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SFHSS board reviews high-level strategic plan for 2020–2023, asks for operational details

San Francisco Health Service System Board · September 13, 2018
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Summary

The San Francisco Health Service System board heard a high-level strategic plan from Aon covering five goals — affordable & sustainable care, reduced fragmentation, member engagement, choice and whole-person health — and asked staff for more operational detail and resource estimates ahead of an October approval vote.

The San Francisco Health Service System board on Thursday reviewed a high-level draft strategic plan for plan years 2020–2023, with consultants from Aon outlining five strategic goals designed to guide benefit design and member services over the next three years.

Juan Anderson of Aon told commissioners the plan centers on five priorities: making benefits affordable and sustainable, reducing complexity and fragmentation, engaging and supporting members, offering choice and flexibility, and advancing whole-person health. “This plan is really intended to, also demonstrate some of the near term issues that we need to solve for as well as be, positioned to address future changes,” Anderson said during the presentation.

Executive Director Abby Yant said the board would receive a fuller draft for approval in October that includes measurement and an operational work plan. “We are bringing before you today a pretty high level overview of the plan to be certain that you have an understanding of where we're going and can give us any questions or suggestions on the strategic direction,” she said.

Board members pressed for clearer wording and implementation details. Commissioner Randy Scott asked that the mission language explicitly mention “our members and their families”; Leticia Pagan, senior health program planner, confirmed stakeholder sessions and staff input will be incorporated. Commissioners also requested a glossary of acronyms and a clearer resource plan to show where staffing or new partnerships will be required to execute the business initiatives in each plan year.

Pagan summarized early engagement data from staff sessions and stakeholder meetings, reporting high rates of staff agreement that the sessions were useful (for example, “79% of our staff agreed or strongly agreed” that the meeting enhanced their understanding). Staff and stakeholder feedback will be used to refine objectives and action items before the October meeting.

Next steps: HSS leadership said a full draft with objectives, an organizational-excellence component and a measurement strategy will return to the board in October for formal action.