Get Full Government Meeting Transcripts, Videos, & Alerts Forever!
Get email alerts on the Healthcare Management topic
No spam. Unsubscribe anytime.
San Francisco DPH network narrows strategic priorities to three, cites data gaps and EHR need
Summary
Roland Pickens told the Health Commission the San Francisco Health Network has reduced nine prior initiatives to three priorities — EHR readiness, workforce development via Lean, and aligning care and finance for value-based payments — and reported that only 9 of 47 True North metrics are on target while 18 remain pending data definitions.
Roland Pickens, director of the San Francisco Health Network, told the San Francisco Health Commission that the network has tightened its strategic focus and will concentrate on three priorities over the next two years: readiness for an enterprise electronic health record, building staff capacity through Lean methods, and aligning care and finances for value-based payments.
"We narrowed our scope from 9 down to only 3 strategic initiatives," Pickens said during the commission meeting, calling the smaller set of priorities necessary to improve focus and data reliability. He said the network's Lean work — begun as a proof of concept at Zuckerberg San Francisco General in 2012 and expanded to primary care and Laguna Honda — is now being used departmentwide to create a common language for performance management.
The presentation also reviewed the network's quarter 1 True North metrics. Pickens said the network has established 47 metrics across six True North dimensions — quality, safety, care experience, workforce, financial stewardship and equity. Of those, 9 were on target, 20 were off target and 18 were recorded as pending because data definitions or sources were still being developed. "Implementing Epic will be one way we can improve our data reporting capabilities," Pickens said, referring to plans for an enterprise EHR.
Pickens linked the strategic plan to broader DPH initiatives including the Medicaid waiver, the PRIME project, the Global Payment Program and the Whole Person Care pilot, saying the shift from fee-for-service to value-based reimbursement makes stronger data systems and aligned incentives more urgent.
Commissioners welcomed the tighter focus and asked staff to continue improving data integration across divisions so incident and performance information can be analyzed by time, place and demographic groups. Pickens said he will return to present updated quarter 1 data in the coming months, with a goal of increasing metrics "in green, less in red, and less in no data available."
