Chancellor’s Strategic Planning Retreat

April 22, 2010

John C. Adams, Ph.D.

Strategy

• Strategy is ENDS & MEANS

– What do we want to achieve?

– How will we obtain our objectives?

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Key Elements

• “Sound strategy starts with having the right goals.”

• “The essence of strategy is choosing what not to do.”

• “Finally, strategy must have continuity. It can't be constantly reinvented.”

--Michael Porter, http://www.brainyquote.com/quotes/keywords/strategy.html

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Our Starting Point

The partnership of UNMC and the Nebraska Medical Center will be a world-renowned health sciences center that:

• Delivers state-of-the-art health care;

• Prepares the best-educated health professionals and scientists;

• Ranks among the leading research centers;

• Advances our historic commitment to community health;

• Embraces the richness of diversity to build unity;

• Creates economic growth in Nebraska.

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Making Choices; Maintaining Continuity

• Today’s agenda

• Chancellor’s Council BIG Ideas

• Strategic accomplishments

• Quality & performance

• Planning assumptions

• Completing the plan

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Morning Session

• Hal’s remarks

• Advancing Clinical Research

• Discussion

• Break

• Six breakout sessions

• Break

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Afternoon Session

•Primary Care

•Discussion

•Lunch

•Six breakout sessions

•Retreat adjourns -- 2:15

•Session leader report writing &

submission (by 3:00)

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Chancellor’s Council BIG Ideas

• Spark clinical research

• Medical societies of students & faculty

• Global health partnerships

• Smart phone & mobile device applications

• Primary care & health policy centers

• Expanding the health workforce

• Preparing for health care reform

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Today’s Work

• Translate BIG Ideas into concrete goals

• Exchange ideas

• Challenge & energize one another

• Refresh rolling three-year strategic plan

"Leadership is a combination of

strategy and character.”

--Gen. H. Norman Schwarzkopf

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Strategic Accomplishments

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Education

• Technology in Education Scholars Program

established

– Teaching excellence & writing workshops held

– Two posters exhibited at AAMC meeting

• Planning underway for Master in Health

Services Administration

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Research

• Personalized medicine program SWOT analysis

completed; working group formed

• Center for Regenerative Medicine -- search underway

for director

• Clinical & translational Assoc. & Asst. Vice Chancellors

appointed

• Healthcare disparities research grant proposals

submitted

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Community & Campus Partnerships for Health

• Health workforce study completed & disseminated

• Science Cafes well receivedby community

• UNMC High School Alliance established• Mind Brain Consortium clinical trial

announced

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Cultural Competence

• Online cultural competency course launched

for faculty, staff & students

• COPH health disparities course & UNMC-wide

diversity website under development

• Search Committee Guidebook drafted

• Structured mentoring program & migration of

Environmental Assessment to Web underway

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Economic Growth

• Progress made towards establishing

Indefinite Delivery/Indefinite Quality (IDIQ)

contracting relationship with Dept. of

Defense

• Clinical Research Organization (CRO)

discussions held with Quintiles

• Clinical research infrastructure improved

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Employee Loyalty & Wellness

• Tobacco Free Campus & Health Risk Appraisals

implemented

• Financial education planned with Metro Credit Union

• Employee discounts being expanded

• Planning under way for campus-wide staff council

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Performance & Quality Indicators

We use 12 key indicators & a number of sub-

indicators to evaluate and track our

performance (see PIQI, pp. 4&5).

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How We Rate Ourselves (against our own extremely demanding standards)

• Outstanding – 1

• Excellent – 4

• Very good – 6

• Good – 1

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Change from Prior Year (including sub-indicators)

• Improved – 2

• Improved/stable – 4

• Improved/declined – 5

• Stable – 1

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Quality & Performance Ratings 1-3

• Education: Very good

– Change: Mixed

– Pass rates higher & lower

• Research: Outstanding

– Change: Improved

– 58% in research awards

• Health care: Very good

– Change: Mixed

– Satisfaction rates higher & lower

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Quality & Performance Ratings 4-6

• Rural activities: Excellent

– Change: Stable

– High %tage of UNMC trained rural practitioners

• Minority recruitment & retention rating: Good

– Change: Sub-indicators improved

– Effective recruitment & retention

• Economic growth: Excellent

– Change: Stable/improved

– 21% increase in license revenues

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Quality & Performance Ratings 7-9

• Employee Loyalty: Excellent

– Change: Mixed

– 92% employee retention

• Financial Strength: Very good

– Change: Mixed

– 10.3% growth in self-funding

• Infrastructure: Excellent

– Change: Improved

– 3 new buildings + strong IT & Library

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Quality & Performance Ratings 10-12

• Strategic leadership: Very good

– Change: Stable

– CON-Norfolk Division

• Compliance: Very good

– Change: Stable/improved

– Completed risk assessment

• National rankings: Very good

– Change: Mixed

– Some higher & some lower

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Planning Assumptions(what we expect to happen)

• UNMC

• UNMC, UNMC-P & The Nebraska Medical

Center

• Omaha & Metro Area

• Nebraska

• University

• United State & Global Community

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Possible Surprises

• Surprises are when things you expect to

happen one way turn out differently

• Surprise Surprises are when

things you haven’t

thought about

knock your socks off

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Another Look: Fortune, 3/22/10

• Following each set of planning

assumptions:

IDEAS to PONDER

1. Some profound

2. Some silly

3. Some that carry warnings

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UNMC

• We build

– CoPH, CON-A & Center for Successful Aging

• We grow

– CON – Norfolk, international parternships

• We improve

– Health Sciences

High School

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Larry Ellison, Oracle CEO, onWinning the America’s Cup

“In the end it’s got to come down to:

How good is sailing team?

How well do you call the wind?

How good are your tactics?

How well do you trim?” (p. 20)

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Strategic Partnership

• UNMC as “academic medical center of the

future”

• Tighter clinical alignment as national

healthcare system changes radically

• Build new ambulatory facility

• Partner & compete with other health

systems

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“Software that Saves Money – and Lives”

• “To help MAYO CLINIC improve detection of

potentially deadly aneurysms, IBM prescribed

[analytics] technology used to treat ailing

business operations .”

• “Companies…need to do things faster, at

lower cost. Analytics software

helps them do that.” (p. 28)

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Omaha & Metro Area

• Overall growth & prosperity

• New VA hospital

• No more Saddlecreek floods

• City rescues budget from abyss

• New community

initiatives succeed

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“Nukes in My Backyard”

• “the entire plant…will be about the size of a hot

tub…buried 15 feet or more underground”

• “designed to…power 20,000 homes”

• “They’re lean, clean, power-generating

machines. But would a town really bury a mini

nuclear reactor under its streets?”

(p. 36)

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Nebraska

• More cows than people

• Older and more diverse population

• State manages 2011-13 budget shortfall

without major harm to University

• No new taxes???

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Strong Balance Sheet; Good Cash Flows?

• “Shocked by Wall Street’s role in the Greek

debt crisis? You shouldn’t be. That’s how big

banks grind out the profits.”

• “Greece won’t be the end of the story. And it

won’t be the last surprise.” (p. 78)

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University

• Affordability trumps higher tuition

• Faculty & staff salaries remain problematic

• Continued strong enrollment and diversity

• Strategic framework guides direction

• Generous donors

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“My Best Advice for Growing Your Business”

• “Get an edge [find an advantage]

• Own a Phrase [in the minds of your market]

• Hyperfocus [single measurable priority]

• Control Your Cash [self-finance growth]

• Write! [be the authority in the industry]

• Pulse Faster” [drive on priorities] (p. 70)

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U.S. & Global Community

• Economy rebounds; prepare for next dip

• Debt crisis in developing & developed world

• Climate change is

managed (if not, we’re

toast)

• Water, nutrition,

health & equity issues bedevil human kind

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“What Technologies Can Save Our World?”

“Will my next car burn more coal than gas?”

“Social media meets retailing”

“Online video at work”

“Smart phones embrace augmented reality”

“The world’s longest ethanol pipeline”

“China’s garlic bubble hits the U.S.”

(pp. 6, 18 & 165)

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Planning Calendar

• Post session reports – 4/23

• CSF leaders propose goals – 5/5

• Chancellor’s Council adopts plan – 5/18

• Board of Regents visits UNMC – 5/21

• Leaders, teams & measures due – 6/15

• Publish full UNMC Strategic Plan – 7/15

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College of Public Health

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