1. GMHC Board of Directors November 14, 2016
2017 Goals
GMHC Board of Directors
November 14, 2016

2. 2017 Overarching Direction
Senior Leadership developed three overarching themes for the organization based on strategic direction and current position
Excellence
Engagement
Financial Strength
Grady will be known for excellence in care, education and quality outcomes demonstrated by safety, effectiveness, equity, efficiency, mortality and patient centeredness.
Grady will engage the strengths and talents of our employees, physicians, Board members, volunteers and community resources to achieve our vision.
Grady will maintain its financial strength to sustain the mission and invest in ongoing success.

3. Excellence Engagement Financial Strength Vision Core Identity
Grady Health System will be the leading, public academic health system in the United States.
Grady Health System will lead in the transformation of the health and well-being of the populations we serve, advancing health status through access to effective, innovative and efficient care and care coordination across the continuum.
Organizational Goals
Strategic Rationale
Action Plan – Initiatives
Measures
Reduced Variation
Reduce variability in patient care through development of a service line leadership structure.
Establish non-teaching service to address growing volume and differentiated needs for complex discharge patients.
Advance position, innovation and care delivery for key strategic services to drive Grady differentiation and share.
Expand surgical capacity through new Ambulatory Surgery Center and clinic building.
Grady will engage seniors for care across our continuum, retaining our current population as they age and aligning with Medicare Managed care organizations.
Develop infrastructure for engagement, retention and improved continuity of care for high impact roles, i.e., nursing.
Develop comprehensive patient engagement and care delivery model for high risk cohorts, integrating care teams, technology and data analytics to drive improved outcomes.
Develop new access points for greater population engagement and link risk stratification programs to identify high risk patients.
Optimize information sharing across community service providers and post acute providers.
Expand capacity to skilled nursing and rehab beds for post acute care.
Prepare for new payment methodologies (i.e., bundled payments).
Vizient Quality and Accountability Composite Score
Safety
Efficiency
Effectiveness
Equity
Patient-centeredness
Mortality
HCAPHS
CG-CAPHS
Ambulatory Measures
Patient Outcomes
Demonstration of Value
Grady will be known for excellence in care and quality outcomes demonstrated by safety, effectiveness, equity, efficiency, mortality and patient centeredness.
Grady will engage the strengths and talents of our employees, physicians, Board members, volunteers and community resources to achieve our vision.
Grady will maintain its financial strength to sustain the mission and invest in ongoing success.
Care Delivery System
Excellence
Adaptability
Shared Goals and Accountability
Care Coordination
No Harm
Stakeholder Engagement
Engagement
Market availability of key clinical roles
2. Voluntary Turnover
Engagement
Vacancies
Just Culture
Healthy Employees
3. Operating Margin
FTE/AOB
Cost/AOB
Adjusted, insured discharges
Operational improvement initiatives
CMI
Financial Sustainability
Investments in Future Success
Value Based Purchasing
Financial Strength
Shared Savings
Community Benefit Planning – Health Status Improvements and Community Collaborations
Master Facility Planning –
Ensure facility support and capacity to achieve organizational goals

4. Organizational Goals
Excellence goals will be achieved through implementation of the strategies related to reduced variability, service line development, the non-teaching/hospital medicine program and infrastructure
Excellence
Activity Measured
2013
2014
2015
2016 YTD
1. Grady will improve overall Vizient Mortality Score from xx% to ____ by the 3rd quarter of 2017.
Measures observed/expected mortality focused on Core service lines.
42.20%
41.40%
58.75%
64.25%
2. Grady will improve overall Vizient Efficiency Score from xx% to ____ by the 3rd quarter of 2017.
Measures observed/expected length of stay and direct cost.
53.90%
56.30%
56.25%
45.25%
3. Grady will improve overall Vizient Effectiveness Score from xx% to ____ by the 3rd quarter of 2017.
Measures re-admissions, excess days and core measures.
ED Median Times
Stroke
Venous thromboembolism
72.20%
76.30%
62.50%
47.15%

5. Organizational Goals
Engagement goals will be achieved through development of infrastructure, leadership training, Just Culture and High Reliability initiatives
Engagement
Activity Measured
2013
2014
2015
2016 YTD
4. By Q4 2017, decrease the turnover rate of employees who voluntarily terminate from the organization (Annualized Voluntary Turnover) from xx% in 2016 to 14.80% as measured by HR Statistics reports and benchmarked with PwC Saratoga Institute Hospital Consortium's national average for health care sector.
Measures number of people who leave the organization. A reduced number will support reduced variability, improved employee engagement and reduced recruitment expense.
n/a
16.98%
17.22%

6. Organizational Goals
Financial strength goals will be achieved through service line growth, improved collaboration with partners along the care continuum and ongoing focus on efficiencies in care delivery models
Financial Strength
Activity Measured
2013
2014
2015
2016 YTD
5. Grady will achieve a total operating margin of 2.1% by December 31st 2017.
Measures the financial performance for the organization, including a positive operating margin and funds to support ongoing capital investments.
2.2%
4.4%
5.8%
4.2%