mission bay operations planning update for clinical affairs committee june 22, 2011
DESCRIPTION
Mission Bay Operations Planning Update for Clinical Affairs Committee June 22, 2011. High Level Timeline. UCSF Medical Center at Mission Bay Project and Operations Planning: DRAFT. Clinical Enterprise Governance (CEG). Mark Laret CEO. Mission Bay Steering Committee. - PowerPoint PPT PresentationTRANSCRIPT
Mission Bay Operations Planning Update for
Clinical Affairs Committee
June 22, 2011
High Level Timeline
UCSF Medical Center at Mission BayProject and Operations Planning: DRAFT
Clinical Enterprise Governance (CEG)
Mission Bay Steering Committee
Executive Sponsor, Operations PlanningKen Jones, COO
Mission Bay Hospitals ProjectCindy Lima,
Executive Director
Faculty/Physician Subcommittee
Elena Gates MDScott Soifer MD
Mark LaretCEO
MB IT SteeringCommittee
TBD
MB Finance Committee
Barrie StricklandSpencer Kowal
Operational PlanningKim Scurr, Director
Operational Readiness Process flows New operations/programs Process implementation, process redesign, work streams Staffing requirements, Medical model MB budget needs Transition/move planning
Role and Responsibilities – Physician Work Group Leaders
Role and Responsibilities
Leads/drive project activities for their respective operational areas to ensure that patient clinical needs are addressed and services are fully coordinated
Focuses on physician operations design, process improvement, process integration with a goal of best practices – will require working with own operational areas and other departments
Identifies performance metrics Provides subject matter expertise for their respective area Manages project resources for their respective groups Works with project manager to create work plan Ensures that activities are completed in a timely manner Identifies and resolves issues – including identification of options by working
with team members and across functional groups or services as appropriate Coordinates and executes implementation activities with other groups as
needed Identifies potential areas of risk and recommends appropriate intervention
steps Works with project manager to communicate project status to project
management Evaluates project deliverables as needed Identifies Mission Bay staffing and other resource needs (e.g., budget,
equipment, technology) for operations and transition planning, actual move, and 2015 operations at Mission Bay
Issues Addressed Physician care delivery and processes Physician operational readiness Physician staffing model Transition planning
4DRAFT
Key Design Work for Physician’s Group
• Visioning– Vision/Guiding Principles - Review and confirm suggestions
for vision and guiding principles
• Strategies for Care Delivery– Emergency Department - new department at UCSF;
Children's ED + adult coverage
• High-Risk OB Services- Need to maintain UCSF hallmark safety and quality of care including quick access to all adult specialists for a variety of specialized conditions (e.g., intracranial bleeding, organ failure, complex hematologic or autoimmune conditions). There are impacts to the NICU.
– Need to provide access to specialty consults
– Need to identify MB to Parnassus transfer protocols
– Need to identify process and facilities for providing OB care at Parnassus after the move
Key Design Work for Physician’s Group
• Right care for the right patients and Pedi/Adult and Consults - Relationship between adult and pediatric specialties at Mission Bay and the role of pediatric specialists in adult care, cancer and OB/GYN, and of adult specialists in the care of pediatric patients. Questions:
– Is a pediatric specialist appropriate for adult cancer patients, OB patients, and gynecology patients?
– Are hospitalists the source of adult inpatient coverage?
– How will specialist consults be covered at MB? On call? Paid for by whom? Leased by medical center?
– Who provides clinical coverage in the ED and after hours imaging for pediatrics and adults?
– SFGH Faculty - Could they be used for consults?
– Who provides in-house anesthesia coverage after hours?"
Key Design Work for Physician’s Group
• Pediatric Services provided by Adult Departments - Ortho, Neuro, ENT, Transplant. Will Adult providers continue to provide coverage nights and weekends?
• Adult cancer - Outpatient cancer clinics at Mount Zion with cancer surgery at Mission Bay; difficult logistics for surgeons. Initiate planning of adult outpatient building?- Identical issues for GYN
• Adult ICU - Managed by which department? Primary team? Need OB intensivist?
• New model of care delivery - given private and double rooms (ICNs) and increased geography, determine medical delivery model for Mission Bay
• Telemedicine/Central Monitoring – What is the role of telemedicine?
• Ambulatory care - determine model of care and business model. Identify any differences between children and adult ambulatory care
Alfio LevyInterim Program Manager
Ambulatory
ED/Urgent Care
Support Services
ITTBD
BCH
Adult Peri-Op
Women’s and Cancer
Diagnostic Imaging & Image Guided
Therapy
Peds Peri-Op
OR Integration Equipment Planning
DSS: Analytics (e.g. volume)
Patient & Staff Services/Service
Excellence
Clinical Services
PMO Logistics & Internal Communications
Workgroup = Later start
Kim Scur
DirectorHospital Operations Planning Mission Bay
TBDProject Manager
Finance Committee Barrie StricklandSpencer Kowal
PhysiciansElena Gates MDScott Soifer MD
TBDProject Manager
Alfio LevyProject Manager
TBDProject Manager
MB PMO Future Staffing