Mission Bay Operations Planning Update for Clinical Affairs Committee June 22, 2011

1. Mission Bay Operations Planning Update forClinical Affairs CommitteeJune 22, 2011

2. High Level Timeline

3. UCSF Medical Center at Mission BayProject and Operations Planning: DRAFT Clinical Enterprise Governance (CEG) Mark Laret CEO Mission Bay Steering Committee Executive Sponsor, Operations Planning Ken Jones, COO • Operational Planning • Kim Scurr, Director • Operational Readiness • Process flows • New operations/programs • Process implementation, process redesign, work streams • Staffing requirements, Medical model • MB budget needs • Transition/move planning Mission Bay Hospitals Project Cindy Lima, Executive Director MB IT Steering Committee TBD MB Finance Committee Barrie Strickland Spencer Kowal Faculty/Physician Subcommittee Elena Gates MD Scott Soifer MD

4. Role and Responsibilities – Physician Work Group Leaders DRAFT 4

5. Key Design Work for Physician’s Group Visioning Vision/Guiding Principles - Review and confirm suggestions for vision and guiding principles Strategies for Care Delivery Emergency Department - new department at UCSF; Children's ED + adult coverage High-Risk OB Services- Need to maintain UCSF hallmark safety and quality of care including quick access to all adult specialists for a variety of specialized conditions (e.g., intracranial bleeding, organ failure, complex hematologic or autoimmune conditions). There are impacts to the NICU. Need to provide access to specialty consults Need to identify MB to Parnassus transfer protocols Need to identify process and facilities for providing OB care at Parnassus after the move

6. Key Design Work for Physician’s Group Right care for the right patients and Pedi/Adult and Consults - Relationship between adult and pediatric specialties at Mission Bay and the role of pediatric specialists in adult care, cancer and OB/GYN, and of adult specialists in the care of pediatric patients. Questions: Is a pediatric specialist appropriate for adult cancer patients, OB patients, and gynecology patients? Are hospitalists the source of adult inpatient coverage? How will specialist consults be covered at MB? On call? Paid for by whom? Leased by medical center? Who provides clinical coverage in the ED and after hours imaging for pediatrics and adults? SFGH Faculty - Could they be used for consults? Who provides in-house anesthesia coverage after hours?"

7. Key Design Work for Physician’s Group Pediatric Services provided by Adult Departments - Ortho, Neuro, ENT, Transplant. Will Adult providers continue to provide coverage nights and weekends? Adult cancer - Outpatient cancer clinics at Mount Zion with cancer surgery at Mission Bay; difficult logistics for surgeons. Initiate planning of adult outpatient building?- Identical issues for GYN Adult ICU - Managed by which department? Primary team? Need OB intensivist? New model of care delivery - given private and double rooms (ICNs) and increased geography, determine medical delivery model for Mission Bay Telemedicine/Central Monitoring – What is the role of telemedicine? Ambulatory care - determine model of care and business model. Identify any differences between children and adult ambulatory care

8. MB PMO Future Staffing