellforce health system, of which Tufts Medical Center is a founding member and sole tertiary academic medical facility. As this transition occurs, Tufts Medical Center stands on solid footing financially, operationally and strategically, poised for continued growth. The organization has received consistent recognition and awards for its excellence and quality of care, including a position in the top quartile of the Vizient (UHC) annual rankings. It is also a focal point of medical education and research in the Boston area with significant affiliations with Tufts University and Tufts University School of Medicine, as well as training partnerships with top facilities across the region. In forming the Wellforce system in conjunction with Circle Health (Lowell General Hospital) and Hallmark Health, the medical center has positioned itself to provide greater value-based, integrated care and comprehensive population health management. Physicians, nurses and staff are top-notch, including more than 500 MDs of the Tufts Medical Center Physicians Organization who are part of the extensive New England Quality Care Alliance (NEQCA) network. There is a strong and positive relationship between these organizations and Tufts Medical Center. Working in concert with the Board of Trustees and the Wellforce CEO and executive team, the next CEO of Tufts Medical Center will carry on a distinguished legacy while embracing the culture, mission and service excellence that have always distinguished Tufts Medical Center from its peers. This leader will have the day-to-day responsibility for the organization s clinical, teaching and research performance. As a key leader in the Wellforce system, he/she will be expected to shape system-wide strategy, goals and clinical program development, in collaboration with Wellforce colleagues. The organization seeks an

4 Tufts Medical Center CEO 2 individual with vision, authenticity, courage and conviction who will inspire clinicians and staff and significantly impact the health and care of patients and families locally and across the industry. He/she will have an understanding of managing hospital operations within a multi-hospital system, be comfortable in a matrixed environment, have significant leadership experience in an academic medical center within a competitive market and have demonstrated successful relationships with medical school leadership and academic medical staff.

5 Tufts Medical Center CEO 3 Organization Overview Tufts Medical Center is a 415-bed internationally renowned academic medical center, known for both cutting-edge treatment and compassionate healthcare. This is a full-service hospital with the highest acuity in Boston, caring for all patients from the tiniest newborns at the Floating Hospital for Children to centenarians in our geriatrics program. It provides everything from routine and emergency care to the Chinatown community to treating complex diseases and injuries impacting adults and children across New England. Tufts Medical Center is the largest heart transplant provider in New England, performs kidney and bone marrow transplants, is a certified level I trauma center for adults and children, provides comprehensive neurological and neurosurgical care, and offers cutting-edge cancer treatments. Tufts Medical Center is the principal teaching hospital for Tufts University School of Medicine, with which it shares the Health Sciences Campus of Tufts University. The hospital conducts groundbreaking medical and health policy research and is in the top 10 percent of independent institutions receiving federal funding. Tufts Medical Center focuses on delivering the highest quality care to all of its patients. The organization has received Vizient s prestigious Bernard A. Birnbaum, MD Quality Leadership Award. Boston Magazine recognizes its physicians in 52 different specialties in its Top Doctors edition. Mission We strive to heal, to comfort, to teach, to learn, and to seek the knowledge to promote health and prevent disease. Our patients and their families are at the center of everything we do. We dedicate ourselves to furthering our rich tradition of health care innovation, leadership, charity and the highest standard of care and service to all in our community. Our mission of advancing knowledge and training students to become future investigators drives forward with one goal in mind turning innovative research into pioneering care. History of Tufts Medical Center Tufts Medical Center's proud and distinguished tradition began in 1796, when a group of publicspirited Bostonians, including patriots Paul Revere and Samuel Adams, established the Boston Dispensary as the first permanent medical facility in New England, and one of the first in the nation. The Dispensary s founders funded tickets that enabled the city's poor to receive medical care; one of the original tickets signed by Revere can still be seen today at the Massachusetts Historical Society.

6 Tufts Medical Center CEO 4 Over the ensuing years, the Boston Dispensary developed mutually beneficial affiliations with a number of compatible institutions, most notably, its partnership with the Boston Floating Hospital for Children (New England s first pediatric hospital) in At about the same time, the Dispensary became the principal teaching hospital for Tufts University s medical and dental schools. In 1946, the 100-bed Pratt Diagnostic Clinic, the world s largest clinic of its kind at the time of its opening, joined the partnership as well. In 1968, this set of affiliations was formally organized as Tufts New England Medical Center; in 2008, the name was shortened to Tufts Medical Center, to better reflect the hospital s close relationship with Tufts University and the Tufts University School of Medicine. The current-day Tufts Medical Center campus remains in the downtown Boston neighborhood where the original Boston Dispensary was founded over 200 years ago. Tufts Medical Center is proud of its leadership role in America s development of modern medicine. It continues to be molded by its historic mission, never losing the perspective of being a community-based, world-class adult and pediatric teaching and research hospital. Research Tufts Medical Center s expansive research program includes groundbreaking bench research, clinical trials and developments in health policy. Research activities are funded by the National Institutes of Health (NIH), private foundations, industry and private individuals. Tufts Medical Center consistently ranks among the top 10 percent of the nation's independent hospitals to receive federal research funds. The organization has special expertise in molecular cardiology, the long-term health impact pregnancy has on the mother and child and the cost-effectiveness of different treatment options. Tufts Medical Center s mission of advancing knowledge and training students to become future investigators drives forward with one goal in mind turning innovative research into pioneering care. To that end, the Tufts Clinical and Translational Science Institute is a federally-funded center dedicated to reducing the time between discoveries in the lab and therapies for patients. Physician and Community Hospital Partnerships As a member of Wellforce and the preferred academic medical center of New England Quality Care Alliance, Tufts Medical Center works closely with referring physicians and their community hospital partners to ensure that advanced care is offered in locations that are convenient for patients. The NEQCA network includes 1,700 physicians throughout eastern Massachusetts, including the physicians of the Tufts Medical Center Physicians Organization. Annually NEQCA s primary care physicians care for more than 475,000 patients. Tufts Medical Center has created community partnerships in critical care, neurosurgery, high-risk pregnancy, advanced endoscopy, cancer, cardiology and other specialties with fellow Wellforce members Circle Health and Hallmark Health. The physicians also travel to numerous other hospitals, cities and towns throughout the region to see patients close to their homes. Floating Hospital for Children has a distributed model that brings hospitalists, neonatologists and/or pediatric specialists to

7 Tufts Medical Center CEO 5 hospital communities from Cape Cod to the Merrimack Valley, including specialty centers in Brockton, Lawrence, North Chelmsford, Westford and Woburn. Overview of Wellforce Wellforce is the health system of Tufts Medical Center, Circle Health and Hallmark Health. Formed in 2014 to provide Massachusetts hospitals, physicians and caregivers with a new option for collaboration, the $1.7 billion system brings together the strengths of academic medicine and community care in a model that respects both equally. Wellforce is a different kind of health system, not a hub and spoke model. Wellforce s mission is to relentlessly focus on helping people achieve better health. Its vision is to create a healthier system of care, one that anticipates people s needs and is constantly innovating to deliver high-quality, affordable care locally and conveniently. Currently Wellforce includes 2,900 physicians, four community hospital campuses, an academic medical center, a children s hospital and home health and hospice services. Wellforce represents $1.7 billion in revenue and includes 12,000 employees. Wellforce has the largest geographic reach of any physician network in Massachusetts. The system recently hired a Chief Physician Executive to work with physicians to redefine how care is delivered in the future. Wellforce members differentiate themselves with their commitment to providing high-quality, lower-cost care, offering extensive services locally, delivering exceptional customer experiences by engaged employees and building thriving physician environments. Wellforce helps its members achieve their goals through assistance with clinical integration, consumer insights, population health, operational excellence and growth. Tufts Medical Center, the academic medical center of Wellforce, focuses on a distributed AMC model, meaning it partners with local hospitals and providers to bring world-class medical programs to communities throughout Eastern Massachusetts. Tufts Medical Center and Circle Health have partnered in critical care, pediatrics, high-risk pregnancy, nephrology and cardiac care. Hallmark Health and Tufts Medical Center are collaborating through Wellforce to enhance local access to neurosurgery, high-risk pregnancy, cancer and advanced endoscopy services. The groups are currently working to standardize cardiovascular care across the system. The Wellforce strategy has proven effective in significantly increasing case mix, revenue and volume at the community providers. Wellforce has the second highest case mix index in Massachusetts. Wellforce members are working together to identify and seize operational synergies. Teams have identified more than $150 million in opportunities over the next two years. Currently the teams are focused on supply chain, revenue cycle, pharmacy and laboratories services. Human resources, legal services, marketing and real estate services have also integrated some services and functions. The CEO of Wellforce is Norm Deschene, the former CEO of Circle Health, and its board is chaired by Ellen Zane, formerly CEO of Tufts Medical Center. More information about Wellforce can be found at Wellforce.org.

8 Tufts Medical Center CEO 6 Medical Education and Academic Affiliations Tufts Medical Center has partnered with institutions across Massachusetts so that the residents and fellows at Tufts Medical Center can have access to a wide range of clinical, research and teaching opportunities in different environments. Tufts Medical Center s affiliation is with the Tufts University School of Medicine (TUSM), a leader in innovative medical education and advanced research, of which Tufts Medical Center is the principal teaching hospital. Most doctors at Tufts Medical Center receive faculty appointments at TUSM and many clinical chairs also serve as academic chairs there. The Tufts Medical Center Physicians Organization (PO) serves as the faculty practice plan for the medical center and the CEO of Tufts Medical Center is an ex-officio member of its board. Through its bylaws, the dean of TUSM is an ex officio member of the Tufts Medical Center board. Trainees benefit from the close relationship with TUSM by gaining access to their plethora of resources including medical libraries, research laboratories and meeting spaces. Trainees also participate in teaching medical and other graduate students. Tufts Medical Center also has academic training affiliations with 57 hospitals and health centers. There are currently 43 programs and nearly 450 trainees. The residency and fellowship programs partner with these hospitals to give trainees experience in a localized healthcare approach and a diverse case load. These partnerships also help community hospitals because they give their patients access to care from some of the emerging leaders in the field of medicine. Currently, training partnerships include: Lahey Hospital & Medical Center Lawrence General Hospital Lemuel Shattuck Hospital MetroWest Medical Center St. Elizabeth s Medical Center Winchester Hospital VA Boston Healthcare System Recent Awards and Recognitions Tufts Medical Center and Floating Hospital for Children Boston Hospitals have recently won a number of awards recognizing the top doctors, exceptional patient care, innovative research and leading training programs. The most notable honors include: Tufts Medical Center has received the Bernard A. Birnbaum, MD, Quality Leadership Award from

9 Tufts Medical Center CEO 7 the University Health System Consortium (UHC, now Vizient). The award is given to topperforming academic medical centers in the organization s rigorous annual review of quality, efficiency and patient-safety data. The award is based on an in-depth study of an academic medical center s performance, including mortality, effectiveness, safety, equity, patient centeredness and efficiency. One hundred and two academic medical centers across the nation participated in UHC s 2015 study, and Tufts Medical Center was one of only 13 receiving the fivestar ranking and Quality Leadership Award. Vizient has consistently ranked Tufts Medical Center in the top 25 percent of academic medical centers in the nation for quality and accountability. Tufts Medical Center and Floating Hospital for Children had 153 top physicians named Boston Magazine Top Doctors in 52 different specialties in The Advanced Heart Failure and Cardiac Transplant Program at Tufts Medical Center has earned a score of 5 from the Scientific Registry of Transplant Recipients (SRTR) in its latest outcome assessment study making it the only Center in Massachusetts to receive the highest possible score. Tufts Medical Center finished calendar year 2016 as one of the top-10 heart transplant centers in the country. According to United Network for Organ Sharing (UNOS) data, Tufts Medical Center s heart transplant total ranked 10th nationally and first in New England. Tufts Medical Center has been awarded the Blue Cross Blue Shield Blue Distinction Center and Total Value Designation for cardiac care, maternity care, hip and knee replacement, spine surgery and bariatric surgery. The Distinction recognizes health care providers that show expertise in delivering quality care safely, effectively and cost efficiently. Tufts Medical Center is among the top 10 percent of independent hospitals receiving National Institutes of Health (NIH) funding. Tufts Medical Center has been recognized by the American Heart Association and the American Stroke Association for the quality of care that it provides for heart disease and stroke patients. It is an official "Get with the Guidelines" Stroke Gold Plus Award. The American College of Surgeons and the Massachusetts Department of Public Health have designated Tufts Medical Center as a Level I Adult Trauma Center and Floating Hospital for Children as a Level I Pediatric Trauma Center.

10 Tufts Medical Center CEO 8 Market Overview Healthcare in Eastern Massachusetts Like the broader healthcare industry, eastern Massachusetts has experienced a wave of consolidation and the formation of larger systems. The region is now home to one large-scale system. Formed in 1994, Partners HealthCare includes two major medical centers, Brigham and Women's Hospital and Massachusetts General Hospital, as well as community and specialty hospitals, a managed care organization, a physician network and other entities. Beth Israel Deaconess Medical Center has proposed a merger with Lahey Health which would create the second largest system in the region. Other key participants in the local market include Boston Medical Center, a 487-bed academic medical center located in Boston's South End, as well as Texas-based Steward Health Care. Founded in 2010, Steward recently merged with IASIS Healthcare to make it the largest private hospital operator in the U.S., with nine facilities in Massachusetts. While competition in the regional market has certainly bred medical innovation and service excellence in academic medicine in particular it is also a high-cost market from the patient perspective and an expensive market within which to operate from a provider perspective. Healthcare organizations in the greater Boston area must adhere to exceedingly high standards and competitive services, while innovating and providing new and better offerings for its patients. As a value-based tertiary and quaternary care center, Tufts Medical Center is able to differentiate itself from its competitors.

11 Tufts Medical Center CEO 9 Position Summary Responsibilities The successful CEO candidate will prioritize the following: Strong Leadership Exercise leadership and management responsibility to ensure the efficient delivery of services that meet the needs of patients, physicians, employees and the community within this rapidly changing healthcare environment. Galvanize all key stakeholders around a clear and compelling vision that ensures success and growth and positions Tufts Medical Center as a regional and national leader in healthcare delivery, clinical innovation and academic medicine. Represent Tufts Medical Center as the tertiary arm of the Wellforce system. As a leading executive within Wellforce, be the visionary for the evolution and integration of the system and leadership in cross-system clinical opportunities. Position Tufts Medical Center as a strong leader and partner with both Tufts University School of Medicine and Tufts University, as well as peer institutions within Wellforce. Strategy and Growth Provide direction and leadership in the development of strategy, leveraging organizational strengths and relationships to executives on key operating/financial metrics and market-based growth. In conjunction with the executive leadership team, establish and oversee an organizational structure that provides guidance and oversight to meet strategic goals. Identify partnership and growth opportunities that best position Tufts Medical Center for the future. Create and support an environment that encourages and fosters creativity and innovation. Organizational Mission/Vision Articulate the vision, mission and values of Tufts Medical Center and lead efforts to achieve the delivery of compassionate, high-quality, cost-effective care. Ensure that Tufts Medical Center s mission and vision are directly reflected in a meaningful and practical strategic plan that contains measurable goals and operational objectives. Leadership Team Ensure the strength of the leadership team; develop future leaders and emphasize teamwork

12 Tufts Medical Center CEO 10 and collaboration, coupled with open, honest and direct communication. Recognize the importance of the teammate community; provide overall leadership and inspiration in fostering a collaborative and rewarding work environment. Finance With the executive team, ensure long term financial and operational stability for Tufts Medical Center by developing and achieving budgetary, financial and operational performance goals consistent with the mission, vision, values and strategic goals of Tufts Medical Center and Wellforce. Ensure that financial strategies are in place that takes into consideration the market and fiscal forces at the state and federal level. Identify and advance opportunities for clinical integration across the Wellforce system. Clinical Leadership and Integration Develop positive relationships with all medical staff, including NEQCA and the Tufts Medical Center Physicians Organization, ensuring that the mission and values of Tufts Medical Center are effectively communicated, understood and practiced. Work collaboratively with the clinical chairs and service line leaders. Develop positive relationships with nursing staff, and look for ways to engage and align nurses, through mutually beneficial efforts and improvements that are grounded in shared goals and trust. Position Tufts Medical Center as the referral destination of choice for all members of Wellforce, serving both as a receiving facility for the region as well as a source of tertiary providers in the community. Quality Metrics, Improvement Reinforce and support a culture of excellence, quality and service within Tufts Medical Center such that patient engagement, colleague engagement and quality outcomes are achieved at the highest possible levels. Sustain an environment of continuous quality improvement, including the identification of concrete performance measures across Tufts Medical Center for clinical, service, financial, operational, management, patient satisfaction and community involvement. Ethics, Culture Engage in and model appropriate, ethical, professional and personal values/behavior. Serve as an exemplary role model. Ensure an ethical work environment, such that the system operates in compliance with state and federal laws, regulatory bodies organization and business partnerships.

13 Tufts Medical Center CEO 11 Talent/Diversity Drive policies and practices that recognize the importance of development, diversity and talent management to ensure that the leadership required for a successful organization. Create an environment of inclusivity and diversity; ensure that Tufts Medical Center is responsive to the diverse communities it serves. Community Relations Serve as a visible, influential leader at the city, state and federal levels. Represent Tufts Medical Center to its communities: patient, employee, medical, external agencies, institutions and others to educate various constituencies concerning the hospital s role, goals, philosophy, accomplishments and other issues that are important to its success and position. Cultivate relationships with internal and external constituents, including, but not limited to, the Board, physician leaders and medical staff, leadership team, community leaders, politicians and other healthcare, business and key opinion leaders, that foster the collaborative partnerships needed to address and resolve health issues within the city, state and country. Be active as a key opinion leader within Boston, developing and enhancing relationships to ensure that Tufts Medical Center is viewed as a strong corporate citizen that meets both the health and social determinants needs of local residents. Philanthropy With Development and Board, establish fundraising goals and actively cultivate relationships with current and potential donors, including corporations, foundations and individuals. Build a strong culture of philanthropy across the organization. Board of Trustees Support the Board and its role in governance to achieve goals and objectives that fulfill the mission and vision of Tufts Medical Center and that mission within Wellforce. Provide consultation to the Board to keep members aware of trends, innovations and opportunities that will support the strategic direction of Tufts Medical Center. Wellforce Interact collaboratively with Wellforce colleagues as a member of the senior executive team and represent Tufts Medical Center and the Floating Hospital for Children within the framework of the Wellforce system. Provide senior executive direction and leadership in the attainment of the Wellforce mission and strategic objectives and support the system s growth and development opportunities for expansion of the system s comprehensive healthcare services within the region.

14 Tufts Medical Center CEO 12 Focus on the strategic direction and operating performance of Tufts Medical Center, collaborate with Wellforce colleagues to shape Wellforce strategy with a view toward the broader population in the region that is served by Wellforce. Seek, support and sponsor opportunities to further integrate services across the Wellforce system. Reporting Relationships The CEO reports and is accountable to the Tufts Medical Center Board of Trustees. He/she is accountable to the CEO of Wellforce for system matters. Supporting the CEO is a high-performing executive team that includes: Senior Vice President and Chief Financial Officer Chief Scientific Officer Senior Vice President, Strategy President and Chief Executive Officer, Tufts Medical Center Physicians Organization Senior Vice President and Chief Information Officer Senior Vice President and Chief Medical Officer Senior Vice President and General Counsel President and Chief Executive Officer, New England Quality Community Alliance Senior Vice President and Chief Nursing Officer Executive Director, Surgical Services Vice President, Development While the Tufts Medical Center and the Floating Hospital for Children corporate officers report directly to the leader of Tufts Medical Center, some senior staff also have a dotted line reporting relationship to their Wellforce functional leadership counterparts. In addition, in order to leverage resources as a multientity regional health system, Wellforce provides corporate services to each of the hospital entities such as legal, government relations, human resources, property management, communications, marketing, information technology, finance, treasury, strategic planning and purchasing.

15 Tufts Medical Center CEO 13 Goals and Objectives The following goals and objectives have been identified as priorities for this position: Develop an appreciation for the culture and community; get to know and establish trusting relationships with the staff, providers and leaders within Tufts Medical Center. Develop an overall vision and plan for Tufts Medical Center that ensures continued success and viability for the future; understanding and appreciating how a mid-sized academic medical center can thrive in this competitive environment. Understand the pillars of patient care, research and teaching within Tufts Medical Center, and work with the leaders and appropriate constituencies in each of these areas to determine the future plan and strategies for success. Develop and implement branding and communications strategies to articulate the market position of Tufts Medical Center. Communicates a clear, concise vision and strategy of Tufts Medical Center and the Floating Hospital for Children and Wellforce to the organization so that staff, caregivers and supporters embrace and feel a sense of ownership. Communicate a clear, concise vision and strategy for the organization so that staff, providers and non-providers embrace and feel a sense of ownership. Ensure that the mission and values of Tufts Medical Center are well-articulated and supported. Establish rapport and credibility with Wellforce member organizations, Tufts University School of Medicine and Tufts University leaders. Build strong relationships with all external stakeholders and key opinion leaders important to Tufts Medical Center. Become externally visible and recognizable within the local community and with state legislature. Initiate and execute on a comprehensive, long term strategic planning process, with input and involvement from a wide range of stakeholders, in order to address market opportunities. This may involve making difficult decisions about organizational priorities and product lines. Represent and ensure Tufts Medical Center s success as a tertiary leader within Wellforce that recognizes and supports the distinct academic mission of the organization. Gain a thorough understanding of the market dynamics and competitive environment within the Boston academic medicine market. Strengthen the environment and culture of team-based care between physicians, nurses and all clinicians, supported by a collaborative relationship between the CEO and leadership team. Assess the organization s governance structure and function to ensure that it fully supports Tufts

16 Tufts Medical Center CEO 14 Medical Center s strategy, integration and philanthropic plans. Continue the return on investment momentum. Strategically think of priorities to invest in for the future success of the organization. Support the implementation process and ensure success of major new system wide investments and transformation including new clinical information and revenue cycle systems. Based on strategic priorities, continue the development of a strategic Master Facility Plan, working with the board to identify funding and ensure successful execution of needed physical plant revitalization and transformation. Working collaboratively with the system CEO, physician leaders and other system executives to identify opportunities and implement clinical programs that will maximize market and patient and community benefit of Tufts Medical Center and Wellforce.

17 Tufts Medical Center CEO 15 Candidate Qualifications Education/Certification Graduate degree in business administration, healthcare administration, management, medicine or related field. Physician candidates who meet the other qualifications are encouraged. Minimum of 10 years of experience in same or comparable position in similarly-sized organization. Knowledge and Work Experience Extensive executive level experience (CEO or other senior leadership role) in a nationally recognized healthcare organization with exemplary quality, growth and sustained financial strength. Thorough working knowledge and experience in an academic medical center setting, ideally within a large, integrated health system. Understanding, gained through personal experience, of system formation and dynamics. Experience leading an organization through transformation in a dynamic external environment. A solid track record of developing and articulating a vision and strategy in coordination with the Board and executive leadership team. A proven ability to create and retain an exceptional leadership team recognized for collaboration, innovation and implementation. A proven track record of developing strong relationships between key constituency groups. A demonstrated commitment to high-quality, consistent, patient-centric care driven by clinician, patient and community needs. Leadership Skills and Competencies Passion for excellence: Commitment to exceptional patient care, education, research and service to the community. Vision: Anticipates large-scale and local changes that will impact Tufts Medical Center and its environment; able to project Tufts Medical Center into the future and envision multiple scenarios and outcomes; able to design competitive strategies and plans based on future possibilities. Social consciousness: Is committed to social responsibility and community health; has a record of being highly visible within the community and can represent the organization to multiple audiences. Systems orientation: Possesses a systems perspective. Manages Tufts Medical Center to achieve success by leveraging resources, commitment and opportunities across the system to

18 Tufts Medical Center CEO 16 ensure successful outcomes and improve patient care. Builds upon key organizational requirements, including strategic objectives and action plans to achieve goals. The successful leader will be a collaborative entrepreneur comfortable in an evolving matrix environment across Wellforce. Impeccable reputation: Has integrity, credibility and capacity to build upon trusting relationships and a management style that welcomes input into the decision-making process; is a respected leaders who possesses the interpersonal skills to fit within the Tufts Medical Center culture. Political acumen: Orchestrates, optimizes and constructively balances the interests of a number of different constituencies. Skill as a change agent: Creatively engineers and constructs new ways of doing things; is future-oriented while respecting tradition, capable of making changes sensitively but unwavering; is a leader who respects organizational culture while managing the medical center s capacity for change. Team building skills: Pulls together the management, nursing, physicians, Board, other Wellforce providers, government officials and the broader community to pursue common goals of improved healthcare outcomes for patients; delegates and empowers his/her senior team and is comfortable working with a strong team of senior executives and delegates authority to them. Results orientation: Consistently achieves results, even under challenging circumstances. Collaborative skills: Builds partnerships and works collaboratively with others (individuals and organizations) to meet shared goals; models team orientation in Wellforce role, and encourages the same behavior in others. Strong communication: Engages clearly and convincingly with others; is an active listener who seeks input and encourages the dynamic exchange of ideas. Personal Characteristics Inspirational: Serves as an aspirational guidepost of the organization; the CEO must find a way to connect and provide leadership. Culturally competent: Recognizes and promotes the value that different perspectives, experiences and cultures bring to Tufts Medical Center. Emotionally intelligent: Recognizes personal strengths and weaknesses; sees the linkages between feelings and behaviors; shows sensitivity and respect; challenges biases; collaborates and shares; handles conflict, difficult people and tense situations effectively. Collaborative and communicative: Builds partnerships and works collaboratively with others to meet shared goals; is diplomatic and tactful. Courageous: Takes appropriate risks and innovates; is entrepreneurial in order to achieve Tufts Medical Center s goals.

19 Tufts Medical Center CEO 17 Humble/approachable: Serves others first; is self aware; engages openly and encourages others growth and development so they can reach their full potential. Empathetic: Understands, appreciates and considers the implications of feelings, interests and the needs of others. Trustworthy: Gains the respect and trust of others through honesty, integrity, authenticity and consistency. Is a credible and authentic leader at all levels.

20 Tufts Medical Center CEO 18 The Community Boston Boston, first incorporated as a town in 1630 and as a city in 1822, is one of America's oldest cities, with a rich economic and social history. What began as a homesteading community eventually evolved into a center for social and political change. Boston has since become the economic and cultural hub of New England and one of the truly great American cities. Boston proper is home to over 660,000 residents, many renowned institutions of higher education, some of the world's finest inpatient hospitals and academic medical centers and numerous cultural and professional sports organizations. Millions of people visit Boston to take in its historic neighborhoods, attend cultural or sporting events and conduct business. Boston and the surrounding communities are exceptional for families, with some of the nation s highest-ranked public and private schools, excellent community services and varied and distinct residential neighborhoods. The City of Boston has wonderful parks and recreational areas, with more than 2,200 acres of park land throughout the city. venture capital and exceptional professional talent. The Boston biotech hub lays claim to being the largest biotech cluster in the world in size and significance, driven by top-flight universities, hospitals and biopharma companies, access to Visit for information on all that the greater Boston area has to offer.

21 Tufts Medical Center CEO 19 Timeline Potential interview dates for Tufts Medical Center in Boston, Massachusetts have been outlined as follows: Paper presentation of qualified candidates to the Tufts Medical Center CEO Search Committee by Witt/Kieffer is scheduled for Mid-May Round One interview dates are scheduled for Mid-June Round Two interview dates are scheduled for June-July Selected candidates should plan to hold the above dates in the event they are invited by the committee to participate in the interview process.

22 Tufts Medical Center CEO 20 Procedure for Candidacy Please direct all nominations and resumes to Kimberly Smith through the office of Stephen Davis, preferably via to Kimberly A. Smith Witt/Kieffer 35 Corporate Drive, Suite 290 Burlington, MA Phone: Fax: Stephen C. Davis Witt/Kieffer 35 Corporate Drive, Suite 290 Burlington, MA Phone: Fax: Julie A. Rosen Witt/Kieffer 35 Corporate Drive, Suite 290 Burlington, MA Phone: Fax: Tufts Medical Center values diversity and is committed to equal opportunity for all persons regardless of age, color, disability, ethnicity, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status protected by law. The material presented in this leadership profile should be relied on for informational purposes only. This material has been copied, compiled or quoted in part from Tufts Medical Center documents and personal interviews and is believed to be reliable. While every effort has been made to ensure the accuracy of this information, the original source documents and factual situations govern. All images and logos used in this leadership profile were attained from Tufts Medical Center and/or are owned by Witt/Kieffer via Getty Images.

23 Appendix: Organization Chart Tufts Medical Center CEO 21

24 Witt/Kieffer is the preeminent executive search firm that identifies outstanding leadership solutions for organizations committed to improving the quality of life. Discover Thought Leadership at wittkieffer.com 2018, Witt/Kieffer. All rights reserved.