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DPH unveils high-level strategic priorities focusing on equity, workforce, EPIC and homelessness

San Francisco Department of Public Health Commission · January 7, 2020
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Summary

DPH presented a draft departmental strategic plan using a 'True North' framework and Hoshin Kanri deployment method, centering five priorities: advancing equity, workforce development, lean/process improvement, data/EPIC use, and homelessness/behavioral health; commissioners asked for linked A3s and metric timelines before a vote.

Dr. Golden presented a high-level draft of the San Francisco Department of Public Health's strategic priorities, framed as a "True North" compass with the Hoshin Kanri method for deployment. The plan identifies six dimensions of organizational work and five strategic priorities: advancing equity; workforce development; lean and daily management systems; effective use of data and EPIC deployment; and homelessness with integrated behavioral health services.

Golden described how the plan will cascade to divisions and sections through A3 plans and "catch ball" feedback cycles, with measures that include both leading and lagging indicators. The presentation emphasized training staff in improvement methods, developing equity skills curricula, and using EPIC data tools to improve care coordination across the network.

Commissioners welcomed the overview but asked for more specific A3 links, timelines and measurable targets. Several commissioners recommended linking the high-level draft to the detailed A3 documents and requested the A3s be provided before the commission votes on the plan at the next meeting so that progress and milestones can be judged.

DPH leadership said the strategic priorities are multi-year and that more detailed measures and timelines are available in underlying documents; staff committed to providing the A3s and to reporting progress and metrics in future sessions.