Chancellor’s Strategic Planning Retreat

April 7, 2011

John C. Adams, Ph.D.

What’s Strategy

• Strategy is ENDS & MEANS

– What’s our desired future?

– How will we create it?

24/7/11

Why bother with strategy?

• Strategy positions UNMC in a turbulent present.

• Strategy is imaging our best future.

• Strategy charts the way forward.

• Strategy is seizing opportunities.

• Strategy mobilizes our stakeholders.

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Our Starting Point

The partnership of UNMC and the Nebraska Medical Center will be a world-renowned health sciences center that:

• Delivers state-of-the-art health care;

• Prepares the best-educated health professionals and scientists;

• Ranks among the leading research centers;

• Advances our historic commitment to community health;

• Embraces the richness of diversity to build unity;

• Creates economic growth in Nebraska.

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Talk Outline

• Today’s agenda

• Strategic accomplishments

• Quality & performance

• Planning assumptions

• Completing the plan

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Morning Session

• Hal’s remarks

• Transforming clinical research

• Discussion

• Break

• Six breakout sessions

• Break

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Afternoon Session

•Lunch

•Primary care center

•Discussion

•Six breakout sessions

•Retreat adjourns -- 2:45

•Session leader report writing;

submissions due by 3:30

4/7/11 7

Today’s Work

Identify opportunities & propose goals

to refresh UNMC’s

rolling three-year strategic plan“The future belongs

to those who believe in

the beauty of their dreams.” -Eleanor Roosevelt

84/7/11

Strategic Accomplishments

94/7/11

Education

* Expanded use of mobile learning.

* Progressing with Center for Primary

Care Education, Research & Health

Care Design & with curriculum

review for learning communities.

* Created new Office of Education.

* Operating new distance learning delivery modes.

104/7/11

Research

• Established UNMC, TNMC & UNMC-P

consolidated informatics planning board.

• Launched Nebraska Regenerative

Medicine Project under founding director.

• Accelerated Personalized Medicine

development with formation of genomics

core laboratory.

114/7/11

Community & Campus Partnerships for Health

• Approved strategic plan for global institutional partnerships with strong infrastructure.

• Developing a Centerfor Health Policy in the College of Public Health.

• Expanded international education, research & service.

124/7/11

Cultural Competence

• Added online cultural competency course as

mandatory training & working on

enhancements.

• Will consider diversity award & restructuring of

Chancellor’s Diversity Advisory Council at

spring retreat.

• Developing diversity Weblink on UNMC front

page.

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Economic Growth

• Continuing Discussions with the Army

Telemedicine & Advanced Technology

Research Center (TATRC) & other

Department of Defense contracting parties.

• Signed agreement with Quintiles, one of

the world’s largest clinical organizations, to

make UNMC a prime site for trials.

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Employee Loyalty & Wellness

• Implemented common UNMC, UNMC-P &

TNMC employee discount program.

• Provided financial “lunch & learns”

(delivered by Metro Credit Union).

• Increased employee engagement with the

UNMC brand.

• Improved participation in University health

risk assessment to 42%.

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Performance & Quality Indicators

We use 12 key indicators & a number of

sub-indicators to evaluate

& track our performance.

(See PIQI, pp. 3&4).

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Performance against our own extremely demanding standards

• Outstanding – 1

• Excellent – 5

• Very good – 5

• Good – 1

• Slightly better than last year

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Quality & Performance Ratings 1-3

Education: Very good (stable)

• 91-100% Licensure exam pass rates

Research: Outstanding (stable)

• 14% growth in research awards

Health care: Very good (stable)

• 90% patient satisfaction rates

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Quality & Performance Ratings 4-6

Rural activities: Excellent (stable)

• 70% of rural practitioners are UNMC trained

Minority recruitment & retention: Good (stable)

• Effective recruitment & retention

Economic growth: Excellent (stable)

• 67% increase in license revenues

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Quality & Performance Ratings 7-9

Employee loyalty: Excellent (stable)

• 91% employee retention

Financial strength: Excellent (improved)

• 12.3% growth in self-funding

Infrastructure: Excellent (stable)

• 3 buildings completed + strong IT & high

Library research ROI

204/7/11

Quality & Performance Ratings 10-12

Strategic leadership: Very good (stable)

• Strong branding & donor support

Compliance: Very good (stable)

• Financial Stewardship Council established

National rankings: Very good (stable)

• 7th in Primary care

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Planning Assumptions (things we expect)

• UNMC

• UNMC, UNMC-P & The Nebraska Medical

Center

• Omaha & Metro Area

• Nebraska

• University

• United State & Global Community

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Possible Surprises

• Surprises are when things we considered turn out

differently.

• Surprise Surprises are things

we didn’t think about.

• These are the ones

that nip our rear!

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Other Views: Fortune, 2/28/10 & OWH, 3/6/11

Following each set of assumptions are

IDEAS to PONDER. They include:

• the profound,

• the silly &

• the cautionary.

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UNMC

• We build

– Truhlsen Eye Institute

– College of Pharmacy

• We grow

– Regenerative medicine

• Our brand is strong

– UNMC tells a compelling story

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Pushing the Brand (or not)

Direct approach: “Visually stunning and incredibly tough Corning® Gorilla® Glass will change the way you think about glass.” (p. 2)

Subtle appeal: “The Van Winkle family has

been in the bourbon business

for 100 years. Its secret?

Make prize-winning spirits

and keep supply really low.” (p. 21)4/7/11 26

Strategic Partnership

• Alignment makes us a strong competitor

under healthcare reform

• Epic implementation leads to improved

care & better clinical research/education

• Bellevue Medical Center continues

expanding its services

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Healthcare Spending, Meet “Spot”

“SEE SPOT? SPEND.

$47.7 BILLION

Estimated total

U.S. Pet industry expenditures

In 2010.” (p. 11)

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Omaha & Metro Area

• Omaha moves beyond the recall & the

loss of State aid to cities

• Planning for the new

VA Hospital is followed by

construction

• Building Bright Future

improves learning & health

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Innovate, Attack & Delight

“…handheld e-reader is a runaway hit…. By creating the hardware, they almost created the industry.”

“…has grown bigger more quickly than any company in retail history.”

“…customer-centric approach

[rivals] longtime retail legends like Nordstrom.” (p. 18)

AMAZON.COM304/7/11

Nebraska

• The $1 billion dollar budget shortfall

“disappears” without damage to the

University

• Employment growth &

economic expansion

continue

314/7/11

Young Turks & Young Pros

“Term limits have changed all the faces in the Legislature;….It’s hard to find a state senator who will even

utter the phrase ‘tax hike.’”

“If Omaha harnesses the talent and energy of its Young Professionals Summit, the future is bright indeed.”Omaha World Herald, March 6, 2011, p. 1B

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University

• Advances the six inter-related goals of the

strategic framework

• Sustains strong enrollment & diversity

• Manages “flat” State general fund

appropriation

• Foundation successfully completes

Campaign Nebraska

334/7/11

Tech Gains & Losses

“Chicago-based Groupon spurned a reported $6 billon offer from Google…,then proceeded to raise a stunning $1 billion in venture capital.” (p. 29)

“Analysts predict that at least 2 million AT&T

subscribers over the

next two years will switch carriers [to Verizon].” (p. 33)

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U.S. & Global Community

• Global economy continues uneven

economic rebound

• Commodity prices & biofuels create food

supply disruptions

• Water, nutrition, health &

equity issues persist

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Bust & Boom

“You thought the worst was over, but 157 banks failed in 2010.” (p. 15)

“The Obama administration in backing a boom in arms exports…. These sales support many of his goals: creating jobs, boosting exports, and improving diplomacy.” (p. 6)

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“Their Uprising, Our Weapons”

“When the first protests hit Cairo in late

January, the American government

took great pains to position itself as a

neutral bystander. American

weapons, on the other hand were in

the thick of the turmoil.” (p. 72)

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“Mongolia: A Speculator’s Fantasy”

“2010’s best-performing currency?

The Mongolian tugrik.” “Yes. It’s boom time in Mongolia….”

“People are getting rick very quickly.” (p. 16)

*********“Home prices in Florida

have been struggling to

stay above water. Now is a great time tobe a buyer.” (p. 44)

384/7/11

Planning Calendar

• Post session reports – 4/8

• CSF leaders propose goals – 4/18

• Chancellor’s Council adopts plan – 5/10

• Leaders, teams & measures due – 6/15

• Publish full UNMC Strategic Plan – 6/15

• Unit plans due to Chancellor – 7/15

394/7/11

College of Public Health

404/7/11