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CORPORATION X
  Strategic Plan
   Fiscal Year 2004




CONFIDENTIAL




         Page 1
TABLE OF CONTENTS

INTRODUCTION .......................................................................................................................... 3

OVERVIEW ................................................................................................................................... 4

STRATEGIC PLANNING PROCESS........................................................................................... 6

CORPORATION X VISION.......................................................................................................... 7

CORPORATION X MISSION....................................................................................................... 7

VALUES......................................................................................................................................... 8

ADDITIONAL VALUES INTEGRAL TO CORPORATION X .................................................. 8

CULTURE ...................................................................................................................................... 9

STRENGTHS ............................................................................................................................... 10

OPPORTUNITIES........................................................................................................................ 12

WEAKNESSES ............................................................................................................................ 13

THREATS..................................................................................................................................... 15

COMPETITION ........................................................................................................................... 16

GAPS ............................................................................................................................................ 18

KEY RESULT AREA TEAMS.................................................................................................... 20

GOALS ......................................................................................................................................... 21




                                                                      Page 2
INTRODUCTION
Over the past several months members of the Corporation X corporate staff and Directors have
updated our strategic plan to include the next three fiscal years—FY 2004, FY 2005 and FY
2006. We undertook this task in order to:
•   Develop a shared vision of where we want to go during the next three years;
•   Create a shared understanding for all directors and staff regarding the reason Corporation X.
    exists, what we want to achieve, and how we will go about achieving it; and
•   Promote unity and the commitment to move forward together to create our future.

In revising this plan, we again asked ourselves six simple questions:
•   Why are we in business?
•   How do we do business?
•   Where are we now?
•   Where do we want to be?
•   How can we get there?
•   How will we know we've arrived?

We have now thoroughly answered these questions. By doing so, we are now prepared to:
•   Chart a steady course in the turbulent waters of today’s healthcare;
•   Be of even greater service to our community through the improvement and expansion of our
    services;
•   Provide more opportunities for personal and professional growth and advancement for our
    entire staff
•   Create alliances with other healthcare providers that will benefit us and our community;
•   Set the framework for expanding our services; and
•   Create the financial stability and growth that is required in order to continue and expand our
    mission.

It is our belief that a firm commitment to this strategic plan will support us to create the future
we envision—for the people we serve, for our organization and for ourselves.


                                                Page 3
OVERVIEW
Below is an overview of the process undertaken to create this strategic plan.

WHY ARE WE IN BUSINESS?

We answered this question by determining our vision and reviewing our mission.

•   Vision—the future position and value of the organization.

•   Mission—the organization and its purpose:

    o   Who we are,

    o   Who we serve,

    o   What services we offer, and

    o   How we make them available.


HOW DO WE DO BUSINESS?

In other words, what standards will we apply in our dealings with one another, patients,
specialists, suppliers, the community-at-large, etc.?

•   Values—the bases on which we want decisions to be made and actions to be taken.

•   Culture—traditions, ethics, and other standards that influence the way things are
    accomplished in the organization.


WHERE ARE WE NOW?

An environmental assessment identified factors that can impact our mission. In
completing this assessment, we examined our:

•   Strengths,

•   Weaknesses,

•   Opportunities,

                                               Page 4
•   Threats, and

•   Competition.


WHERE DO WE WANT TO BE?

In this section of the strategic plan, we determined the key areas that must be addressed
in order to achieve our vision for Corporation X This process involved establishing:

•   Gap analysis—determining the difference between where we are and where we want
    to be.

•   Key results areas—the areas in which progress must be made in order to bring about
    the vision.

•   Goals—what will be accomplished in each key result area.


HOW CAN WE GET THERE?

In order to achieve our goals in each key results area, we must develop action plans and,
then, implement these plans.

•   Action plans—Specific action plans to achieve our goals—the right people doing the
    right things at the right time in the right way for the right reasons.

•   Resources—People, money, time, facilities, technology, etc. that will be needed to
    implement the action plans


HOW WILL WE KNOW WE'VE ARRIVED?
We must be able to measure our efforts and course correct when necessary.
•   Measurements of success—How we will measure the effectiveness of our efforts.

•   Plan revisions—Re-charting our course when necessary.




                                                 Page 5
STRATEGIC PLANNING PROCESS

 1. Strategic Planning Leadership Group meets annually in early summer to revise and
    update strategic plan and extend it out an additional year

        a.   Review vision to determine if it still fits

        b. Review gap between current reality and vision to affirm gaps that have been
             closed and determine if any further gaps exist that were not recognized initially

        c.   Each key result area team reviews their existing goals and determines need to
             revise or update. Create team goals for year being added to strategic plan

        d. Each key result team performs detailed cost analysis for goals for coming fiscal
             year that require it along with ROI and cost comparisons for various options

 2. Strategic Planning Leadership Group and Corporate Staff approve revised strategic plan
    with updated goals

 3. If necessary, Board approval of strategic plan is obtained

 4. Vice President assigns goals to appropriate Director or other Staff Member in his/her
    organization

 5. Director/Staff Member creates action plan and budget for goal

 6. VP and Director incorporate goal and action plan expenses and revenue into operating
    and capital budgets for upcoming fiscal year

 7. Strategic Planning Leadership group tracks results of goal achievement on quarterly basis
    via presentations by key result area teams

 8. Strategic Planning Leadership Group begins process anew annually prior to the budgeting
    process.




                                             Page 6
CORPORATION X VISION
Corporation X is committed to:

•   Providing excellent, affordable healthcare and other services that support our mission and
    making these services available to all who seek them

•   Management and staffing by skilled, dedicated, motivated and accountable team members
    who uphold our mission and values and give their best effort in all of their endeavors

•   A strong, well-respected identity among all of our core constituencies including business and
    industry, potential referral sources, prospective donors, other organizations and the people of
    our community

•   Full integration into the regional community through joint ventures and alliances with other
    organizations and leadership in community initiatives

•   Skillful stewardship of our financial resources and meeting financial goals each year




CORPORATION X MISSION
Corporation X endeavors to bring excellent healthcare and other services that support our
mission to all those in our community who seek them.




                                              Page 7
VALUES
These are statements of what CORPORATION X values and the standards we will apply in
dealings with staff, patients, specialists, suppliers, the community-at-large, and everyone else we
work with.



•   Sacredness of life

•   Dignity of the individual

•   Justice

•   Mercy

•   Service

•   Excellence



ADDITIONAL VALUES INTEGRAL TO CORPORATION X
•   Integrity

•   Loyalty

•   Compassion




                                               Page 8
CULTURE
These are statements of the traditions, ethics, and other standards that influence the way things
are accomplished at CORPORATION X.

•   Medical ministry with 100 years of experience in meeting community needs

•   Core Values and mission guide our professional lives

•   Before proceeding, we ask the question: Is there a need?

•   Willing to challenge the establishment

•   Increasing access to healthcare

•   Commitment to positive outcome and customer satisfaction

•   Problem solving evident at all levels

•   Creativity valued and applied

•   Personal responsibility for self and organization including patients/clients

•   Tolerance, respect for diversity

•   Education rather than punishment whenever possible in dealing with personnel issues

•   Providing useful information in a timely manner to help make well-reasoned decisions

•   Resourcefulness

•   Strong, supportive social relationships within the organization supporting the feeling of
    “family” through recognition and appreciation of staff and management on ongoing basis

•   Partnerships, alliances with other healthcare providers

•   Community spirit—Sharing skills and talents with the organizations and people of our
    community




                                               Page 9
STRENGTHS
Below are the internal factors that support movement toward our vision.

•   Loyalty and adherence to CORPORATION X Mission and Core Values in everything we do

•   Board and management made up of people who display excellence, experience, expertise,
    accountability, loyalty, diversity and compatibility

•   Experienced—vast amount of knowledge and skills in varying fields, including health care,
    communications, safety, construction, finance, community affairs, business management, etc.

•   Long-term service by management and staff

•   Multiple related services, including healthcare and general contracting

•   Outstanding knowledge of product lines

•   Excellent financial recording system for timely reports and paying bills on time

•   Excellent organizational skills within CORPORATION X

•   Staff provides compassionate, high-quality services

•   Highly accessible

•   Capability, agility and willingness to respond rapidly to challenges and opportunities

•   Possessing the power to confront change and the wisdom to take advantage of it

•   Care and guidance of our staff

•   Commitment to development of technical and leadership skills through education and
    training

•   Visionary thinking—ability to scan the horizon and discern the possibilities that are arising

•   Ability to see the big picture as well as the details

•   Providing exciting work in an innovative and winning environment

•   Honesty

•   Straightforwardness

•   Cooperation


                                                Page 10
•   Ability and initiative to follow-through

•   Community involvement

•   Reputation in community for excellent service, compassionate care




                                               Page 11
OPPORTUNITIES
Below are the external factors that support movement toward our vision.

• Inform people of our 100 years of service to this region

• Develop identity and disseminate this information throughout community

• Provide educational programs for professionals and patients

• Increase access to excellent healthcare and help keep community members healthy

• Stimulate more competitive pricing for medical care through our innovative activities

• Become greater positive influence in our community by providing affordable housing using
  our real estate and construction expertise

• Enroll community decision makers into supporting our mission

• Improve relations with and develop joint ventures and affiliations with other healthcare
  organizations

• Seek grants to support programs and services

• Seek community financial support of programs and services from specially targeted
  individuals

• Market construction services

• Seek ways to use Management team expertise to expand in the area of contract services

• Provide assistance in increasing industrial base in community

• Join and participate in community associations to further educate the residents of Asheville
  and surrounding areas about who we are and what we do

• Open urgent care centers outside of Buncombe County




                                               Page 12
WEAKNESSES
These are the internal factors that inhibit movement toward our vision.

•   Lack of strong identity in community due to name change and no real brand

•   Poor identity for Contracting Services due to past affiliation with hospital and internal
    operations

•   Need to further develop a corporate-wide Management Team.

•   Lean management team may limit innovation, planning, proactivity, communication

•   Variable physician practice patterns

•   Frequent changes and therefore some inconsistency in the business office

•   Need for consistent staff training and orientation

•   Disconnection from the medical community

•   Lack of hospital coverage for our family practice patients

•   Unpredictability of patient flow sometimes leads to long visit times

•   Under-utilization of available resources including physical therapy, lab, X-ray, etc.

•   Fear of change

•   Apparent weak Internal communications

•   Apparent separateness, lack of cohesiveness

•   Not always looking forward

•   Uncertain future due to financial situation helping create anxiety among staff

•   Current payor mix (approximately 50% industrial/adequately insured, 50%
    Medicare/Medicaid/uninsured) may lead to cash flow difficulties, lack of cash reserves

•   Lack of funding for needed upgrades in such areas as technology, facility upgrades, etc.

•   Lack of funding for support operations and capital expense on a continuing long-term basis.

•   Cash flow

•   Medical records not readily accessible or secure

                                               Page 13
•   Lack of reporting capabilities for marketing, management, etc.

•   Still behind the curve technology-wise, i.e. practice mgmt. system, connectivity, medical
    records, etc.




                                             Page 14
THREATS
Below are the external factors that inhibit movement toward our vision.

•   Managed care

•   Additional legislation that reduces the level of reimbursement for Medicare, Medicaid,
    workers compensation, etc.

•   Insurance industry policies and procedures that limit, delay or deny reimbursement

•   Increased competition

•   Shrinking industrial base

•   Increased numbers of underinsured patients

•   Limited affiliations and joint ventures with other healthcare groups

               o Uncertainty about the reliability of those we have

               o Potential risks associated with new ones

•   Perception by some physicians in the community that we are competitors, unnecessary or
    inferior

•   Rapidly changing medical and communications technology and the cost of this technology

•   Movement of physicians away from the Biltmore Avenue medical corridor.

•   The desire by large medical groups to own their own office space.

•   The high cost of expanding contracting services to full services contracting firm.

•   Possible terrorists attacks and the fear being generated by this possibility

•   Not achieving at least a seven percent return on Foundation and other funds




                                                Page 15
COMPETITION
Medical Competitive Analysis

    Name & Location              Competitor’s Description                      Competitor’s Strengths                 Competitor’s Weaknesses

    Mission St. Joseph’s   Hospital-based emergency room. 24-           ER board-certified physicians            High cost
     Emergency Dept.       hour services available at St. Joseph’s &    MICNs                                    Long waits
       Asheville, NC       Memorial Mission Hospitals                   Open 24 hours                            Location
        Occumed at         Previously referred industrial patients to   Supported by MSJ financial resources     In state of flux regarding mission
    Mission St. Joseph’s   physicians. Now providing medical            Substantial recent media coverage        Changing identity
       Asheville, NC       services directly to industry                Aligned with MSJ Outreach programs       Now in competition with physicians
    Park Ridge Hospital    24-hour services available. Owned by         Patient care emphasized                  Lack of competitive spirit
       Fletcher, NC        Seventh Day Adventist Church                 Educational programs provided            Narrow scope
                                                                        Alternative medicine and therapies
        Park Ridge         Owned by Seventh Day Adventist               Patient care emphasized                  Lack of competitive spirit
     Occupational Health   Church                                       Educational programs provided            Narrow scope
        Skyland, NC                                                     Alternative medicine and therapies
  ProMed Minor Emergency   Providers of occupational medicine and       Supported by Mountain Health Care        Location
          Center           minor emergency medicine                     Short waiting times                      See only select patients
       Asheville, NC                                                    Part of a Charlotte-based group          Quality of care
                                                                        Higher profit due to patient selection   Physician owned
    The S.O.M.A. Group     Providers of occupational medicine and       Specialists on site                      High overhead
       Asheville, NC       orthopedic medicine                          Great geographic location                Has not delivered cost-effective care
                                                                        Supported by orthopedic practices        Only see select patient financial type
                                                                        Deep pockets                             Physician owned




                                                                   Page 16
Mental Health Competitive Analysis

     Name & Location                Competitor’s Description                     Competitor’s Strengths                  Competitor’s Weaknesses

            Horizon            Outpatient DWI assessment and              Key strengths are long hours worked by     Limited referral base, DWI only. They
                               treatment services. Employees consist of
Asheville & Hendersonville, NC                                            owner and his wife, low overhead and       use an answering machine at times to
                               the owner, his wife and two part-time
                               contract employees. Annual sales           high profit margin. They answer the        cover when owner is with a client. No
                               volume is $190,000+ for both offices.      phone from 7 a.m. to 9 p.m. and also       insurance is taken, and they have no
                                                                          schedule Saturday appointments. They       real community involvement.
                                                                          have almost no accounts receivable.
       MSJ Copestone           Copestone is an inpatient and              Strengths are their name and ER            They are not competitive from a pricing
        Asheville, NC          outpatient psychiatric facility that does  referrals. Supported by MSJ financial      point of view and appear to lose money
                               high end Medicare, Medicaid, Private       resources They accept private insurance.   on the services.
                               insurance work with some dual
                               diagnosis. They claim to do straight
                               substance abuse but in fact do not. They
                               have a partial hospital program and IOP
                               day programs
     Mountain Addictions       Privately owned small, DWI and other      They take insurance and provide             Only three part-time employees
                               services. Total volume may be $60,000- services other than just DWI.
                               100,000 a year.




                                                                     Page 17
GAPS
Below are the significant gaps between our vision and the current reality.

FINANCE
•   Cash flow must be increased
•   Accounts receivable must be reduced
•   Inequity of net patient revenues compared to operating expenses must be addressed
•   Reduced opportunity for return on investments is possible due to current economic climate
•   Funds for additional projects (affordable housing, wellness, etc.) must be found

RESOURCE DEVELOPMENT
•   Stronger identity/brand is needed within CORPORATION X and in our community
•   Internal/external communications network must be strengthened
•   Must determine if we want to expand number of joint ventures and collaborations
•   Outside funding sources must be sought in order to carry on our mission
•   Must decide if we want to expand beyond Buncombe County
•   Must review current and prospective programs to determine how to proceed—maintain
    current course, expand, scale back, eliminate
•   Industry and public perception that wait times are too long must be changed

STAFFING/PRODUCTIVITY
•   All staff, management and physicians must have undergone essential education, training and
    orientation in order for each of us to have the necessary credentials, certifications and
    qualifications to do our jobs in a manner that is consistent with our mission and values
•   Adherence to our mission/values and movement toward our vision must be acknowledged
    and rewarded on an ongoing basis
•   Patient information and medical records must be readily accessible and in compliance with
    law
•   Must gain more consistency in handling workers comp patients

TECHNOLOGY/FACILITIES
•   More current technology must be acquired including improved connectivity between sites,
    practice management/electronic medical records software, etc.


                                               Page 18
•   Upgrade of equipment and appearance of centers is needed
•   Staff, management and physicians must have the necessary technological capabilities to do
    their jobs in an efficient and effective manner




                                               Page 19
KEY RESULT AREA TEAMS

Below are the areas in which progress must be made in order to bring about our vision and the
teams that will be responsible for bringing this progress about.


   Finance                                               Facilities/Technology


   Staffing/Productivity                                 Resource Development




                                              Page 20
GOALS
Below are the goals and objectives we intend to accomplish in each key results area by
September 30, 2006.

FINANCE

Objective: We will be good stewards of our financial resources, overseeing the creation of a
sound financial base for CORPORATION X that fully supports our ongoing efforts,
appropriately rewards management and staff, provides for the growth and development of our
services and enables us to continue serving the people of our region for years to come.

Primary Goals—to be achieved by 9/30/06

•   Achieve positive combined CORPORATION X bottom line as per attached three-year
    budget

•   Maintain positive CORPORATION X cash flow on an ongoing basis

•   Develop and implement system of well-defined accountability for all CORPORATION X
    budgetary areas to ensure that expenditures do not exceed CORPORATION X budgetary
    limits

•   Centralize all CORPORATION X client/patient business office functions under the
    leadership of one director using effective practice management/electronic medical records
    software system

•   Monitor investment fund manager performance on ongoing basis to maximize annualized
    average return over a three-year period



Annual Goals

FY 2004

•   Reduce days in A/R to no more than 90

•   Review fees every six months and adjust as needed

•   Attain average gross monthly receipts of at least $655,000



                                              Page 21
•   Maintain positive cash flow for CORPORATION X

•   Centralize all CORPORATION X patient business functions in one location under the
    leadership of one director.

•   Bring Mysis billing in-house.

•   Develop and implement system of well-defined accountability for all CORPORATION X
    budgetary areas to ensure that expenditures do not exceed CORPORATION X budgetary
    limits and track results to ensure compliance.

•   Choose practice management software

•   Continue monitoring investment fund manager performance to maximize annualized average
    return over a three-year period



FY 2005

•   Attain average gross monthly receipts of at least $675,000

•   Maintain positive cash flow for CORPORATION X

•   Maintain 90 days or less in A/R

•   Review fees and adjust as needed

•   Continue monitoring investment fund manager performance to maximize annualized average
    return over a three-year period



FY 2006

•   Attain average gross monthly receipts of at least $695,000

•   Maintain positive cash flow for CORPORATION X

•   Maintain 90 days or less in A/R

•   Review fees and adjust as needed

•   Continue monitoring investment fund manager performance to maximize annualized average
    return over a three-year period



                                              Page 22
FY 2004 Budget

•   N/A




                 Page 23
RESOURCE DEVELOPMENT

Objective: Through marketing, fund raising, program development, and our other activities, we
will attract the resources necessary to ensure a positive bottom line for CORPORATION X each
year while enabling us to increase the spectrum of services we offer the people of our region.

Primary Goals—to be achieved by 9/30/06

•   Generate at least $250,000 in net income via the Center for Healing

•   Raise at least $100,000 in net income during this period through rejuvenated Foundation
    efforts

•   Generate at least $250,000 in net income via the construction of affordable housing

•   Increase CORPORATION X bottom line by a total of at least $600,000 over the three years
    of this plan through the efforts indicated above



Annual Goals



FY 2004

•   Health care

    o Generate at least $6,908,571 in patient revenue

    o Attain consumer top-of-mind awareness of at least 50%

    o Attain business top-of-mind awareness of at least 60%

    o Center management focus on providing care we promise, decreasing visit times,
        improving staff morale and teamwork, assuring adequate staffing, flawless performance
        of drug screens, compliance with OSHA regulations

•   Mental health

    o Generate at least $1,919,660 in patient revenue

    o Continue expansion where possible

    o Gain CARF certification


                                              Page 24
•   Microcurrent Therapy

    o Generate at least $156,548 in patient revenue

    o Purchase additional electro myopulse and elecro acuscope in order to eliminate downtime

•   Foundation

    o Generate at least $5,000 in contributions

    o Explore creation of board for foundation

    o Website up and running

•   Affordable Housing

    o Currently no revenue goals

    o Determine feasibility of continuing this program after review of need for affordable
       housing in area

•   Thrift Store

    o Generate at least $47,000 in net income

    o Determine feasibility of additional store

•   Collaborations

    o Do not renew contract with ProActive Therapy

    o Contract with CarePartners to provide physician consulting services for them and
       generate at least $18,000 in net income in doing so

    o Contract with Sci-Tek to provide coordinated industrial/workers comp services and
       generate at least $5,000 in net income in doing so

    o Review cooperation with Blue Ridge Bone and Joint and determine proper course of
       action



FY 2005

•   To be determined




                                             Page 25
FY 2006

•   To be determined



FY 2004 Budget

•   Microcurrent Therapy

    o Electro myopulse machine    $7,500*

    o Electro acuscope machine-   $7,500*

       TOTAL                      $15,000

* Included in capital budget




                                            Page 26
TECHNOLOGY/FACILITIES

Objective: We will assure that the physical appearance of our facilities and the equipment
therein fully represent who we are and what we do—our vision, our mission and our values—in
order to more readily provide excellent customer service and excellent patient/client care. Each
of us will have access to up-to-date technology and will effectively use it to achieve greater
productivity, communicate more effectively and better serve our patients and our clients.

Primary Goals—to be achieved by 9/30/06

•   Upgrade centers’ physical appearance and equipment to meet CORPORATION X physical
    appearance and safety standards. Provide regular inspections and required maintenance so
    that the centers remain in acceptable ranges of those standards

•   Upgrade to up-to-date hardware, software and connectivity and ensure that all
    CORPORATION X management and staff have computer access and are trained to be
    effective in their use. Develop tracking system to ensure that software training and
    technological upgrades take place on a timely basis

•   Upgrade to standardized, state-of-the-art telephone system throughout entire corporation

•   Implement practice management/electronic medical records system for all Corporation X
    business entities for which it would be suitable

Annual Goals

FY 2004

•   Continue regular inspections at medical centers and do necessary work to achieve 85 percent
    compliance with CORPORATION X physical appearance and safety standards at each center
    (see below)

•   Begin inspections at mental health centers and do necessary work to achieve 80 percent
    compliance with CORPORATION X physical appearance and safety standards at each center
    during this fiscal year

•   Upgrade CORPORATION X computers, software and connectivity to company standards
    and train management and staff in their use (see below)

•   Support choice of practice management software


                                               Page 27
FY 2005

•   Continue regular inspections at medical enters and do necessary work to achieve 90 percent
    compliance with CORPORATION X physical appearance and safety standards at each center

•   Continue inspections at mental health centers and do necessary work to achieve 85 percent
    compliance with CORPORATION X physical appearance and safety standards at each center
    during this fiscal year

•   Upgrade to standardized, state-of-the-art telephone system throughout entire corporation

•   Review CORPORATION X information technology and upgrade as needed

•   Purchase and implement electronic medical records software system at medical centers



FY 2006

•   Continue regular inspections at all centers and do necessary work to achieve 100 percent
    compliance with CORPORATION X physical appearance and safety standards at each center

•   Review CORPORATION X information technology and upgrade as needed



FY 2004 Budget

Technology

•   Server (1)                                                            $5,029*

•   Computers w/ monitors (25)                                            $16,023*

•   15" flat panel LCD monitors (6)                                       $2,054*

•   Printers, Inkjet (9)                                                  $1,620*

•   Network switches & cabling (5)                                        $3,500*

•   Network equipment cabinets (6)                                        $5,500*

•   IT equipment for ARP/Phoenix centers statewide

    o Computers w/ monitors (6)                                           $6,600*

                                             Page 28
o Combo scanner/copier/fax (20)                                     $5,980*

•   Antivirus software, battery backups                                 $1,920

•   Information technology services (cabling, install hardware, etc.)   $5,310

       SUBTOTAL TECHNOLOGY                                              $53,536



Facilities

•   Medical center upgrade (South)

    o Upgrade nurse’s station                                           $5,000**

    o Paint air return grill                                            $100

    o Replace ceiling grid                                              $3,000**

    o Repaper waiting room                                              $2,000**

    o Add exhaust duct at lab                                           $500

    o Install signage                                                   $2,304**

•   Medical center upgrade (West)

    o Install wall border                                               $1,500

    o Repaper Room 4 wall                                               $500

    o Replace Room 6 ceiling tile                                       $1,000

    o Paint janitor closet                                              $1,000

    o Add exhaust duct at lab                                           $500

    o Install signage                                                   $3489**

•   Medical center upgrade (North)

    o Replace blinds                                                    $1,000

    o Repair cash drawer                                                $500

    o Replace ceiling tiles                                             $2,000**

    o Paint lab                                                         $2,000**


                                              Page 29
o Add exhaust duct at lab                          $500

    o Add filing system                                $5,000**

    o Install signage                                  $2,872**

•   Medical center upgrade (North)

    o Replace ceiling tiles                            $2,000**

    o Add storage shelves                              $1,000

    o Replace blinds                                   $1,000

    o Replace rear HVAC unit                           $10,000**

    o Install signage                                  $2,702**

    o Install road sign                                $8,000**

       SUBTOTAL FACILITIES                             $59,467

       TOTAL                                           $113,003

* $46,306 of Technology included in capital budget

** $50,367 of Facilities included in capital budget




                                             Page 30
STAFFING & PRODUCTIVITY

Objective: We will be managed and staffed by skilled, dedicated, motivated and accountable
team members who uphold our mission and values and give their best effort in all of their
endeavors

Primary Goals—to be achieved by 9/30/06

•   Maintain a tracking system that ensures that all staff, management personnel and physicians
    have essential education, training and orientation and have required credentials, certifications
    and qualifications

    o All new employees

            Education/credentials verified

            References/experience checked

            Skills checklist completed

    o All non-contract/non-salaried employees

            Evaluation twice yearly

            Rolling annual certification checks in all required areas, including BLS/ACLS

    o Administrative personnel

            Annual evaluations based on attainment of strategic, other goals

    o Physicians

            Initial credentials and board-approved privileges

            Renewal of credentials and privileges

            Physician chart review and patient ratings

            Rolling annual certification checks in all required areas including BLS/ACLS

•   Maintain a tracking system that ensures that turnover rates are within acceptable limits

    o Full-time turnover rate no greater than 10 percent for management personnel

    o Full-time turnover rate no greater than 25 percent for physicians and non-certification-
       required positions


                                               Page 31
•   Monitor surveys to ensure that results are within acceptable limits

    o Quality Improvement Data Surveys average in “good” to “excellent” range at least 95
       percent of time

    o Patient surveys average in “good” to “excellent” range at least 95 percent of time

    o Workers compensation surveys in “good” to “excellent” range at least 90 percent of time

    o Staff surveys in “good” to “excellent” range at least 90 percent of time for year

•   Monitor other indicators of excellent service to ensure that the results fall within acceptable
    ranges

    o Total visit times at health care centers within compliance (55 minutes or less) at least 10
       of each 12-month period for each center

    o Group attendance rates for clients at mental health centers within compliance at least 10
       months out of each 12-month period for each center



Annual Goals

FY 2004

•   Increase monetary incentive to reduce turnover—five percent pay increase to all receptionist
    personnel to average $10.50 per hour

•   Employee handbooks to all new employees

•   Increase volunteer participation for a total of 18 volunteers

    o Perform analysis of volunteer opportunities within organization

•   Develop staff website

•   Monitor turnover by discipline and determine how to become involved with staff recruitment

•   Develop and initiate employee survey

•   Institute mandatory exit interviews

•   Review all full time turnover including morale, hours, salary, etc.

•   Review concept of employee appreciation days and determine how to implement them


                                               Page 32
FY 2005

•   To be determined



FY 2006

•   To be determined



FY 2004 Budget

•   Increase receptionist monetary incentive              $29,952

•   Print employee handbooks                              $1,000

•   Provide volunteer appreciation incentives             $3,600

•   Develop staff website                                 $2,500

•   Implement employee appreciation days                  $1,000

               TOTAL                                      $38,052




                                                Page 33
Measurements of Success
Below is a description of how success is measured at CORPORATION X. Possible perspectives
include: financial (profitability, cash flow, increased market share, number of visits, etc.), patient
(patient satisfaction, competitive price, etc.), internal business (wait time, streamlined referrals,
ease of billings, etc.), and innovation and learning (service innovation, continuous improvement,
cutting edge technology, etc.).

Success at CORPORATION X is measured by . . .



Financial perspective—How do we look to our sponsors?

Number of patients/clients served, including uninsured, indigent

Positive bottom line

Positive cash flow

Patient perspective—How do clients or patients see us?

Comfortable waiting areas, sanitary conditions

Respectful, effective treatment

Reasonable visit times

Internal business perspective—What must we excel at?

Excellent, compassionate care

Living our values

Strong internal communications

Innovation and learning perspective—How can we continue to improve and create value?

Moving toward our vision through strategic planning process

Continuous learning

Continued updating of technology and education in using it

Creating innovative programs to serve more people




                                                Page 34

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Sample Strategic Plan

  • 1. CORPORATION X Strategic Plan Fiscal Year 2004 CONFIDENTIAL Page 1
  • 2. TABLE OF CONTENTS INTRODUCTION .......................................................................................................................... 3 OVERVIEW ................................................................................................................................... 4 STRATEGIC PLANNING PROCESS........................................................................................... 6 CORPORATION X VISION.......................................................................................................... 7 CORPORATION X MISSION....................................................................................................... 7 VALUES......................................................................................................................................... 8 ADDITIONAL VALUES INTEGRAL TO CORPORATION X .................................................. 8 CULTURE ...................................................................................................................................... 9 STRENGTHS ............................................................................................................................... 10 OPPORTUNITIES........................................................................................................................ 12 WEAKNESSES ............................................................................................................................ 13 THREATS..................................................................................................................................... 15 COMPETITION ........................................................................................................................... 16 GAPS ............................................................................................................................................ 18 KEY RESULT AREA TEAMS.................................................................................................... 20 GOALS ......................................................................................................................................... 21 Page 2
  • 3. INTRODUCTION Over the past several months members of the Corporation X corporate staff and Directors have updated our strategic plan to include the next three fiscal years—FY 2004, FY 2005 and FY 2006. We undertook this task in order to: • Develop a shared vision of where we want to go during the next three years; • Create a shared understanding for all directors and staff regarding the reason Corporation X. exists, what we want to achieve, and how we will go about achieving it; and • Promote unity and the commitment to move forward together to create our future. In revising this plan, we again asked ourselves six simple questions: • Why are we in business? • How do we do business? • Where are we now? • Where do we want to be? • How can we get there? • How will we know we've arrived? We have now thoroughly answered these questions. By doing so, we are now prepared to: • Chart a steady course in the turbulent waters of today’s healthcare; • Be of even greater service to our community through the improvement and expansion of our services; • Provide more opportunities for personal and professional growth and advancement for our entire staff • Create alliances with other healthcare providers that will benefit us and our community; • Set the framework for expanding our services; and • Create the financial stability and growth that is required in order to continue and expand our mission. It is our belief that a firm commitment to this strategic plan will support us to create the future we envision—for the people we serve, for our organization and for ourselves. Page 3
  • 4. OVERVIEW Below is an overview of the process undertaken to create this strategic plan. WHY ARE WE IN BUSINESS? We answered this question by determining our vision and reviewing our mission. • Vision—the future position and value of the organization. • Mission—the organization and its purpose: o Who we are, o Who we serve, o What services we offer, and o How we make them available. HOW DO WE DO BUSINESS? In other words, what standards will we apply in our dealings with one another, patients, specialists, suppliers, the community-at-large, etc.? • Values—the bases on which we want decisions to be made and actions to be taken. • Culture—traditions, ethics, and other standards that influence the way things are accomplished in the organization. WHERE ARE WE NOW? An environmental assessment identified factors that can impact our mission. In completing this assessment, we examined our: • Strengths, • Weaknesses, • Opportunities, Page 4
  • 5. Threats, and • Competition. WHERE DO WE WANT TO BE? In this section of the strategic plan, we determined the key areas that must be addressed in order to achieve our vision for Corporation X This process involved establishing: • Gap analysis—determining the difference between where we are and where we want to be. • Key results areas—the areas in which progress must be made in order to bring about the vision. • Goals—what will be accomplished in each key result area. HOW CAN WE GET THERE? In order to achieve our goals in each key results area, we must develop action plans and, then, implement these plans. • Action plans—Specific action plans to achieve our goals—the right people doing the right things at the right time in the right way for the right reasons. • Resources—People, money, time, facilities, technology, etc. that will be needed to implement the action plans HOW WILL WE KNOW WE'VE ARRIVED? We must be able to measure our efforts and course correct when necessary. • Measurements of success—How we will measure the effectiveness of our efforts. • Plan revisions—Re-charting our course when necessary. Page 5
  • 6. STRATEGIC PLANNING PROCESS 1. Strategic Planning Leadership Group meets annually in early summer to revise and update strategic plan and extend it out an additional year a. Review vision to determine if it still fits b. Review gap between current reality and vision to affirm gaps that have been closed and determine if any further gaps exist that were not recognized initially c. Each key result area team reviews their existing goals and determines need to revise or update. Create team goals for year being added to strategic plan d. Each key result team performs detailed cost analysis for goals for coming fiscal year that require it along with ROI and cost comparisons for various options 2. Strategic Planning Leadership Group and Corporate Staff approve revised strategic plan with updated goals 3. If necessary, Board approval of strategic plan is obtained 4. Vice President assigns goals to appropriate Director or other Staff Member in his/her organization 5. Director/Staff Member creates action plan and budget for goal 6. VP and Director incorporate goal and action plan expenses and revenue into operating and capital budgets for upcoming fiscal year 7. Strategic Planning Leadership group tracks results of goal achievement on quarterly basis via presentations by key result area teams 8. Strategic Planning Leadership Group begins process anew annually prior to the budgeting process. Page 6
  • 7. CORPORATION X VISION Corporation X is committed to: • Providing excellent, affordable healthcare and other services that support our mission and making these services available to all who seek them • Management and staffing by skilled, dedicated, motivated and accountable team members who uphold our mission and values and give their best effort in all of their endeavors • A strong, well-respected identity among all of our core constituencies including business and industry, potential referral sources, prospective donors, other organizations and the people of our community • Full integration into the regional community through joint ventures and alliances with other organizations and leadership in community initiatives • Skillful stewardship of our financial resources and meeting financial goals each year CORPORATION X MISSION Corporation X endeavors to bring excellent healthcare and other services that support our mission to all those in our community who seek them. Page 7
  • 8. VALUES These are statements of what CORPORATION X values and the standards we will apply in dealings with staff, patients, specialists, suppliers, the community-at-large, and everyone else we work with. • Sacredness of life • Dignity of the individual • Justice • Mercy • Service • Excellence ADDITIONAL VALUES INTEGRAL TO CORPORATION X • Integrity • Loyalty • Compassion Page 8
  • 9. CULTURE These are statements of the traditions, ethics, and other standards that influence the way things are accomplished at CORPORATION X. • Medical ministry with 100 years of experience in meeting community needs • Core Values and mission guide our professional lives • Before proceeding, we ask the question: Is there a need? • Willing to challenge the establishment • Increasing access to healthcare • Commitment to positive outcome and customer satisfaction • Problem solving evident at all levels • Creativity valued and applied • Personal responsibility for self and organization including patients/clients • Tolerance, respect for diversity • Education rather than punishment whenever possible in dealing with personnel issues • Providing useful information in a timely manner to help make well-reasoned decisions • Resourcefulness • Strong, supportive social relationships within the organization supporting the feeling of “family” through recognition and appreciation of staff and management on ongoing basis • Partnerships, alliances with other healthcare providers • Community spirit—Sharing skills and talents with the organizations and people of our community Page 9
  • 10. STRENGTHS Below are the internal factors that support movement toward our vision. • Loyalty and adherence to CORPORATION X Mission and Core Values in everything we do • Board and management made up of people who display excellence, experience, expertise, accountability, loyalty, diversity and compatibility • Experienced—vast amount of knowledge and skills in varying fields, including health care, communications, safety, construction, finance, community affairs, business management, etc. • Long-term service by management and staff • Multiple related services, including healthcare and general contracting • Outstanding knowledge of product lines • Excellent financial recording system for timely reports and paying bills on time • Excellent organizational skills within CORPORATION X • Staff provides compassionate, high-quality services • Highly accessible • Capability, agility and willingness to respond rapidly to challenges and opportunities • Possessing the power to confront change and the wisdom to take advantage of it • Care and guidance of our staff • Commitment to development of technical and leadership skills through education and training • Visionary thinking—ability to scan the horizon and discern the possibilities that are arising • Ability to see the big picture as well as the details • Providing exciting work in an innovative and winning environment • Honesty • Straightforwardness • Cooperation Page 10
  • 11. Ability and initiative to follow-through • Community involvement • Reputation in community for excellent service, compassionate care Page 11
  • 12. OPPORTUNITIES Below are the external factors that support movement toward our vision. • Inform people of our 100 years of service to this region • Develop identity and disseminate this information throughout community • Provide educational programs for professionals and patients • Increase access to excellent healthcare and help keep community members healthy • Stimulate more competitive pricing for medical care through our innovative activities • Become greater positive influence in our community by providing affordable housing using our real estate and construction expertise • Enroll community decision makers into supporting our mission • Improve relations with and develop joint ventures and affiliations with other healthcare organizations • Seek grants to support programs and services • Seek community financial support of programs and services from specially targeted individuals • Market construction services • Seek ways to use Management team expertise to expand in the area of contract services • Provide assistance in increasing industrial base in community • Join and participate in community associations to further educate the residents of Asheville and surrounding areas about who we are and what we do • Open urgent care centers outside of Buncombe County Page 12
  • 13. WEAKNESSES These are the internal factors that inhibit movement toward our vision. • Lack of strong identity in community due to name change and no real brand • Poor identity for Contracting Services due to past affiliation with hospital and internal operations • Need to further develop a corporate-wide Management Team. • Lean management team may limit innovation, planning, proactivity, communication • Variable physician practice patterns • Frequent changes and therefore some inconsistency in the business office • Need for consistent staff training and orientation • Disconnection from the medical community • Lack of hospital coverage for our family practice patients • Unpredictability of patient flow sometimes leads to long visit times • Under-utilization of available resources including physical therapy, lab, X-ray, etc. • Fear of change • Apparent weak Internal communications • Apparent separateness, lack of cohesiveness • Not always looking forward • Uncertain future due to financial situation helping create anxiety among staff • Current payor mix (approximately 50% industrial/adequately insured, 50% Medicare/Medicaid/uninsured) may lead to cash flow difficulties, lack of cash reserves • Lack of funding for needed upgrades in such areas as technology, facility upgrades, etc. • Lack of funding for support operations and capital expense on a continuing long-term basis. • Cash flow • Medical records not readily accessible or secure Page 13
  • 14. Lack of reporting capabilities for marketing, management, etc. • Still behind the curve technology-wise, i.e. practice mgmt. system, connectivity, medical records, etc. Page 14
  • 15. THREATS Below are the external factors that inhibit movement toward our vision. • Managed care • Additional legislation that reduces the level of reimbursement for Medicare, Medicaid, workers compensation, etc. • Insurance industry policies and procedures that limit, delay or deny reimbursement • Increased competition • Shrinking industrial base • Increased numbers of underinsured patients • Limited affiliations and joint ventures with other healthcare groups o Uncertainty about the reliability of those we have o Potential risks associated with new ones • Perception by some physicians in the community that we are competitors, unnecessary or inferior • Rapidly changing medical and communications technology and the cost of this technology • Movement of physicians away from the Biltmore Avenue medical corridor. • The desire by large medical groups to own their own office space. • The high cost of expanding contracting services to full services contracting firm. • Possible terrorists attacks and the fear being generated by this possibility • Not achieving at least a seven percent return on Foundation and other funds Page 15
  • 16. COMPETITION Medical Competitive Analysis Name & Location Competitor’s Description Competitor’s Strengths Competitor’s Weaknesses Mission St. Joseph’s Hospital-based emergency room. 24- ER board-certified physicians High cost Emergency Dept. hour services available at St. Joseph’s & MICNs Long waits Asheville, NC Memorial Mission Hospitals Open 24 hours Location Occumed at Previously referred industrial patients to Supported by MSJ financial resources In state of flux regarding mission Mission St. Joseph’s physicians. Now providing medical Substantial recent media coverage Changing identity Asheville, NC services directly to industry Aligned with MSJ Outreach programs Now in competition with physicians Park Ridge Hospital 24-hour services available. Owned by Patient care emphasized Lack of competitive spirit Fletcher, NC Seventh Day Adventist Church Educational programs provided Narrow scope Alternative medicine and therapies Park Ridge Owned by Seventh Day Adventist Patient care emphasized Lack of competitive spirit Occupational Health Church Educational programs provided Narrow scope Skyland, NC Alternative medicine and therapies ProMed Minor Emergency Providers of occupational medicine and Supported by Mountain Health Care Location Center minor emergency medicine Short waiting times See only select patients Asheville, NC Part of a Charlotte-based group Quality of care Higher profit due to patient selection Physician owned The S.O.M.A. Group Providers of occupational medicine and Specialists on site High overhead Asheville, NC orthopedic medicine Great geographic location Has not delivered cost-effective care Supported by orthopedic practices Only see select patient financial type Deep pockets Physician owned Page 16
  • 17. Mental Health Competitive Analysis Name & Location Competitor’s Description Competitor’s Strengths Competitor’s Weaknesses Horizon Outpatient DWI assessment and Key strengths are long hours worked by Limited referral base, DWI only. They treatment services. Employees consist of Asheville & Hendersonville, NC owner and his wife, low overhead and use an answering machine at times to the owner, his wife and two part-time contract employees. Annual sales high profit margin. They answer the cover when owner is with a client. No volume is $190,000+ for both offices. phone from 7 a.m. to 9 p.m. and also insurance is taken, and they have no schedule Saturday appointments. They real community involvement. have almost no accounts receivable. MSJ Copestone Copestone is an inpatient and Strengths are their name and ER They are not competitive from a pricing Asheville, NC outpatient psychiatric facility that does referrals. Supported by MSJ financial point of view and appear to lose money high end Medicare, Medicaid, Private resources They accept private insurance. on the services. insurance work with some dual diagnosis. They claim to do straight substance abuse but in fact do not. They have a partial hospital program and IOP day programs Mountain Addictions Privately owned small, DWI and other They take insurance and provide Only three part-time employees services. Total volume may be $60,000- services other than just DWI. 100,000 a year. Page 17
  • 18. GAPS Below are the significant gaps between our vision and the current reality. FINANCE • Cash flow must be increased • Accounts receivable must be reduced • Inequity of net patient revenues compared to operating expenses must be addressed • Reduced opportunity for return on investments is possible due to current economic climate • Funds for additional projects (affordable housing, wellness, etc.) must be found RESOURCE DEVELOPMENT • Stronger identity/brand is needed within CORPORATION X and in our community • Internal/external communications network must be strengthened • Must determine if we want to expand number of joint ventures and collaborations • Outside funding sources must be sought in order to carry on our mission • Must decide if we want to expand beyond Buncombe County • Must review current and prospective programs to determine how to proceed—maintain current course, expand, scale back, eliminate • Industry and public perception that wait times are too long must be changed STAFFING/PRODUCTIVITY • All staff, management and physicians must have undergone essential education, training and orientation in order for each of us to have the necessary credentials, certifications and qualifications to do our jobs in a manner that is consistent with our mission and values • Adherence to our mission/values and movement toward our vision must be acknowledged and rewarded on an ongoing basis • Patient information and medical records must be readily accessible and in compliance with law • Must gain more consistency in handling workers comp patients TECHNOLOGY/FACILITIES • More current technology must be acquired including improved connectivity between sites, practice management/electronic medical records software, etc. Page 18
  • 19. Upgrade of equipment and appearance of centers is needed • Staff, management and physicians must have the necessary technological capabilities to do their jobs in an efficient and effective manner Page 19
  • 20. KEY RESULT AREA TEAMS Below are the areas in which progress must be made in order to bring about our vision and the teams that will be responsible for bringing this progress about. Finance Facilities/Technology Staffing/Productivity Resource Development Page 20
  • 21. GOALS Below are the goals and objectives we intend to accomplish in each key results area by September 30, 2006. FINANCE Objective: We will be good stewards of our financial resources, overseeing the creation of a sound financial base for CORPORATION X that fully supports our ongoing efforts, appropriately rewards management and staff, provides for the growth and development of our services and enables us to continue serving the people of our region for years to come. Primary Goals—to be achieved by 9/30/06 • Achieve positive combined CORPORATION X bottom line as per attached three-year budget • Maintain positive CORPORATION X cash flow on an ongoing basis • Develop and implement system of well-defined accountability for all CORPORATION X budgetary areas to ensure that expenditures do not exceed CORPORATION X budgetary limits • Centralize all CORPORATION X client/patient business office functions under the leadership of one director using effective practice management/electronic medical records software system • Monitor investment fund manager performance on ongoing basis to maximize annualized average return over a three-year period Annual Goals FY 2004 • Reduce days in A/R to no more than 90 • Review fees every six months and adjust as needed • Attain average gross monthly receipts of at least $655,000 Page 21
  • 22. Maintain positive cash flow for CORPORATION X • Centralize all CORPORATION X patient business functions in one location under the leadership of one director. • Bring Mysis billing in-house. • Develop and implement system of well-defined accountability for all CORPORATION X budgetary areas to ensure that expenditures do not exceed CORPORATION X budgetary limits and track results to ensure compliance. • Choose practice management software • Continue monitoring investment fund manager performance to maximize annualized average return over a three-year period FY 2005 • Attain average gross monthly receipts of at least $675,000 • Maintain positive cash flow for CORPORATION X • Maintain 90 days or less in A/R • Review fees and adjust as needed • Continue monitoring investment fund manager performance to maximize annualized average return over a three-year period FY 2006 • Attain average gross monthly receipts of at least $695,000 • Maintain positive cash flow for CORPORATION X • Maintain 90 days or less in A/R • Review fees and adjust as needed • Continue monitoring investment fund manager performance to maximize annualized average return over a three-year period Page 22
  • 23. FY 2004 Budget • N/A Page 23
  • 24. RESOURCE DEVELOPMENT Objective: Through marketing, fund raising, program development, and our other activities, we will attract the resources necessary to ensure a positive bottom line for CORPORATION X each year while enabling us to increase the spectrum of services we offer the people of our region. Primary Goals—to be achieved by 9/30/06 • Generate at least $250,000 in net income via the Center for Healing • Raise at least $100,000 in net income during this period through rejuvenated Foundation efforts • Generate at least $250,000 in net income via the construction of affordable housing • Increase CORPORATION X bottom line by a total of at least $600,000 over the three years of this plan through the efforts indicated above Annual Goals FY 2004 • Health care o Generate at least $6,908,571 in patient revenue o Attain consumer top-of-mind awareness of at least 50% o Attain business top-of-mind awareness of at least 60% o Center management focus on providing care we promise, decreasing visit times, improving staff morale and teamwork, assuring adequate staffing, flawless performance of drug screens, compliance with OSHA regulations • Mental health o Generate at least $1,919,660 in patient revenue o Continue expansion where possible o Gain CARF certification Page 24
  • 25. Microcurrent Therapy o Generate at least $156,548 in patient revenue o Purchase additional electro myopulse and elecro acuscope in order to eliminate downtime • Foundation o Generate at least $5,000 in contributions o Explore creation of board for foundation o Website up and running • Affordable Housing o Currently no revenue goals o Determine feasibility of continuing this program after review of need for affordable housing in area • Thrift Store o Generate at least $47,000 in net income o Determine feasibility of additional store • Collaborations o Do not renew contract with ProActive Therapy o Contract with CarePartners to provide physician consulting services for them and generate at least $18,000 in net income in doing so o Contract with Sci-Tek to provide coordinated industrial/workers comp services and generate at least $5,000 in net income in doing so o Review cooperation with Blue Ridge Bone and Joint and determine proper course of action FY 2005 • To be determined Page 25
  • 26. FY 2006 • To be determined FY 2004 Budget • Microcurrent Therapy o Electro myopulse machine $7,500* o Electro acuscope machine- $7,500* TOTAL $15,000 * Included in capital budget Page 26
  • 27. TECHNOLOGY/FACILITIES Objective: We will assure that the physical appearance of our facilities and the equipment therein fully represent who we are and what we do—our vision, our mission and our values—in order to more readily provide excellent customer service and excellent patient/client care. Each of us will have access to up-to-date technology and will effectively use it to achieve greater productivity, communicate more effectively and better serve our patients and our clients. Primary Goals—to be achieved by 9/30/06 • Upgrade centers’ physical appearance and equipment to meet CORPORATION X physical appearance and safety standards. Provide regular inspections and required maintenance so that the centers remain in acceptable ranges of those standards • Upgrade to up-to-date hardware, software and connectivity and ensure that all CORPORATION X management and staff have computer access and are trained to be effective in their use. Develop tracking system to ensure that software training and technological upgrades take place on a timely basis • Upgrade to standardized, state-of-the-art telephone system throughout entire corporation • Implement practice management/electronic medical records system for all Corporation X business entities for which it would be suitable Annual Goals FY 2004 • Continue regular inspections at medical centers and do necessary work to achieve 85 percent compliance with CORPORATION X physical appearance and safety standards at each center (see below) • Begin inspections at mental health centers and do necessary work to achieve 80 percent compliance with CORPORATION X physical appearance and safety standards at each center during this fiscal year • Upgrade CORPORATION X computers, software and connectivity to company standards and train management and staff in their use (see below) • Support choice of practice management software Page 27
  • 28. FY 2005 • Continue regular inspections at medical enters and do necessary work to achieve 90 percent compliance with CORPORATION X physical appearance and safety standards at each center • Continue inspections at mental health centers and do necessary work to achieve 85 percent compliance with CORPORATION X physical appearance and safety standards at each center during this fiscal year • Upgrade to standardized, state-of-the-art telephone system throughout entire corporation • Review CORPORATION X information technology and upgrade as needed • Purchase and implement electronic medical records software system at medical centers FY 2006 • Continue regular inspections at all centers and do necessary work to achieve 100 percent compliance with CORPORATION X physical appearance and safety standards at each center • Review CORPORATION X information technology and upgrade as needed FY 2004 Budget Technology • Server (1) $5,029* • Computers w/ monitors (25) $16,023* • 15" flat panel LCD monitors (6) $2,054* • Printers, Inkjet (9) $1,620* • Network switches & cabling (5) $3,500* • Network equipment cabinets (6) $5,500* • IT equipment for ARP/Phoenix centers statewide o Computers w/ monitors (6) $6,600* Page 28
  • 29. o Combo scanner/copier/fax (20) $5,980* • Antivirus software, battery backups $1,920 • Information technology services (cabling, install hardware, etc.) $5,310 SUBTOTAL TECHNOLOGY $53,536 Facilities • Medical center upgrade (South) o Upgrade nurse’s station $5,000** o Paint air return grill $100 o Replace ceiling grid $3,000** o Repaper waiting room $2,000** o Add exhaust duct at lab $500 o Install signage $2,304** • Medical center upgrade (West) o Install wall border $1,500 o Repaper Room 4 wall $500 o Replace Room 6 ceiling tile $1,000 o Paint janitor closet $1,000 o Add exhaust duct at lab $500 o Install signage $3489** • Medical center upgrade (North) o Replace blinds $1,000 o Repair cash drawer $500 o Replace ceiling tiles $2,000** o Paint lab $2,000** Page 29
  • 30. o Add exhaust duct at lab $500 o Add filing system $5,000** o Install signage $2,872** • Medical center upgrade (North) o Replace ceiling tiles $2,000** o Add storage shelves $1,000 o Replace blinds $1,000 o Replace rear HVAC unit $10,000** o Install signage $2,702** o Install road sign $8,000** SUBTOTAL FACILITIES $59,467 TOTAL $113,003 * $46,306 of Technology included in capital budget ** $50,367 of Facilities included in capital budget Page 30
  • 31. STAFFING & PRODUCTIVITY Objective: We will be managed and staffed by skilled, dedicated, motivated and accountable team members who uphold our mission and values and give their best effort in all of their endeavors Primary Goals—to be achieved by 9/30/06 • Maintain a tracking system that ensures that all staff, management personnel and physicians have essential education, training and orientation and have required credentials, certifications and qualifications o All new employees Education/credentials verified References/experience checked Skills checklist completed o All non-contract/non-salaried employees Evaluation twice yearly Rolling annual certification checks in all required areas, including BLS/ACLS o Administrative personnel Annual evaluations based on attainment of strategic, other goals o Physicians Initial credentials and board-approved privileges Renewal of credentials and privileges Physician chart review and patient ratings Rolling annual certification checks in all required areas including BLS/ACLS • Maintain a tracking system that ensures that turnover rates are within acceptable limits o Full-time turnover rate no greater than 10 percent for management personnel o Full-time turnover rate no greater than 25 percent for physicians and non-certification- required positions Page 31
  • 32. Monitor surveys to ensure that results are within acceptable limits o Quality Improvement Data Surveys average in “good” to “excellent” range at least 95 percent of time o Patient surveys average in “good” to “excellent” range at least 95 percent of time o Workers compensation surveys in “good” to “excellent” range at least 90 percent of time o Staff surveys in “good” to “excellent” range at least 90 percent of time for year • Monitor other indicators of excellent service to ensure that the results fall within acceptable ranges o Total visit times at health care centers within compliance (55 minutes or less) at least 10 of each 12-month period for each center o Group attendance rates for clients at mental health centers within compliance at least 10 months out of each 12-month period for each center Annual Goals FY 2004 • Increase monetary incentive to reduce turnover—five percent pay increase to all receptionist personnel to average $10.50 per hour • Employee handbooks to all new employees • Increase volunteer participation for a total of 18 volunteers o Perform analysis of volunteer opportunities within organization • Develop staff website • Monitor turnover by discipline and determine how to become involved with staff recruitment • Develop and initiate employee survey • Institute mandatory exit interviews • Review all full time turnover including morale, hours, salary, etc. • Review concept of employee appreciation days and determine how to implement them Page 32
  • 33. FY 2005 • To be determined FY 2006 • To be determined FY 2004 Budget • Increase receptionist monetary incentive $29,952 • Print employee handbooks $1,000 • Provide volunteer appreciation incentives $3,600 • Develop staff website $2,500 • Implement employee appreciation days $1,000 TOTAL $38,052 Page 33
  • 34. Measurements of Success Below is a description of how success is measured at CORPORATION X. Possible perspectives include: financial (profitability, cash flow, increased market share, number of visits, etc.), patient (patient satisfaction, competitive price, etc.), internal business (wait time, streamlined referrals, ease of billings, etc.), and innovation and learning (service innovation, continuous improvement, cutting edge technology, etc.). Success at CORPORATION X is measured by . . . Financial perspective—How do we look to our sponsors? Number of patients/clients served, including uninsured, indigent Positive bottom line Positive cash flow Patient perspective—How do clients or patients see us? Comfortable waiting areas, sanitary conditions Respectful, effective treatment Reasonable visit times Internal business perspective—What must we excel at? Excellent, compassionate care Living our values Strong internal communications Innovation and learning perspective—How can we continue to improve and create value? Moving toward our vision through strategic planning process Continuous learning Continued updating of technology and education in using it Creating innovative programs to serve more people Page 34