AGENDA SECTION 1. OPENING CEREMONIES CALL TO ORDER. 1. Public Comment

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1 AGENDA University Medical Center of Southern Nevada UMC GOVERNING BOARD STRATEGIC PLANNING COMMITTEE April 15, 2015, 1:00 p.m. 800 Rose Street, Las Vegas, Nevada UMC Trauma Building, Conference Room I/J (5 th Floor) Notice is hereby given that a meeting of the UMC Governing Board Strategic Planning Committee has been called and will be held on Wednesday, April 15, 2015, commencing at 1:00 p.m. at the UMC Trauma Building, Conference Room I/J (5 th Floor), 800 Rose Street, Las Vegas, Nevada to consider the following: This meeting has been properly noticed and posted in the following locations: University Medical Center CC Government Center Third Street Building Regional Justice Ctr 1800 W. Charleston Blvd. 500 S. Grand Central Pkwy. 309 S. Third St. 200 Lewis Ave., 1 st Fl Las Vegas, NV Las Vegas, NV Las Vegas, NV Las Vegas, NV (Principal Office) City of Las Vegas City of Henderson 400 Stewart Ave. 240 Water St. Las Vegas, NV Henderson, NV The main agenda is available on University Medical Center of Southern Nevada s website For copies of agenda items and supporting back-up materials, please contact Cindy Dwyer, Board Secretary, at (702) The Strategic Planning Committee may combine two or more agenda items for consideration. Items on the agenda may be taken out of order. The Strategic Planning Committee may remove an item from the agenda or delay discussion relating to an item at any time. Consent Agenda - All matters in this sub-category are considered by the Strategic Planning Committee to be routine and may be acted upon in one motion. Most agenda items are phrased for a positive action. However, the Strategic Planning Committee may take other actions such as hold, table, amend, etc. Consent Agenda items are routine and can be taken in one motion unless a Strategic Planning Committee member requests that an item be taken separately. For all items left on the Consent Agenda, the action taken will be staff's recommendation as indicated on the item. Items taken separately from the Consent Agenda by Committee members at the meeting will be heard in order. SECTION 1. OPENING CEREMONIES 1. Public Comment CALL TO ORDER PUBLIC COMMENT. This is a period devoted to comments by the general public about items on this agenda. If you wish to speak to the Committee about items within its jurisdiction but not appearing on this agenda, you must wait until the Comments by the General Public period listed at the end of this agenda. Comments will be limited to three minutes. Please step up to the speaker's podium, clearly state your name and address and please spell your last name for the record. If any member of the Committee wishes to extend the length of a presentation, this will be done by the Chair, or the Committee by majority vote. 1

2 2. Approval of minutes of the regular meeting of the UMC Governing Board Strategic Planning Committee meeting on December 14, (For possible action) 3. Approval of Agenda. (For possible action) SECTION 2. BUSINESS ITEMS 4. Receive an update on the development of the hospital s strategic plan; and direct staff accordingly. (For possible action) 5. Receive a report on recent market share data for service lines related to the strategic plan; and direct staff accordingly. (For possible action) 6. Discuss patient experience, to include ideas for improving the experience and measuring the data; and direct staff accordingly. (For possible action) 7. Receive and discuss the hospital s marketing plan; and direct staff accordingly. (For possible action) 8. Receive an update on the Las Vegas Medical District development; and direct staff accordingly. (For possible action) 9. Review and discuss 2015 goals for the Strategic Planning Committee; and direct staff accordingly. (For possible action) 10. Make recommendations for performance metrics to be included in the Chief Executive Officer s employment agreement, as it pertains to discretionary salary increases and bonuses, for approval by the Governing Board; and direct staff accordingly. (For possible action) 11. Identify emerging issues to be addressed by staff or by the Strategic Planning Committee at future meetings, and direct staff accordingly. (For possible action) COMMENTS BY THE GENERAL PUBLIC A period devoted to comments by the general public about matters relevant to the Committee s jurisdiction will be held. No action may be taken on a matter not listed on the posted agenda. Comments will be limited to three minutes. Please step up to the speaker s podium, clearly state your name and address and please spell your last name for the record. All comments by speakers should be relevant to the Committee s action and jurisdiction. UMC ADMINISTRATION KEEPS THE OFFICIAL RECORD OF ALL PROCEEDINGS OF UMC GOVERNING BOARD STRATEGIC PLANNING COMMITTEE. IN ORDER TO MAINTAIN A COMPLETE AND ACCURATE RECORD OF ALL PROCEEDINGS, ANY PHOTOGRAPH, MAP, CHART, OR ANY OTHER DOCUMENT USED IN ANY PRESENTATION TO THE BOARD SHOULD BE SUBMITTED TO UMC ADMINISTRATION. IF MATERIALS ARE TO BE DISTRIBUTED TO THE COMMITTEE, PLEASE PROVIDE SUFFICIENT COPIES FOR DISTRIBUTION TO UMC ADMINISTRATION AND COUNTY COUNSEL. THE COMMITTEE MEETING ROOM IS ACCESSIBLE TO INDIVIDUALS WITH DISABILITIES. WITH TWENTY-FOUR (24) HOUR ADVANCE REQUEST, A SIGN LANGUAGE INTERPRETER MAY BE MADE AVAILABLE (PHONE: ). 2

3 Business Development - Surgery Introduction of davinci Robotics Endoscopy Narrow Band Imaging High Definition (190 Scopes) Orthopedic Physician Alignment Therapeutic Scopes Ureteroscopes and Bipolar Resection Mini C-Arm Anesthesia Monitors New Hand Tables Staff Specialty Teams (Cardiac, Robotics, Ortho, Transplant) Crimson Market Advantage (Identification of Opportunities) Increased Physician Relations and Satisfaction Lean Principles for Improved Patient Satisfaction Pre-op and Admissions Physician and Patient Satisfaction

4 Business Development - Cardiology Cardiology Fellowship (3 per year 9 total ) Recruit Cardiologists Alignment with VA Cardiology Potential acquisition of Ventricular Assistance Device (VAD) technology / first in state New VO2 Max Measurement Tests Endoscopy Tool (Increased Performance Measures Leading to Higher Reimbursement Rate (Rate Increase From 1.25% to 2%) Electrophysiology (EP) Lab Promote New Cath Lab investment to physicians Chest Pain Center / Expand Heart Failure Clinic scope and reach Increased Bed Utilization New Accreditation / Get with the Guidelines Heart Health Fairs (Community Outreach)

5 Business Development - Pulmonary UNSOM adding additional Pulmonologist (2-3) - only practice at UMC UNSOM Critical Fellowship Navigational Bronchoscopy and Endobronchial Ultrasound Broncho Thermaplasty Cardiopulmonary Exercise Testing (CPET) Pulmonary Rehabilitation Weaning Protocol in the ICUs Employ Difficult Airway Protocol Hospital-wide

6 Business Development Emergency Dept. Improve front end process for patient flow Improve security for patients and staff Continue improvements on door-to-doc time ( 20 minute goal ) Improve Left without being seen stats ( less than 2% ) Improve Quick Care referrals Improve payer mix Expedite off-load times to EMS Addition of EMS Lounge Increase HCAHPS scores through use of new survey tool Improve Community perception

7 Business Development Children s Hospital Lied Building Lease (Pediatric Sub-specialty clinics focus) Targeted Physician Outreach Increase marketing efforts through Greenspun Media Improve patient experience through branding efforts to upgrade look and feel of patient areas Improve physical access to CHNV - parking

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19 Strategic Planning Committee 2015 GOALS Development of a Strategic Plan - Complete Strategic Plan for the hospital - Develop detailed goals and metrics for assessing hospital performance - Identify new lines of service and business opportunities - Create Strategic Plans focused on marketing and community awareness. Plan to have a comprehensive County-wide needs assessment conducted in the near future Transition Plan for the CEO - Determine whether another transition plan is needed for the new CEO. - Review implementation of the original transition plan. Determine the effect of Medicaid Managed Care and incorporate into strategic plan Determine the status of planning on a possible 1115 waiver application and chart plan to coordinate with State and County partners that are essential to the application process. Continue to monitor effects of State s efforts to expand Graduate Medical Education.