Strategic Planning Phase II - Defining Global Direction -

1. UNIVERSITY OF CALIFORNIA, SAN FRANCISCO Strategic Planning Phase II - Defining Global Direction - Working Draft - Mission, Vision and Goals (Including Strategy Design Team Themes) September 14, 2006 Based on Phase I Results and Strategic Planning Board Input - 0 -

2. CONTENTS: • UCSF Goals and Strategy Teams • Working Draft - Mission and Vision - 1 -

3. Strategic Planning Process and Deliverables PHASE III Strategy Development PHASE I Planning Research PHASE IV Finalize Plan PHASE II Define Global Direction Preliminary Planning • Summary of Planning Interviews • Environmental Assessment • UCSF-wide Survey • Strategic Implications of Planning Research Findings • Finalize Strategic Plan • Develop Tools for Implementation & Communication Planning • Identify Resource Requirements • Preliminary Mission, Vision & Goals • Strategy Design Team Themes & Charges • Recommended Strategies and Tactics from each Strategy Design Team • Strategic Priorities • Project Timeline & Meeting Schedule • Interview Guide & List of Interviewees • Finalize Environmental Assessment Outline • Identify Other AHCs for Benchmark Assessment - 2 -

4. Vision Strategies Implementation Tactics Goals A short list of measurable imperatives used to assess progress in executing the plan. Identify strategic direction. Visceral and inspiring; evokes an image of the future organization. Differentiates and promotes organization’s aspirations to all constituencies. Specific actions describing how to achieve the organization’s vision and goals. Detailed instructions provided to guide in plan implementation. Strategic Structure…Each Statement Lays the Foundation for the Next Values Vision Goals Strategies Implementation Tactics M I S S I O N Strategy A-1 Goal A Strategy A-2 Vision Statement & Values Strategy B-1 Goal B Strategy B-2 Strategy C-1 Goal C Strategy C-2 - 3 -

5. I. Draft Mission and Vision for UCSF - 4 -

6. Mission Statements - DRAFT - 5 -

7. Draft Mission Statements Option 1 - REVISED (based on Board input): • As the most comprehensive health sciences university in the nation, UCSF’s mission is advancing health world-wide by providing: • Uncompromising health care quality, • Collaborative and diverse culture of innovation and inquiry, • Scholarship that transforms discovery into treatment for humanity • Fostering environments that develop leaders among faculty, staff, students, residents and post-doctoral scholars. - 6 -

8. Draft Mission Statements Option 2 (NEW – based on Board input): Creating a diverse, collaborative community of the best individuals dedicated to leadership in advancing health world-wide. - 7 -

9. Vision Statements - DRAFT - 8 -

10. Draft Vision Statement DRAFT – Revised based on Board input: • For UCSF to move forward among the nation’s preeminent health sciences centers, we aspire to: • Develop innovative, collaborative approaches that span disciplines within each health sciences school to educate future leaders in their fields; • Lead the nation in clinical, translational and biomedical research; • Translate scientific discovery into new models for exemplary health care and the alleviation of health disparities; and • Build upon our commitment to diversity and serving our local and global communities. - 9 -

11. II. UCSF Goals and Strategy Design Teams - 10 -

12. Strategy Development (Phase III) will be completed through six “Design Teams” as proposed below. These design teams will be comprised of appropriate combinations of faculty, staff, students, residents, fellows and post doctoral scholars. The teams will be charged with developing specific strategies and tactics within their respective theme that support the vision and goals defined for UCSF’s future. PROPOSED STRATEGY DESIGN TEAMS Team A: Recruitment and Retention Team B: Research Directions Team C:Education and Training for the Future Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction Team E:Infrastructure and Resources Team F:Leadership and Governance - 11 -

13. Team A: Recruitment and Retention - 12 -

14. UCSF Goals to be Addressed Per Design Team: Team A: Recruitment and Retention Goals to be Addressed by Team A: Goal #1: Recruit, mentor and retain faculty, staff, students, residents, fellows and post-doctoral scholars of the highest caliber. Goal #2: Educate and employ a diverse workforce. Goal #3: Provide a supportive work environment that fosters communication and collaboration.* * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 13 -

15. Team A: Recruitment and Retention - Design Team Charges Goal #1: Recruit, mentor and retain faculty, staff, students, residents, fellows and post-doctoral scholars of the highest caliber. • What are the factors that attract top recruits to UCSF? Are any of these factors deteriorating? What needs to be done to address deteriorating factors? How can we capitalize on existing strengths? • What are the factors that cause top candidates to choose another institution over UCSF? What can UCSF do strategically to overcome these obstacles? • What strategies should UCSF implement to recruit top: • Faculty? • Staff? • What are factors that lead faculty and staff to leave UCSF? What strategies should UCSF implement to retain them? • What can UCSF do to ensure that its career advancement process is motivating, transparent, and equitable? • How can UCSF ensure that effective mentoring takes place for faculty, staff, students, residents, fellows and post-doctoral scholars? What programs and systems need to be established to reward good mentoring? • Students? • Residents? • Fellows? • Post doctoral scholars? - 14 -

16. Team A: Recruitment and Retention - Design Team Charges Goal #2: Educate and employ a diverse workforce. What methods for improving diversity have been successful at UCSF? Are there specific obstacles at UCSF that inhibit recruitment and retention of a representative community? What new strategies should be implemented to create a more diverse campus community? Differentiate between students, residents, fellows, post doctoral scholars, faculty and staff, as needed. - 15 -

17. Team A: Recruitment and Retention - Design Team Charges Goal #3: Provide a supportive work environment that fosters communication and collaboration.* • What strategies should be employed to protect the culture of collaboration at UCSF? • How best can UCSF address the challenges of communication, which is increasingly taxed as UCSF grows across multiple campuses and diversifies its missions? • What steps should be taken to provide a supportive work environment that fosters the core values identified for UCSF’s future? (Note: The top ten values identified through the strategic planning work are Excellence, Integrity, Leadership, Innovation, Collaboration/Collegiality, Respect, Scholarship, Diversity, Supportive Environment, Community Service. Most of these values are being addressed elsewhere in all six team charges) * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 16 -

18. Team B: Research Directions - 17 -

19. UCSF Goals to be Addressed Per Design Team: Team B: Research Directions Goals to be Addressed by Team B: Goal #4: Foster the UCSF research enterprise across multiple sites; determine priority research areas, as well as the criteria for defining priorities, for further development. Goal #5: Build novel interdisciplinary and inter-school approaches towards education, research and health care that prepare UCSF for the future.* Goal #6: Develop innovative education and research programs across professional schools that support the vision for UCSF of promoting global health.* Goal #7: Strengthen relationships with other University of California campuses that provide collaborative opportunities with other disciplines. Goal #8: Reduce health disparities including working in partnership with communities.* Goal #3: Provide a supportive work environment that fosters communication and collaboration.* * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 18 -

20. Team B: Research Directions - Design Team Charges Goal #4: Foster the UCSF research enterprise across multiple sites; determine priority research areas, as well as the criteria for defining priorities, for further development. What criteria should be used to select priority research areas for the future? Rank the criteria in order of importance. What research areas should be considered for further development? How does each research area rate relative to each criteria recommended above under question a? To what extent will pursuit of priority research areas mean that resources will need to be reallocated and redirected to these areas? How best can the UCSF research enterprise be fostered across multiple campuses and schools in the short- and long-term? A particular focus should be on determining if (and how?) UCSF should rearrange the Mission Bay/Parnassus research programs to position the institution for future programmatic growth. What impact will a future focus on research priority areas (identified above) have on the UCSF education and clinical care missions? - 19 -

21. Team B: Research Directions - Design Team Charges Goal #5: Build novel interdisciplinary and inter-school approaches towards education, research and health care that prepare UCSF for the future.* Given the priority research areas identified for UCSF’s future (under Goal #4 charges above), what novel interdisciplinary and inter-school approaches should be developed to ensure success of the research enterprise? What, if any, other resources (faculty, space, cores, etc.) are needed to ensure these approaches are successfully implemented? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 20 -

22. Team B: Research Directions - Design Team Charges Goal #6: Develop innovative education and research programs across professional schools that support the vision for UCSF of promoting global health.* What specific strategies are needed to advance innovative research in global health across professional schools at UCSF? How can this best be accomplished across UCSF’s professional schools? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 21 -

23. Team B: Research Directions - Design Team Charges Goal #7: Strengthen relationships with other University of California campuses that provide collaborative opportunities with other disciplines. Given the priority research areas as well as the novel interdisciplinary and inter-school approaches identified above, what disciplines are not available at UCSF that will be needed in the future to advance the UCSF research agenda? Which UC campuses have these disciplines as institutional strengths and represent potential collaborators? What mechanisms and infrastructure are needed to facilitate these collaborations? - 22 -

24. Team B: Research Directions - Design Team Charges Goal #8: Reduce health disparities including working in partnership with communities.* How do we define “community” with respect to this goal? In what ways, from a research perspective, is UCSF most likely to contribute to the reduction of health disparities? Through which community partnerships can this goal be achieved? How can current community partnerships be strengthened to achieve this goal? What role should the community play in setting priorities for UCSF’s health disparities research agenda? What are the objective measures to assess progress in meeting this goal? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 23 -

25. Team B: Research Directions - Design Team Charges Goal #3: Provide a supportive work environment that fosters communication and collaboration.* • What strategies should be employed to protect the culture of collaboration at UCSF? • How best can UCSF address the challenges of communication, which is increasingly taxed as UCSF grows across multiple campuses and diversifies its missions? • What steps should be taken to provide a supportive work environment that fosters the core values identified for UCSF’s future? (Note: The top ten values identified through the strategic planning work are Excellence, Integrity, Leadership, Innovation, Collaboration/Collegiality, Respect, Scholarship, Diversity, Supportive Environment, Community Service. Most of these values are being addressed elsewhere in all six team charges) * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 24 -

26. Team C: Education & Training for the Future - 25 -

27. UCSF Goals to be Addressed Per Design Team: Team C: Education and Training for the Future Goals to be Addressed by Team C: Goal #5: Build novel interdisciplinary and inter-school approaches towards education, research and health care that prepare UCSF for the future.* Goal #6: Develop innovative education and research programs across professional schools that support the vision for UCSF of promoting global health.* Goal #8: Reduce health disparities including working in partnership with communities.* Goal #9: Enhance cross-training for faculty, students, residents, fellows and post-doctoral scholars that provides greater exposure to basic science, social science and clinical research methods for clinicians and clinical and health sciences training for basic science researchers. Goal #3: Provide a supportive work environment that fosters communication and collaboration.* * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 26 -

28. Team C: Education & Training for the Future - Design Team Charges Goal #5: Build novel interdisciplinary and inter-school approaches towards education, research and health care that prepare UCSF for the future.* • What are the educational needs of future students, residents, fellows, and post doctoral scholars? • Were interdisciplinary and inter-school educational programs and/or curricula identified as important pursuits for UCSF’s future in response to question a? • Are there any economic or practical advantages to interschool education? • How will it enhance the educational experience? • What, if any, are the obstacles at UCSF to enhancing interdisciplinary and inter-school education? How should these be addressed to enhance interdisciplinary and inter-school education at UCSF? • What educational approaches might capitalize on the unique qualities of UCSF? • What steps need to be taken to build new educational programs and approaches? • Identify how these changes might impact the UCSF research and clinical care missions. - 27 - * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team.

29. Team C: Education & Training for the Future - Design Team Charges Goal #6: Develop innovative education and research programs across professional schools that support the vision for UCSF of promoting global health.* What types of educational programs are needed in global health and population sciences at UCSF and why are they needed? What steps need to be taken to institute these programs at UCSF? Are there strong models or examples of these programs elsewhere that UCSF may want to emulate? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 28 -

30. Team C: Education & Training for the Future - Design Team Charges Goal #8: Reduce health disparities including working in partnership with communities.* How do we define “community” with respect to this goal? In what ways, from an educational perspective, is UCSF most likely to contribute to the reduction of health disparities? Through which community partnerships can this goal be achieved? How can current community partnerships be strengthened to achieve this goal? What role will the community play in setting priorities for UCSF’s educational agenda with respect to health disparities? What are the objective measures to assess progress in meeting this goal? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 29 -

31. Team C: Education & Training for the Future - Design Team Charges Goal #9:Enhance cross-training for faculty, students, residents, fellows and post-doctoral scholars that provides greater exposure to basic science, social science and clinical research methods for clinicians and clinical and health sciences training for basic science researchers. What strategies can UCSF implement to provide greater exposure to basic science, social science and clinical research methods for clinicians? What strategies can UCSF implement to provide greater exposure to clinical and health sciences for researchers? How will success be measured in attaining this goal? - 30 -

32. Team C: Education & Training for the Future - Design Team Charges Goal #3: Provide a supportive work environment that fosters communication and collaboration.* • What strategies should be employed to protect the culture of collaboration at UCSF? • How best can UCSF address the challenges of communication, which is increasingly taxed as UCSF grows across multiple campuses and diversifies its missions? • What steps should be taken to provide a supportive work environment that fosters the core values identified for UCSF’s future? (Note: The top ten values identified through the strategic planning work are Excellence, Integrity, Leadership, Innovation, Collaboration/Collegiality, Respect, Scholarship, Diversity, Supportive Environment, Community Service. Most of these values are being addressed elsewhere in all six team charges) * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 31 -

33. Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction - 32 -

34. UCSF Goals to be Addressed Per Design Team: Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction Goals to be Addressed by Team D: Goal #10: Develop systematic multidisciplinary approaches that enhance health care quality and patient safety, access and satisfaction. Goal #5: Build novel interdisciplinary and inter-school approaches towards education, research and health care that prepare UCSF for the future.* Goal #8: Reduce health disparities including working in partnership with communities.* Goal #3: Provide a supportive work environment that fosters communication and collaboration.* * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 33 -

35. Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction – Design Team Charges Goal #10: Develop systematic multidisciplinaryapproaches that enhance health care quality and patient safety, access and satisfaction. What mechanisms are in place at UCSF to monitor and manage each of these parameters? What evidence do we have of success or failure in these domains? What strategies should be implemented to enhance UCSF’s performance in health care quality and patient safety, access and satisfaction? Specifically consider both inpatient and outpatient care at all sites. How should UCSF geographically configure clinical programs between Mission Bay and Parnassus to enhance quality, safety, access and satisfaction while accommodating growth and maximizing the synergy between clinical care and research? What impact will these changes have on the research and education missions? - 34 -

36. Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction – Design Team Charges Goal #5: Build novel interdisciplinary and inter-school approaches towards education, research and health care that prepare UCSF for the future.* What interdisciplinary and inter-professional approaches towards health care are important pursuits for UCSF’s future? What, if any, are the obstacles at UCSF to enhancing interdisciplinary and inter-professional health care? How should these be addressed to enhance interdisciplinary and inter-professional health care at UCSF? What steps need to be taken to accomplish this Goal from a health care perspective? What resources may be required for successful implementation? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 35 -

37. Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction – Design Team Charges Goal #8: Reduce health disparities including working in partnership with communities.* How do we define “community” with respect to this goal? In what ways, from a health care perspective, is UCSF most likely to contribute to the reduction of health disparities? What is the best way for the community to help define these clinical contributions? What role will the community play in setting priorities for UCSF’s clinical programs related to health disparities? Through which community partnerships can this goal be achieved? How can current community partnerships be strengthened to achieve this goal? What are the objective measures to assess progress in meeting this goal? * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 36 -

38. Team D: Clinical Care: Quality, Safety, Access and Patient Satisfaction – Design Team Charges Goal #3: Provide a supportive work environment that fosters communication and collaboration.* • What are the barriers to communication and collaboration in the clinical setting? • What strategies should be employed to enhance the culture of collaboration in clinical care areas at UCSF? • How best can UCSF address the challenges of communication, which is increasingly taxed as UCSF grows across multiple campuses and diversifies its missions? • What steps should be taken to provide a supportive work environment that fosters the core values identified for UCSF’s future? (Note: The top ten values identified through the strategic planning work are Excellence, Integrity, Leadership, Innovation, Collaboration/Collegiality, Respect, Scholarship, Diversity, Supportive Environment, Community Service. Most of these values are being addressed elsewhere in all six team charges) * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 37 -

39. Team E: Infrastructure and Resources - 38 -

40. UCSF Goals to be Addressed Per Design Team: Team E: Infrastructure and Resources Goals to be Addressed by Team E: Goal #11: Secure sustainable and diversified funding to carry out the vision. Goal #12: Develop communication systems, including information technologies, that bridge missions, campuses, schools and departments, that allow all to operate efficiently, facilitate collaboration, and build community. Goal #13: Increase recognition of UCSF’s contributions and status in the local community, the state, nation and the world. Goal #14: Provide facilities and infrastructure that accommodate planned growth, academic strategic priorities and UCSF’s vision. Goal #15: Streamline management practices to ensure accountability and transparency throughout UCSF. Goal #3: Provide a supportive work environment that fosters communication and collaboration.* * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 39 -

41. Team E: Infrastructure and Resources - Design Team Charges Goal #11: Secure sustainable and diversified funding to carry out the vision. Considering all of UCSF’s funding sources (EA pgs IV-2 and IV-3), what sources are the most likely targets for growth in the future? What steps should UCSF take to secure those funds? What alternatives should UCSF pursue in the event that these funds cannot be reliably secured? How can UCSF foster its development efforts and increase endowments? Should UCSF strengthen partnerships with private industry to diversify funding, and if so, how? - 40 -

42. Team E: Infrastructure and Resources - Design Team Charges Goal #12: Develop communication systems, including information technologies, that bridge missions, campuses, schools and departments, that allow all to operate efficiently, facilitate collaboration, and build community. What systems are already in place at UCSF to facilitate communication, efficiency and collaboration? How can these systems be enhanced? What duplicative systems are maintained by different schools, campuses and operating units that should be centralized? Are there systems that are currently centrally administered that should be decentralized? What new technology and/or infrastructure is needed to enhance efficiency, collaboration, and communication across campuses and schools? - 41 -

43. Team E: Infrastructure and Resources - Design Team Charges Goal #13: Increase recognition of UCSF’s contributions and status in the local community, the state, nation and the world. • What has UCSF already done well to improve its recognition and status? • What strategies can UCSF implement that would increase recognition of its contributions and status: • Locally? • State-wide? • Nationally? • Internationally? • What additional steps are needed to enhance the stature of UCSF? • How will we know that UCSF’s recognition has improved? • How should UCSF address the following recommendations, which surfaced during the Strategic Planning interviews, if at all? • Strengthen public relations and marketing to promote UCSF’s strengths and contributions to the Bay Area. • Effectively utilize advisory groups, grateful patients and donors. • Prepare an economic impact/community benefit analysis and statement. • Improve communication and involvement with the Bay Area community and UCSF’s neighborhoods. - 42 -

44. Team E: Infrastructure and Resources - Design Team Charges Goal #14: Provide facilities and infrastructure that accommodate planned growth, academic strategic priorities and UCSF’s vision. Given that UCSF has increased its total available square footage by 36 percent in the last five years, is more space needed? If so for what purpose and where should it be located? Describe an optimal process for allocating space. How can space-related decisions be more transparent? What types of infrastructure will be needed to ensure that top priority strategies (as recommended by each of the Strategy Design Teams) are successfully implemented at UCSF? What already exists or is planned for, what needs improvement and what would be new resource requirements? Assuming that a multi-campus configuration is likely to exist for several more years, if not permanently, what steps should be taken to maintain unity and ease the difficulties caused by geographic dispersion? - 43 -

45. Team E: Infrastructure and Resources - Design Team Charges Goal #15: Streamline management practices to ensure accountability and transparency throughout UCSF. What processes and practices at UCSF need to be streamlined or enhanced? Does “streamlining” necessitate greater centralization or decentralization? If so, how will departments be convinced/compelled to relinquish control and perhaps customization and flexibility and/or accept additional responsibility and accountability? If not, what is the definition of streamline? What principles and techniques should be employed to streamline or enhance processes identified in question a? What is currently obscured that should be made more transparent? What techniques should be used to increase transparency? - 44 -

46. Team E: Infrastructure and Resources - Design Team Charges Goal #3: Provide a supportive work environment that fosters communication and collaboration.* • What strategies should be employed to protect the culture of collaboration at UCSF? • How best can UCSF address the challenges of communication, which is increasingly taxed as UCSF grows across multiple campuses and diversifies its missions? • What steps should be taken to provide a supportive work environment that fosters the core values identified for UCSF’s future? (Note: The top ten values identified through the strategic planning work are Excellence, Integrity, Leadership, Innovation, Collaboration/Collegiality, Respect, Scholarship, Diversity, Supportive Environment, Community Service. Most of these values are being addressed elsewhere in all six team charges) * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 45 -

47. Team F: Leadership and Governance - 46 -

48. UCSF Goals to be Addressed Per Design Team: Team F: Leadership and Governance Goals to be Addressed by Team F: Goal #16: Ensure top quality institutional leadership for UCSF to excel. Goal #3: Provide a supportive work environment that fosters communication and collaboration.* * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 47 -

49. Team F: Leadership and Governance - Design Team Charges Goal #16: Ensure top quality institutional leadership for UCSF to excel. Define top quality leadership. How does UCSF currently select senior institutional leaders? Outline an ideal selection process for the future. What strategies should UCSF implement to recruit and retain top executive leadership? What mechanisms are in place to evaluate leadership performance? What process and criteria should be considered to evaluate leadership across UCSF? Should specific rewards or consequences be assigned to enhance accountability? If so, what are they? How does the current organizational structure inhibit or encourage strong leadership and accountability? What changes are needed to enhance these? How should UCSF go about sustainably grooming next generations of leadership? How can UCSF generate and foster a culture of leadership? - 48 -

50. Team F: Leadership and Governance - Design Team Charges Goal #3: Provide a supportive work environment that fosters communication and collaboration.* • What strategies should be employed to protect the culture of collaboration at UCSF? • How best can UCSF address the challenges of communication, which is increasingly taxed as UCSF grows across multiple campuses and diversifies its missions? • What steps should be taken to provide a supportive work environment that fosters the core values identified for UCSF’s future? (Note: The top ten values identified through the strategic planning work are Excellence, Integrity, Leadership, Innovation, Collaboration/Collegiality, Respect, Scholarship, Diversity, Supportive Environment, Community Service. Most of these values are being addressed elsewhere in all six team charges.) * Goal applies to more than one design team; refer to Strategy Development document (Word document) that lists detailed DRAFT assignments per team. - 49 -