1. FOUR STRATEGIES FOR INTENTIONAL GROWTH Healthcare Executives of Southern California Harbor-UCLA Medical Center

2. A Rich history of advancing care delivery, Medical Education and Research About Harbor

3. Situated in Southwest LA County 72 acre campus Over 1M sq. ft. in several buildings Integrated delivery system Tri-partite purpose

4. ABOUT HARBOR: TODAY  Key component in Los Angeles County’s 4,000 square mile health care safety net serving 10.3 million residents  Public, academic, tertiary care medical center  538 licensed beds  ~24,000 Discharges  ~80,000 Emergency Room Visits  ~300,000 Outpatient Visits  Just under 4,000 staff members

5. About Harbor: Major Teaching Mission  ANESTHESIOLOGY  EMERGENCY MEDICINE  EMERGENCY MEDICINE FELLOWSHIPS  FAMILY MEDICINE  FM-SPORTS MEDICINE  INTERNAL MEDICINE  IM-CARDIOVASCULAR DISEASE  IM-CLINICAL CARDIAC ELECTROPHYSIOLOGY  IM-INTERVENTIONAL CARDIOLOGY  IM-DERMATOLOGY  IM-ENDOCRINOLOGY  IM-ENDOCRINOLOGY RESEARCH  IM-GASTROENTEROLOGY  IM-HEMATOLOGY/ONCOLOGY  IM-INFECTIOUS DISEASE  IM-NEPHROLOGY  IM-PULMONARY/CRITICAL CARE  IM-RHEUMATOLOGY  KENNAMER FELLOWSHIP  NEUROLOGY  CHILD NEUROLOGY  CLINICAL NEUROPHYSIOLOGY  OBSTETRICS AND GYNECOLOGY  OB-FEMALE PELVIC & RECONST SURG  OB-MATERNAL FETAL MEDICINE  ORTHOPAEDIC SURGERY  PATHOLOGY  PEDIATRICS  PEDS CHILD ABUSE  PEDS CRITICAL CARE  PEDS EMERGENCY MEDICINE  PEDS ENDOCRINOLOGY  PEDS INFECTIOUS DISEASES  PEDS MEDICAL GENETICS  PEDS NEONATAL-PERINATAL  PSYCHIATRY  CHILD AND ADOLESCENT PSYCHIATRY  RADIOLOGY: DIAGNOSTIC  RADIOLOGY-BREAST IMAGING  NEURORADIOLOGY  SURGERY  SURGERY-GENERAL DENTISTRY  SURGERY-OMFS  VASCULAR SURGERY  TRANSITIONAL YEAR MEDICINE

6. Serving Multiple Municipalities

7. Patient Demographics  Linguistically and culturally diverse  Low literacy levels (6th grade)  Limited English proficiency  Spanish and Korean most common  Resource challenged  ~25% uninsured  55% MediCal;  8% Medicare

8. FOUR STRATEGIES FOR INTENTIONAL GROWTH Healthcare Executives of Southern California Harbor-UCLA Medical Center

9. Growth that is:  Purpose-driven (Why?)  Grounded in a needs assessment (What)? What I mean by Intentional Growth?

10. Strategy 1: PREPARE FOR TOMORROW…Today!

11. 1.Commit to being a lifelong learner 2.Invest in yourself 3.Seek/secure clarity in vision and purpose

12. Strategy #2: Take calculated risks

13. Strategy 2: Take Calculated Risks 1.Reflect on past decisions that proved to be wrong. What did you learn? 2.Distinguish between uncertainty and indecisiveness 3.Practice P=40-70

16. Strategy #3: BE POSITIVE

17. 1.Begin each day with your “PMA”! 2.Help others to develop a growth mindset 3.Heap praise whenever/wherever you can; but don’t avoid true issues

18. Strategy #4: BE OF SERVICE/VALUE

19. 1.Truly Value others 2.Make ourselves more valuable to others (intentional growth) 3.Know and relate to what others value 4.Do things that ____ values

21. Closing Thoughts “Don’t wait for the leaders, be the leaders” William James “Act as if what you do makes a difference Duke Ellington “A problem is a chance to do your best” Mother Teresa