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Administrative Fellowship Best Practices:Developing Future Leaders
Gina CroninCleveland Clinic
Administrator Heart & Vascular Institute
Melissa YeeKaiser PermanenteExecutive Consultant
Postgraduate Administrative Fellowship ProgramSouthern California Kaiser PermanenteMelissa Yee, Program Director
Southern California Regional Offices – November 2014
3 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
Agenda Slide
KP Overview
Fellowship History and Where We Are Today
Fellowship Structure
Fellowship Leadership Development
Questions
4 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
Nationally, we provide care for over 9 million members
KP by the Numbers
9,056,234 members
175,668 employees
17,157 physicians
37 hospitals
618 medical offices and other facilities
94,292 babies delivered
116 million+ visits to kp.org
32.3 million lab test results viewed online
13.4 million secure emails sent
3.2 million online requests for appointments
11.9 million online prescription refills
36.3 million doctor's office visits
149,316 inpatient surgeries
5 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
Kaiser Permanente – California
Northern California Southern California
Additional SCAL Numbers
21 Medical Centers
154 Medical Office Buildings
3.5 million members
14 Medical Centers
209 Medical Office Buildings
3.7 million members
61,897 employees or51,157 FTEs
6,035 physicians
20,393 Nurses
35,687 babies delivered (2013)
1,622,610 registered kp.org users
6 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
Fellowship History and Where We Are Today
1987 – Informal rotational program developed
– Two-Year Fellowship, consisting of 3 8-month rotations
2012 – Expanded program to 6 Fellows per year (previously only 2)
2014 – Additional enhancement … actively recruiting candidates with clinical / nursing graduate degrees
7 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
Fellowship StructureOur Fellows are Supported at All Levels of the Organization
Benjamin Chu, MDGroup President, KFHP/H
Judy WhiteCOO, SCPMG
Greg ChristianExecutive Director
Bob BlairChief Administrative Officer
Melissa YeeProgram Director
1st Year Fellows 2nd Year Fellows
Fellowship Alumni
Executive Preceptors Executive Preceptors
8 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
Leadership Development
Exposure
Introduced to executives / leaders throughout Southern California
Attend various leadership meetings and off-sites
Attend internal and external leadership conferences
Ability to see different perspectives – Health Plan, Hospital, and Medical Group
Experience
Variety of settings / locations – Medical Centers and Regional Offices
− Based on Fellows’ Career Path
Work on a variety of projects – Strategic Planning to Process Improvement
Manage staff in a department
Mentorship
Provided by all levels
− Executives, Directors, Alumni, Peer Group
Performance Feedback
Training
9 | © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.November 24, 2014
— Rosalynn Carter, First Lady of the United States from 1977 -1981
"A leader takes people where they want to go.A great leader takes people where they don'tnecessarily want to go, but ought to be."
Re‐Tool for Future
Executive Sponsorship Team Competency Framework Purpose‐Driven Projects Leadership Development
Innovate Management Education
Sponsorship from the Top
Executive Sponsorship
Conveys Importance of Leadership Development Engages Key Sponsors and Sets Tone
Toby Cosgrove, MDChief Exec Officer & President
Bill PeacockChief of Operations
Executive Mentors
Rob StallChief of Operations,
Cleveland Clinic Regional Hospitals
Andi JacobsExecutive Director,
Cleveland Clinic Division of Operations
Mila HennExecutive Director,
Patient Support & Global Patient Services
Monthly check-in and Advocate
Jim BenedictExecutive Director,
International Operations & Logistics
Cynthia D. HundorfeanChief Administrative Office,
Clinical Services
Linda McHughExecutive Administrator
to CEO & Board of Governors
Executive Mentors
Competency Model
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• Defines the Behaviors for Success Backbone of Fellowship
• Benchmarks Healthcare, External Industry Validated Alumni Focus Group
• Develop Along Continuum Limited Proficiency More Expert
Competency ModelAdaptability
Communication
Decision Making
Initiative
Managing Work
Teamwork
Work Standards
• Developmental “North Star”
• Assess and Feedback
• Adjust Projects to Develop Competency
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Project‐Based Learning
Fellow Objectives and Wish List
+Cleveland Clinic Imperatives
Quality Cost Repositioning Regional Hospital
Strategy ContinuousImprovement Value-Based Care
2014
2014‐2015 Projects
ProjectsAvon Inpatient Activation
Cleveland Clinic Florida Strategy
Cath Lab CI Improvements
Akron General Affiliation
Value-Based Care Transitions
Endoscopy Process Improvements
Saudi Arabia Business Plan
Energy Demand Reduction-Cost Reposition
• Portfolio of 8 ongoing projects• Art of Managing Priorities and Communication
CurriculumCleveland
Clinic Academy
ExposureLeadership RoundingExecutive
Committees
Executive Coaching
Individual & Team
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Leadership Development
Leadership Development
Deep Dive Sessions
Case StudiesThinking Rounds
Presentation Coaching
CEO and COOCapstone
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Superior Succession Plan– Steeped in Culture– Robust Development
Energizing– New ideas, creativity
Immediate Impact– High level projects and valued contributors
Fellowship Rewards
Success Metrics
6 Years and 26 Administrative Fellows
100% permanent positions offered
Highly Sought Candidates
Rapid Pace of Promotion
Fellowship Family
Community Impact
Positive for City of Cleveland– Recruit National and International – Active Downtown Residents– Civic Leaders GOAL Group of Aspiring Leaders
ConnectGraduate Management Education
MHA and MBA National Community
Host 100 Graduate Program Students Onsite
Bridge Academics to Practice
Half‐Day Program Featuring:
Executive Leadership Share Strategies and Insights
Tours Heart and Vascular Operating Rooms, Service Center, Patient Floors
MHA and MBA National Community
Cleveland Clinic Case Competition
Weekend Case Competition
Solve “Real‐Life” Issue
Final teams present in Cleveland
Executive judges
Cash awards