© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Virginia Garcia Memorial Health Center Our Mission is to provide high-quality, comprehensive, and culturally appropriate health care to the communities of Washington and Yamhill Counties with a special emphasis on migrant and seasonal farm workers and others with barriers to receiving health care. Virginia Garcia (1/17/69 – 6/17/75)

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Vision Our vision is that all people in our service area have access to timely, high-quality health services to achieve the best possible health outcomes. © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

What will VG be In 3 Years? What we’re becoming… Virginia Garcia serves over 50,000 people in Washington and Yamhill Counties. It is recognized as a best practice in delivering patient centered, culturally appropriate health services. Virginia Garcia is consistently achieving high health outcomes and low costs for total patient care. There is a high level of patient satisfaction and patient engagement. Patients have a sense that Virginia Garcia is a place that respects them, listens to them, and challenges them to help achieve their health goals. Virginia Garcia is also known as a wonderful place to work because staff have a deep sense of purpose for the work they do and feel supported to be creative and grow in learning. Virginia Garcia is a strong partner in the training of future health professionals. Virginia Garcia is financially strong with over 3 months of cash in reserves. There is a strong culture of continuous quality improvement, innovation, and organizational efficiency. Virginia Garcia is a recognized Center for Wellness, hope, and creativity in the community © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER FY 16-17 Accomplishments Admin Space VG Women’s Clinic Implement Electronic Dental Records Meet the CCO Targeted Measures Improve Transitions of Care with clinical Rx involvement Enhance Care for complex patients with Clinical Rx MA Training program rollout Roll-out of new Organizational Structure Staff Engagement in Improvement Projects Internal Communications Strategy Roll out Departmental Budgets Maintain 60 Days Cash on Hand Fundraise $2.4 Million Capital Campaign for VG Beaverton © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER VG Board of Directors Strategic Planning Retreat Focus Areas 2017-18 Access Quality Mission Vision Values Financial Viability Recruitment & Retention Advocacy/ Communication © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER OBJECTIVES An objective is a concise statement outlining a broad qualitative goal designed to propel the organization forward in a desired direction. Basically, it asks, “What do we want to do?” A well-worded objective is time-bound and should inspire and capture the shared imagination of your team. -Paul Niven, Intro to Objectives & Key Results © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Key Results A key result is a quantitative statement that measures the achievement of a given objective. If the objective asks, “What do we want to do?” the key result asks, “How will we know if we’ve met our objective?” - Paul Niven Intro to Objectives & Key Results © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Access Executive Sponsor: Maria Loredo (COO) Objective: Patients have timely access to health center services. Key Results: 1. 3rd next available appointment is less than 5 days 2. 85% of assigned OHP patients engaged/established 3. < 60 days on uninsured waitlist © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Quality Executive Sponsor: Laura Objective: Provide effective and evidence-based team based care Key Results: Meet 100% of required clinical quality metric targets Team Optimization—focused 1st on Care Coordination and Call Management Implementation of Visual Management tool on all care teams (contingent upon hiring of Clinical Team Leads) Call Management and EPIC in-basket documentation guidelines implemented Blueprint for successful spread of future Team Optimization changes across VG 100% of hospital admissions will be followed up within 7 days of discharge. We have found that we need to focus on Call Management and Care Coordination as 1st value streams, as, together, they provide the infrastructure for effective and efficient patient care. All of our care of patients happens through EPIC, so we need to standardize documentation and communication practices in EPIC as a foundation before optimizing other aspects of patient care. © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

Care Team Whiteboard: Purpose and Expected Outcomes The Whiteboard is a Visual Management Tool for organization and communication of the work of the Care Team. We anticipate implementation of the Care Team Whiteboard to achieve the following: Balance the workload across Care Team staff Ensure timely completion of care coordination work (e.g. In-Basket messages, forms, faxes, etc.), getting information to patients when they need it Facilitate communication between team members Improve staff satisfaction The Whiteboard also serves as a vital tool for guiding Clinical Team Leads through their daily standard work. Whiteboard and CTL is bringing a lot of this discussion to light. Previously, team members in their silos. Not much communication. Assumption that, when someone is out, there are other coverage models at the clinic level that are taking care of it. Team members not being engaged to help cover for their own team member.   Efrain says that whiteboard helps him stay focused on his work and what his priorities should be.

Care Team Whiteboard: Design

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Recruitment & Retention Executive Sponsor: Rachel Li (Director of Org Development) Objective: Elevate VG as Employer of Choice Key Results: 1. 70% of employees will have development plans 2. Offer acceptance rate is 80% for provider postions 3. 70% favorability reported from newly hired Nurse Practioners/Physician Assistants on organizational support © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Communication Executive Sponsor: Serena Cruz (Foundation Ex. Director) Objective: To engage internal and external stakeholders to influence community health policies. And, to ensure employees are well informed. Key Results: 1. Achieve Bronze ACE level recognition. 2. 80% Employees know how the organization is doing. 3. 35% Reading the VG Vine (Newsletter). © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Financial Viability Executive Sponsor: Araceli Gaytan (CFO) Objective: Maintaining financial stability in a changing environment. And, sharing financial and organizational budget responsibility with managers. Key Results: 1. 100% of managers will manage within their budget. 2. Achieve at least 2% operating margin. 3. 90% of patients have no gap in insurance coverage. © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER

© 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER Next Steps Develop Action Plan for each Strategic Area Quarterly Key Results (Specific, Measurable, Agreed Upon, Realistic, Time Based) Update Balanced Scorecard to align with Strategic Goals Draft Action Plans for Exec Team (June 13) © 2008 VIRGINIA GARCIA MEMORIAL HEALTH CENTER