ZSFG Strategic Direction: 206-7 X-Matrix Joint Conference Committee January 24, 206 Susan P. Ehrlich, MD, MPP
ZSFG STRATEGIC DIRECTION: ZSFG S ANNUAL COMMITMENT TRUE NORTH Strategic Goals 207 TACTICS To support and drive Strategic Goals Executives to lead those initiatives PERFORMANCE Performance Metrics linked to initiatives/tactics True North metrics will be measured over the coming five years 2
TRUE NORTH 3
X-MATRIX Building for the Future: 7 2 2 2 2 2 Optimizing Clinical and Academic Space at ZSFG 6 Implementing Enterprise-wide Electronic Health Record 2 2 2 2 2 5 Ensuring Flow & Access 2 2 4 Optimizing Workforce Care and Development 2 2 2 2 2 2 3 Optimizing a Care Experience Model 2 2 Implementing an Improvement (Operating) System 2 2 2 2 Improving Value and Patient Outcomes through Safer Care 2 2 2 2 2 Equity Strategies / A3 Safety Quality Care Financial Stewardship Workforce Care and Development Equity Workforce Care and Development Financial Stewardship Care Experience Quality Safety True North Goals True North Outcomes Performance Reduce Harm Events Safe Discharge Home for Total Joint Replacement Readmissions Lower level of care days ED Average LOS Time on diversion Courteous and Respectful Communication Food Preferences Meeting project and budget milestones Meeting project and budget milestones Meet monthly expenditure targets Voluntary turnover Staff Injuries A3 Thinking Training Leaders Adopting Leader Standard Work Aiyana Johnson Brent Andrew Dave Woods Eric Shaffer Jim Marks Karen Hill Kim Nguyen Sue Carlisle Susan Ehrlich Terry Dentoni Todd May Tosan Boyo Troy Williams Valerie Inouye year year 2 year 3 year 4 year 5 Legend Star Rating Total Episode spend for Medicare Patients Inpatient Length of Stay HCAHPS and CG CAHPS "Likelihood to Recommend" ZSFG as a = great place to receive care Completing capital building projects Adopting a fully functional EHR Contain rate of expenditure growth 2 = "Likelihood to Recommend" ZSFG to friends and family as a great place to work. Inequity flag - where flag exists, measure red due to inequity in race, ethnicity, or language (SOGI) 3 = strong correlation or team leader important correlation or core team weak correlation or rotating team member 4
True North Goals Performance Performance measured throughout 207 to drive outcomes ACHIEVING OUR OUTCOMES Strategies / A3 True North Outcomes Outcomes measured over 5 years 5
ACHIEVING OUR OUTCOMES True North Goals Strategies and A3 Performance Drivers Outcomes Equity Workforce Care and Optimizing Workforce Care and Voluntary turnover Development Development Financial Stewardship Care Experience Quality Safety Implementing our ZSFG Improvement and Operating System Building for the Future: Optimizing Clinical and Academic Space at ZSFG Implementing Enterprise-wide Electronic Health Record Optimizing ZSFG s Care Experience Model Ensuring Flow & Access Staff Injuries A3 Thinking Training Leaders Adopting Leader Standard Work Meeting project and budget milestones Meeting project and budget milestones Meet monthly expenditure targets Courteous and Respectful Communication Food Preferences Readmissions Lower level of care days ED Average LOS Time on diversion Improving Value and Patient Reduce Harm Events Outcomes through Safer Care Safe Discharge Home for Total Joint Replacement "Likelihood to Recommend" ZSFG to friends and family as a great place to work. Completing capital building projects Adopting a fully functional E.HR EHR Contain rate of expenditure growth HCAHPS and CG CAHPS "Likelihood to Recommend" ZSFG as a great place to receive care Inpatient Length of Stay Star Rating Total Episode spend for Medicare Patients 6
True North Goals Ex: Quality Ex: Lower Level of Care days Performance Performance measured throughout 207 to drive outcomes ACHIEVING OUR OUTCOMES Strategies / A3 Ex: Ensuring Flow & Access Ex: Inpatient Length of Stay True North Outcomes Outcomes measured over 5 years 7
NEXT STEPS Tactical A3 Team Meetings Teams to confirm A3 metrics and performance outcomes Tactical A3 Development Operational A3 Development Align with Tactical A3 Tactical A3s presented at JCC and Health Commission meetings over the year True North Scorecard presented at JCC quarterly JCC and Health Commission Updates 8