SLUCare Home : SLU - 171115 TEAM Town Hall v30€¦ · Integrated Organization Clinical Quality ... GERIATRICS PSYCHIATRY SPINE SURGERY SLEEP MEDICINE INSTITUTES. 10 171115_TEAM Town

Higher Purpose. Greater Good.™

TEAMTownHallNovember15th,2017

2CHI171115_TEAMTownHall_v29

Ourvision

Growtoachieveleadingfinancialresultsandaleadershippositioninthemarket,benefitingourmission,faculty,andstaff

Becomethedesireddestinationforfaculty,staff,andstudentsbyensuringtheyaredevelopedandempowered

Setthestandardforqualitypatient-centriccareandacademicexcellence


Culture: Driveacultureofexcellenceandaccountability

Increaseclinicalvolume Fostergrowthinteachingandresearch

Optimizesupportstaffingforeffectivenessandefficiency

Buildthestrategicplanforthenext5-10years

Integrateacademic,research,andclinicalcomponentsofthe

SchoolofMedicine

Continuouslyimprovehigh-qualitypatientinteractions

TransformativeExcellenceinAcademicMedicine(TEAM)isaboutdeliveringthatvisioninsixkeyareas

PatientAccess ResearchandEducation

SupportingCapabilities StrategicPlan

DELIVERQUALITYANDGROWTHINEVERYTHINGWEDO

IntegratedOrganization

ClinicalQuality

• Optimizeclinicalcapacity- developstandardsonworkinghours,productivity,scheduling,andCARTS

• Reduceandmitigatetheimpactofcancellations,noshows,&bumps

• Sustainablydevelopprogrammaticresearchtogrowexternalfundingresources(NIH,clinicaltrials,andothers)

• ImproveGraduateMedicalandGraduateResearchEducation

• ReinstatefullLCMEaccreditation

• Improveandintegrateinterprofessionalhealthprofessionstraining

• Implementstandardizedprocessestoensurebilling&codingcompliance

• ConsolidateEpicEHR

• TransitiontotheEpicrevenuecyclemanagementsystem

• Developa5-yearroadmaptoachieve‘full-potential’growthandpatientoutcomes

• ImplementtheIntegratedDeliveryNetworkPlanwithSSM

• BuildthenewhospitalandACCandmoveclinicalinfrastructure

• Redesigntheacademiccampus

• Shifttoaninstitutemodeltoenhanceperformancewhilemaintainingidentity

• Clarifydecisionrightsandaccountabilities

• Redesignbudgetandfundsflowprocess

• Improverecruiting,hiring,anddevelopmentprocesses&standardizejobtitles

• Centralize&standardizesupportfunctions

• Rolloutnewfaculty compensationmodel

• Improveclinicalqualityacrossthecontinuumofcare

• Developinfrastructureforhighperformanceinvalue-basedpaymentcontracts

• Developapatientexperienceprogram

PatientAccess ResearchandEducation

SupportingCapabilities StrategicPlanIntegratedOrganization

ClinicalQuality

TEAMhasestablishedinitiativesbehindeachofourpriorities


Initiativeownershavebeenassignedforeachinitiative

Initiative Co-OwnersImprove clinical quality across the continuum of care Beth Page, Nicole BurkemperDevelop infrastructure for high performance in value-based payment contracts Beth Page, Bill ManardDevelop a patient experience program Beth Page, Mary McLennanOptimize clinical capacity-develop standards on working hours, productivity, scheduling, and CARTS Peggy Fisher, Ali Kosydor, Michael Lim, Jenny SchmidtReduce and mitigate the impact of cancellations, no shows, & bumps Peggy Fisher, Ali Kosydor, Michael Lim, Jenny SchmidtSustainably develop programmatic research to grow external funding resources Enrico Di Cera, Daniel Hoft, Joel Eissenberg, John Edwards, Paul HauptmanImprove Graduate Medical and Graduate Research Education Jane McHowat, Julie GammackReinstate full LCME accreditation Kevin Behrns, Chad MillerImprove and integrate interprofessional health professions training David Pole, Christine JacobsShift to an institute model to enhance performance while maintaining identity Bob Heaney, Kevin Behrns, Tom BurrisClarify decision rights and accountabilities Christina Moore, Bob WilmottRedesign budget and funds flow process Gary Whitworth, Mike Meyer, Sameer SiddiquiImprove recruiting, hiring, and development processes & standardize job titles HR/SLUCare Administration, Charlene Prather, Jane McHowatCentralize & standardize support functions Peggy Fisher, Ali Kosydor, Mike Meyer, David Wathen, Sameer SiddiquiRollout new faculty compensation model Wes Maurer, Carole Vogler, Yadira HurleyImplement standardized processes to ensure billing & coding compliance Elizabeth Cooley, Chetana Reddy, Alyce LanxonConsolidate Epic E HR Nilesh Patil, Bill ManardTransition to the Epic revenue cycle management system Alyce Lanxon, Mike Meyer, Jastin AntisdelDevelop a 5-year roadmap to achieve 'full-potential' growth and patient outcomes Kevin Behrns, Bob Heaney, Jules GrotemeyerImplement the Integrated Delivery Netowrk Plan with SSM Kevin Behrns, Bob Heaney, Jules GrotemeyerBuild the new hospital and ACC and move clinical infrastructure Bob Heaney, Don Jacobs, Jeff BrownRedesign the academic campus Bob Heaney, Kevin Behrns

Clinical Quality

Patient Access

Research and

Education

Integrated Organization

Supporting Capabilities

Strategic Plan


FacultyadvisorshavebeenselectedbytheFacultyAssembly

• YadiraHurley– Dermatology/Pathology

• JennySchmidt– GeneralInternalMedicine

• LiaLowrie – Pediatrics

• Anjan Bhattacharyya– Psychiatry

• SameerGadani – Radiology

•GinaYosten– Pharmacology&PhysiologicalScience


Today,wewillfocusontheinstitutemodel,whichiscriticaltoachievingourvision

“Foryou,andforothers,weteachresearch-inspired,high-valuehumanisticcare”

Enhanceclinicalcareandpatientexperience

patient-centricfocus

Attractresearchgrantsandhighvalueclinicalcases

innovativeresearch

Facilitatepracticalinterprofessional teaching

educationexperience

Thesefocusareasallowustocreatepositiveexperiencesforourpatients,faculty,staff,andstudentsandachievefinancialresultsinsupportofourmission


Ourgoalsdefineacoresetofdesignprinciplesthathaveinformedourinstitutemodeldesign

Des

ign

Prin

cipl

es• Patientscomefirstintheclinic,ourresearch,andoureducation

• Organizeourselvestodeliverinterprofessionalcare

• Integrateourmissionsofclinicalcare,research,andteaching

• Newmodelmustimprovefinancialresults

• Clearerdelineationofroles,responsibilities,andaccountabilitiesforleaders

• FundsflowbecomesmoretransparentandorientedtowardstheobjectivesoftheSchoolasawhole

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Wehavedefined11institutesFORMALINSTITUTENAMESNOTFINALIZED

NeurologicalDiseases

Heart&Vascular

Cancer

Women’s

Children’s

Immunology

PrimaryCare

AcuteCare

GI/Liver/Transplant

SpecializedCare/Surgery

Diagnostics/Services

Basicscientistswillaffiliatewithinstitutesbasedontheirresearchfocus.

Academicdepartmentswillfocusonteachingandprofessionalidentity.


Basedonworkshops,feedback,andexternalresearch,wehavedefined11institutes

CARDIOLOGY

HEART&VASCULAR

CARDIOTHORACICSURGERY

VASCULARSURGERY

PULMONARY(Non-critical/Non-sleep)

HEMONC(Non-surg./Non-transplants)

CANCER

BONEMARROWTRANSPLANTS

OB/GYNONCOLOGY

SURGICALONCOLOGY

RADIATIONONCOLOGY

HEAD/NECKCANCER

OB/GYN&WOMEN’SHEALTH

WOMEN’S

GYNSURGERY

BREASTSURGERY

OB/GYNUROLOGICALGYNECOLOGY

OB/GYNREPRODUCTIVEENDOCRINOLOGY

PEDIATRICS

CHILDREN’S

PEDIATRICSURGERY

PEDIATRICANESTHESIOLOGY

PEDIATRICORTHOPEDICS

PEDIATRICUROLOGY

PEDIATRICPLASTICS

INFECTIOUSDISEASES

IMMUNOLOGY

ALLERGY

ARTHRITIS/RHEUM

VACCINECENTER

MOLECULARMICROBIOLOGY&IMMUNOLOGY

VIROLOGY

NEUROLOGY

NEUROLOGICALDISEASES

NEUROSURGERY

NEUROSCIENCECENTER

GERIATRICS

PSYCHIATRY

SPINESURGERY

SLEEPMEDICINE

INSTITUTES


Basedonworkshops,feedback,andexternalresearch,wehavedefined11institutes

HEPATOLOGY/LIVERCENTER

GI/LIVER/TRANSPLANT

LIVER/KIDNEYTRANSPLANTS

NEPHROLOGY

GASTROENTEROLOGY

GENERALSURGERY(incl.colorectalsurgery)

TISSUETYPING

PATHOLOGY

DIAGNOSTICS/SERVICES

NON-INTERVENTIONALRADIOLOGY

OPHTHALMOLOGY

SPECIALIZEDCARE/SURGERY

OTOLARYNGOLOGY(Non-cancer)

DERMATOLOGY(Includingskincancer)

ORTHOPEDICSURGERY(Non-spinal/Non-

trauma/Non-pediatrics)

ADULTUROLOGY

PLASTICS/COSMETICS

OUTPATIENTANESTHESIOLOGY

(Procedural)

EMERGENCYMEDICINE

ACUTECARE

CRITICALCARE

TRAUMASURGERY

ORTHOTRAUMA

RECONSTRUCTIVEPLASTIC

HOSPITALISTS

INPATIENTANESTHESIOLOGY

INTERVENTIONALRADIOLOGY

GENERALINTERNALMEDICINE

(Non-hospitalists)

PRIMARYCARE

FAMILYMEDICINE

MEDICALFAMILYTHERAPY

BEHAVIORALHEALTH

ENDOCRINOLOGY

PAINANESTHESIOLOGY

SLUCOR&POP.HEALTH

INSTITUTES


Example:Geriatrics

CARDIOLOGY

HEART&VASCULAR

CARDIOTHORACICSURGERY

VASCULARSURGERY

PULMONARY(Non-critical/Non-sleep)

HEMONC(Non-surg./Non-transplants)

CANCER

BONEMARROWTRANSPLANTS

OB/GYNONCOLOGY

SURGICALONCOLOGY

RADIATIONONCOLOGY

HEAD/NECKCANCER

OB/GYN&WOMEN’SHEALTH

WOMEN’S

GYNSURGERY

BREASTSURGERY

OB/GYNUROLOGICALGYNECOLOGY

OB/GYNREPRODUCTIVEENDOCRINOLOGY

PEDIATRICS

CHILDREN’S

PEDIATRICSURGERY

PEDIATRICANESTHESIOLOGY

PEDIATRICORTHOPEDICS

PEDIATRICUROLOGY

PEDIATRICPLASTICS

INFECTIOUSDISEASES

IMMUNOLOGY

ALLERGY

ARTHRITIS/RHEUM

VACCINECENTER

MOLECULARMICROBIOLOGY&IMMUNOLOGY

VIROLOGY

NEUROLOGY

NEUROLOGICALDISEASES

NEUROSURGERY

NEUROSICENCECENTER

GERIATRICS

PSYCHIATRY

SPINESURGERY

SLEEPMEDICINE

INSTITUTES

Example

Manyadvancementopportunitiesingeriatricsarerelatedtotheagingbrain

Enablesresearchdifferentiationandmarketcompetitiveness


Example:Endocrinology


GI/LIVER/TRANSPLANT


NEPHROLOGY

GASTROENTEROLOGY


TISSUETYPING

PATHOLOGY



OPHTHALMOLOGY






ADULTUROLOGY

COSMETICS


(Procedural)

EMERGENCYMEDICINE

ACUTECARE

CRITICALCARE

TRAUMASURGERY

ORTHOTRAUMA


HOSPITALISTS




(Non-hospitalists)

PRIMARYCARE

FAMILYMEDICINE


BEHAVIORALHEALTH

ENDOCRINOLOGY

PAINANESTHESIOLOGY

SLUCOR&POP.HEALTH

INSTITUTES

Example

PositioningwithinPrimaryCareiscriticalforpatientonboardingand

continuityofintegratedcare,giventhefocusondiabetescases


Example:Orthopedicsurgery


GI/LIVER/TRANSPLANT


NEPHROLOGY

GASTROENTEROLOGY


TISSUETYPING

PATHOLOGY



OPHTHALMOLOGY






ADULTUROLOGY

COSMETICS


(Procedural)

EMERGENCYMEDICINE

ACUTECARE

CRITICALCARE

TRAUMASURGERY

ORTHOTRAUMA


HOSPITALISTS




(Non-hospitalists)

PRIMARYCARE

FAMILYMEDICINE


BEHAVIORALHEALTH

ENDOCRINOLOGY

PAINANESTHESIOLOGY

SLUCOR&POP.HEALTH

INSTITUTES

ORTHOTRAUMAORTHOPEDICSURGERY

(Non-spinal/Non-trauma/Non-pediatrics)

Groupedwithotherspecialtiesthatrequireexcellenceinanoutpatientenvironment

Groupedwithotherspecialtiesthatareprimarilyfocusedon

criticalcare

Eachorthopedicfacultymemberwillbeaffiliatedwith oneprimaryinstitutethatbestalignswiththeirclinicalandresearchfocus.

Facultymemberswillstillbeabletocontributeacrossinstitutes,e.g.traumacall.

However,theirperformancereviewsandtimeallocationwillbemanagedthroughtheirprimaryinstitute.

Example


Clinicalandresearchfaculty inputwillbesolicitedaspartoftheinstituteaffiliationprocess

Finalization(January)

Feedbacksessions

(Dec.– Jan.)

Provideinput(by11/22)

Receivesurvey(11/9)

• Eachclinicalfacultymemberhasreceivedasurveylinkviaemail

• Clinicalfacultyprovideinputontheirproposedaffiliationviathesurvey

• Individual conversationswithclinicalfacultywherethereareoutstandingquestionsaboutaffiliation• Wewillhavediscussionswithallresearchfaculty

• Eachfacultymemberwillreceiveaplacementmemotoconfirmtheirinstituteaffiliation

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DATESARETENTATIVE ClinicalFaculty

ResearchFaculty


ClinicalfacultyinstituteaffiliationsurveyshouldbecompletedbyNovember22nd

Eachsurveyispersonalizedtotherecipient,givingthemtheopportunitytoconfirmthattheproposedinstituteaffiliatingmakessenseortoproposeadifferentinstituteaffiliation.

Wewillusefeedbacktoscheduleindividualmeetings,asneeded.

51%

86%ofclinicalfacultyhavecompletedthesurvey

offacultywhohavecompletedthesurveyagreewiththeirproposedinstituteaffiliation


Instituteswillfocusfacultyonresearchandpatientcare,supportingthemwithacommoninfrastructure

Institutes

AcademicDepartments

Infrastructure/SupportCaredelivery/

protocols

Research

CARTSallocation

Facultyclinicalschedules

Facultyproductivity/performance/comp

reviews

Teaching

Continuingmedicaleducation

Residencyprogram

Budgeting&fundsflow

Compensation

Ambulatorybusinessplanning

Clinicalstaffing

Staffmanagement

Scheduling

Billing/coding

Pre-arrival

Patientcontactcenter

Clinicalperform.metrics/informatics

Patientexperience

Quality

Compliance

Extramuralprofessionalorganizations

RulesofCARTS

Facultyoffices

Researchadmin.

Fellowshipprogram

Facultyhiringprocesses

Facultypromotionprocesses

PhDprograms&graduateeducation

IT/EHR

Note:highlightskeyactivities,butisnotacomprehensiveview

ClinicalAffairstosetschedulesincollaborationwithInstitutes


Whatdoesthismeanforfaculty?

• Instituteswillbetheinvestmentvehicleforclinicalandresearchactivities

• Allfacultywillreportintoaninstitute,ledbyanInstituteDirector

• InstituteDirectorswilloverseeactivitiesincludingfacultyperformancereviews,CARTSallocation, andclinicalschedules

• Facultywillalsobemembersofacademicdepartments- Facultytitleswillreflectmembershipinthatdepartment(e.g.,

“AssociateProfessorofNeurology”)

• AcademicDepartmentChairswilloverseeacademicdepartmentsfocusedonteachingprogramsandprofessionalidentity- AViceDeanofEducationwilloverseetheirworkasAcademic

DepartmentChairs- AcademicDepartmentChairswillstillindividuallybemembersof

institutesandreporttoInstituteDirectors- AsinglepersoncouldserveasbothanAcademicDepartmentChair

andanInstituteDirector

Institu

tes

Acad

emicDep

artm

ents

Focusonpatient-centriccareand

research

Focusonteaching,academic

programs,andprofessionalidentity


ProposedInstituteDirector(ID)HiringProcessforagiveninstitute

IdentifyandannounceinterimIDs

AppointSearchCommitteeandlaunchformalpermanentIDsearchprocess

Identifyandinterviewinternalandexternalcandidates,includinginterimIDs

FinalizeoffersandannouncepermanentIDsonarollingbasis


Shiftinactivitieswillsupportfacultyfocusonteaching,clinicalcare,andresearch- whatdoesthismeanforstaff?

ClinicalAffairs

Dr.Heaney

Finance

GaryWhitworth

Clinicalstaff(e.g.RNs,LRNs,MAs)

Budgeting&fundsflow

Scheduling

Billing/coding Patientcontactcenter

Clinicalperformancemetrics/

informatics

Patientexperience

Quality

Compliance

IT/EHR

Researchadmin.

INFRASTRUCTURE/SUPPORT

Ourgoalforthisprogramistoachievegrowth,butwewillneedtolookdifferentlyasanorganizationtoaccomplishthat.Asinitiativesmoveforwardandaclearerpictureevolvesonhowthiswillimpact

staff,wewillbetransparentaboutit.

• MoststaffwillreportdirectlyintoFinanceorClinicalAffairs

• Staffwillbeabletofocuseffortsonformingbestinclassinfrastructure/supportfunctions

• Fostersprofessionaldevelopmentopportunitiesforourstaff

PMO

Financialplanningandanalysis

Financialreporting


Thisisnotrestructuring;thisisaholisticchangetoourpatientcaredeliverymodeldrivenbyyourparticipationandleadership

supportinfrastructure

mindsets

governance

communication


Implementationprocess

OCTOBER NOVEMBER DECEMBER JANUARY 2018

“Blueprint”design

Implementation

Detaileddesign

PRELIMINARY

Includesfinalizationofinstituteaffiliationsforfacultyandengagementofleadersand

stafftodiscussinstituteaffiliation


WecommittoatransparentprocessforTEAM,withmanyopportunitiesforengagement

Announcements

One-on-ones

Forums(e.g.,departmentmeetings,

TownHalls)

TEAMemail&website

• Regulare-mailcommunicationsfrom DeanBehrns andRDOExecutiveLeads

• Listeningtour:reachouttofacultyreps,Dr.RaviNayak andDr.SameerSiddiqui,todiscussTEAM(feedbackcanbeanonymous)

• OfficehourswithDeanBehrns: signupforperiodicofficehourswiththeDean(contacttheDean’soffice)

• Department,division,andstaffmeetings:reachouttoyourdepartmentchair,divisionlead,orclinic/businessmanagertorequestaTEAMleadershipupdateatanupcomingmeeting

• TownHalls:Attendfuturetownhallstohearaboutourprogressandaskquestions

• [email protected] andthroughtheTEAMwebsite


Questions?TextQuestionsto217-556-1007

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SLUCare Home : SLU - 171115 TEAM Town Hall v30€¦ · Integrated Organization Clinical Quality ... GERIATRICS PSYCHIATRY SPINE SURGERY SLEEP MEDICINE INSTITUTES. 10 171115_TEAM Town