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Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War College Jason Pincock – CEO DynaLIFE Dx

Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

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Page 1: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Mastering the Art of Delivering Value: Using Change and

Real-Time Metrics to Achieve Stretch Goals

2014 Executive War CollegeJason Pincock – CEO

DynaLIFEDx

Page 2: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

DynaLIFEDx

• Who we are and why am I here• Value in a larger context• Transparent Client Relationships• Tools for the long haul• Creating a culture of empowerment and

change

Page 3: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Where is DynaLIFEDx

Page 4: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Who is DynaLIFEDx• Based in Edmonton Alberta, Canada with a large

diagnostic reference laboratory • Provide laboratory testing, referral, consultation

and support services to 136 hospitals and health centers across the province of Alberta and to 30 communities in the far North

• 38 locations across northern Alberta serving 1.6 million community patients annually

• 1200+ employees and 40 Medical Staff

Page 5: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Who is DynaLIFEDxLargest integrated AP laboratory and one of the

largest integrated complex microbiology laboratories in Canada

Page 6: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

The DynaLIFEDx Challenge• Single Payer Market for 20 years• Client is the Competitor• Absolute transparency on

performance every day• Unionized environment with

geographic isolation• Demonstrate value and manage a

relationship lasting decades• No fee for service

Page 7: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Meeting Our Challenge• Forced us to articulate our values, our

strategies, and our culture• Identified clear gaps in our organization

and weaknesses in capability• Forced us to demonstrate with tangible

examples of our value on a regular basis• Developed relationship management tools

designed for decades

Page 8: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Strategy Questions

• Who do you serve?• How do they define success?• What makes you different/ or special?• What do want your identity to be?• Why should you have the privilege to exist?

Page 9: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Scorecards With Your Clients

“Have you ever met an A student afraid to bring their report card home?”

Page 10: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Real Time Data

Page 11: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Targeted Quality Monitoring

Page 12: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Capacity ScorecardsChemistry Automation Line

• Previous configuration• (organic growth model)

• Addition of third Centaur• (organic growth model)

Page 13: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Integrity of Decisions

• Principle based decision making

• Transparent Strategy

• Solve first negotiate second

Play the long game

Page 14: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Engagement• Culture is everything! It makes everything possible

or nothing possible…• Culture must be shared between Medical,

Technical, Administrative and Support Teams• People must not just understand but believe• Leadership starts at the bench

Page 15: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

The Accountants Justification for Investing in Lab Culture

3% increase in staff productivity =

10% reduction in Materialsor

40% reduction in Capitalor

20% reduction in everything else

Your culture is the only thing not available from a vendor…

Page 16: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

A Culture of CommitmentTransparency = Trust Trust = Empowerment

Empowerment = Achievement

Invest in developing people & investing in tools that change

how we do things

Page 17: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Focus On Capability• How do you measure capability

in your lab?• What is your technology

strategy?• What are you capable of

beyond testing?• What is scalable and what is

not in your lab today? Do you know.

Volume is capacity not capability….

Page 18: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Engage Indirectly Engage Directly

Keep Informed Manage Closely

Summary of Terminology

Impact: To what extent does the Project (or elements) impact the Stakeholder / Stakeholder Community

High The Project has a significant impact on the stakeholder or is a key enabler / obstacle for them

Low The Project does not have a major impact on the stakeholder

Influence: How much can this Stakeholder / Stakeholder Community influence the outcome of the Project(or elements)

High The stakeholder is a Senior Leader, a key decision maker or has significant power over others

Low The stakeholder does not have major influence

Level of influence

Leve

l of i

mpa

ct

Approach to Stakeholder MappingPowerful ToolsCommunication Matrix

Page 19: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Quality, TATs, Smart Reporting

Consultations, Report Cards, Monitoring, Education

Test Matrix and Availability

Query to Repository to RemoveDuplicates

Decision-Support Tools

Order Correct and Appropriate Test

Correct Test is

Available

Right Test, Right Time,

Right Place

Effective Reporting Drives Clinical Value

Feedback to

Physicians

1 2

3

4

5

Powerful ToolsUtilization Cycles

Page 20: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Using Capital Strategically

Bleeding – Leading ------- Value Window---- Sunset

Bleeding – Leading ------ Value Window ---- Sunset

Lab A

Lab A Lab B

Lab B

Leverage Vendor Innovation Cycles

Traditional Lab Capital

• Budget based• Incremental pieces• If it isn’t broken….

Strategic Lab Capital

• Innovation based• Platform moves• Strategic differentiator

Page 21: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Strategic Capital Cycles

Core

Micro

AP

Cytology

Esoteric

Pre-Analytical

6 Year Strategic Cycle

Page 22: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Powerful ToolsHeat Maps on Risk

Low Medium

High Critical

Impa

ct

Probability

Page 23: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Powerful ToolsInnovation Mapping

Page 24: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Powerful ToolsInnovation Cycle

Syst

em P

erfo

rman

ce

Innovation Cycles

Innovate only what makes you different….

InnovateImplement

Share

Page 25: Mastering the Art of Delivering Value: Using Change and ... · Mastering the Art of Delivering Value: Using Change and Real-Time Metrics to Achieve Stretch Goals 2014 Executive War

Questions?