kaiser permanente: performance management

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Business Review Best Practices Debra Brown, Performance Improvement Director Susana Garcia, Patient Care Experience Leader CENTRAL VALLEY AREA April 2012 Tool for Performance Management 2 | © 2012 Kaiser Foundation Health Plan, Inc. I. Balanced Scorecards Agenda II. Preparing for the Business Performance Review III. The Business Performance Review Format IV. Business Performance Review in Action

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Tool for Performance Management Debra Brown, Performance Improvement Director Susana Garcia, Patient Care Experience Leader

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Page 1: Kaiser Permanente: Performance Management

Business Review Best Practices

Debra Brown, Performance Improvement DirectorSusana Garcia, Patient Care Experience Leader

CENTRAL VALLEY AREA April 2012

Tool for Performance Management

2 | © 2012 Kaiser Foundation Health Plan, Inc.

I. Balanced Scorecards

Agenda

II. Preparing for the Business Performance Review

III. The Business Performance Review Format

IV. Business Performance Review in Action

Page 2: Kaiser Permanente: Performance Management

Balanced Scorecards

4 | © 2012 Kaiser Foundation Health Plan, Inc.

Balanced Scorecards

� Based on organizational Mission, Values, and Vision

� Requires the identification of strategic objectives

– Ensure alignment with organizational goals

� Requires performance measures (Metrics or Indicators)

– Measures are outcome-oriented and tied to an objective

– Target based and includes time sensitive target values

– Contains established targets to measure progress

Components

Page 3: Kaiser Permanente: Performance Management

5 | © 2012 Kaiser Foundation Health Plan, Inc.

Balanced Scorecards Example

Preparing for the Business Performance Review

Page 4: Kaiser Permanente: Performance Management

7 | © 2012 Kaiser Foundation Health Plan, Inc.

Preparing for the Business Performance Review

� Actual/variance and status reports are current in ActiveStrategy

– Measure actual/variance reports in system contain:

� Who is responsible

� Explanation of current performance

� What is being done to improve performance

� When results are expected

– Initiative status reports in system contain:

� Who is responsible

� Highlight of accomplishments

� Risks and obstacles to progress

� Actions required to resolve obstacles

Staff Success Factors

8 | © 2012 Kaiser Foundation Health Plan, Inc.

� Presenting department provides a suggested agenda

� Presenting department identifies the appropriate individuals from team to attend Business Performance Review

� Presenting department provides scribe for meeting

Preparing for the Business Performance Review Staff Success Factors

Page 5: Kaiser Permanente: Performance Management

9 | © 2012 Kaiser Foundation Health Plan, Inc.

� Reference documents are uploaded into ActiveStrategy

– Strategic action plans

– Project plans

– Collateral material that may be referenced

Preparing for the Business Performance Review Staff Success Factors

Readily available

reference materials

The Business Performance Review Format

Page 6: Kaiser Permanente: Performance Management

11 | © 2012 Kaiser Foundation Health Plan, Inc.

Reviewer (Leader) Presenting Department Scribe (Admin.)

� Sets expectations/ provides guidance

� Ensures alignment of resources to priorities

� Evaluates progress and use of recommended tools and techniques

� Identifies future needs

� Reports on performance listing actions taken, results, and next steps

� Communicates issues

� Requests needed resources/assistance

� Shares successes

� Captures all information

� Posts actions items and meeting notes

The Business Performance Review FormatStructure and Roles

12 | © 2012 Kaiser Foundation Health Plan, Inc.

� Monthly and ad hoc, as needed

� Focus

– Attendance

� Are directors/managers rounding? How many hours?

� Is there an effective attendance management plan in place?

– Budgeting

� What strategies have been implemented to track budget?

– Performance Management

The Business Performance Review FormatMeeting Frequency

Page 7: Kaiser Permanente: Performance Management

Business Performance Review in Action

14 | © 2012 Kaiser Foundation Health Plan, Inc.

� Presenting department starts with list of last Business Performance Review action items

� Reviewer seeks clarification when needed, asks probing questions, and sets expectations:

– Who

– What

– When

– Where

– Why

– How

Business Performance Review in ActionMeeting Structure

Page 8: Kaiser Permanente: Performance Management

15 | © 2012 Kaiser Foundation Health Plan, Inc.

Business Performance Review in ActionBalanced Scorecard - Snapshot

Graph of

performance

measure

Commentary

16 | © 2012 Kaiser Foundation Health Plan, Inc.

Business Performance Review in ActionBalanced Scorecard

Perspective

Stoplight

indicators

Objective

Initiative

Page 9: Kaiser Permanente: Performance Management

17 | © 2012 Kaiser Foundation Health Plan, Inc.

� Considerations

– Has a root cause analysis been conducted to determine why measures are underperforming?

– What initiatives will be implemented to impact performance?

– When can we expect to see improvement?

Business Performance Review in ActionScorecard – Attendance Management

18 | © 2012 Kaiser Foundation Health Plan, Inc.

Business Performance Review in ActionScorecard – Budget

Exceeding

expectations

Under-

performing

Page 10: Kaiser Permanente: Performance Management

19 | © 2012 Kaiser Foundation Health Plan, Inc.

� Scribe captures all action items from the discussion

� Meeting concludes with a summary of action items

Business Performance Review in ActionMeeting Conclusion

20 | © 2012 Kaiser Foundation Health Plan, Inc.

Questions?

Debra Brown

Performance Improvement Director

[email protected]

Susana Garcia

Patient Care Experience Leader

[email protected]

Speaker Contact Information