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Performance Excellence
Workforce Management
      Strategies
2012 Operating Plan Objective:

Develop and implement a performance
approach that enables RHCs to achieve
  their performance improve targets.
           (Finance Pillar 2.3.2)




                                        2
Performance excellence
What is Performance Excellence?

      “A systematic approach in
  methodology and tools that allows
  us to deliver excellence in all we do
         to all those we serve”




                                          4
Value Proposition
 To create an integrated approach to
 organizational performance excellence that
 results in:
  Delivery of ever improving value to customers
   and stakeholders;
  Improvement of overall organizational
   effectiveness and capabilities;
  Enabling disciplined execution;
  Organizational sustainability; and
  Organizational and personal learning (cultural
   change).

                                                    5
Journey to Performance Excellence

                                          Jan- March 2012                                                May 2012
                                   Performance Excellence Team:                                  PE Implementation Plans:
                                  Develops recommendations including            April 2012:                Develop
                             philosophy, approaches, guidance, tools and      Implementation   plans, processes, resources to
                                             techniques.                          begins        implement recommendations



       Dec 2011:            Jan 2012                              March 28, 2012:                               June 2012:
  CHE Operating Plan:    Charter approved                          RHC CEOs / SMT                              PE Steering
Develop and implement a      by SMT                                   approve                                 Committee first
performance improvement                                           recommendations                               meeting
approach that enables the
  RHCs to achieve their
performance improvement
        targets




                                                                                                                         6
6
Performance excellence
Building Awareness System-wide
                  Building Awareness Through…
                  ▪ CHE Internal publications
                     - feature in Summer 2012 issue
                       of The Governance Report
                     - article in Fall 2012 edition
                       of Horizons
                     - CEO Report (upcoming issues)
                  ▪ State of the System webcast
                    (October 30, 2012)

                  ▪ PE slide deck for use at RHC
                    meetings
                  ▪ PE Video for use at local level
                  ▪ Encourage RHCs to include
                    stories in their local publications
                    and communications
                                                          8
Status on Key Action Steps

    •New Performance Excellence Logo



                                •“Enabling a culture”
                                represents foundation of
                                building Performance
                                Excellence program
                                •Cross and hands represent
                                connection to mission-based
                                organization and patient care
                                •Circular arrows represent
                                continuous motion /
                                improvement

                                                                9
9
Performance excellence
Status on Key Action Steps

     •Endorsed PE Planning Document: Key Points


     •Breakthrough performance includes building capability in all five pillars –
     service, quality, people, finance and growth
     •Performance improvement approach leverages the knowledge and resources
     being utilized today by RHCs to enable them to achieve their performance
     improvement targets
     •Provides a common definition – a systematic approach in methodology and tools
     that allows us to deliver excellence in all we do for all those we serve
     •PE applies to all processes system-wide – acute, non-acute and administrative
     •Hardwiring a culture of performance excellence requires change in mindset
     starting with leadership’s ability to frame and support change




                                                                                      11
11
Status on Key Action Steps

     •PE Planning Document: Key Points


     •The PE approach establishes and aligns accountabilities while at the same time
     maintains flexibility of each RHC. Sophistication of the approach and program will
     evolve over time. “Tight-loose-tight” infrastructure




                                                                                          12
12
Status on Key Action Steps

     •PE Planning Document: Key Points




     Disciplined Execution
      requires root cause
       identification and
     solutions. Selecting
     the right methodology
          leads to more
     efficient and effective
          solution to the
      opportunity identified
                                               13
13
Status on Key Action Steps

     •PE Planning Document: Key Points




          Leverage and
         utilize existing
        resources. WFM
           Champions
        positioned as PE
           Champions


                                          14
14
Status on Key Action Steps

     •PE Planning Document: Key Points




                                                                         SharePoint provides
                                                                         for central repository
                                                                         of projects, templates
                                                                             and tools. PE
                                                                          Champions monthly
                                                                          calls focus on best
                                                                            practice sharing

     Over 35 projects collected and loaded into SharePoint for sharing
                            ideas and outcomes
                                                                                                  15
15
Status on Key Action Steps

     •PE Planning Document: Key Points




     Principles:
     •Begin with CHE and RHC Leadership as the priority in 2012           Training and
     •Incorporate in already scheduled face to face meetings in      Education is a critical
     July, September and November
     •Invest in key note speaker(s) to build momentum and energize
                                                                        success factor
     around the possibilities                                        beginning with senior
     •Utilize RHC CEOs to provide education based on their own          leadership and
     experiences and methodologies
     •Education should focus on methodologies, tools and practical
                                                                     cascading throughout
     applications Training and Education a critical success factor     the organization
     beginning with senior leadership and cascading throughout the
     organization



                                                                                               16
16
Status on Key Action Steps

     •PE Planning Document: Measures of success



     •Short term and long term key performance metrics
         •Short term – focus on planning and implementation
             •Complete an agreed upon education curriculum for CHE and RHC Senior
             Leadership teams
             •Develop and populate Performance Excellence SharePoint site
             •Incorporate RHC and System Office operational planning and budget
             processes, including the 2013 budget process


         •Long term – focus on achievement of savings identified in 2013 budgets
             •Achievement of dollar savings identified within budgeting process as
             performance improvement projects.
             •2013 Target: TBD upon completion of 2013 budget approval

                                                                                     17
17
Status on Key Action Steps

     •Endorsed PE Charter and Financial Impact Analysis
     Guidelines: Key Points
     •PE measure of success includes integrating and incorporating performance excellence
     activities in both our operational planning and budgeting cycles for both the CHE
     System Office and RHCs
     •2 standard forms developed:
          •PE Project Charter
          •PE Financial Impact Analysis
     •During budgeting cycle, each RHC and System Office will a provide a high level
     narrative on the performance excellence projects that will be a focus in the upcoming
     year based on thresholds
     •During ongoing operational planning, at a minimum, RHCs complete the 2 standard
     forms for those projects that meet criteria during budgeting cycle. However, all RHCs
     are encouraged to utilize the forms as broadly possible for any and all projects.


                                                                                             18
18
Status on Key Action Steps

     •Endorsed PE Charter and Financial Impact Analysis
     Guidelines: Key Points
     •Ongoing Operational Planning: Both the Charter and Financial Impact
     analysis to be completed and submitted for best practice sharing




                                                                            19
19
Status on Key Action Steps

     •Endorsed PE Charter and Financial Impact Analysis
     Guidelines: Key Points
     •Annual Budget Cycle: Complete high level narrative for projects with the
     following thresholds:
         •Any projects with financial benefits of at least $1.0 million or greater in total for
         2013-2017. If there are no projects with a cumulative financial impact of over
         $1.0 million, provide an itemization of the four (4) largest projects



                      PE Project                Pillar           Estimated $ impact (if
                                                                      applicable)




                                                                                                  20
20
Performance excellence
Next Steps

     •RHC Senior Leadership:


     •Engage in building a culture of ongoing performance improvement
     •Include PE as standing agenda topic at all meetings
     •Utilize the disciplined approach – standard Charter and Financial
     Impact analyses
     •Identify and share best practices system-wide through the PE
     Champions
     •Educate, educate and educate at all levels




                                                                          22
22
Performance excellence
Performance excellence

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Performance excellence

  • 2. 2012 Operating Plan Objective: Develop and implement a performance approach that enables RHCs to achieve their performance improve targets. (Finance Pillar 2.3.2) 2
  • 4. What is Performance Excellence? “A systematic approach in methodology and tools that allows us to deliver excellence in all we do to all those we serve” 4
  • 5. Value Proposition  To create an integrated approach to organizational performance excellence that results in:  Delivery of ever improving value to customers and stakeholders;  Improvement of overall organizational effectiveness and capabilities;  Enabling disciplined execution;  Organizational sustainability; and  Organizational and personal learning (cultural change). 5
  • 6. Journey to Performance Excellence Jan- March 2012 May 2012 Performance Excellence Team: PE Implementation Plans: Develops recommendations including April 2012: Develop philosophy, approaches, guidance, tools and Implementation plans, processes, resources to techniques. begins implement recommendations Dec 2011: Jan 2012 March 28, 2012: June 2012: CHE Operating Plan: Charter approved RHC CEOs / SMT PE Steering Develop and implement a by SMT approve Committee first performance improvement recommendations meeting approach that enables the RHCs to achieve their performance improvement targets 6 6
  • 8. Building Awareness System-wide Building Awareness Through… ▪ CHE Internal publications - feature in Summer 2012 issue of The Governance Report - article in Fall 2012 edition of Horizons - CEO Report (upcoming issues) ▪ State of the System webcast (October 30, 2012) ▪ PE slide deck for use at RHC meetings ▪ PE Video for use at local level ▪ Encourage RHCs to include stories in their local publications and communications 8
  • 9. Status on Key Action Steps •New Performance Excellence Logo •“Enabling a culture” represents foundation of building Performance Excellence program •Cross and hands represent connection to mission-based organization and patient care •Circular arrows represent continuous motion / improvement 9 9
  • 11. Status on Key Action Steps •Endorsed PE Planning Document: Key Points •Breakthrough performance includes building capability in all five pillars – service, quality, people, finance and growth •Performance improvement approach leverages the knowledge and resources being utilized today by RHCs to enable them to achieve their performance improvement targets •Provides a common definition – a systematic approach in methodology and tools that allows us to deliver excellence in all we do for all those we serve •PE applies to all processes system-wide – acute, non-acute and administrative •Hardwiring a culture of performance excellence requires change in mindset starting with leadership’s ability to frame and support change 11 11
  • 12. Status on Key Action Steps •PE Planning Document: Key Points •The PE approach establishes and aligns accountabilities while at the same time maintains flexibility of each RHC. Sophistication of the approach and program will evolve over time. “Tight-loose-tight” infrastructure 12 12
  • 13. Status on Key Action Steps •PE Planning Document: Key Points Disciplined Execution requires root cause identification and solutions. Selecting the right methodology leads to more efficient and effective solution to the opportunity identified 13 13
  • 14. Status on Key Action Steps •PE Planning Document: Key Points Leverage and utilize existing resources. WFM Champions positioned as PE Champions 14 14
  • 15. Status on Key Action Steps •PE Planning Document: Key Points SharePoint provides for central repository of projects, templates and tools. PE Champions monthly calls focus on best practice sharing Over 35 projects collected and loaded into SharePoint for sharing ideas and outcomes 15 15
  • 16. Status on Key Action Steps •PE Planning Document: Key Points Principles: •Begin with CHE and RHC Leadership as the priority in 2012 Training and •Incorporate in already scheduled face to face meetings in Education is a critical July, September and November •Invest in key note speaker(s) to build momentum and energize success factor around the possibilities beginning with senior •Utilize RHC CEOs to provide education based on their own leadership and experiences and methodologies •Education should focus on methodologies, tools and practical cascading throughout applications Training and Education a critical success factor the organization beginning with senior leadership and cascading throughout the organization 16 16
  • 17. Status on Key Action Steps •PE Planning Document: Measures of success •Short term and long term key performance metrics •Short term – focus on planning and implementation •Complete an agreed upon education curriculum for CHE and RHC Senior Leadership teams •Develop and populate Performance Excellence SharePoint site •Incorporate RHC and System Office operational planning and budget processes, including the 2013 budget process •Long term – focus on achievement of savings identified in 2013 budgets •Achievement of dollar savings identified within budgeting process as performance improvement projects. •2013 Target: TBD upon completion of 2013 budget approval 17 17
  • 18. Status on Key Action Steps •Endorsed PE Charter and Financial Impact Analysis Guidelines: Key Points •PE measure of success includes integrating and incorporating performance excellence activities in both our operational planning and budgeting cycles for both the CHE System Office and RHCs •2 standard forms developed: •PE Project Charter •PE Financial Impact Analysis •During budgeting cycle, each RHC and System Office will a provide a high level narrative on the performance excellence projects that will be a focus in the upcoming year based on thresholds •During ongoing operational planning, at a minimum, RHCs complete the 2 standard forms for those projects that meet criteria during budgeting cycle. However, all RHCs are encouraged to utilize the forms as broadly possible for any and all projects. 18 18
  • 19. Status on Key Action Steps •Endorsed PE Charter and Financial Impact Analysis Guidelines: Key Points •Ongoing Operational Planning: Both the Charter and Financial Impact analysis to be completed and submitted for best practice sharing 19 19
  • 20. Status on Key Action Steps •Endorsed PE Charter and Financial Impact Analysis Guidelines: Key Points •Annual Budget Cycle: Complete high level narrative for projects with the following thresholds: •Any projects with financial benefits of at least $1.0 million or greater in total for 2013-2017. If there are no projects with a cumulative financial impact of over $1.0 million, provide an itemization of the four (4) largest projects PE Project Pillar Estimated $ impact (if applicable) 20 20
  • 22. Next Steps •RHC Senior Leadership: •Engage in building a culture of ongoing performance improvement •Include PE as standing agenda topic at all meetings •Utilize the disciplined approach – standard Charter and Financial Impact analyses •Identify and share best practices system-wide through the PE Champions •Educate, educate and educate at all levels 22 22