The Health Systems Administration program at Georgetown has its students complete case projects for a fictional community, Middleboro. Throughout the program we created several deliverables: Community Profile, Community Health Assessment, Strategic Plan, Marketing Plan, and Business Plan.
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Middleboro Strategic Plan
1. Medical Associates
STRATEGIC PLAN
2011-2015
Stephanie Gonzalez. Jessica Jacobs.
Karen Jose. Erin Lenhardt.
Ve r o n i c a L o c k e . D a n i e l Lyn n .
2. Where We Are Now
Weaknesses
Strengths
• Mediocre financials
• Wide continuum of care offerings for patients • Negligible liquid capital
• Commitment to technological advancement • Insurance bargaining power
• Geographic isolation • Poor staff communication and ambiguous authority
• Community support • Physician and nurse turnover
• Large market share within MCH • Organizational management
SWOT
Analysis
Opportunities Threats
• New service line development • Deregulation of protective state regulations
• Enhanced penetration in the Jasper community • OHA expansion into Jasper
• ASC expansion to Middleboro
• 225 acre land option in Jasper
• Other physician group establishment in
Jasper
• Market growth through expanded insurance
coverage • HMO exclusivity contracts
5. How We Will Get There
Staffing
Payor
care
mix
model
Org Financial
Mgmt position
6. CPI 1: Staffing Care Model
Goal 1: Implement a staffing
structure that facilitates Physician
advanced patient care Satisfaction
processes, provides efficient 60%
high quality and specialized
50%
care, and improves overall
patient, physician, and staff 40%
satisfactions 30%
20%
Goal 2: Be the leading 10%
choice of employment for
healthcare workers in 0%
Hillsboro County 2008 2009 2010
10. CPI 4: Financial Growth (Affiliation)
% MA Physicians at MCH
100%
90%
80%
70%
60%
50%
40%
75%
67%
30%
50% 50%
20% 38% 36%
10%
0%
Cardiology Gastroenterology OB/GYN Pediatrics Orthopedic Surgery Thoracic Surgery
Medical Associates Other Physicians
11. Where We Are Going
Implementation Timeline
1/1/2011 1/1/2012 12/31/2012 12/31/2013 12/31/2014 12/31/2015
Implement staffing structure for overall satisfaction
Leading choice of healthcare employment
Reconcile practice protocols with commercial payors
Implement RCM technologies
Improve financial performance via organization mgmt
Clarify organizational structure
Process improvement through healthcare IT actions
Expand Jasper facility
Affiliate with MCH for service line expansion
StephAssessment: Management-physician-nursing staff relationships are in turmoil.Strategy:Goal 1: Implement a staffing structure that facilitates advanced patient care processes, provides efficient high quality and specialized care, and improves overall patient, physician, and staff satisfactionsGoal 2: Be the leading choice of employment for healthcare workers in Hillsboro CountyStephanieCPIAssemble Integrated Practice Units (IPUs), Assemble Ambulatory Surgery Center Staffing Model Develop and implement recruitment and hiring strategyEffectively market career benefits of IPUsMeasure physician, RN, and staff satisfaction
StephAssessment: Healthcare reform will expand insurance coverage and bring many changes to our environmentStrategy:Goal 1: Reconcile approved practice protocols with commercial payorsDevelop approved practice protocolsUpon request, submit practice protocols to commercial payors for approvalRenegotiate contract with commercial payors to include approved practice protocolsGoal 2: Implement Revenue Cycle Management (RCM) technologies.Integrate Implement internal electronic RCM technologies in conjunction with EMR ImplementationIssue third party insurance claims electronically for all commercial and governmental payors
Dan Assessment: Medical Associates is not realizing its full organizational potential due to mediocre managementStrategy:Goal 1: Improve financial performance through enhanced organizational managementEnhance management knowledge, skills, & abilities through continuing educationSix Sigma, LeanGoal 2: Clarify organizational structure and decision-making authorityTask force assembled to achieve plan for organizational reformEnhance leadership knowledge, skills, & abilitiesEnhance staff channels of communicationGoal 3: Process improvement through healthcare information technologyCoordinate with Middleboro Community Hospital and local Regional Extension Center (REC) to evaluate which EMR system is appropriate for implementation at MAInstall electronic medical records system (EMR) into all MA practicesTrain and educate staff on role, usage, and techniques of EMR systems
DanCPI 4: Financial PositionConsistent with Mission, Vision, & Values, and as guided by the evaluative criteria:Strategy:Goal 1: Achieve decision consensus regarding external strategic opportunitiesPartnership with CHA and/or outright sale to OHA or SweetgrassInconsistent with strategic objectivesGoal 2: Expand Jasper facility to enhance services available to Jasper communityExpand Jasper facility with new OB/GYN centerExpand Jasper facility with emergency care centerConsistent with community and strategic needsGoal 3: Affiliate with Middleboro Community Hospital for service line expansion,Strengthen depth and breadth of cardiac surgical services through strategic partnershipCollaborate to develop and implement a joint acute, intensive care cardiac surgery service lineConsistent with community and strategic needsWhere We Should Be Going