Outcomes Based Leader Evaluations A Valuable …

1 1 2008 Studer Leader evaluation (LEM):A Valuable Tool for the Learning OrganizationRob RyderVice President, Learning and leadership DevelopmentLaurie KennedyDirector, Learning and leadership DevelopmentCentura Health, Denver, ColoradoWhat s Right in Health CareSM| Evidence to OutcomesPresentation Objectives Know the difference between outcome - Based Leader evaluation and tactic- Based Leader evaluation Understand the difference between Leader evaluation as a grading tool and Leader evaluation as a learning tool.

2 Appreciate the power of data derived from Outcomes - Based Leader evaluation in determining, implementing, and monitoring effective, aligned, organization-wide 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhat is Centura Health? Centura Health is a large faith- Based healthcare system in Colorado. Centura is the umbrella organization that provides corporate services and leadership to the CHI (Catholic Health Initiatives) and AHS (Adventist Health Systems) healthcare facilities on Colorado s front range.

3 Centura employs about 12,000 human beings Over 800 of the employees are leaders What s Right in Health CareSM| Evidence to OutcomesWhat does Centura Health do? Provides comprehensive healthcare services through its ten acute care facilities in Frisco, Boulder, Denver, Parker, Colorado Springs, Pueblo and Canon City Provides Home Care and Hospice Services in these communities Has an extensive network of Senior Services in these communities3 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhere We re LocatedWhat s Right in Health CareSM| Evidence to Outcomes4 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhat s Right in Health CareSM| Evidence to Outcomes5 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhat s Right in Health CareSM| Evidence to Outcomes6

4 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhat s Right in Health CareSM| Evidence to Outcomes7 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhat s Right in Health CareSM| Evidence to Outcomes8 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhat s Right in Health CareSM| Evidence to OutcomesGetting Started Had been working towards a balanced approach to system effectiveness for several years In spite of concentrated efforts to create positive change, our metrics were flat We engaged the Studer Group in 2006 because we believed that they could help give legs to the work we were doing Outcomes Based leadership evaluation is a key tactic for moving the dials9 2008 Studer s Right in Health CareSM| Evidence to OutcomesLeadership evaluation Tactics Based Focus is on: Process Programs Outcomes Based Focus is on.

5 ResultsWhat s Right in Health CareSM| Evidence to OutcomesResults in all Pillars10 2008 Studer s Right in Health CareSM| Evidence to OutcomesLeader evaluation ManagerSM(LEM) Software program that allows a systematic way to establish and monitor achievement of strategically aligned goals Commonly referred to as the LEM What s Right in Health CareSM| Evidence to OutcomesGoal Sheet11 2008 Studer s Right in Health CareSM| Evidence to Outcomes90 Day PlanWhat s Right in Health CareSM| Evidence to OutcomesMonthly Report Card12 2008 Studer s Right in Health CareSM| Evidence to OutcomesDecisions we What organizational goals will we align to?

6 What are the targets? , How will we know when a goal has been achieved? Who will participate? How will new leaders learn about the LEM? What data will be used to populate the LEM? What goals should be required? How will achievement of goals be connected to pay?What s Right in Health CareSM| Evidence to OutcomesChallenges Compliance Orienting new leaders to system Selecting tactics instead of goals No interface to our employee database Executive Incentive plans not aligned with LEM Outcomes Understanding that a Rating of 3 means GOOD!

7 Owning overarching goals when Leader only has influence vs. direct control Consistency13 2008 Studer s Right in Health CareSM| Evidence to OutcomesWhy LEM as a Learning Tool? LEM is a living document not an event LEM is objective LEM produces data LEM data tells a story About the Leader and About the organizationWhat s Right in Health CareSM| Evidence to OutcomesLEM Goal Data Base Fields Department Division Facility Type Last Name First name Job Type Executive Type Pillar Goal Goal Type Goal Weight14 2008 Studer s Right in Health CareSM| Evidence to OutcomesJob Types Medical Staff Svcs IT Marketing Nursing Units Foundation Pt.

8 Education Gift Shop Cardiology Oncology Facilities Pulmonary Physicians Volunteers HR Rehab Clinical/nursing education. HIM Billing Imaging Health at Home EVS Finance Lab Quality Nut. Services Supply chain Pharmacy Cancer Center Registration O's & VP'sInfrastructureAncillaryClinicalSuppo rtExec/AdminWhat s Right in Health CareSM| Evidence to OutcomesStrategic Focus1. Physician Alignment2. CMS Bundle Scores3. Patient Satisfaction (HCAHPS)4. Associate Satisfaction5. Financial Performance EBITDA Expense Productivity Growth15 2008 Studer s Right in Health CareSM| Evidence to OutcomesGoal Types Accreditation/JCAHO/Compliance Assoc Satisfaction CMS Bundle/ Clinical Outcomes Community Budget Community Board Community Participation Community Perception EBITDA/Margin Expense Fund Raising Interdepartmental Satisfaction Physician Credentials Physician Satisfaction Process/Process Productivity/Staffing/Agency

9 Pt/Res/Client/Customer Satisfaction Revenue/Collections Safety TAT Turnover Volume/GrowthWhat s Right in Health CareSM| Evidence to OutcomesThe Normal Look at Organizational Effort3658 Grand Bundle/ Cinical Sat% of GoalsCountGoal Type Reclass16 2008 Studer s Right in Health CareSM| Evidence to OutcomesA Closer Look3658 Grand Bundle/ Cinical SatAvgWght% of GoalsCountGoal Type ReclassWhat s Right in Health CareSM| Evidence to OutcomesThe Closest Bundle/ Cinical SatAvgWght% of TtlWght% of GoalsCountGoal Type Reclass17 2008 Studer s Right in Health CareSM| Evidence to SatCMS Bundle/ Cinical OutcomesComm BgtComm BoardComm Partic ipationComm PerceptionEBITDA/TTL Bgt/MarginExpenseFund RaisingInterdept SatPhys CredentialsPhys.

10 SatProcess/PI/TrainingProductivity/Staff ing/AgencyPt/Res/Client/Customer SatRevenue/CollectionsSafetyTATT urnoverVolume/GrowthTotalFac ility Ty pe(A ll)Sum of Goal Wt%Goal Type ReclassDrop Series Fields HereEffort Placement by Goal Type by Job TypeWhat s Right in Health CareSM| Evidence to OutcomesExecutive Effort Placement by thPeopleQualityServiceCEOCFOCMOCNOCOOFac ility Type(All)Sum of Goal Wt%Pi l l a rExecutive Type18 2008 Studer s Right in Health CareSM| Evidence to OutcomesExecutive Effort Placement by Goal SatCMS Bundle/ CinicalOutcomesComm BgtComm BoardComm Partic ipationComm PerceptionEBITDA/TTL Bgt/MarginExpenseInterdept SatPhys CredentialsPhys.