Ali Elhaj, LLM., Ph. D.

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1 Ali Elhaj, LLM., Ph. D. Governing Board & Executive Medrar Medical Center

2 Coming together is a beginning;

3 Coming together is a beginning; keeping together is a progress;

4 Coming together is a beginning; keeping together is a progress; working together is success. Henry Ford

5 I Could Have Presented the Classic Argument (Recruitment & Retention Strategy, Succession Planning, Training, Incentives... And so on ) However There is a Uniqueness to the Healthcare Environment

6 Uniqueness of the Healthcare Environment

7 Uniqueness of the Healthcare Environment Values-based, mission-driven industry

8 Uniqueness of the Healthcare Environment Values-based, mission-driven industry Breadth of customers/patients literally encompasses the entire population local, regional, national, international

9 Uniqueness of the Healthcare Environment Values-based, mission-driven industry Breadth of customers/patients literally encompasses the entire population local, regional, national, international Demand and supply dynamics for critical talent requires the creation of climates that attract and retain top talent in a highly competitive market

10 Uniqueness of the Healthcare Environment Values-based, mission-driven industry Breadth of customers/patients literally encompasses the entire population local, regional, national, international Demand and supply dynamics for critical talent requires the creation of climates that attract and retain top talent in a highly competitive market Complexity and mix of independent constituencies requires higher levels of influence and consensus-building than most leadership roles

11 Critical Success Factors Shared vision: leadership and organizational transformation Accountability: for learning and performance outcomes Information: for evaluation, continuous feedback and benchmarking Commitment: of resources, time, and energy

12 Early Mid Advanced Analytical Thinking Achievement Orientation Community Orientation Financial Skills Information Seeking Innovative Thinking Strategic Orientation Transformation Change Leadership Collaboration Organizational Awareness Communication Skills Accountability Impact & Influence Information Technology Initiative Performance Measurement Process Mgmt & Org Design Project Execution Team Leadership Human Resources Relationship Building Interpersonal Understanding Professionalism Self Confidence Self Development Talent Development People

13

14 Dealing with the Status Quo Is not an option

15 Dealing with the Status Quo Is not an option Simplify the System

16 Dealing with the Status Quo Is not an option Simplify the System Mandate Accountability

17 Dealing with the Status Quo Is not an option Simplify the System Mandate Accountability Establish Measurable Objectives

18 Dealing with the Status Quo Is not an option Simplify the System Clear Line of Responsibility Mandate Accountability Establish Measurable Objectives

19 Dealing with the Status Quo Is not an option Targeting of Adequate Margin Simplify the System Clear Line of Responsibility Mandate Accountability Establish Measurable Objectives

20 Improvement of Clinical Services

21 Improvement of Clinical Services Medical Staff

22 Improvement of Clinical Services Medical Staff Nursing

23 Improvement of Clinical Services Medical Staff Nursing Allied Health Professional

24 Improvement of Clinical Services Medical Staff Risk Governance Nursing Allied Health Professional

25 Improvement of Clinical Services Efficiencies Medical Staff Risk Governance Nursing Allied Health Professional

26 Decrease Number of Level

27 Decrease Number of Level Establish Contingency Plan

28 Decrease Number of Level Establish Contingency Plan Useful Information System

29 Decrease Number of Level Establish Contingency Plan Useful Information System Data Integrity & Governance

30 Decrease Number of Level Establish Contingency Plan Exit Strategy for Non Performing Programs Data Integrity & Governance Useful Information System

31 Litigious free Environment Exit Strategy for Non Performing Programs Decrease Number of Level Data Integrity & Governance Establish Contingency Plan Useful Information System

32 Dealing with the Status Quo Is not an option Improvement of Clinical Services Decrease Number of Level Targeting of Adequate Margin Simplify the System Efficiencies Medical Staff Litigious free Environment Establish Contingency Plan Clear Line of Responsibility Establish Measurable Objectives Mandate Accountability Risk Governance Allied Health Professional Nursing Exit Strategy for Non Performing Programs Data Integrity & Governance Useful Information System

33 You Are Responsible For All Outcomes Dealing with the Status Quo Is not an option Improvement of Clinical Services Decrease Number of Level Targeting of Adequate Margin Simplify the System Efficiencies Medical Staff Litigious free Environment Establish Contingency Plan Clear Line of Responsibility Establish Measurable Objectives Mandate Accountability Risk Governance Allied Health Professional Nursing Exit Strategy for Non Performing Programs Data Integrity & Governance Useful Information System

34 Be Proud. Find a Way to Brag About US Dealing with the Status Quo Is not an option Improvement of Clinical Services Decrease Number of Level Targeting of Adequate Margin Simplify the System Efficiencies Medical Staff Litigious free Environment Establish Contingency Plan Clear Line of Responsibility Establish Measurable Objectives Mandate Accountability Risk Governance Allied Health Professional Nursing Exit Strategy for Non Performing Programs Data Integrity & Governance Useful Information System

35 Dealing with the Status Quo Is not an option Improvement of Clinical Services Decrease Number of Level Targeting of Adequate Margin Simplify the System Efficiencies Medical Staff Litigious free Environment Establish Contingency Plan Clear Line of Responsibility Establish Measurable Objectives Mandate Accountability Risk Governance Allied Health Professional Nursing Exit Strategy for Non Performing Programs Data Integrity & Governance Useful Information System Love It Or Leave It

36 You Are Responsible For All Outcomes Be Proud. Find a Way to Brag About US Dealing with the Status Quo Is not an option Improvement of Clinical Services Decrease Number of Level Targeting of Adequate Margin Simplify the System Efficiencies Medical Staff Litigious free Environment Establish Contingency Plan Clear Line of Responsibility Establish Measurable Objectives Mandate Accountability Risk Governance Allied Health Professional Nursing Exit Strategy for Non Performing Programs Data Integrity & Governance Useful Information System Love It Or Leave It

37 Targeting of Adequate Margin Clear Line of Responsibility Dealing with the Status Quo Is not an option Establish Measurable Objectives Any Leader who think they are capable of Simplify the System Mandate Accountability Efficiencies Risk Governance Improvement of Clinical Services achieving these alone is not Allied Health Professional Medical Staff Nursing Litigious free Environment Every person/employee must be managed as a talent Exit Strategy for Non Performing Programs The contrary is our industry ststus quo Decrease Number of Level Data Integrity & Governance Establish Contingency Plan Useful Information System

38 MANAGE COMPETENCY Any characteristic of a person that differentiates outstanding from typical performance in a given job, role, organization or culture Baseline Necessary for top performance but not sufficient Distinguishing characteristics that lead to longer-term performance and success

39 MANAGE COMPETENCY Any characteristic of a person that differentiates outstanding from typical performance in a given job, role, organization or culture Skill Knowledge Baseline Necessary for top performance but not sufficient

40 MANAGE COMPETENCY Any characteristic of a person that differentiates outstanding from typical performance in a given job, role, organization or culture Skill Knowledge Baseline Necessary for top performance but not sufficient Distinguishing characteristics that lead to longer-term performance and success

41 MANAGE COMPETENCY Any characteristic of a person that differentiates outstanding from typical performance in a given job, role, organization or culture Skill Knowledge Baseline Necessary for top performance but not sufficient Behaviors Attitudes Values Feeling Safe Feeling Appreciated Distinguishing characteristics that lead to longer-term performance and success

42 Greatness is not a function of circumstance. Greatness, it turns out, is largely a matter of conscious choice, and discipline. Jim Collins

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