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DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE AT THE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA UCLA HEALTH SYSTEM 2012 TO 2017 STRATEGIC PLAN 2012 TO 2017 STRATEGIC PLAN DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE AT THE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA
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Page 1: STRATEGIC PLAN DEPARTMENT OF 2012 PATHOLOGY …pathology.ucla.edu/workfiles/AMCstrategies_uclaPathology_19July... · STRATEGIC PLAN. DEPARTMENT OF PATHOLOGY AND LABORATORY ... Many

DEPARTMENT OF

PATHOLOGY AND LABORATORY MEDICINEAT THE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA

DAVID GEFFEN SCHOOL OF MEDICINE AT UCLAUCLA HEALTH SYSTEM

2012TO

2017

STRATEGIC PLAN

2012TO

2017

STRATEGIC PLAN

DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE AT THE DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA

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LETTER FROM THE CHAIR

INTRODUCTION

MISSION AND VISION

GOALS

GOALS AND SUPPORTING STRATEGIES

GOAL 1

GOAL 2

GOAL 3

GOAL 4

GOAL 5

GOAL 6

GOAL 7

3

4

7

8

9

11

13

14

15

16

17

19

Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 2

CONTENTS

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Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 4

During the 2011-2012 academic year, the UCLA Department of Pathology and Laboratory Medicine engaged in a collaborative strategic planning process to define its mission and vision for the future. The process culminated in a vision for the UCLA Department of Pathology and Laboratory Medicine to be the leader at the nexus of translational biomedical research and healthcare innovation.

To assist in the strategic planning process, the Department retained the services of AMC Strategies, LLC, a consulting firm specializing in strategic planning for academic medical centers. A Strategic Planning Steering Committee was formed to oversee the initiative, with 13 members of the faculty serving on this committee. Fifty-six faculty, staff, residents and students participated in the process through in-depth, consultant-led interviews to provide qualitative input on the Department’s strengths, weaknesses and strategic priorities. Approximately 1,300 individuals were invited to participate in an electronic survey to weigh in on the Department’s strategic priorities and nearly 350 responded. An extensive quantitative assessment was conducted on departmental resources within each of the tripartite mission areas of clinical care, research and education, including finances, space and infrastructure, to identify key trends and the strategic implications of each.

INTRODUCTION

PHASE I

PLANNING RESEARCH

PHASE IIDEFINE

STRATEGIC DIRECTION

PHASE III

FINALIZETHE PLAN

• Planning Interviews• Stakeholder Survey• Environmental Assessment

• Refine Mission and Vision• Define Goals with Measurable Outcomes• Develop Specific Strategies and Tactics

• Finalize the Strategic Plan• Develop Implementation Plan with Target Dates and Assignments• Identify Resource Requirements• Create a Communications Brochure

Diagram of Strategic Planning Process and Deliverables

“We have reached a level where we can envision achieving international leadership in translational biomedical research and healthcare innovation.”

3 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

It is my privilege to present our 2012 Departmental Strategic Plan. The past five years have seen striking growth in the Department: 9.2% compounded annual growth in clinical revenues and 14% in research, with commensurate increases in our faculty, staff, and space. This has also involved major new initiatives, including regional and international telepathology, genomic medicine, diversification of research services, and a maturational shift of our educational programs to the fellowship phase of clinical and research training.

However, this growth has outstripped our existing approaches to decision-making and communications, compounded by our physical fragmentation across 26 sites, with more than one quarter in off-campus locations. The recent historic international economic disruption has intensified the ferment regarding national approaches to healthcare and research, and major change in the near-future is all but certain. Many of us participated in last year’s School of Medicine strategic plan, which has created a new framework for the path ahead (http://strategy.healthsciences.ucla.edu/). It distilled opportunities that UCLA is best positioned to develop, and to secure our value and sustainability for the regional, national, and international community.

In this context, we have developed a departmental strategic plan that reflects the insights and dreams of more than 1,000 department members, coordinated and distilled by a sophisticated and energetic steering committee of 13 faculty and staff, and the expert guidance of strategic planning consulting firm, AMC Strategies, LLC. I invite you to read this self-study, to understand and advance our mission through the seven strategies we have distilled. As you will see, we have reached a level where we can envision achieving international leadership in translational biomedical research and healthcare innovation. But for this to happen—and through it, for our Department to be a secure and dynamic home for the career development of our members—I need something from each of you. That is, to identify the strategy and goal that is your own. If each of us advances one goal, then the thousand of us together will surely make a better future for ourselves and the community we serve.

Jonathan Braun, M.D., Ph.D.Department Chair, UCLA Department of Pathology and Laboratory Medicine

LETTER FROM THE CHAIR

Jonathan Braun, M.D., Ph.D.Department Chair, UCLA Department of

Pathology and Laboratory Medicine

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Phase I Interviewees

For more information about the strategic plan and to follow our progress in its implementation, please visit http://www.pathology.ucla.edu/StrategicPlan.

Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 6

Sophia Apple

Linda Baum

Steven Bensinger

Scott Binder

Jonathan Braun

Ann Chan

James Chen

Debra Cobb

Paul Colonna

Galen Cortina

Diana Crary

Gay Crooks

King Das

David Dawson

Bernie Dempsey

Ken Dorshkind

Tom Drake

Sarah Dry

Steven Dubinett

Dieter Enzmann

David Feinberg

Michael Fishbein

Steven Hart

Sharon Higgins

Jiaoti Huang

Susan Kerkoutian

Nina Khatibi

Christina Kim

Debra LaCava

Michael Lewinski

Xinmin Li

Susie Lu

Clara Magyar

Mary Alice Mita

Judy Mossman

Scott Nelson

Stan Nelson

Shannon O’Kelley

Fernando Palma-Diaz

Richard Pucci

Dinesh Rao

Jian Rao

Nagesh Rao

Merian Raz

Elaine Reed

Jonathan Said

Mike Sauk

Arnie Scheer

Elena Stark

Michael Teitell

Harry Vinters

Dean Wallace

A. Eugene Washington

Sharon Webb

Owen Witte

William Yong

5 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

The Steering Committee reviewed and discussed the findings and began to construct the framework for the strategic plan at a retreat. A series of strategy sessions followed in which the departmental mission, vision and goals, with supporting strategies and tactics, were formed. Resources required to implement the plan were assessed, measures to track and monitor each goal were identified, and accountabilities and priorities for each strategy were defined – all to ensure successful implementation. The process culminated in a departmental faculty retreat, where a draft of the strategic plan was presented and further shaped by input gathered from retreat participants.

As a result of this intense effort, a shared mission and vision clarifying our future direction has been created, a set of goals has been articulated, and strategic priorities have been established. The strategic plan, a collaborative effort of so many thoughtful, committed, and passionate individuals, is presented on the following pages. The implementation phase of the strategic plan will serve as our roadmap to guide our actions, decision-making and resource allocation over the next five years.

The Department would like to thank the following members of the Strategic Planning Steering Committee, Phase I interviewees and all of the faculty, nurses, staff, residents, fellows, graduate students and post-docs for their contributions and invaluable guidance toward the development of this new and exciting strategic vision.

“A shared mission and vision clarifying our future direction has been created, a set of goals has been articulated, and strategic priorities have been established.”

Charles Lassman

Dinesh Rao

Elaine Reed

Jonathan Said

Arnold Scheer

Elena Stark

Jonathan Braun, Chair

Linda Baum

Steven Bensinger

Scott Binder

Kenneth Dorshkind

Sarah Dry

Timothy J. Kares

Strategic Planning Steering Committee

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Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 8

GOALS

Develop research programs that will distinguish the Department institutionally and nationally.

Become the destination for translational research services and expertise at UCLA.

Educate the next generation of leaders in pathology and laboratory medicine.

Become the global leader in precision medicine, virtual pathology and health care design.

Increase clinical volume and market share.

Develop appropriate financial resources and infrastructure to support the Department.

Be the best place to work in pathology and laboratory medicine.

1.

2.

3.

4.

5.

6.

7.

To improve health and health care, the UCLA Department of Pathology and Laboratory Medicine will:

• Create world leaders in pathology and laboratory medicine

• Discover the basis for health, focused on prevention and cures for disease

• Optimize health through community partnerships• Heal humankind through diagnostic innovation, one

person at a time

The UCLA Department of Pathology and Laboratory Medicine will be the leader at the nexus of translational biomedical research and healthcare innovation.

7 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

MISSION

VISION

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Increase clinical volume and market share.

Develop appropriate financial resources and infrastructure to support the Department.

Be the best place to work in pathology and laboratory medicine.

Develop alliances and partnerships with other regional hospitals and health care organizations to expand volume and market area.

Prepare for increased patient volume associated with the UCLA Health System “Two Million Lives” strategy.

Pursue additional revenue in all mission areas to enhance the financial position of the Department.

Ensure that the Department has solid financial management, policy and practice.

Consolidate and modernize space to optimally support clinical services and research activities.

Recruit and retain excellent clinical and research faculty and staff.

Create a robust departmental management structure with clear reporting lines and operating procedures.

5.

6.

7.

5.1

5.2

6.1

6.2

6.3

7.1

7.2

Goals Strategies

Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 10

GOALS AND SUPPORTING STRATEGIES

Develop research programs that will distinguish the Department institutionally and nationally.

Become the destination for translational research services and expertise at UCLA.

Educate the next generation of leaders in pathology and laboratory medicine.

Become the global leader in precision medicine, virtual pathology and health care design.

Invest in signature research programs to achieve unparalleled excellence.

Foster high priority research partnerships.

Provide translational research infrastructure and expertise for the campus.

Establish the Department of Pathology as the institutional lead for the UCLA tissue and sample biorepository.

Continue to strengthen and expand the Department’s residency and fellowship programs.

Reengineer the Department’s participation in medical education to attract top students to the field of pathology.

Be at the forefront of clinical genomics and innovative diagnostic testing.

Become the pivotal hub for quality improvement and clinical innovation in the UCLA Health System.

1.

2.

3.

4.

1.1

1.2

2.1

2.2

3.1

3.2

4.1

4.2

Goals Strategies

9 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

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Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 12

Foster high priority research partnerships.Strategy 1.2

• Increase collaborations across UCLA to bolster the following priority partnership programs:

• Create an affinity group for each program; include interested faculty, graduate students, post-docs, residents and fellows.

• Identify faculty leaders to coordinate each of the priority research partnerships.

• Identify and cultivate internal and external collaborators for priority partnership programs.

• Track and monitor research productivity and collaborative projects in high priority partnership programs.

Tactics

Stem Cell Oncology Transplantation

NeurodegenerativeDisease

Chronic Inflammatory Disease

Molecular Metabolism

Develop research programs that will distinguish the Department institutionally and nationally.

11 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

Invest in signature research programs to achieve unparalleled excellence.

GOAL 1

Strategy 1.1

• Focus intensive departmental effort and resources on the following signature research programs:

• Identify faculty leaders to spearhead each signature program; reward program leaders and hold them accountable for programmatic success.

• Create an affinity group for each signature program; include interested faculty, graduate students, post-docs, residents and fellows.

• Recruit outstanding residents, graduate students and post-docs and fellows to support signature programs.

• Foster strong collaboration among basic and clinical scientists.• Identify and cultivate external partnerships to support signature

programs.• Aggressively promote signature program accomplishments.• Cultivate philanthropic support for signature programs; ensure that

funders have a clear understanding of the impact of each program. • Develop programmatic business plans and pro formas to confirm

preliminarily identified resource needs for signature research programs.

Tactics

Clinical Genomics Hematopoietics Digital

Pathology

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Educate the next generation of leaders in pathology and laboratory medicine.

Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 14

Continue to strengthen and expand the Department’s residency and fellowship programs.

GOAL 3

Strategy 3.1

• Enhance and personalize the recruitment process to proactively attract and capture top candidates.

• Enhance education and training experiences for residents.• Increase scholarly/academic focus among residents.• Align career development and training experiences of fellows with

clinical innovation and research priorities of the Department.• Encourage fellows to obtain Master degrees in programs that are

available at UCLA.• Identify funding sources to support additional years of training.• Strengthen educational infrastructure including space, facilities,

information technology and website.

Tactics

Reengineer the Department’s participation in medical education to attract top students to the field of pathology.

Strategy 3.2

• Enhance the Department’s participation in medical school curriculum planning and student recruitment.

• Engage faculty involved in medical education to spearhead needed curriculum changes; work with medical school leadership to advocate new approaches for pathology blocks.

• Promote breadth of opportunities and scope of work in the field of pathology.

• Enhance participation of departmental faculty in Medical Scientist Training Program.

• Assess the impact of pathology curriculum changes.

Tactics

Become the destination for translational research services and expertise at UCLA.

13 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

Provide translational research infrastructure and expertise for the campus.

GOAL 2

Strategy 2.1

• Leverage UCLA Clinical and Translational Sciences Institute, UCLA Jonsson Comprehensive Cancer Center, UCLA Broad Stem Cell Research Center, and UCLA Brain Research Institute to bolster Department’s research infrastructure.

• Deploy a management and operations team to provide a range of client services.

• Leverage departmental expertise/tech center to provide analytic support to campus researchers.

• Utilize clinical biospecimens and genomic data from the UCLA Health System for research purposes.

• Work closely with UCLA Health System on important initiatives including electronic health record implementation, digital reporting and Institute for Molecular Medicine.

Tactics

Establish the Department of Pathology as the institutional lead for the UCLA tissue and sample biorepository.

Strategy 2.2

• Strengthen the institutional tissue and sample biorepository in accordance with regulatory guidelines.

• Ensure that the Department of Pathology is involved in the initial design of specimen collection and storage protocols at all clinical sites.

• Prepare for consolidation of departmental bio banks as regulations make distributed bio bank model infeasible.

• Link bio bank data with electronic health record and research database.• Develop pilot projects using bio bank data.• Explore industry partnerships to offer bio banking beyond UCLA.

Tactics

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Increase clinical volume and market share.

Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 16

Develop alliances and partnerships with regional hospitals and health care organizations to expand volume and market area.

Strategy 5.1

• Determine capacity and target volume for each service.• Complete Department’s deployment as a comprehensive center of

clinical excellence.• Increase telepathology capacity and functionality.• Explore the development of an independent corporate entity for

Pathology and Lab Medicine clinical services to change cost base.• Strengthen relationships with corporate entities interested in advancing

genomics.

Tactics

Prepare for increased patient volume associated with the UCLA Health System “Two Million Lives” strategy.

Strategy 5.2

• Assess capacity, projected volume and geographic factors that will need to be addressed.

• Develop management and professional models to integrate this initiative with the Department’s tripartite mission.

• Expand capacity to handle increased volume of general testing.• Partner with UCLA Health System to ensure adequate investment is

made in personnel and information technology infrastructure.• Leverage participation in “Two Million Lives” strategy to garner

additional support for Department.

Tactics

GOAL 5

Become the global leader in precision medicine, virtual pathology and health care design.

15 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

Be at the forefront of clinical genomics and innovative diagnostic testing.

GOAL 4

Strategy 4.1

• Enhance clinical genomics.• Advance the Radiology-Pathology Integrated Diagnostic Program.• Become a world leader in digital pathology development and

implementation by leveraging signature research program in digital pathology.

• Partner with the UCLA Santa Monica Hospital Personalized Medicine Initiative.

Tactics

Become the pivotal hub for quality improvement and clinical innovation in the UCLA Health System.

Strategy 4.2

• Ensure that pathology and clinical lab components in the clinical information platforms are designed to support clinical innovation and quality improvement.

• Take a leading role in the development of quality improvement initiatives at UCLA Health System.

• Expand faculty expertise in quality improvement and clinical innovation.• Pursue new federal funding for translational research related to quality

improvement and clinical innovation. • Develop a quality improvement focus in fellowship and residency

programs.

Tactics

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Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan 18

Consolidate and modernize space to optimally support clinical services and research activities.

Strategy 6.3

• Develop comprehensive short- and long-term space plan for the Department; address research and clinical space separately.

• Complete planning for clinical space needs that address our regional and telepathology clinical strategies, and associated training activities.

• Pursue planning for research space needs to optimize synergies in signature and partner programs and associated training and clinical activities.

• Ensure existing space is well maintained.

Tactics

• Develop program-based profit and loss statements.• Ensure core business services (e.g., billing, collections, etc.) function

well and can accommodate volume growth.

Tactics (Continued)

Develop appropriate financial resources and infrastructure to support the Department.

17 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

Pursue additional revenue in all mission areas to enhance the financial position of the Department.

GOAL 6

Strategy 6.1

• Grow and diversify research funding sources; focus on garnering translational research support.

• Increase funding to support education. • Continue to expand outreach and reference lab programs.• Enhance and protect compensation for clinical services.• Play a leadership role in ensuring that new and existing pathology

services are remunerated appropriately.• Expand philanthropic funding, including alumni support.

Tactics

Ensure Department has solid financial management, policy and practice.

Strategy 6.2

• Reengineer clinical services.• Assess departmental faculty staffing model.• Review faculty and staff salary support from UCLA Health System

relative to clinical effort.• Evaluate faculty compensation plan.• Engage staff in identifying opportunities for improved efficiency and cost

containment.• Consider offering fee-based administrative services to other UCLA

departments.• Leverage group purchasing power across the Department, UCLA Health

System and UCLA campus to reduce costs.• Utilize business planning to evaluate investments in new faculty,

equipment and programs.

Tactics

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Be the best place to work in pathology and laboratory medicine.

19 Department of Pathology and Laboratory Medicine at The David Geffen School of Medicine at UCLA | Strategic Plan

Recruit and retain excellent clinical and research faculty and staff.

GOAL 7

Strategy 7.1

• Ensure future faculty and staff recruitments align with signature research programs and planned clinical growth.

• Initiate succession planning to replenish the Department.• Ensure a transparent approach to annual performance reviews, salary

increases and resource allocation. • Establish distinct career tracks and career development programs for

research laboratory employees, clinical laboratory employees and administrative/finance employees.

• Lead in the development of programs to train new laboratory personnel.

Tactics

Create a robust departmental management structure with clear reporting lines and operating procedures.

Strategy 7.2

• Identify attributes of companies recognized as the “Best Places to Work”; explore mechanisms to develop those attributes in the Department.

• Bolster human resources’ function within the Department.• Strengthen the culture of collaboration and accountability in the

Department.• Establish an integrated unit for marketing, business development and

fundraising.• Integrate management of Health System and Department clinical labs.• Improve communication and cohesiveness across the Department.• Develop matrix organizational structure to align all mission areas to

support signature programs and priority partnership programs.

Tactics