LEADER GOALS DIRECT REPORT GOALS Self Assess Leader

(mid-year / end year) Assess

(mid-year / end year)

Mission – Growth
Goal/Objective/Measure: ADJUSTED ADMISSIONS Goal/Objective/Measure: Increase Outpatient Diagnostic
Timing: FY ’10 Imaging procedures by 2%
Meet or exceed budgeted adjusted admissions : 17,663 Timing: June 2010

Goal/Objective/Measure: Increase PT\Oc Med Volume by 2%

Timing: June 2010

Goal/Objective/Measure: Increase IP and OP Cardiac

procedures (both invasive and non-invasive) by 1%
Timing: June 2010

Goal/Objective/Measure: Increase Wound Care procedures

by 2%
Timing: June 2010

Engagement – Physicians, Staff, Patient Loyalty

Goal/Objective/Measure: STAFF - RETENTION Goal/Objective/Measure: Perform “Walk a While” at least 4
Timing: FY ‘10 hours each quarter with a department under my responsibility
Improve Shelby retention to 80% Timing: June 2010

Goal/Objective/Measure: Routinely attend Dept Staff

meetings for departments reporting to me
Timing: June 2010

Goal/Objective/Measure: Continue weekly rounding talking

with staff and patients about customer and employee
satisfaction
Timing: June 2010

Goal/Objective/Measure: Begin design plans for

refurbishment of existing facility to improve working conditions
for employees and standardize facility for patients and visitors
Timing: June 2010
Goal/Objective/Measure: PATIENT - HCAHPS SCORE Goal/Objective/Measure: Select Environmental Service
Timing: FY ’10 Vendor and tie contract payment to HCAHP scores
% Composite Top Box Responses in Top Decile Timing: September 2009

Goal/Objective/Measure: Develop a refurbishment plan for

older facility to improve appearance and promote scores
Timing: December 2010

LEADER GOALS DIRECT REPORT GOALS Self Assess Leader

(mid-year / end year) Assess
(mid-year / end year)

Engagement – Physicians, Staff, Patient Loyalty

Goal/Objective/Measure: PHYSICIAN - ENGAGEMENT Goal/Objective/Measure: Dedicated meeting with a different
SCORE –OVERALL SATISAFACTION (GOAL TBD) physician group each month to discuss hospital operations
Timing: FY 10 and improve communication
Timing: June 2009

Goal/Objective/Measure: Meet with Cardiologists in CV

meeting at least quarterly to review Medical Director
Agreement and communication.
Timing: July 2010

Excellence –Operating Performance, Clinical Quality, Innovation

Goal/Objective/Measure: CLINICAL QUALITY - CLINICAL Goal/Objective/Measure: Develop and implement, in

CORE MEASURES conjunction with hospital managers & staff, actions to attain
Timing: FY ’10 and maintain 82% composite top box performance in CMS
clinical care process measures.
% Composite Top Box Performance in Top Decile
Timing: July 2010
Goal/Objective/Measure: EBDA
Timing: FY ‘10
Meet or exceed budgeted EBDA:
$25,997,000
Goal/Objective/Measure: Supply Cost
Reductions – Reduce Pharmacy expenses
by $93,000 through tighter formulary,
therapeutic substitution and better control of
usage.
Timing: June 2010
Goal/Objective/Measure: Supply Cost
Reductions – Maintain food costs at
$14.83 per patient day.
Timing: July 2009
Goal/Objective/Measure: Labor Costs – all
direct reporting departments to achieve
105% productivity unless core base staffing
is achieved. All departments who are not
achieving 105% are to be reviewed to
determine is reductions can be made or
services reduced.
Timing: July 2009
 LEADER GOALS DIRECT REPORT GOALS Self Assess Leader
(mid-year / end year) Assess
(mid-year / end year)

Excellence
Goal/Objective/Measure: Innovation - LEAN Goal/Objective/Measure: Perform at least 2 Lean programs
Timing: FY ’10 for SBMC and implement realizing a cost savings of at least
$50,000
Timing: June 2010

Other

Goal/Objective/Measure: South Tower Goal/Objective/Measure: Successfully open and begin

Timing: December 2009 operations in South Tower
Open 101 new beds including 16 critical care beds Timing: December 2009

Goal/Objective/Measure: Begin design plans for

refurbishment of existing facility to improve working conditions
for employees and standardize facility for patients and visitors
Timing: June 2010

Goal/Objective/Measure: LTAC Goal/Objective/Measure: Once South Tower is in operation,

Timing: March 2010 prepare 3rd floor for rental to LTAC Unit. Also work with LTAC
Rent existing 3rrd floor to Nolen for the opening of a long company to determine what services they will need and
develop contracts for provision of these services.
term acute unit
Timing: March 2010