Strategic Management at Toronto East General Hospital June 2008 - PowerPoint PPT Presentation

Strategic Management at Toronto East General Hospital June 2008

Strategic Management at TEGH Helen’s Story The 2008-2011 Strategic Plan September 2007

Strategic Management at TEGH � Strategic Planning at TEGH is only part of a comprehensive strategic management system. � The strategic plan anchors the system and management cycle. � Measurement and three year targets embedded in strategy. � Operational plans e.g. Capital and operational budgets etc use same three year timeframe

Strategic Management at TEGH September September September September October October October Nov./Dec. Nov./Dec. Nov./Dec. Nov./Dec. • Board Approval of • Board Approval of • Board Approval of • Board Approval of • Develop Corporate • Develop Corporate • Develop Corporate • Align Improvement Plans • Align Improvement Plans • Align Improvement Plans • Align Improvement Plans Strategic Plan Strategic Plan Strategic Plan Strategic Plan Business Plan Business Plan Business Plan to Corporate Business to Corporate Business to Corporate Business to Corporate Business • Q1 Board Balanced • Q1 Board Balanced • Q1 Board Balanced • Q1 Board Balanced • Corporate Balanced • Corporate Balanced • Corporate Balanced Plan Plan Plan Plan Scorecard Scorecard Scorecard Scorecard Scorecard Scorecard Scorecard • Update HR, IM, Research • Update HR, IM, Research • Update HR, IM, Research • Update HR, IM, Research • Board HAA & W TS • Board HAA & W TS • Board HAA & W TS • Board HAA & W TS and Communication Plans and Communication Plans and Communication Plans and Communication Plans Indicator Report Indicator Report Indicator Report Indicator Report • Set Parameters & • Set Parameters & • Set Parameters & • Set Parameters & Financial Assumptions for Financial Assumptions for Financial Assumptions for Financial Assumptions for 3 Year Operating & 3 Year Operating & 3 Year Operating & 3 Year Operating & Capital Budget Capital Budget Capital Budget Capital Budget July/August July/August July/August • Q2 Board Balanced • Q2 Board Balanced • Q2 Board Balanced • Q2 Board Balanced Scorecard Scorecard Scorecard Scorecard • Complete Environmental • Complete Environmental • Complete Environmental • Board HAA & WTS • Board HAA & WTS • Board HAA & WTS • Board HAA & WTS Scan Scan Scan Indicator Report Indicator Report Indicator Report Indicator Report • Update Rolling Strategic • Update Rolling Strategic • Update Rolling Strategic Plan Plan Plan Dec./Jan. Dec./Jan. Dec./Jan. • Corporate Balanced • Corporate Balanced • Corporate Balanced Scorecard Scorecard Scorecard • Develop Operating and • Develop Operating and • Develop Operating and Capital Budgets Capital Budgets Capital Budgets June June June • Annual results of the • Annual results of the • Annual results of the Jan./Feb. Jan./Feb. Jan./Feb. Board Balanced Board Balanced Board Balanced Scorecard Scorecard Scorecard • Finalize Corporate • Finalize Corporate • Finalize Corporate • Board HAA & W TS • Board HAA & W TS • Board HAA & W TS Operating/Capital Budgets Operating/Capital Budgets Operating/Capital Budgets Indicator Report Indicator Report Indicator Report • Corporate Balanced • Corporate Balanced • Corporate Balanced Scorecard Scorecard Scorecard May May May April April April March March March • Individual Performance • Individual Performance • Individual Performance • Deployment of • Deployment of • Deployment of • Board Approval of • Board Approval of • Board Approval of Assessments Assessments Assessments Program/Department Program/Department Program/Department Operating/Capital Budgets Operating/Capital Budgets Operating/Capital Budgets Budget Objectives and Budget Objectives and Budget Objectives and • Corporate Balanced • Corporate Balanced • Corporate Balanced • Q3 Board Balanced • Q3 Board Balanced • Q3 Board Balanced Targets Targets Targets Scorecard Scorecard Scorecard Scorecard Scorecard Scorecard • Board HAA & WTS • Board HAA & WTS • Board HAA & WTS Indicator Report Indicator Report Indicator Report

Strategic Management at TEGH � TEGH Strategic Management System reflects a skills based governance structure that demands planning, implementation, evaluation and adjustment. � Annually the Board reviews and re-calibrates the plan. Every three years the plan undergoes a major re-tooling. � Approach reflects a corporate wide culture of measurement and continuous improvement.

Strategic Management at TEGH Planning Planning Planning Planning Planning Planning Performance Measurement Performance Measurement Performance Measurement Performance Measurement Performance Measurement Performance Measurement Strategy Strategy Strategy Strategy Strategy Strategy Accountability Accountability Accountability Accountability Accountability Accountability LHIN LHIN LHIN Government Government Government Government Policy Direction Policy Direction Policy Direction Accountability Accountability Accountability Agreement Agreement Agreement Hospital Hospital Hospital Integrated Health Integrated Health Integrated Health LHIN LHIN LHIN LHIN Accountability Accountability Accountability Service Plan Service Plan Service Plan Agreement Agreement Agreement Strategic Strategic Strategic Board-Level Board-Level Board-Level Board Board Board Board Plan Plan Plan Balanced Scorecard Balanced Scorecard Balanced Scorecard Corporate Corporate Corporate Executive-Level Executive-Level Executive-Level Executive Executive Executive Executive Business Plan Business Plan Business Plan Balanced Scorecard Balanced Scorecard Balanced Scorecard Improvement Improvement Improvement Program/Dept. Program/Dept. Program/Dept. Program/Dept. Program/Dept. Program/Dept. Program/Dept. Plan Plan Plan Balanced Scorecard Balanced Scorecard Balanced Scorecard Outcome/Impact Outcome/Impact Outcome/Impact Business Case Business Case Business Case Evaluation Evaluation Evaluation Improvement Improvement Improvement Unit Unit Unit Unit Unit Unit Unit Plan Plan Plan Balanced Scorecard Balanced Scorecard Balanced Scorecard Learning Learning Learning Individual Individual Individual Individual Individual Individual Individual Plan Plan Plan Performance Review Performance Review Performance Review Operations Operations Operations Operations Operations Operations Learning Learning Learning Learning Learning Learning External Environment External Environment

Strategic Management at TEGH At-A-Glance: TEGH 2008-2011 Strategic Plan

Strategic Management at TEGH Strategic Priority: Patient Satisfaction Patient Satisfaction reflects patients’ perceptions of the experience at TEGH, including perceptions of overall quality of care and outcomes of care. Indirectly, patient satisfaction reflects how well the Hospital is integrating care and disseminating information about the Hospital and its services to community members and health provider partners. In recent years, TEGH has placed priority on improving patient satisfaction and efforts to date have resulted in modest positive improvements. While TEGH is pleased with these achievements, greater improvement is necessary.

Strategic Management at TEGH Tactics that will be pursued as a means of achieving this strategic priority include: •Establish staff as ambassadors for creating excellent patient experiences, in part through the demonstration of the TEGH Core Service Standards. •Enhancing the cultural, social and physical accessibility of services, particularly for vulnerable or marginalized populations. •Increasing the quality of communication with patients and their caregivers, patient referral sources (e.g. family physicians), and community members.

Strategic Management at TEGH Performance Measure Current 2008/09 2009/10 2010/11 TEGH TEGH TEGH Value Target Target Target Inpatient Patient Satisfaction 85.7% 88.0% 91.0% 92.0% Emergency Department 70.6% 74.0% 77.0% 78.0% Patient Satisfaction

Strategic Management at TEGH Plan Review � Quarterly the Board reviews a balanced scorecard that includes the measures identified in the strategic plan. � Scorecard results at centre of performance management system including incentive payments.

Strategic Management at TEGH

Strategic Management at TEGH How is the plan kept current? � Annual Board level review starts the annual business planning cycle. � Pervious year’s performance reviewed. � Significant policy, environment changes noted and considered in terms impact on plan. � Measurement targets re-calibrated and a new year three target set.

Strategic Management at TEGH How is the Plan Re-tooled � Broad environmental scans completed � Data analysis e.g. market share, demographics etc. � Role of organization within TC LHIN � Trends and policy shifts.

Strategic Management at TEGH How is the Plan Re-tooled � Consultation process involving internal and external stakeholders � Internal consultation tools � Program/Department meetings � Café session � Surveys