Strategic Management Checklist

Transcription

1 Strategic Maagemet Checklist for LeadigAge PA Members 3 Strategic Plaig Fiacial Viability Goverace Operatios/Huma Resources a associatio of ot-for-profit seior services

2 Itroductio LeadigAge PA has developed this Strategic Maagemet Checklist for members as a resource ad practical tool to assist you i evaluatig the health of your orgaizatio. It is vital that orgaizatios idetify areas that eed to be chaged i order to improve services ad performace. We hope this Checklist will: Ecourage you to explore your orgaizatio s progress across the four key areas of strategic plaig, fiacial viability, goverace, ad operatios/huma resources; ad Assist you i idetifyig potetial areas of cocer (as idicated by checkmarks fallig withi red highlighted boxes) that may require additioal cosideratio We d like to express our thaks to the followig participats of LeadigAge PA s Strategic Maagemet Task Force who took great care ad cosideratio i developig this resource for LeadigAge PA members. Joh Dickso IV, Presidet & CEO Redstoe Presbyteria Seior Care, Greesburg, PA Laura Duca, CEO Reformed Presbyteria Home, Pittsburgh, PA Luae Fisher, Presidet & CEO Liberty Luthera Services, Ambler, PA Steve Jeffrey, Maagig Director Ziegler, Pasadea, MD Susa Schmader, CFO WRC SENIOR SERVICES, Brookville, PA Jeifer Schwalm, Pricipal PareteBeard, LLC, Mechaicsburg, PA Scott Steveso, Presidet & CEO Phoebe Miistries, Alletow, PA Scott Towsley, Pricipal Third Age, a Divisio of LarsoAlle, Exto, PA

3 STRATEGIC PLANNING Do you have a formal writte orgaizatioal missio? Do you have a formal writte visio statemet? Do you have a formal writte values statemet? Have you reviewed your missio, visio, ad values withi the last 24 moths to assure they are still relevat ad appropriate for your curret market? Yes No Does your orgaizatio have a curret ad relevat formal writte strategic pla? Are you usig it to pla ad measure progress at least aually? Do you have a formal process for a o-goig review ad revisio of the strategic pla as ecessary? Are your strategic iitiatives aliged with your missio, visio, ad values? Do you have a curret market study that idetifies demographics, competitio, market share by category, market share by level of service, ad ecoomic idicators? Have you idetified key players/competitio/potetial collaboratio parters i your area? Have you cosidered the impact of home ad commuity-based services (HCBS) o your service offerigs? HCBS iclude but are ot ecessarily limited to the followig: Housig Hospice Life Care at Home Respite Care PA Licesed Home Care LIFE/PACE Program Medicare Certified Home Health Pharmacy Adult Day Care Do you have a brad ad/or a bradig strategy i place? Is it periodically reviewed to assure its appropriateess for the curret market? Are you reviewig idicators ad referral relatioships to positio your orgaizatio favorably i a health care reform/paymet reform eviromet? Have you assessed your techology i areas such as icludig but ot limited to electroic health records (EHR), telemedicie, ad assistive techology to keep seiors idepedet as log as possible, etc.? Is the utilizatio of techology part of your strategic or busiess plaig?

4 FINANCIAL VIABILITY Do you track your sources of reveue by percetage? Sources of reveue iclude: Yes No Medicaid Medicare Private Pay Private Isurace Fud Raisig Is Medicaid less tha 50% of your reveue source? Do you derive less tha 70% of your reveues from your ursig facility? Is your occupacy tred by service category over the last 3 years icreasig, decreasig, or stable? Icreasig Decreasig Stable NF Persoal Care Home Assisted Livig Residece Idepedet Livig Occupacy by service category: (> 80%) (< or to 80%) NF Persoal Care Home Assisted Livig Residece Idepedet Livig Are you i compliace with your bod/debt coveats? Do you track ad evaluate your cost per day by service lie? Where do your fiacial ratios fall? The Table below is meat to serve as a bechmarkig tool for orgaizatios as they are plaig ew projects. The goal of the table is to help providers take pause ad reflect o their curret operatios ad the impact a ew project may have o the fiacial health of their orgaizatio. The values preseted are meat to be geeral guidelies ad ot absolute measures. Each orgaizatio ad project is differet, ad the merits of each will dictate the ultimate risk a ew project will have o the orgaizatio. Gree Yellow Red Debt Service Coverage Over Below 1.25 Days Cash o Had Over Below 125 Net Operatig Margi-Adjusted Over 15% 10% - 15% Below 10% Operatig Ratio Uder 92.5% 92.5% - 105% Over 105% Average Age of Plat Uder 11 years years Over 13 years Absolute Liquidity Urestricted ad available Cash ad Ivestmets should exceed approximately $3 millio. Do you have a viable fudraisig program? Do you geerate a positive operatig margi excludig ivestmet icome ad cotributios?

5 GOVERNANCE Are your Board meetigs primarily focused o strategy rather tha operatios? Does your Board sped time i strategic ad visioary coversatio? Does the Board embrace the tough discussios ad decisios? Are decisios made i a timely maer? Does the Board have the structure to carry out its fiduciary resposibilities? Does your Board uderstad the expectatios of them as a member of the goverig body? Do your Bylaws establish term limits or other systematic ways to retai or rotate members o ad off the Board? Do you strategically recruit ew Board members for skills set usig a skills matrix? Do all Board members kow ad embrace the missio ad values of the orgaizatio? Do you provide your Board with ogoig educatioal programmig? Is the CEO formally evaluated by the Board o a aual basis? Does your Board do a self-evaluatio at least bi-aually? Yes No

6 OPERATIONS/HUMAN RESOURCES Is your Case Mix Idex (CMI) at or above the statewide average of (.99)? Have you had a recet operatios review by a third party? Do you have a busiess maagemet system i place that utilizes bechmark data? Do you compare the bechmarks agaist your peers? Do you have routie operatioal improvemet meetigs? Do you do periodic residet ad residet family satisfactio surveys? Do you use them to guide your strategic decisios? Are you trackig quality idicators such as hospital readmissio rates, acquired ifectios, pressure sores, falls, etc.? Do you kow turover rate by categories of employees? Do you bechmark agaist similar orgaizatios? Do you have a process to esure all employees embrace the missio ad values of your orgaizatio? Do you provide leadership traiig? Do you have a formal evaluatio process? Is strog performace rewarded with tagible beefits? Do you have a formal successio plaig process for key employees? Do you do periodic employee egagemet or staff satisfactio surveys? Yes No

7 Notes

8 a associatio of ot-for-profit seior services 1100 Bet Creek Boulevard Mechaicsburg, PA fax