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Chancellor’s Strategic Planning Retreat. April 22, 2010 John C. Adams, Ph.D. Strategy. Strategy is ENDS & MEANS What do we want to achieve ? How will we obtain our objectives ?. Key Elements. “Sound strategy starts with having the right goals.”
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Chancellor’s Strategic Planning Retreat April 22, 2010 John C. Adams, Ph.D.
Strategy Strategy is ENDS & MEANS What do we want to achieve? Howwill we obtain our objectives?
Key Elements • “Sound strategy starts with having the right goals.” • “The essence of strategy is choosing what not to do.” • “Finally, strategy must have continuity. It can't be constantly reinvented.”--Michael Porter, http://www.brainyquote.com/quotes/keywords/strategy.html
Our Starting Point Thepartnership of UNMC and the Nebraska Medical Center will be a world-renowned health sciences center that: • Delivers state-of-the-art health care; • Prepares the best-educated health professionals and scientists; • Ranks among the leading research centers; • Advances our historic commitment to communityhealth; • Embraces the richness of diversity to build unity; • Creates economic growth in Nebraska.
Making Choices; Maintaining Continuity • Today’s agenda • Chancellor’s Council BIG Ideas • Strategic accomplishments • Quality & performance • Planning assumptions • Completing the plan
Morning Session • Hal’s remarks • Advancing Clinical Research • Discussion • Break • Six breakout sessions • Break
Afternoon Session • Primary Care • Discussion • Lunch • Six breakout sessions • Retreat adjourns -- 2:15 • Session leader report writing & submission (by 3:00)
Chancellor’s Council BIG Ideas • Sparkclinical research • Medical societies of students & faculty • Global health partnerships • Smart phone & mobile device applications • Primary care & health policy centers • Expanding the health workforce • Preparing for health care reform
Today’s Work • Translate BIG Ideas into concrete goals • Exchange ideas • Challenge & energize one another • Refresh rolling three-year strategic plan • "Leadership is a combination of • strategy and character.” • --Gen. H. Norman Schwarzkopf
Education • Technology in Education Scholars Program established • Teaching excellence & writing workshops held • Two posters exhibited at AAMC meeting • Planning underway for Master in Health Services Administration
Research • Personalized medicine program SWOT analysis completed; working group formed • Center for Regenerative Medicine -- search underway for director • Clinical & translational Assoc. & Asst. Vice Chancellors appointed • Healthcare disparities research grant proposals submitted
Community & Campus Partnerships for Health • Health workforce study completed & disseminated • Science Cafes well received • by community • UNMC High School Alliance established • Mind Brain Consortium clinical trial announced
Cultural Competence • Online cultural competency course launched for faculty, staff & students • COPH health disparities course & UNMC-wide diversity website under development • Search Committee Guidebook drafted • Structured mentoring program & migration of Environmental Assessment to Web underway
Economic Growth • Progress made towards establishing Indefinite Delivery/Indefinite Quality (IDIQ) contracting relationship with Dept. of Defense • Clinical Research Organization (CRO) discussions held with Quintiles • Clinical research infrastructure improved
Employee Loyalty & Wellness • Tobacco Free Campus & Health Risk Appraisals implemented • Financial education planned with Metro Credit Union • Employee discounts being expanded • Planning under way for campus-wide staff council
Performance & Quality Indicators We use 12 key indicators & a number of sub-indicators to evaluate and track our performance (see PIQI, pp. 4&5).
How We Rate Ourselves (against our own extremely demanding standards) • Outstanding – 1 • Excellent – 4 • Very good – 6 • Good – 1
Change from Prior Year (including sub-indicators) • Improved – 2 • Improved/stable – 4 • Improved/declined – 5 • Stable – 1
Quality & Performance Ratings 1-3 • Education: Very good • Change: Mixed • Pass rates higher & lower • Research: Outstanding • Change: Improved • 58% in research awards • Health care: Very good • Change: Mixed • Satisfaction rates higher & lower 4/22/10 20
Quality & Performance Ratings 4-6 • Rural activities: Excellent • Change: Stable • High %tage of UNMC trained rural practitioners • Minority recruitment & retention rating: Good • Change: Sub-indicators improved • Effective recruitment & retention • Economic growth: Excellent • Change: Stable/improved • 21% increase in license revenues 4/22/10 21
Quality & Performance Ratings 7-9 • Employee Loyalty: Excellent • Change: Mixed • 92% employee retention • Financial Strength: Very good • Change: Mixed • 10.3% growth in self-funding • Infrastructure: Excellent • Change: Improved • 3 new buildings + strong IT & Library 4/22/10 22
Quality & Performance Ratings 10-12 • Strategic leadership: Very good • Change: Stable • CON-Norfolk Division • Compliance: Very good • Change: Stable/improved • Completed risk assessment • National rankings: Very good • Change: Mixed • Some higher & some lower 4/22/10 23
Planning Assumptions(what we expect to happen) • UNMC • UNMC, UNMC-P & The Nebraska Medical Center • Omaha & Metro Area • Nebraska • University • United State & Global Community
Possible Surprises • Surprises are when things you expect to happen one way turn out differently • SurpriseSurprisesarewhen • things you haven’t • thought about • knock your socks off
Another Look: Fortune, 3/22/10 • Following each set of planning assumptions: • IDEAS to PONDER • Some profound • Some silly • Some that carry warnings
UNMC • We build • CoPH, CON-A & Center for Successful Aging • We grow • CON – Norfolk, international parternships • We improve • Health SciencesHigh School 4/22/10 27
Larry Ellison, Oracle CEO, onWinning the America’s Cup • “In the end it’s got to come down to: • How good is sailing team? • How well do you call the wind? • How good are your tactics? • How well do you trim?” (p. 20)
Strategic Partnership • UNMC as “academic medical center of the future” • Tighter clinical alignment as national healthcare system changes radically • Build new ambulatory facility • Partner & compete with other health systems
“Software that Saves Money – and Lives” • “To help MAYO CLINIC improve detection of potentially deadly aneurysms, IBM prescribed [analytics]technology used to treat ailing business operations .” • “Companies…need to do things faster, at lower cost. Analytics software • helps them do that.” (p. 28)
Omaha & Metro Area • Overall growth & prosperity • New VA hospital • No more Saddlecreek floods • City rescues budget from abyss • New community • initiatives succeed
“Nukes in My Backyard” • “the entire plant…will be about the size of a hot tub…buried 15 feet or more underground” • “designed to…power 20,000 homes” • “They’re lean, clean, power-generating machines. But would a town really bury a mini nuclear reactor under its streets?” • (p. 36)
Nebraska • More cows than people • Older and more diverse population • State manages 2011-13 budget shortfall • without major harm to University • No new taxes???
Strong Balance Sheet; Good Cash Flows? • “Shocked by Wall Street’s role in the Greek debt crisis?You shouldn’t be. That’s how big banks grind out the profits.” • “Greecewon’t be the end of the story. And it won’t be the last surprise.” (p. 78)
University • Affordability trumps higher tuition • Faculty & staff salaries remain problematic • Continued strong enrollment and diversity • Strategic framework guides direction • Generous donors
“My Best Advice for Growing Your Business” • “Get an edge [find an advantage] • Own a Phrase [in the minds of your market] • Hyperfocus[single measurable priority] • Control Your Cash [self-finance growth] • Write! [be the authority in the industry] • Pulse Faster” [drive on priorities] (p. 70)
U.S. & Global Community • Economy rebounds; prepare for next dip • Debt crisis in developing & developed world • Climate change is • managed (if not, we’re • toast) • Water, nutrition, • health & equity issues bedevil human kind
“What Technologies Can Save Our World?” • “Will my next car burn more coal than gas?” • “Social media meets retailing” • “Online video at work” • “Smart phones embrace augmented reality” • “The world’s longest ethanolpipeline” “China’s garlic bubble hits the U.S.” • (pp. 6, 18 & 165)
Planning Calendar • Post session reports – 4/23 • CSF leaders propose goals – 5/5 • Chancellor’s Council adopts plan – 5/18 • Board of Regents visits UNMC – 5/21 • Leaders, teams & measures due – 6/15 • Publish full UNMC Strategic Plan – 7/15