Pillar Update Leadership Development Institute February 15, 2013

OU Medicine Pillar Goals

OU Medicine Pillar Reconfiguration Mission: “Leading Health Care” Vision: “The premiere enterprise for advancing health care, medical education, and research.” Historically, OU Medicine has had Seven Pillars Education, Research, People, Quality, Service, Growth, & Finance Evolving concept that Education & Research should not be separate pillars. These programs are vital components of our people, quality, service, growth, and finance pillars.

Strive to develop the highest quality medical education programs for all levels of learners COM: Maintain peer- reviewed publication (PRP) to faculty ratio at 0 to +0.2 points over the previous 3- year rolling average. Strive to be among the highest ranked health care providers by both regulatory and health care scoring systems OUMS: Maintain performance on publically reported core measures (AMI, HF, PN, SCIP, OP-SCIP) to the top 10 th percentile. OUMS: Decrease Risk Adjusted Mortality to the CHOIS benchmark or less. OUMS: Maintain composite HAC rates to the target level or lower. OUP/COM: 100% of eligible providers will identify, benchmark and improve performance on three “menu” clinical quality measures. OUP: Record tobacco use status of at least 80% of patients 13 or older. OUP: Record blood pressure of 95% of hypertension-diagnosed patients 18 and older at each office visit. OUP: Offer tobacco cessation intervention for 90% of all patients 18 or older who identified themselves as tobacco users after inquiry in a previous office visit. OUP: Calculate BMI for 80% of pts 18 or older and document a follow-up plan for those who exceed appropriate BMI parameters. OUP: Prescribe and document nutrition & fitness counseling for 80% of pts 2-17 who registered outside the BMI parameters in a previous office visit. OUP: Verify & document 90% of all pts 2 yrs who have received all ACIP-recommended vaccines. OUP: Verify and document 80% of all patients 2 yrs who received an influenza vaccination during the Sept-Feb flu season. Instill and reinforce standards of behavior that will attract, develop and retain outstanding staff, physicians, faculty and students COM: 65% of full-time clinical faculty involved during the year in scholarly activity. COM: 75% of full-time basic science faculty involved during the year in scholarly activity. COM: Maintain attendance to regularly scheduled meetings at 90% OUP: Maintain a voluntary employee turnover rate of 12.9% or less. OUP: Benchmark with national peer group and improve physician satisfaction performance. OUP: Benchmark with national peer group and improve employee satisfaction performance. OUMS: Decrease voluntary turnover rate to 15% or less. OUMS: Achieve employee engagement of 75% or greater. Promote consistently positive experiences for our patients, staff and community OUP/COM: Achieve “Top Box” score of 88.1% for the CGCAHPS overall rating of provider question. OUP: Achieve “Top Box” for all 5 CGCAHPS survey domains at the top national quartile. OUMS: Achieve inpatient satisfaction rating at or above the CMS 75 th percentile for “Overall Rating of the Hospital”. OUMS: Achieve Emergency Dept patient satisfaction rating at or above the HCA 75 th percentile for “Overall Satisfaction.” COM: 50% of full-time basic science faculty involved in education programs in the graduate, dental, allied health, pharmacy and physician associate programs. Grow the enterprise to better serve patients and physicians and support the fundamental missions of teaching and research OUMS: Increase hospital adjusted admissions to 100% of budget or greater. OUP: Grow annual clinic visits by 6% over prior year clinic visits. COM: Achieve encounter/ procedures at 100% of budgeted encounter/ procedures. Preserve a focus of fiscal responsibility and multidisciplinary planning OUMS: Achieve budgeted EBIDTA. OUP: Increase payments by 4.5% over prior year payments. COM: Departments maintain target cash reserve and operating margin. Advance medical and scientific knowledge through basic, translational, and clinical research COM: All Graduate Medical Education programs meet or exceed the institutional and program requirements promulgated by the ACGME. COM: All Undergraduate medical education programs meet or exceed the institutional and program requirements promulgated by the LCME. COM: Undergraduate medical education programs meet or exceed the institutional and program requirements promulgated by the LCME and measured by the AAMC GQ and USMLE scores. COM: Graduate student programs in the basic science disciplines meet or exceed requirements associated with peer reviewed publications, PhD completion and employment in the sciences.

Strive to be among the highest ranked health care providers by both regulatory and health care scoring systems; develop the highest quality medical education programs for all levels of learners OUMS: Maintain performance on publically reported core measures (AMI, HF, PN, SCIP, OP-SCIP) to the top 10 th percentile. OUMS: Decrease Risk Adjusted Mortality to the CHOIS benchmark or less. OUMS: Maintain composite HAC rates to the target level or lower. OUP/COM: 100% of eligible providers will identify, benchmark and improve performance on three “menu” clinical quality measures. COM: All Graduate Medical Education programs meet or exceed the institutional requirements promulgated by the ACGME. COM: All undergraduate medical education programs meet or exceed the institutional and program requirements promulgated by the LCME. COM: Undergraduate medical education programs meet or exceed the institutional and program requirements promulgated by the LCME and measured by the AAMC GQ and USMLE scores. COM: Graduate student programs in the basic science disciplines meet or exceed requirements associated with peer reviewed publications, PhD completion and employment in the sciences. Instill and reinforce standards of behavior that will attract, develop and retain outstanding staff, physicians, faculty and students COM: 65% of full-time clinical faculty involved during the year in scholarly activity. COM: 75% of full-time basic science faculty involved during the year in scholarly activity. COM: Maintain attendance to regularly scheduled meetings at 90% OUP: Maintain a voluntary employee turnover rate of 12.9% or less. OUP: Benchmark with national peer group and improve physician satisfaction performance. OUP: Benchmark with national peer group and improve employee satisfaction performance. OUMS: Decrease voluntary turnover rate to 15% or less. OUMS: Achieve employee engagement of 75% or greater. Promote consistently positive experiences for our patients, staff, students, and community OUP/COM: Achieve “Top Box” score of 88.1% for the CGCAHPS overall rating of provider question. OUP: Achieve “Top Box” for all 5 CGCAHPS survey domains at the top national quartile. OUMS: Achieve inpatient satisfaction rating at or above the CMS 75 th percentile for “Overall Rating of the Hospital”. OUMS: Achieve Emergency Dept patient satisfaction rating at or above the HCA 75 th percentile for “Overall Satisfaction.” COM: 50% of full-time basic science faculty involved in education programs in the graduate, dental, allied health, pharmacy and physician associate programs. Grow the enterprise to better serve patients and physicians and support the fundamental missions of teaching and research OUMS: Increase hospital adjusted admissions to 100% of budget or greater. OUP: Grow annual clinic visits by 6% over prior year clinic visits. COM: Achieve encounter/ procedures at 100% of budgeted encounter/ procedures. COM: Maintain peer- reviewed publication (PRP) to faculty ratio at 0 to +0.2 points over previous 3-year rolling average. Preserve a focus of fiscal responsibility and multidisciplinary planning OUMS: Achieve budgeted EBIDTA. OUP: Increase payments by 4.5% over prior year payments. COM: Departments maintain target cash reserve and operating margin. *DRAFT ONLY, goals are merely placeholders at this point.

FY 2013 College of Medicine Report

Education COM – GME & UME Program Requirements All Graduate Medical Education programs meet or exceed the institutional and program requirements promulgated by the ACGME. 100% of GME programs are in full compliance All Undergraduate medical education programs meet or exceed the institutional and program requirements promulgated by the LCME. The medical school is in full compliance with LCME requirements.

Education COM – UME Undergraduate medical education programs meet or exceed the institutional and program requirements promulgated by the LCME and measured by the AAMC GQ and USMLE scores. “I am confident that I have acquired the clinical skills required to begin a residency program” (95.7% of graduates agree/strongly agree; Nat’l Avg. 90%) “Overall, I am satisfied with the quality of my medical education” (93.6% agree/strongly agree; Nat’l Avg. 89.2%) USMLE Step I pass rate: 96% (Nat’l Avg. 96%) USMLE Step II CK pass rate: 100% (Nat’l Avg. 98%) USMLE Step II CS pass rate: 98% (Nat’l Avg. 97%)

Research COM – Peer Reviewed Publications -11% Maintain peer-reviewed publication (PRP) to faculty ratio at 0 to +0.2 points over the previous 3-year rolling average. *Average score on LEM 5.0 (9 of 22 reported) * Full data is reported by departments at the conclusion of the fiscal year. What is captured above is partial data only.

Finance COM – Cash Reserve & Operating Margin -11% Departments maintain target cash reserve and operating margin. *14 of 22 departments are within targeted cash reserves. *4 of 22 departments are within standards for operating margins. * Due to funds flow, numbers historically lag in the first part of the fiscal year and rebound in the latter half.