Chancellor s Strategic Planning Retreat April 7 2011 John

Chancellor’s Strategic Planning Retreat April 7, 2011 John C. Adams, Ph. D.

What’s Strategy • Strategy is ENDS & MEANS – What’s our desired future? – How will we create it? 4/7/11 2

Why bother with strategy? • Strategy positions UNMC in a turbulent present. • Strategy is imaging our best future. • Strategy charts the way forward. • Strategy is seizing opportunities. • Strategy mobilizes our stakeholders. 4/7/11 3

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. 4/7/11 4

Talk Outline • • Strategic accomplishments • Quality & performance • Planning assumptions • 4/7/11 Today’s agenda Completing the plan 5

Morning Session • Hal’s remarks • Transforming clinical research • Discussion • Break • Six breakout sessions • Break 4/7/11 6

Afternoon Session • Lunch • Primary care center • Discussion • Six breakout sessions • Retreat adjourns -- 2: 45 • Session leader report writing; submissions due by 3: 30 4/7/11 7

Today’s Work Identify opportunities & propose goals to refresh UNMC’s rolling three-year strategic plan “The future belongs to those who believe in the beauty of their dreams. ” -Eleanor Roosevelt 4/7/11 8

Strategic Accomplishments 4/7/11 9

Education * Expanded use of mobile learning. * Progressing with Center for Primary Care Education, Research & Health Care Design & with curriculum review for learning communities. * Created new Office of Education. * Operating new distance learning delivery modes. 4/7/11 10

Research • Established UNMC, TNMC & UNMC-P consolidated informatics planning board. • Launched Nebraska Regenerative Medicine Project under founding director. • Accelerated Personalized Medicine development with formation of genomics core laboratory. 4/7/11 11

Community & Campus Partnerships for Health • Approved strategic plan for global institutional partnerships with strong infrastructure. • Developing a Center for Health Policy in the College of Public Health. • Expanded international education, research & service. 4/7/11 12

Cultural Competence • Added online cultural competency course as mandatory training & working on enhancements. • Will consider diversity award & restructuring of Chancellor’s Diversity Advisory Council at spring retreat. • Developing diversity Weblink on UNMC front page. 4/7/11 13

Economic Growth • Continuing Discussions with the Army Telemedicine & Advanced Technology Research Center (TATRC) & other Department of Defense contracting parties. • Signed agreement with Quintiles, one of the world’s largest clinical organizations, to make UNMC a prime site for trials. 4/7/11 14

Employee Loyalty & Wellness • Implemented common UNMC, UNMC-P & TNMC employee discount program. • Provided financial “lunch & learns” (delivered by Metro Credit Union). • Increased employee engagement with the UNMC brand. • Improved participation in University health risk assessment to 42%. 4/7/11 15

Performance & Quality Indicators We use 12 key indicators & a number of sub-indicators to evaluate & track our performance. (See PIQI, pp. 3&4). 4/7/11 16

Performance against our own extremely demanding standards • Outstanding – 1 • Excellent – 5 • Very good – 5 • Good – 1 • Slightly better than last year 4/7/11 17

Quality & Performance Ratings 1 -3 Education: Very good (stable) • 91 -100% Licensure exam pass rates Research: Outstanding (stable) • 14% growth in research awards Health care: Very good (stable) • 4/7/11 90% patient satisfaction rates 18

Quality & Performance Ratings 4 -6 Rural activities: Excellent (stable) • 70% of rural practitioners are UNMC trained Minority recruitment & retention: Good (stable) • Effective recruitment & retention Economic growth: Excellent (stable) • 4/7/11 67% increase in license revenues 19

Quality & Performance Ratings 7 -9 Employee loyalty: Excellent (stable) • 91% employee retention Financial strength: Excellent (improved) • 12. 3% growth in self-funding Infrastructure: Excellent (stable) • 3 buildings completed + strong IT & high Library research ROI 4/7/11 20

Quality & Performance Ratings 10 -12 Strategic leadership: Very good (stable) • Strong branding & donor support Compliance: Very good (stable) • Financial Stewardship Council established National rankings: Very good (stable) • 4/7/11 7 th in Primary care 21

Planning Assumptions (things we expect) • UNMC, UNMC-P & The Nebraska Medical Center • Omaha & Metro Area • Nebraska • University • United State & Global Community 4/7/11 22

Possible Surprises • Surprises are when things we considered turn out differently. • Surprises are things we didn’t think about. • These are the ones that nip our rear! 4/7/11 23

Other Views: Fortune, 2/28/10 & OWH, 3/6/11 Following each set of assumptions are IDEAS to PONDER. They include: • the profound, • the silly & • the cautionary. 4/7/11 24

UNMC • We build – Truhlsen Eye Institute – College of Pharmacy • We grow – Regenerative medicine • Our brand is strong – UNMC tells a compelling story 4/7/11 25

Pushing the Brand (or not) Direct approach: “Visually stunning and incredibly tough Corning® Gorilla® Glass will change the way you think about glass. ” (p. 2) Subtle appeal: “The Van Winkle family has been in the bourbon business for 100 years. Its secret? Make prize-winning spirits and keep supply really low. ” (p. 21) 4/7/11 26

Strategic Partnership • Alignment makes us a strong competitor under healthcare reform • Epic implementation leads to improved care & better clinical research/education • Bellevue Medical Center continues expanding its services 4/7/11 27

Healthcare Spending, Meet “Spot” “SEE SPOT? SPEND. $47. 7 BILLION Estimated total U. S. Pet industry expenditures In 2010. ” (p. 11) 4/7/11 28

Omaha & Metro Area • Omaha moves beyond the recall & the loss of State aid to cities • Planning for the new VA Hospital is followed by construction • Building Bright Future improves learning & health 4/7/11 29

Innovate, Attack & Delight “…handheld e-reader is a runaway hit…. By creating the hardware, they almost created the industry. ” “…has grown bigger more quickly than any company in retail history. ” “…customer-centric approach [rivals] longtime retail legends like Nordstrom. ” (p. 18) AMAZON. COM 4/7/11 30

Nebraska • The $1 billion dollar budget shortfall “disappears” without damage to the University • Employment growth & economic expansion continue 4/7/11 31

Young Turks & Young Pros “Term limits have changed all the faces in the Legislature; …. It’s hard to find a state senator who will even utter the phrase ‘tax hike. ’” “If Omaha harnesses the talent and energy of its Young Professionals Summit, the future is bright indeed. ” Omaha World Herald, March 6, 2011, p. 1 B 4/7/11 32

University • Advances the six inter-related goals of the strategic framework • Sustains strong enrollment & diversity • Manages “flat” State general fund appropriation • Foundation successfully completes Campaign Nebraska 4/7/11 33

Tech Gains & Losses “Chicago-based Groupon spurned a reported $6 billon offer from Google…, then proceeded to raise a stunning $1 billion in venture capital. ” (p. 29) “Analysts predict that at least 2 million AT&T subscribers over the next two years will switch carriers [to Verizon]. ” (p. 33) 4/7/11 34

U. S. & Global Community • Global economy continues uneven economic rebound • Commodity prices & biofuels create food supply disruptions • Water, nutrition, health & equity issues persist 4/7/11 35

Bust & Boom “You thought the worst was over, but 157 banks failed in 2010. ” (p. 15) “The Obama administration in backing a boom in arms exports…. These sales support many of his goals: creating jobs, boosting exports, and improving diplomacy. ” (p. 6) 4/7/11 36

“Their Uprising, Our Weapons” “When the first protests hit Cairo in late January, the American government took great pains to position itself as a neutral bystander. American weapons, on the other hand were in the thick of the turmoil. ” (p. 72) 4/7/11 37

“Mongolia: A Speculator’s Fantasy” “ 2010’s best-performing currency? The Mongolian tugrik. ” “Yes. It’s boom time in Mongolia…. ” “People are getting rick very quickly. ” (p. 16) ***** “Home prices in Florida have been struggling to stay above water. Now is a great time to be a buyer. ” (p. 44) 4/7/11 38

Planning Calendar • Post session reports – 4/8 • CSF leaders propose goals – 4/18 • Chancellor’s Council adopts plan – 5/10 • Leaders, teams & measures due – 6/15 • Publish full UNMC Strategic Plan – 6/15 • Unit plans due to Chancellor – 7/15 4/7/11 39

College of Public Health 4/7/11 40