GOOD MORNING!!! If you have not already completed the “Type & Temperament Sampler” that was ed to you this past Tuesday, there is an additional copy in your packet. Please take a few minutes to fill it out now as it will be instrumental as we get started today! Thank You Very Much!!!

Leadership Development Institute March 6, 2015

Welcome! Welcome to today’s Leadership Development Institute! Following our last LDI we had the group participate in a “Leader Needs Assessment” survey. Those results indicated a need/want for additional leader development in the areas of communication, team-building, and leading versus managing. Those results will drive a great deal of our content for this year’s LDI’s.

Attendance/Sign-In Sheets Please ensure that you have signed-in Sign-in sheets are located at the registration desk. Please take the time to answer all of the evaluation questions. CME certificates will be issued and mailed 4-6 weeks after the activity. Please put your pagers and cell phones on vibrate.

Disclosure Statement Under Accreditation Council for Continuing Medical Education guidelines disclosure must be made regarding financial relationships with commercial interests within the last 12 months. Jon Brightbill I have no financial relationships or affiliations to disclose.

Learning Objectives Upon completion of this activity, participants will: Identify personality temperaments (Keirsey) & type (Myers-Briggs). Review ways we engage “normally” based on personality attributes. Recognize how to apply “type watching” to problem definition and resolution in a group or team. Review the influence of stressors on “normal” personality and behavior. Employ strategies to achieve positive outcomes.

Agenda

Leader Updates

Mr. Chuck Spicer – Chief Executive Officer, OU Medical System Mr. Brian Maddy – Chief Executive Officer, OU Physicians Dewayne Andrews, M.D. – Senior Vice President and Provost, Executive Dean, OU College of Medicine

OU Medical System

LDI – OUMS U PDATE M ARCH 6,

14 S YSTEM P ERFORMANCE D ASHBOARD GOALS BY THE END OF: Most Recent Trend Exceptional Clinical Quality (Quality Pillars) Attain Risk Adjusted Mortality Index at 90 th percentile by 2017 (Calendar Yr.) 0.79 (0.71) 80th(0.58) 90th90th Attain Risk Adjusted Complication Index at 90 th percentile by 2017 (Calendar Yr.) 1.19 (0.70) 80th(0.56) 90th90th CAUTI (NHSN Rate) CLABSI (NHSN Rate Consistent Earnings Outperformance (Growth and Earnings Pillars) Achieve EBITDA Growth Objective (Annual) (15.1% compounded)18.6%4.8% Unparalleled Patient Service (Service and People Pillars) Patients: Achieve HCAHPS Overall Rating at the 90 th percentile by th ( 4Q prelim – 68% top box ) 75 th Percentile 80 th Percentile 90 th Percentile Achieve ED Overall Rating at the 90 th percentile by th ( 4Q prelim – 42% top box ) 75 th Percentile 80 th Percentile 90 th Percentile Employees: Decrease Total Turnover Rate to 13% by %17%15%13% Reach Top Decile in HCA in Employee Engagement by %2 nd QuartileTop QuartileTop Decile Physicians: Improve Performance on Medical Staff Perception Survey “Place to Practice” Percent Excellent Score to 35% in %No Survey35%No Survey

15 Q UALITY - RAMI

16 Q UALITY - C OMPLICATIONS

Q UALITY - CLABSI

Q UALITY - CAUTI

G ROWTH 19 DECEMBER YTDAdmissionsED VisitsED AdmitsSurgeriesDeliveriesTrend YTD 2013 YTD 2014 YTD 2013 YTD 2014 YTD 2013 YTD 2014 YTD 2013 YTD 2014 YTD 2013 YTD 2014 OU Medical Center 13,86916,28047,15544,5278,86610,38912,30113,203-- The Children’s Hospital* 13,75014,96747,05151,6057,2048,0258,7769,5084,1574,323 Edmond 2,6212,63720,97320,9381,6761,7923,4843, Total 30,44033,884115,179117,07017,74620,20624,56125,8794,4904,520 *Includes 5,143 admissions, 8,085 ED visits, 2,819 ED Admits at Women’s

Place to Practice Medicine * Overall HCA results are preliminary. 90th Percentile P EOPLE – P HYSICIAN E NGAGEMENT 90th Percentile

P EOPLE – V OLUNTARY T URNOVER % RN Decrease % ALL Decrease % ALL Decrease

S ERVICE – OU M EDICAL S YSTEM 22 FacilityNumber of Domains with Increase Q1-Q4 Grand Composite Trend (Q1-Q4) OUMC Edmond6 of 10 Children’s Hospital5 of 10 OU Medical Center10 of 10 Women’s & Newborn6 of 10

OU Physicians

FY15 Pillar Results thru January 2015

Pillar FY 15 Goal Status People Achieve an overall employee turnover rate of 16% or less. (at 20.2% at this date) People Achieve a physician satisfaction national percentile ranking at 50 th percentile for all practices and at the 60 th percentile of AMGA academic practices. Pending Resurvey People Achieve an employee engagement national percentile ranking at the 90 th percentile of AMGA practices. Pending Results Service Achieve “Top Box” score for the CGCAHPS overall rating of provider question at the top national quartile. (Target = 86.7%) Service Achieve “Top Box” for all 5 CGCAHPS domains at the top national quartile. (achieving 3 of 5 and 1/10 point on the fourth) Service Achieve inpatient satisfaction ranking for physician communication at the 75 th percentile on HCAHPS. Quality Increase to 75% the percentage of hypertension-diagnosed patients (ages 18-85) who had blood pressure adequately controlled. Quality Increase to 75% the percentage of patients (ages 6 months and older) who receive an influenza immunization. Quality Increase to 50% the diabetes composite score for eye, urine, foot and lipid exams of diabetes-diagnosed patients (ages years). Pillar Goal Report Card – FY15

Pillar FY 15 Goal Status Quality Increase to 90% the percentage of URI-diagnosed patients (ages 3 months – 18 years) who were not prescribed an antibiotic on or within three days after the episode. Quality OUP will show a 10% improvement from baseline in overall patient safety excellent-very good rankings as measured by AHRQ’s Medical Practice Office Survey on Patient Safety Culture. Pending Resurvey Growth Achieve 80% retention rate of internal ADULT referrals. Growth Achieve 90% retention rate of internal CHILDREN’S referrals. Growth Any provider below the 50th percentile of MGMA WRVU benchmark will increase WRVU production by 20% for the providers assigned clinical effort. Growth Any provider between the 50 th percentile and the 75 th percentile will increase WRVU production by 10% for the providers assigned clinical effort. Finance Increase OU Physicians revenue by 3% for FY15. Currently running 8.1% over prior year. Finance Develop and implement an approved plan for each OUP ASU department and clinic to achieve a 2% improvement in efficiency of operations Pillar Goal Report Card – FY15

Service OUP – CGCAHPS domains 2015 GOAL = Achieve Top Box for all 5 CGCAHPS Domains at the Top National Quartile.

Service OUMS HCAHPS Physician Communication 2015 GOAL = Achieve inpatient satisfaction ranking for physician communication at the 75th percentile on HCAHPS.

Growth Referrals – adult & children’s internal referral capture Growth Pillar GoalFYTD Result Target Achieve 80% retention rate of internal ADULT OU Medicine referrals. 79.4% (9,736 referrals tracked) 80% Achieve 90% retention rate of internal CHILDREN’S OU Medicine referrals. 90.0% (4,622 referrals tracked) 90%

Growth Clinic volume update (non-pillar goal) Growth Pillar GoalFYTD 14FYTD 15% Var Adult Services134,747141,5305.0% Children’s Services65,85374, % Primary Care93,17698,1955.4% Stephenson Cancer Center29,95040, % OUP Total323,726354,1939.4%

Finance Improvement in efficiency 2015 GOAL = Develop and implement an approved plan for each OUP ASU department and clinic to achieve a 2% improvement in efficiency of operations Project Updates:  66 projects submitted  Completed Phase 2 = Measure & analyze  Phase 3 = results & analysis submitted March 2,  Overall, projects are on schedule and moving forward as planned. Select Project Themes:  Reduction in no-show rates  Improve documentation for POC tests  Increase upfront collections  Streamline radiology orders  Reduce check-in time  Increase Emmi and informed consent  Decrease visit wait time  Decrease registration errors  Automate charge capture  Reduce office supply expense  Reduce paper copies

Quality Lean Six Sigma Training EmployeeTitleDepartment /Clinic Kelly Daniels Shirley Harris Jan Frazer Nicole Dillman Dana Driskill Stace DeVous Trisha Reed Margaret Wilson Claudette Greenway Michelle Gaden Lin Goldston Jamie Herbert Clinic Manager Clinic Nurse Manager Clinics Administrator Clinic Manager Clinic Nurse Manager Clinic Manager Sr. Project Manager Clinics Administrator Assoc. Dir. Operations Sr. Data Analyst Manager Staff Accountant OUCP Dental, Neurosurgery, Neuro. OUCP Jimmy Everest Center OUP Cardiovascular Institute & Pulmonary Medicine OUP Otorhinolaryngology (ORL) SCC Infusion SCC Hematology & Breast Oncology OU Physicians OUP Primary Care, Community & Population Health OU Physicians OUP Reporting and Analytics OUP Quality and Credentialing OUP Financial Services

Serving our Population Improving Health – Impacting our Community of Patients

Promoting Breast Cancer Screening Between November 1 and December 1, 2014 – and telephone campaign to women (PCP patients of OUP) eligible for screening mammography – 15,322 attempts – Oklahoma Breast Institute volume:

Promoting Influenza Vaccination OUP saw 83,590 unique patients between October 1, 2014 and February 28, 2015 – 40,034 patients had received vaccine – 33,109 patients declined – 16,235 doses administered OUP Flu Shot Clinics (patients or their families) – OUCP – gave 1,992 doses – OUPB – gave 674 doses

College of Medicine

College of Medicine-Pillar Update “Instill and reinforce standards of behavior that will attract, develop and retain outstanding staff, physicians, faculty and students.” Admissions: Latest application cycle—2,075 applicants (1,463 in 2012). 411 applicants were Oklahoma residents (highest number to date). – 3.81 GPA and MCAT for class of 2019 GME: 568 Residents and Fellows at OKC campus in 63 specialty and subspecialty training programs.

College of Medicine-Pillar Update “Promote consistently positive experiences for our patients, staff, students, and community.” Latest Graduation Questionnaire results: “Overall, I am satisfied with my medical education.” – 89.4% agree or strongly agree 47.5% of latest graduates plan to practice in Oklahoma (27.9% responded “unknown”).

College of Medicine-Pillar Update “Develop the highest quality medical education programs for all level of learners.” Step 1 and Step 2 USMLE scores for medical students exceed the national benchmarks. GME/Clinical Learning Environment Review (CLER) Visit: – A clinical environment that continually strives to provide safe, effective, and high quality care is the best learning environment – OUMC Visit: November – Benchmarking data available July 2015

College of Medicine-Pillar Update “Grow the enterprise to better serve patients and physicians and support the fundamental missions of teaching and research.” All sponsored funding increased from $117.5M in 2013 to $135.6M in – NIH award of $20.3 million for OSCTR/OCTSI project. – NIH award of $18.4 million for IDeA program. Faculty has grown more than 18.5% over last five years…up to 862 full-time faculty.

College of Medicine-Pillar Update “Preserve a focus of fiscal responsibility and multidisciplinary planning.” On-line “OnStrategy” tool implemented by College of Medicine. Thus far 31 department leaders and 76 team members have been enrolled and have access to the tool.

2014 EXCEL Awards

2014 Excel Awards The EXCEL Awards were created to honor outstanding individuals for their commitment to excellence at OU Medicine. Ideal nominees are those individuals who make OU Medicine a better place to work and inspire others to support our mission, vision and values.

2014 Excel Awards-OUMS Mr. Chuck Spicer – Chief Executive Officer, OU Medical System Awarded to:

2014 Excel Awards-OUMS Mr. Chuck Spicer – Chief Executive Officer, OU Medical System Awarded to: – Roxanne Shimp

2014 Excel Awards-OUP Mr. Brian Maddy – Chief Executive Officer, OU Physicians Awarded to:

2014 Excel Awards-OUP Mr. Brian Maddy – Chief Executive Officer, OU Physicians Awarded to: – Kelli Hayward Walsh

2014 Excel Awards-COM Dr. Dewayne Andrews – Senior Vice President and Provost, Executive Dean, OU College of Medicine Awarded to:

2014 Excel Awards-COM Dr. Dewayne Andrews – Senior Vice President and Provost, Executive Dean, OU College of Medicine Awarded to: – Jason Wagner, M.D.