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BOARD STRATEGIC & FACILITIES PLANNING COMMITTEE MEETING AGENDA Monday, January 15, 2018 Palomar Medical Center 12:00 p.m. Raymond Family Conference Center Buffet lunch for board members & invited guests 2185 Citracado Parkway, Escondido, CA 92029 PLEASE TURN OFF CELL PHONES OFF OR SET THEM TO SILENT MODE UPON ENTERING THE MEETING ROOM Form A Time Page Target CALL TO ORDER 12:00 Public Comments1………………………………………………………………...……………………. 15 12:15 *Information Item(s) 1. *Approval: Minutes – Monday, October 16, 2017 (ADD A Pp4-19).………….………..........… 12:17 2 1 2. Board Meeting Follow Up………………………………………………………………………….. 15 12:32 3. Strategic Plan Review (ADD B Pp21-49)…….…………………...…………………….……….. 40 2 1:12 Public Comments1…………………………………………………………………………...…………. 15 1:27 ADJOURNMENT 1 1:28 **Doug Moir, M.D., Chair Della Shaw, EVP Strategy Hugh King, IEVP Finance **Jerry Kaufman, PTMA, Director Alan, Conrad, MD, EVP Physician Alignment Frank Beirne, EVP Operations ** Ray McCune, RN, Director Maria Sudak, RN, MSN, CCRN, NEA-BC, VP PMCE **Hans Sison, LVN, 1st Alternate Jeannette Skinner, RN, MBA, FACHE, VP PMCP **Diane Hansen, Interim President and CEO Foundation Philanthropy Officer Daniel Steeber, General Counsel **Franklin Martin, M.D., CoS PMCE PH Foundation Board Member Dan Farrow, AVP Hospitality & Facilities **Charles Callery, M.D., CoS PMCP Pam Sime, IEVP Human Resources NOTE: If you have a disability, please notify us by calling 760-740-6375 72 hours prior to the event so that we may provide reasonable accommodations __________________________________ Asterisks indicate anticipated action. Action is not limited to those designated items. 1 5 minutes allowed per speaker with a cumulative total of 15 minutes per group. For further details & policy, see Request for Public Comment notices available in meeting room Minutes Board Strategic & Facilities Planning Committee Monday, October 16, 2017 TO: Board Strategic & Facilities Planning Committee MEETING DATE: Monday, January 15, 2018 FROM: Debbie Hollick, Committee Secretary Background: The minutes from the Board Strategic & Facilities Planning Committee meeting held on Monday, October 16, 2017 are respectfully submitted for approval (Addendum A). Budget Impact: N/A Staff Recommendation: Staff recommends approval of the Monday, October 16, 2017 Board Strategic & Facilities Planning Committee meeting minutes as presented. COMMITTEE RECOMMENDATION: N/A Motion: Individual Action: Information: Required Time: 1 Strategy Update Della Shaw, EVP Strategy TO: Palomar Health Board of Directors Strategy and Facilities Committee MEETING DATE: January 15, 2018 BY: Della K. Shaw, Executive Vice President Strategy BACKGROUND: Chairman Moir requested that the committee undertake a review of the Strategic Plan over the next months. The January presentation will include review of two key Strategic Priorities, Population Health and Strong Physician Alignment and Networks. It will also include discussion of the Clinically Integrated Network (CIN) in relation to both Strategic Initiatives. BUDGET IMPACT: STAFF RECOMMENDATION: COMMITTEE RECOMMENDATIONS: MOTION: INDIVIDUAL ACTION: INFORMATION: REQUIRED TIME: 2 ADDENDUM A 3 BOARD STRATEGIC & FACILITIES PLANNING COMMITTEE MEETING MINUTES – MONDAY, OCTOBER 16, 2017 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / FINAL? RESPONSIBLE PARTY DISCUSSION CALL TO ORDER The meeting – held in the Palomar Medical Center Raymond Family Conference Center, 2185 Citracado Parkway, Escondido, CA 92029 – was called to order at 12:00 p.m. by Committee Chair McCune ESTABLISHMENT OF QUORUM Quorum comprised of Directors McCune, Kaufman, Czerwonka Excused Absences: None NOTICE OF MEETING Notice of Meeting was posted at the Palomar Health Administrative office; also posted with full agenda packet on the Palomar Health website on Thursday, October 12, 2017, which is consistent with legal requirements PUBLIC COMMENTS There were no public comments *INFORMATION ITEMS 1. * Board Strategic & Facilities Planning Committee Meeting Minutes – Monday, September 18, 2017 101617 Board Strategic & Facilities Planning Committee Minutes 4 BOARD STRATEGIC & FACILITIES PLANNING COMMITTEE MEETING MINUTES – MONDAY, OCTOBER 16, 2017 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / FINAL? RESPONSIBLE PARTY DISCUSSION There was no discussion MOTION: by Director N/A Y Kaufman, 2nd by Director Czerwonka and carried to approve the Monday, September 18, 2017 Board Strategic & Facilities Planning Committee meeting minutes as presented. All in favor. None opposed. No abstentions 2. Board Meeting Follow Up Information only Board Committee Follow Up Tracking Tool Executive Vice president Della Shaw noted that, per request of Board Chair Czerwonka, a perpetual follow up tracking tool has been created for this and the Board Community Relations committee, which will facilitate follow up on requests from the board members for each committee meeting 3. Balanced Score Card: FY2018 Brand Goals Exception Report Information only Utilizing the attached presentation, Ms. Shaw reported out on the latest data for the Brand Pillar, noting that they are currently rounding as to what methodology to use for the Balanced Score Card. The data being shared in this report is from the Studer Leader Evaluation Manager (LEM), which automatically rounds points to the closes whole number; based on rounding outcome, this format may change in the future 4. Strategic and Business Planning Update Information only Utilizing the attached presentation, Ms. Shaw provided a strategic and business planning update, noting that Next Steps were to move to a Strategic Management System ADJOURNMENT TO EXECUTIVE SESSION 1. Report involving Hospital Trade Secret Per Health & Safety Code 32106 – concerning potential new service or program – Estimated disclosure date TBD RE-ADJOURNMENT TO OPEN SESSION 101617 Board Strategic & Facilities Planning Committee Minutes 5 2 BOARD STRATEGIC & FACILITIES PLANNING COMMITTEE MEETING MINUTES – MONDAY, OCTOBER 16, 2017 AGENDA ITEM CONCLUSION/ACTION FOLLOW UP / FINAL? RESPONSIBLE PARTY DISCUSSION ACTION RESULTING FROM CLOSED SESSION, IF ANY - MOTION: by Director Board of Director’s to N Czerwonka, 2nd by Director review transaction for Kaufman and carried to potential approval recommend full board approval of transaction. All in favor. None opposed. No abstentions PUBLIC COMMENTS There were no public comments ADJOURNMENT Meeting adjourned at 1:27 p.m. by Chair McCune COMMITTEE CHAIR Doug Moir, M.D. SIGNATURES: Debbie Hollick COMMITTEE SECRETARY 101617 Board Strategic & Facilities Planning Committee Minutes 6 3 7 8 9 10 11 12 13 14 15 16 17 18 19 ADDENDUM B 20 Passion. People. Purpose.TM Board of Directors Strategy and Facilities Planning Committee Strategic Plan Review Della K. Shaw EVP Strategy & Interim Chief Philanthropy Officer January 15, 2018 1 1 Palomar Health will be recognized as the dominant Strategy provider of integrated health services as measured by market position and value-based metrics of care. s Mission Sustaining Financial Performance ome c t Customer Value Ou Quality | Cost | Experience| Brand Operational Excellence ocess Clinical Integration | Efficiency & Effectiveness Pr Hassle Free Experience | Consumerism Organizational Capabilities World-class Workforce | Technology eople P Patient First Culture 2 2017 – 2022 Strategic Priorities Effective and Efficient Care Strong Physician Alignment and Networks Develop effective and efficient systems that support Build physician-hospital alignment and physician achievement of the Quadruple Aim to enhance patient engagement as the foundation of a high-value network experience, improve population health, reduce costs, that will meet the Population Heath Management and improve the life of health care providers, including needs of our community and ensure that Palomar clinicians and staff. Health is the preferred provider of care in North County. Create and Maintain Customer Value Population Health Attract, create, and retain loyal customers – where We will serve as providers, coordinators, collaborators, customers are defined as our patients and their and aggregators in population health and population families, physicians, payers, and our community – by health management for our employees and the achieving the Triple Aim initiatives of enhancing communities we serve – our population. customer experience, improving population health, and reducing costs. North County Network Collaborations, Partnerships and Alignments Through collaborations, partnerships, and affiliations in the region, Palomar Health will build aligned networks that ensure community access to comprehensive, clinically integrated, value-based care that will meet the needs of the population we serve for generations to come. Focus | Population Health & Physician Networks Population Health Strong Physician Alignment and Networks We will serve as providers, Build physician-hospital alignment and coordinators, collaborators, and physician engagement as the aggregators in population health and foundation of a high-value network that population health management for our employees and the communities will meet the Population Heath we serve – our population. Management needs of our community and ensure that Palomar Health is the preferred provider of care in North County. 4 Setting the Stage | 2016 Community Health Needs Assessment (CHNA) 5 2016 CHNA “Designed to provide a deeper understanding of barriers to health improvement in San Diego County.” Report included “an analysis of health outcomes and associated