Strategic Planning
10.1
The process of answering:
Who
What
How
about your organization
Who: you are
• Defined by your values
– Moral and/or operational
• And your mission statement
– Brief written statement of purpose
AMBULATORY PEDIATRIC ASSOCIATION
MISSION STATEMENT
The Ambulatory Pediatric Association fosters the
health of children, adolescents, and families by
promoting generalism in academic pediatrics and
academics in general pediatrics.
AMBULATORY PEDIATRIC ASSOCIATION
MISSION STATEMENT (cont.)
General pediatrics and generalism concern the whole
child in the context of family and community. Our
mission is accomplished through patient care,
academics (teaching and research), and advocacy.
General pediatric divisions in academic settings have
generalism as their primary focus. Other divisions may
also have generalism as a stated goal; these often
include emergency pediatrics, critical care, adolescent
medicine, behavior and development, neonatology and
hospital medicine. We welcome all who share our
mission.
Cincinnati Children’s Hospital Medical Center
Mission Statement
Cincinnati Children’s will improve child health and
transform delivery of care through fully integrated,
globally recognized research, education and
innovation.
For patients from our community, the nation and the
world, the care we provide will achieve the best:
• medical and quality of life outcomes
• patient and family experience and
• value
today and in the future.
General & Community Pediatrics
Mission Statement
To improve child health through
excellence and leadership in
general pediatric health care,
education, research, and
advocacy which value family,
the contributions of
division members, and promotes
shared commitment and
community collaboration.
The Division of General Pediatrics and Adolescent Medicine
of the Children’s Hospital of Iowa is dedicated to providing
excellence in pediatric care to the infants, children, and
adolescents of Iowa and surrounding states. Patient care is
provided in an academic setting that facilitates the use of
evidence-based knowledge and encourages patients, parents,
families, and trainees to be active participants in the health
care process. Division faculty members demonstrate
excellence in teaching, create and disseminate new
knowledge, and serve in positions of responsibility in
professional organizations.
What: you want to be
• Defined by your vision statement
– Description of desired future state
• And goals related to the vision statement
Cincinnati Children’s Hospital Medical Center
Vision Statement
To be the leader in improving child health.
The Health Foundation of Greater Cincinnati
Our mission is to improve the health of the
people of the Cincinnati region.
Our vision is to be one of the healthiest regions
in the country.
Our values are: Innovation. Caring. Education.
Stewardship.
How: are you going to get there
• Action Plan including
–
–
–
–
–
Goals
Measures
Objectives
Responsible Party
Time line
GOAL I:
MEASURES:
OBJECTIVE 1:
Task:
Responsible
Party
Start
Date
Completion
Date
Task
Responsible
Party
Start
Date
Completion
Date
Task
Responsible Party
Start
Date
Completion Date
Task
Responsible
Party
Start
Date
Completion
Date
1.
2.
3.
OBJECTIVE 2:
1.
2.
3.
GOAL 1I:
MEASURES:
OBJECTIVE 1:
1.
2.
3.
OBJECTIVE 2:
1.
2.
3.
SECTION: CLINICAL
GOAL 1:
Meeting Our Families’ Needs
MEASURES:
OBJECTIVE 1: Continuity: We will provide continuity to any patient/family that desires it
Task
1. Preserve continuity of resident schedule
2. Setting expectations for continuity for core MD,
residents
OBJECTIVE 2: Timeliness (Scheduling and Flow)
Task
1. Improve efficiency of registration process
2. Modification in EMR (pull through, forms)
Responsible Party
Start Date
Completion Date
Start Date
Completion Date
Responsible Party
Start Date
Completion Date
Responsible Party
Start Date
Completion Date
Elmer W
Melissa/Zeina
Responsible Party
Elmer W
Cycle Time
Improvement
Team
OBJECTIVE 3: Education and Advocacy
Task
1. Identify most common needed educational
material and develop mechanism for getting and
keeping material available for us in outpatient
sites
2.
OBJECTIVE 4: Quality of Care
Task
1.
Implementing evidence based guidelines in
office setting
2. Development of quality dashboard
3. Implementation of quality dashboard
Strategic Planning 10.1
• Who: Values and Mission Statement
• What: Vision Statement and Goals
• How: Action Plan
One last thought, use an external facilitator.
Questions
Responsible Person(s) Baseline
Patient Centered
Safe
Equitable
Efficient
C=CHC, H=Hopple, I=Inpatient, P-PPC, S=SBHC TBD= To Be Determ ined
Variable Name & Brief Conceptual Definition
Timely
Effective
Wellbeing
Hassles
Clin Excellence
Safety
Flow
Access
CLINICAL SECTION QUALITY DASHBOARD
Benchmark
Current
FY06Goal
65%
90%
89%
95%
X
220/1000
46/1000
20/1000
42.00%
TBD
51/1000
25/1000
TBD
50/1000
25/1000
10/1000
X
X
X
X
80%
80%
100%
96%
29-40%
48%
29-40%
70%
TBD
TBD
TBD
86%
TBD
90%
TBD
Swedersky/Muething
TBD
28%
TBD
TBD
TBD
34%
TBD
50%
Weingartner C H P
2-30d
1 day
1-45 days
1-10 days
X
91 min
75 min
93 min
75 min
X
TBD
60%
90%
TBD
70%
TBD
TBD
72%
90%
TBD
88%
95%
X
X
X
TBD
TBD
TBD
TBD
X
20%
95%
90%
CLINICAL CARE INDICATORS
X
Com plete Im m unizations
Coffey/Pero
CHP
% 2 yr old w ith all recommended immunizatons
X
X
X
X
X
Im proved Asthm a Care
X
Evidence Based Care
Reduced Asthma
AsthmaAdmissions
ED Visits
Reduced Asthma
AsthmaAdmissions
ED Visits
DecreasedED
ERVisits
Visits
CHPS
Szumlas/Crosby P
Mansour S
Beischel/Meister C
Muething I
X
X
X
% patients receiving appropriate recommendation
Influenza Vaccination Rates
Safety
X
X
Medication reconciliation
Safe Handoffs
Larason, C
TBD
X
X
FUNCTIONAL STATUS INDICATORS
X
X Valued & Effective Staff
CHIP
X
Faculty/staff phys. Satisfaction w /annual eval process
DeWitt
% support staff answ ering 5/5 on Q6 survey
SATISFACTION
X
Tim ely Appointm ent
Time to 3rd next available appointment
X
Cycle Tim e
Klein/Samaan/Kemper P
X
X
Average appointment cycle time
CHIP
Vossmeyer/Simmons I
% parents involved in decisions about childs care TBD P H C
Fam ily-Centered Care
% parents involved
involvedinindecision
decisionmaking
making, I
Meeting Non-Medical Goals
TBD
New goal to be selected by Division
COSTS
X
No Delay in Discharge
% patients D/C'ed <4 hours after meeting goals
Vossmeyer
I
90%
X
X
Negotiation and Conflict
Resolution:
Claibourne I. Dungy, M.D., M.P.H.
President,
Ambulatory Pediatric Association
Negotiation

A process to determine the exchange of
tangibles and intangibles
Self Assessment
Career goals
 Personal goals
 Knowledge base
 Unique skill set

Personality Profile
Myers- Briggs
 CPI

Personal Negotiation Style
Accommodating
 Avoiding
 Competing
 Compromising
 Collaborating

Negotiation Considerations
What do you want!
 What do they want!

Steps to Successful Negotiations
Describe what is important
 Compare and contrast interests
 Create a basis for communications

Negotiation Points
Be specific in your requests
 Be consistent
 Document reasons for your request
 Recognize system constraints
 Request information in writing
 Have a BATNA (best alternative to a
negotiated agreement)

Negotiation Strategies

Adversarial



Win – Lose
Positional
Distributional

Collaborative



Interest-based
Gain-Gain
Expands the pie
Negotiation Outcomes
Accommodating – I lose, you win
 Avoiding – I lose, you lose
 Competing – I win, you lose
 Compromising – both win, both lose
 Collaborating – I win, you win

Framing
Interpretations, perceptions, objectives and
other issues you bring to the negotiation
process
 Desired frames promote resolution
 Undesirable frames promote disputing

Motive to Reframe
When the frames are counterproductive and
causing mutual loss
 Finding a frame for parties to share
 Finding a “new light” that helps the parties
reach resolution

Successful Negotiations
Focus on mutual success
 Agreement
 Commitment
 Conclusion

"Your committee has been assigned
the responsibility for establishing a
hospitalist service for a 250-bed
suburban Children's Hospital with a
residency training program. Your
charge is to identify the
stakeholders and to create a
strategic plan."