Chris Beuning Medical Informatics 404 June 29, 2011.

A BOARD OF TRUSTEES: SWEDISH MEDICAL CENTER

Chris BeuningMedical Informatics 404

June 29, 2011

Swedish Medical Center – Seattle Washington

Swedish Medical Center

Private, not-for-profit health system Established in 1908 Several locations in Seattle area – main

campus in downtown Seattle

Board of Trustees - Membership

Chair Nancy J Auer, M.D.

Members– Teresa Bigelow

Don Brennan John Connors Isiaah Crawford Ned Flohr Cheryl Gossman William Krippaehne, Jr. Louise L Liang Chuck Lytle Kirby McDonald John Nordstrom David Olsen Martin Siegel Janet True Todd Strumwasser

Board of Trustees Chair Nancy J Auer, MD

Emergency Medicine Physician Greater than 30 years at Swedish

Chief Medical Officer Chief of Staff Medical Director of Emergency Services Vice President of Medical Affairs

Retired 2010 Currently consulting on medical

leadership issues

Board Members

Broad range of professionals Medical Non-medical

Legal/Government Teresa Bigelow Janet True

Executive/Business Don Brennan John Connors Ned Flohr William Krippaehne, Jr. Cheryl Gossman Louise L. Liang Chuck Lytle Kirby McDonald John Nordstrom David Olsen

Board Members

Higher Education Isiaah Crawford

Medical Martin Siegel Todd Strumwasser

Rationale for Board Participation - Selection

Desirable Board Member Qualities Familiarity with the community Familiarity with business decisions Available time A record of success Reputation

Rationale for Board Participation – Reasons to Participate

Member Reasons to Participate Satisfaction of a “Samaritan Need” Pride in professional achievement Public recognition with associated commercial

opportunities

Swedish’s Mission

Mission – to provide compassionate, high-quality patient care that meets the caring and cost effective expectations of our patients, physicians, employees and volunteers, and to preserve and strengthen the Swedish tradition of community service.

Vision – to become the provider of choice for healthcare services for our community. We will differentiate ourselves through our centers of excellence

Swedish Values

Constant Courtesy Patient Satisfaction Teamwork and Respect Professionalism Personal Responsibility

Board’s Responsibility for Mission

Review mission – suggest changes as appropriate based on culture and industry changes

Review all proposals and topics in context with that mission and suggest changes to improve consistency.

Mission Relative to Purpose

Mission is the central purpose of stakeholder collaboration

The mission is to be one of humanities highest callings

Upholding of the mission makes work in the HCO attractive

Balanced Scorecard

Description – The balanced Scorecard is a strategic planning and management system used extensively in business and industry. It has more recently been used in healthcare

Why it’s important – This tool helps compare a healthcare organization to national benchmarks to identify opportunities for improvement as well as marketing the HCO to customers, payers and potential employees/employed providers.

Performance – for the first four measures Swedish’s performance is better than the national, however the numbers are ext

How do they manage for success and quality

Surrogate Indicators from Data.Medicare.Gov

Measurement(Per 1000 Discharges)

Swedish National Benchmark

Foreign Object Retained after Surgery 0 0.09

Air Embolism 0 0.003

Blood Incompatibility 0 0.001

Pressure Ulcer Stages III and IV 0 0.135

Falls and Trauma 1.008 0.564

Vascular Catheter-Associated Infections

0.622 0.367

Catheter Associated UTI 0.155 0.316

Manifestations of Poor Glycemic Control

0 0.05

Surrogate Indicators from Data.Medicare.Gov

Reflection of these measures for the health care organization Most of the measures compared did so

favorably for Swedish compared to national benchmarks

Four of the eight measure did indicate room for improvement

Profitability No published scorecard or comparison

measures available Information on HCO website is favorable

Swedish Executive Teams

President and Chief Executive Officer Executive Vice President and Chief Financial Officer Senior Vice President and Chief Administrative Officer Chief Strategic Officer Vice President, Swedish Physician Division Chief Information Officer Chief Medical Officer Chief Legal Counsel Executive Director, Foundation and Vice President of

Development Vice President, External Affairs Vice President, Human Resources

Accreditation

Last Report Fully accredited by Washington State

Department of Health The Joint Commission (The JC) formerly JCAHO Commission on Cancer

Board’s reaction Endorsement of findings Review of any findings no matter how minor Set strategy for addressing any findings

Board’s Role in Information Technology

Consideration of requests in relation to Mission, Vision and Values

Strategy Approval Scope Approval Funding Prioritization Review of Progress and Outcomes