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 postoperative care for ambulatory surgery patients and a 24-hour emergency room for treatment or transport to UW Hospital and Clinics Dining area The American Center s Three Wings of Health & Wellness 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 3
Eight Focus Areas from The UW Health Strategic Plan and The Role of UW Health at The American Center 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 Quality Distinction Clinical Model of Care Primary Care Population Health Market Focus UW Health is clearly distinguished for its culture of patient- and familycentered care and ensures excellence during every patient encounter. 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. 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. 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. 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. 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. Patients and families will experience: Minimal wait times Services pulled to them A focus on overall wellness Excellent customer service We will provide state of the art care that achieves Top 100 Hospital Benchmarks for like-sized Community Hospitals. 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 We will be a leader in care coordination assuring patients have smooth transitions of care. Patients will serve as partners in their care and be engaged in selfhelp and wellness/lifestyle changes. Care will be managed across the value stream instead of episodically. 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. 4
Leadership and Associate Selection Physician Leadership has been formed: Dr. Michael Ford, Anesthesia Dr. Joseph Holt, Hospitalist Underway Dr. Brian Sharp, Emergency Services Dr. Michael Garren, Gen. Surgery Dr. Richard Illgen, Orthopedics 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. 5
DRAFT - UW Health at The American Center Behavioral Competency Progression Map 2014 Front Line Skilled Front Line Professional Clinical Supervisors/ Managers Senior Leaders Integrity Integrity Ethical Leadership Innovation Adaptability Continuous Improvement Leading Change Compassion Accountability Patient & Family Centered Care Accountability Patient & Family Centered Leadership Servant Leadership Respect Collaboration Collaborative Leadership Emotional Intelligence Excellence Work Ethic Implementing Results / Work Ethic Drive for Results Strategic Thinking Judgment Judgment & Decision Making Execution Skills DRAFT
UW Health at The American Center Advancing Organizational the Standard for Healthcare Structure Excellence Activation Structure & Strategic Framework Operations & Performance Improvement Team (Includes LEAN Sensei) President s Integration Population Health Market Focus Primary Care Quality Distinction/ Clinical Model of Care Ambulatory Clinical Process Overnight/UCC Clinical Process Peri-Operative Process Diagnostics Role of Tele- Medicine Patient and Family Experience Best Work and Academic Environment Organization Health and Innovation Culture Development Associate Engagement Financial Patient and Family Selection and Hiring Forecasting and Advisors Process Planning Partner in Care HR Systems Revenue Cycle Service Line/Business Development Facility Readiness Materials Management Medical Equipment FF&E and Logistics Construction/Life Safety Building Operations Physician Leadership Physician Workshop of Choice Physician Engagement Physician Alignment Information Systems & Communications 7
The s have been hard at work on Best Work & Academic Environment Facility Readiness Activities 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. 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: 1 st 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. 8
The s have been hard at work on Organizational Health & Innovation Patient & Family Experience Physician Leadership Quality Distinction & Clinical Model of Care Activities 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. Recruiting Patient Family Advisors for s. 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 s at this time. Attended initial Leadership Development Training conference. Finalizing Charter. Participating in recruitment activities. 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. 9
UW Health at The American Center Organization Chart Strategic Framework s: Best Work & Academic Environment Facility Readiness Organization Health & Innovation Patient & Family Experience Quality Distinction/Clinical Model of Care LEAN Sensei: Tim Prince Patricia Morrill President UW Health at The American Center SVP UWHC John Sheehan Physician Leadership : M. Ford, MD M. Garren, MD J. Holt, MD R. Illgen, MD B. Sharp, MD Orthopedics & Rehabilitation Jane Powers VP Clinical & Interventional Services UW Health at The American Center Vicki Hill Universal Care Services Perioperative Services Overnight Care Services Clinic Care Services Patient Flow Care Coordination VP Performance Excellence & Integrated Operations UW Health at The American Center Wendy Horton 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 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 10
Unique Operational Oversight/Governance of the Focused Care Process Organizational Model: Executive Leadership through President s 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 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. 11
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 12
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 13