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University-quality care. A higher degree of healing.



                                                       1
Congratulations
     to Mark Chastang.

   Thank you, Mark!



                         2
George Washington used this chair for
nearly three months of the Federal
Convention's continuous sessions in 1787.
James Madison reported Benjamin Franklin
saying, "I have often looked at that behind
the president without being able to tell
whether it was rising or setting. But now I...
know that it is a rising...sun."




                                                 3
Transitions
 can feel like a setting sun.




                                4
Or   Transitions
       can feel like a rising sun.




                                     5
“You will understand what you are


Called to Do
     by what you can’t stand.”

            T. D. Jakes




                                     6
Transitions
are opportunities...for you to lead positive change.




                                                       7
Teamwork
 is the key to our success.




                              8
Together
E veryone
Achieves
More!

            9
A Theory of Teamwork




                       10
My   Role         will
change from CFO to C OACH of the TEAM.
                   E




                                         11
The Role of a Coach
• Get to know the team.
• Get everyone in the best position.
• Develop the game plan and make it clear.
• Make adjustments during the game.
• Celebrate victories; learn from losses.
• Make winning fun and reward hard work
  and performance.


                                             12
The First 100 Days
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                                                                                                                   13
The first   30 Days                  will be
spent walking around and listening to you.




                                              14
Empowerment
is the secret to success. Get ready to be empowered.




                                                       15
Healthcare Continues to Change

• National
 Healthcare
 Reform

• Outlook for
 U.S. State
 Governments



                                 16
The Future of Healthcare
• More outpatient care.    • More telemedicine.
• More complex inpatient
  care.
                           • More mid-range
                             providers.
• More technology.         • More employed
• More advanced imaging.     physicians.

• More genetic testing.    • More outcomes
                             reporting.
• Personalized medicine.   • Fewer service lines.
• More neurological
  services.                • Patient satisfaction more
                             important.
• More cancer care.

                                                         17
Healthcare Realities
•   The public believes healthcare costs too much.

•   Hospitals and physicians are going to receive less
    and less money on a per patient basis.

•   More patients will be on Medicaid.

•   More patients will be in managed care plans.

•   Our market will continue to be highly competitive.

    Let’s tackle these issues together.



                                                         18
Different isn’t always better, but
    better is always different.
    How will we choose to be different?

You and I   Together as a Team will answer
                 that question.


                                             19
What Will Not Change
• Ourhuman condition.
  the
      mission to improve      • Our core values:
                                ✴ Compassion, professionalism,

• Our goal to be a high-
  quality transformative
                                  and respect
                                ✴ Discovery, learning, and
                                  communication
  force in the ongoing          ✴ Diversity, integrity, and
  evolution of regional and       teamwork
  national healthcare           ✴ Engagement, outreach, and
  delivery systems.               service
                                ✴ Excellence, focus, and

• Our commitment to the
  academic mission.
                                  innovation
                                ✴ Wellness, healing, and safety




                                                                  20
What Will Not Change
• Our commitment to
  quality care and patient
                             • Our commitment to
                               making the investments
  safety.                      that keep us competitive
                               in a highly competitive
• Our commitment to
  patient-centeredness
                               healthcare market.

  and improving our            • New ICU beds
  patient satisfaction
                               • Renovations of space
  scores.
                               • New medical
• Our commitmentsound.
  remain financially
                    to           equipment




                                                          21
Top Priorities
• Quality and Patient Safety
• Physician Recruitment, Retention, and
  Productivity
• Patient Satisfaction
• Capital Improvements
• Reimbursement
• Reducing Costs
• Employee Morale
                                          22
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                                                                                                                                                                      23
There is Always a Way.




                         24
What does this have to do with us?
  •   Like the neurosurgeon in the video, we will face challenges
      that will seem impossible, but there is always a way.

  •   Before you say “no” to someone, think “yes”--there is always
      a way.

  •   Like the neurosurgeon, we’re not always going to be sure
      about every decision we make, but we have to take
      calculated risks.

  •   Like the neurosurgeon, it is going to take a team effort to get
      this done.

  •   Like the neurosurgeon, if we are successful, the outcome
      with be joyous, and things will be much better.




                                                                        25
Be inspired.   We        can tackle
       the future...together.




                                      26
Harold Scarborough, Pharmacist (1915-2004)

                                             27
!

28
“Work hard, help others, practice humility, learn from your mistakes, and finish strong.”
                                                           Harold Scarborough (1915-2004)




                                                                             !
             My work at UTMC is dedicated to him.


                                                                                            29
30
The   Sun is Rising             at
The University of Toledo Medical Center




                                          31
University-quality care. A higher degree of healing.




                                                       32

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University care - A higher degree of healing

  • 1. University-quality care. A higher degree of healing. 1
  • 2. Congratulations to Mark Chastang. Thank you, Mark! 2
  • 3. George Washington used this chair for nearly three months of the Federal Convention's continuous sessions in 1787. James Madison reported Benjamin Franklin saying, "I have often looked at that behind the president without being able to tell whether it was rising or setting. But now I... know that it is a rising...sun." 3
  • 4. Transitions can feel like a setting sun. 4
  • 5. Or Transitions can feel like a rising sun. 5
  • 6. “You will understand what you are Called to Do by what you can’t stand.” T. D. Jakes 6
  • 7. Transitions are opportunities...for you to lead positive change. 7
  • 8. Teamwork is the key to our success. 8
  • 10. A Theory of Teamwork 10
  • 11. My Role will change from CFO to C OACH of the TEAM. E 11
  • 12. The Role of a Coach • Get to know the team. • Get everyone in the best position. • Develop the game plan and make it clear. • Make adjustments during the game. • Celebrate victories; learn from losses. • Make winning fun and reward hard work and performance. 12
  • 13. The First 100 Days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
  • 14. The first 30 Days will be spent walking around and listening to you. 14
  • 15. Empowerment is the secret to success. Get ready to be empowered. 15
  • 16. Healthcare Continues to Change • National Healthcare Reform • Outlook for U.S. State Governments 16
  • 17. The Future of Healthcare • More outpatient care. • More telemedicine. • More complex inpatient care. • More mid-range providers. • More technology. • More employed • More advanced imaging. physicians. • More genetic testing. • More outcomes reporting. • Personalized medicine. • Fewer service lines. • More neurological services. • Patient satisfaction more important. • More cancer care. 17
  • 18. Healthcare Realities • The public believes healthcare costs too much. • Hospitals and physicians are going to receive less and less money on a per patient basis. • More patients will be on Medicaid. • More patients will be in managed care plans. • Our market will continue to be highly competitive. Let’s tackle these issues together. 18
  • 19. Different isn’t always better, but better is always different. How will we choose to be different? You and I Together as a Team will answer that question. 19
  • 20. What Will Not Change • Ourhuman condition. the mission to improve • Our core values: ✴ Compassion, professionalism, • Our goal to be a high- quality transformative and respect ✴ Discovery, learning, and communication force in the ongoing ✴ Diversity, integrity, and evolution of regional and teamwork national healthcare ✴ Engagement, outreach, and delivery systems. service ✴ Excellence, focus, and • Our commitment to the academic mission. innovation ✴ Wellness, healing, and safety 20
  • 21. What Will Not Change • Our commitment to quality care and patient • Our commitment to making the investments safety. that keep us competitive in a highly competitive • Our commitment to patient-centeredness healthcare market. and improving our • New ICU beds patient satisfaction • Renovations of space scores. • New medical • Our commitmentsound. remain financially to equipment 21
  • 22. Top Priorities • Quality and Patient Safety • Physician Recruitment, Retention, and Productivity • Patient Satisfaction • Capital Improvements • Reimbursement • Reducing Costs • Employee Morale 22
  •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ideo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is D6:52./C! -.611C! -.5%($.-C! 625<$*C! 6$%! .'(! 5$*+(,-*./@-! <6$/! -.69('02%(,-! 3*22! 622! 8($(1*.! 1,0<! C7#& D*-.#"'-%/& 63& C62#)6!8(:65-(!.'(/!3*22!622!8(!:0$$(:.(%!.0!6!5$*+(,-*./!.'6.!*-!.,52/!-10"6.-*!&%7#&7(1$*&,6*)-%-6*E6*#&2-3#&$%& $&%-1#F! next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
  • 24. There is Always a Way. 24
  • 25. What does this have to do with us? • Like the neurosurgeon in the video, we will face challenges that will seem impossible, but there is always a way. • Before you say “no” to someone, think “yes”--there is always a way. • Like the neurosurgeon, we’re not always going to be sure about every decision we make, but we have to take calculated risks. • Like the neurosurgeon, it is going to take a team effort to get this done. • Like the neurosurgeon, if we are successful, the outcome with be joyous, and things will be much better. 25
  • 26. Be inspired. We can tackle the future...together. 26
  • 28. ! 28
  • 29. “Work hard, help others, practice humility, learn from your mistakes, and finish strong.” Harold Scarborough (1915-2004) ! My work at UTMC is dedicated to him. 29
  • 30. 30
  • 31. The Sun is Rising at The University of Toledo Medical Center 31
  • 32. University-quality care. A higher degree of healing. 32