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Health Commission | November 5, 2019
SF Health Network Update
July 12, 2017
DPH Leadership
2
SFHN Leadership Org Chart
3
4
True North and the X-Matrix
True North
• Our set of universal ideals that
describe DPH’s future state
X-Matrix
• The product of our discussions and decisions can be summarized in this Strategic Plan document,
also known as an X-Matrix.
• The X-Matrix is designed to provide a visual description of our high level strategic initiatives, our
accountability mechanisms, anticipated outcomes and how it all ties into our True North.
☐ 3 ☐ ☐ ☐ ☐ ☐
☐ 2 ☐ ☐ ☐ ☐ ☐ ☐
☐ ☐ 1 ☐ ☐ ☐ ☐
Safe
ty: A
ctio
nab
le k
no
wle
dge
an
ytim
e, a
nyw
her
e
Qu
alit
y
Car
e E
xpe
rie
nce
: Act
ion
able
kn
ow
led
ge a
nyt
ime,
anyw
her
e
Wo
rkfo
rce
: Dev
elo
p o
ur
peo
ple
Fin
anci
al S
tew
ard
ship
Equ
ity
100%
of
EHR
“D
esig
n an
d B
uild
” de
cisi
ons
are
com
plet
ed
on t
ime
(1/1
/19)
75%
of
DPH
& U
CSF@
ZSFG
em
ploy
ees
are
conf
iden
t th
at
DPH
will
be
prep
ared
& e
nab
led
to
mee
t EH
R G
o Li
ve
75%
of
end-
user
s &
man
ager
s/su
perv
isor
s re
por
t th
ey
have
the
rig
ht in
form
atio
n to
cre
ate
val
ue f
or p
atie
nts
and
DPH
(1/
1/20
)
By
5/20
18, D
PH h
as a
def
ined
mod
el D
MS
and
prod
ucti
on
line
sche
dul
e pl
an
By
8/20
19 a
ll de
sign
ated
uni
ts g
oing
live
in E
PIC
are
trai
ned
in D
MS
By
8/20
19, 8
0% o
f un
its
in D
MS
achi
evin
g 80
% o
n D
MS
asse
ssm
ent
tool
By
12/2
019,
adh
eren
ce t
o EP
IC w
orkf
low
s is
pra
ctic
ed 7
5%%
of t
he t
ime
thro
ugh
proc
ess
obse
rvat
ion
By
12/2
019,
uni
ts in
DM
S m
eeti
ng 6
0% o
f KP
IS
By
6/30
/19,
mai
ntai
n st
able
Med
i-Ca
l en
rollm
ent
of S
FHN
PC e
nro
llee
s fr
om 4
8,00
0 to
50,
000
By
6/30
/19d
ecre
ase
% o
f en
rolle
d b
ut n
ot y
et s
een
(EN
YS)
to 2
5% f
rom
28%
By
6/30
/19,
dec
rea
se P
RIM
E CC
M h
igh
risk
sub
grou
p
Pati
ent
ED &
Inp
atie
nt
Uti
lizat
ion
By
6/30
/201
9, %
/$ a
ttai
nmen
t of
Med
i-Ca
l PR
IME
& Q
IP w
ill
decr
ease
fro
m 9
0% t
o 85
%
Pick
ens
(Dir
ecto
r, S
FHN
)
Alic
e C
hen
(Dep
uty
Dir
ecto
r, S
FHN
)
Alb
ert
Yu (
CH
IO, S
FHN
)
Gre
g W
agne
r (C
FO, D
PH)
Val
erie
Ino
uye
(Dir
, Fin
ance
, SFH
N)
Susa
n Eh
rlic
h (C
EO, Z
SFG
)
Jim
Mar
ks (
Chi
ef P
erf
Exc,
ZSF
G)
Miv
ic H
iros
e (E
xec
Adm
in, L
HH
)
Kelly
Hir
amot
o (D
irec
tor,
Tra
nsit
ions
)
Hal
i Ham
mer
(D
ir, P
rim
ary
Car
e)
Lisa
Gol
den
(Dir
, KPO
, DPH
)
Mar
y H
anse
ll (D
ir, M
CA
H)
Kav
oo
s G
han
e B
assi
ri (
Dir
, Beh
avio
ral H
ealt
h)
Lisa
Pra
tt -
Dir
, Jai
l Hea
lth
Jenn
y Lo
uie
(DPH
Bud
get
Dir
/SFH
N B
IU)
Rho
nda
Sim
mon
s (D
ir, H
R W
kfor
ce D
vlpm
t
Aya
nna
Ben
nett
(D
ir, I
nter
div
Init
iati
ves)
Ree
na
Gup
ta (
Med
Dir
, PR
IME)
FY'17-'18 FY'18-'19 FY'19-'20 FY'20-'21 1 2 3 4 5 6 7 8 9 10
11
12
☐ Financial Stewardship: 70% of targets 70% 70% TBD TBD
☐ Quality: 70% of targets 70% 70% TBD TBD
☐ Safety: 70% of targets 70% 70% TBD TBD ☐ =
☐ Care Experience: 70% of targets 70% 70% TBD TBD =
☐ Workforce: 70% of targets 70% 70% TBD TBD r =
☐ Equity: 70% of targets 70% 70% TBD TBD
Value-based care (revenue, cost/value optimization)
EHR readiness
Develop our people through lean
correlation / contribution
correlation / contribution
weak correlation or rotating team member
important correlation or core team member
strong correlation or team leader
strategic initiatives
True North outcomes
Tru
e N
ort
h t
hem
es
per
form
ance
m
easu
res
© 2017 rona consulting group
MISSION: We provide high quality health care that enables San Franciscans to live vibrant, healthy lives. VISION: To be every San Franciscan’s first choice for health care and well-being.
Last updated 9/11/2018
A3-X - Strategic Plan
Strategic Priority: X-Matrix
5
27% 36%Total measures that hit target:
True North Evolution
49 metrics20% on target
FY15-16 FY16-17 FY17-18 FY18-19 FY19-20
47 metrics27% on targetA3 report outs
Financial Stewardship
Workforce
Safety
Equity
Quality
Care Experience
SynergyAlignment & Focus
FY 18/19transition year
Quality Safety CareExperience
WorkforceFinancial
StewardshipEquity
33 metrics36% on targetA3 report outs
FY19/20Epic stabilization year
1 metric focus (Workforce)A3 report outs
FOCUS:
Workforce
FY 17/18FY 16-17
6
QUALITY SAFETYCARE EXPERIENCE
WORKFORCEFINANCIAL STEWARDSHIP
EQUITY
Division/Section Metrics
ZSFG
Decrease readmissions among the PRIME population
Increase readiness for eHRImplementation
Increase iCare adoption
Increase the # of depts.with DMS Implementation
Decrease capital project slippage days
Increase REAL data completeness
Decrease % of time on diversion
Increase QIP measure reporting
Increase the % of Exec Leadership with at least 1 PDP A3 Targets
Decrease salary variance Increase PIPS reporting
Increase preparedness for EHR implementation
LHH
Decrease pressure ulcers and falls with major injury
Decrease employee recordable injuries
Likelihood to recommend care
Likelihood to recommend working at LHH
Decrease overtime variance
Adequate treatment of hypertension for Black/African American residents
PC
Increase Behavioral HealthSigns screenings Increase 7-day post
discharge follow up
Improve patient satisfaction ratings Improve staff coaching for
progressDecrease the time for unlocked notes
Improve BP control among African American patients with hypertension
Increase adolescent immunizations
Improve timely access to Primary care services
JHS Improve the rate of time of
charting Increase overall patient satisfaction score
Decrease workplace stressDecrease mandated overtime
Increase gonorrhea and chlamydia screening in African American population
BH
S Improve completion of IIPP activities
Improving timely access to care
Improve staff perceivedsupport for their professional development
Increase the % of non-enrolled Medi-Cal eligible clients who enroll in Medi-Cal
Increase % of clinicians who have completed SO/GI training
MC
AH
Increase % of enrollment in prenatal programs
Increase IIPP trainingsMaintain enrollment in WIC program for children over 1 years of age
Increase staff ratings of race equity in the workplace
Decrease redundancies in ordering through 5S
Increase the recruitment/retention of African American field nurses
True North: FY18/19
True North: FY18/19 Scorecard
8
True North: FY18/19 Scorecard
9
Quality
Safety
Care Experience
13.50%
14.00%
14.50%
15.00%
15.50%
16.00%
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Decrease readmissions among PRIME population
35.00%
40.00%
45.00%
50.00%
55.00%
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Decrease % of time on diversion
Target: 40%
0.00
20.00
40.00
60.00
80.00
100.00
120.00
Baseline Q12018
Q22018
Q32019
Q42019
LHH: Reduce pressure ulcers and falls with major injury
Target: 93
0.0%
10.0%
20.0%
30.0%
40.0%
Baseline Q12018
Q22018
Q32019
Q42019
PC: Increase Behavioral Health Vital Signs screenings
Target: 36.2%
61.0%62.0%63.0%64.0%65.0%66.0%67.0%68.0%69.0%
Baseline Q12018
Q22018
Q32019
Q42019
PC: Increase adolescent immunizations
Target: 67%
40.0%
45.0%
50.0%
55.0%
60.0%
65.0%
Baseline Q12018
Q22018
Q32019
Q42019
MCAH: Increase % of enrollment in prenatal programs
Target: 54%
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
JHS: ---
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
120.0%
Baseline Q12018
Q22018
Q32019
Q42019
BHS: ---
0
5
10
15
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase QIP measure reporting
Target: 12
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase readiness for EHR Implementation
Target: 8
0.0
5.0
10.0
15.0
20.0
Baseline Q12018
Q22018
Q32019
Q42019
LHH: Decrease employee recordable injuries
Target: 9.975
60.00%62.00%64.00%66.00%68.00%70.00%
Baseline Q12018
Q22018
Q32019
Q42019
PC: Increase 7-day post discharge follow up
Target: 69.40%
80%
85%
90%
95%
100%
Baseline Q12018
Q22018
Q32019
Q42019
JH: Improve the rate of time of charting
Target: 98%
0.00%
20.00%
40.00%
60.00%
80.00%
100.00%
Baseline Q12018
Q22018
Q32019
Q42019
BHS: Improve completeion of IIPP activities
Target: 90%
0
5
10
15
20
25
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase iCare Adoption
Target: 12
80.0%
85.0%
90.0%
95.0%
100.0%
105.0%
Baseline Q12018
Q22018
Q32019
Q42019
LHH: Likelihood to recommend care
Target: 100%
65.0%
66.0%
67.0%
68.0%
69.0%
70.0%
Baseline Q12018
Q22018
Q32019
Q42019
PC: Improve patient satisfaction ratings
Target: 70%
14
19
24
29
Baseline Q12018
Q22018
Q32019
Q42019
PC: Improve timely access to primary care services
Target: 14
0.00
2.00
4.00
6.00
8.00
Baseline Q12018
Q22018
Q32019
Q42019
JH: Increase overall patient satisfation score
Target: 6.8
0.0%
20.0%
40.0%
60.0%
80.0%
Baseline Q12018
Q22018
Q32019
Q42019
MCAH: Maintain enrollment in WIC program
Target: 58%
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
MCAH: Increase IIPP trainings
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
BHS: Improve timely access to care
Target: 14.32%
True North: FY18/19 Scorecard
10
Equity
Workforce
Financial Stewardship
0
1
2
3
4
5
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase departments w/ DMS implementation
Target: 5
0%
20%
40%
60%
80%
100%
Baseline Q12018
Q22018
Q32019
Q42019
LHH: Likelihood to recommend working at LHH
0%
20%
40%
60%
80%
Baseline Q1
2018
Q2
2018
Q3
2019
Q4
2019
PC: Improve staff coaching for progress
Target: 63.5%
0%
2%
4%
6%
8%
10%
Baseline Q12018
Q22018
Q32019
Q42019
JH: Decrease workplace stress
Target: 10%
9.50
11.50
13.50
15.50
17.50
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Reduce capital project slippage days
Target: 10
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
Baseline Q12018
Q22018
Q32019
Q42019
LHH: Decrease overtime variance
Target: 2%
150
250
350
450
550
Baseline Q12018
Q22018
Q32019
Q42019
PC: Decrease time for unlocked notes
Target: 180
0.0%0.5%1.0%1.5%2.0%2.5%3.0%3.5%
Baseline Q12018
Q22018
Q32019
Q42019
JH: Decrease overtime
0%
20%
40%
60%
80%
100%
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase expanded executives w/ PDP A3 targets
Target: 85%
0%
20%
40%
60%
80%
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase preparedness for EHR implementation
Target: 60%
40.0%45.0%50.0%55.0%60.0%65.0%70.0%75.0%
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase REAL data completeness
Target: 60%
60.0%
65.0%
70.0%
75.0%
80.0%
85.0%
Baseline Q12018
Q22018
Q32019
Q42019
LHH: Adequate treatment of hypertension for Black/African American residents
58.0%59.0%60.0%61.0%62.0%63.0%64.0%65.0%66.0%67.0%68.0%
1 2 3 4 5
PC: Improve blood pressure control among African American patients with
hypertension
Target: 65.3%
($10.00)
($8.00)
($6.00)
($4.00)
($2.00)
$0.00
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Decrease salary variance
Target: $0.00
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
Baseline Q12018
Q22018
Q32019
Q42019
ZSFG: Increase PIPS reporting
Target: 35%
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
BHS: Improve staff percieved support for their professional development
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
MCAH: Increase staff ratings of race equity in the workplace
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
BHS: Increase Medi-Cal enrollment
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
MCAH: Decrease redundancies in ordering through 5S
0
5
10
Baseline Q12018
Q22018
Q32019
Q42019
JH: Increase gonorrhea and chlamydia screening in African American
population
0
5
10
Baseline Q12018
Q22018
Q32019
Q42019
MCAH: Increase the recruitment/retention of African
American field nurses
0
2
4
6
8
10
Baseline Q12018
Q22018
Q32019
Q42019
BHS: Increase % of clinicians who have completed Transgender 101
Target: 75%
True North: FY18/19 Scorecard