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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 .
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
Where We Should Be Going



       Mission


  Values      Vision
Where We Should Be Going



       Competition




  Company      Customers
How We Will Get There


  Staffing
              Payor
   care
               mix
  model



   Org       Financial
   Mgmt      position
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
CPI 2: Payor Mix

 Goal 1: Reconcile
 approved practice
 protocols with commercial
 payors

 Goal 2: Implement
 Revenue Cycle
 Management (RCM)
 technologies.
CPI 3: Organizational Management

   Goal 1: Improve financial            Days in Patient A/R
    performance through            100
    enhanced organizational         90
    management                      80
                                    70
   Goal 2: Clarify                 60
    organizational structure and    50
    decision-making authority       40
                                    30
   Goal 3: Process
                                    20
    improvement through             10
    healthcare information           0
    technology                             2008   2009   2010
CPI 4: Financial Growth (Expansion)
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
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
How We Will Know We Are There

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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
  • 3. Where We Should Be Going Mission Values Vision
  • 4. Where We Should Be Going Competition Company Customers
  • 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
  • 7. CPI 2: Payor Mix  Goal 1: Reconcile approved practice protocols with commercial payors  Goal 2: Implement Revenue Cycle Management (RCM) technologies.
  • 8. CPI 3: Organizational Management  Goal 1: Improve financial Days in Patient A/R performance through 100 enhanced organizational 90 management 80 70  Goal 2: Clarify 60 organizational structure and 50 decision-making authority 40 30  Goal 3: Process 20 improvement through 10 healthcare information 0 technology 2008 2009 2010
  • 9. CPI 4: Financial Growth (Expansion)
  • 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
  • 12. How We Will Know We Are There

Editor's Notes

  1. Mission, vision, values: Veronica
  2. Veronica
  3. Veronica
  4. Veronica
  5. Steph
  6. 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
  7. 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
  8. 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
  9. 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
  10. Dan
  11. Karen
  12. Karen