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1 David Gefen School o Medicine at UCLA & UCLA Health Syste - 1 - DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA & UCLA HEALTH SYSTEM & UCLA HEALTH SYSTEM STRATEGIC PLANNING UPDATE August 2010

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David Gefen School o Medicine at UCLA & UCLA Health Syste
- 1 -
DAVID GEFFEN SCHOOL OF MEDICINE AT UCLADAVID GEFFEN SCHOOL OF MEDICINE AT UCLA
& UCLA HEALTH SYSTEM& UCLA HEALTH SYSTEM
STRATEGIC PLANNING UPDATE 
David Gefen School o Medicine at UCLA & UCLA Health Syste
“If ever there was a time for strategic planning for health sciences at UCLA, that time
is now.”  
Dean, David Geffen School of Medicine at UCLA  
UCLA today faces crtca! strate"c c#a!!e$"es a$d o%%ort$tes'
$c!d$"(
Expansion in research and clinical enterprises
Steadily declining State support
Dramatic advances in science, medicine, and technology
 Anticipated impact of national health reform
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
I Develo! a com!"ehensive# inte$"ated st"ate$ic !lan %ased on academic and healthca"e !"io"ities and
 
+
David Gefen School o Medicine at UCLA & UCLA Health Syste
,a"t +- .inali/e
,lan0 Im!lementa
tion ,lannin$
Di"ectio n
PHASE IIPHASE II
Im!lementati on Assistance
• Defne Goals with Measureable Outcomes
• Defne Strategy Design Team Assignments
,a"t 1- ,lannin$ 5esea"ch
• Sta%eholder Sur"ey
• rioriti)e Strategies
• *inali)e Strategic lan
• efne Tactical Detail
• !m'lementation Structure - rocess
• Annual rogress e"iew
David Gefen School o Medicine at UCLA & UCLA Health Syste
. Strategic lanning Steering Committee meetings+
Strate"c *!a$$$" I$tat)e - T,e!$e
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
Strate"c *!a$$$" Steer$" Co,,ttee
A E"e$e .as#$"to$' MD' MSc' Chair  
Da)d Fe$/er"' MD' M0A' Co-Chair
dy Gasso$' *#D' Co-Chair
oyce Fred' Diretor  
Se$or Leaders#%3Fac!ty
A$t#o$y A!da)e' MD
o$ 0ra$' MD' *#D
Mare-Fra$cos C#esse!et' MD' *#D
S#er$ De)as5ar' MD
6e!sey Mart$' MD' *#D
Mc#ae! *#e!%s' *#D
A!a$ 4o/$so$' MD
4a$do!%# Stead,a$' MD
*e""y Vor7a!d
David Gefen School o Medicine at UCLA & UCLA Health Syste
What We Have Learned
David Gefen School o Medicine at UCLA & UCLA Health Syste
Interview !eslts" Patient Care
/0  Talented and dedicated health care 'ro+essionals0
10 atient(centered culture in the 2ealth System resulting in im'ro"ed ser"ice, access and 'atient satis+action0
30 &4cellent national re'utation as 5To' 3 2os'ital6 and 57est 2os'ital in the $est06
80 7rand new, state(o+(the(art hos'itals in $estwood and Santa Monica0
90 Outstanding leadershi'0
90 Collaborati"e, collegial, interdisci'linary culture0
/0 oor 'atient access to onald eagan :C;A Medical Center, 'rimarily due to lac% o+ in'atient beds0
10 ;ac% o+ coordinated, 'atient( centered care, 'articularly in the out'atient setting0
30 Variable clinical <uality across de'artments0
80 !ndi"idualistic, de'artment( +ocused culture0
90 ;ac% o+ fnancial trans'arency0
90 *aculty recruitment, retention and su''ort0
,"ima"y St"en$ths,"ima"y St"en$ths ,"ima"y 9ea:nesses,"ima"y 9ea:nesses
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y <!!o"t'nities,"ima"y <!!o"t'nities ,"ima"y =h"eats,"ima"y =h"eats
/0 &nhance clinical <uality, sa+ety and coordination o+ 'atient( centered care0
10 Strengthen collaborati"e culture o+ the School o+ Medicine0
30 !denti+y, de"elo' and in"est in select, targeted clinical 'rograms0
80 !ncrease in'atient bed ca'acity and access at :MC0
90 !m'ro"e fnancial 'osition and trans'arency0
/0 !ntense com'etition +rom community hos'itals, including a=liates0
10 *inancial challenges and resource constraints0
30 :ncertain im'act o+ health care re+orm0
80 Di=culties retaining and recruiting world(class +aculty0
90 &conomic issues in the State o+ Cali+ornia im'act state +unding +or :C;A0
Interview !eslts" Patient Care
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y St"en$ths,"ima"y St"en$ths ,"ima"y 9ea:nesses,"ima"y 9ea:nesses
/0 Di"erse, inno"ati"e and well( regarded research enter'rise0
10 Collegial and collaborati"e research community co(located on a single cam'us with other 'ro+essional schools0
30 Many talented research +aculty0
80 Solid research +unding as a 5To' />6 ?!2(+unded School o+ Medicine0
90 !m'ro"ed research in+rastructure and +acilities0
90 Clinical research o''ortunities a"ailable through :C;A 2ealth System and hos'ital a=liates0
/0 esearch s'ace@ insu=cient, non( contiguous and lac%ing an obecti"e, strategic and coordinated allocation 'rocess based u'on 'roducti"ity0
10 Variable caliber o+ researchB egalitarian culture does not 'romote e4cellence0
30 ?eed +or greater research collaborations@ across DGSOM, across :C;A, with a=liates and between clinicians and basic scientists0
80 !nability to secure ?!2 Clinical and  Translational Sciences Award to( date due to 'oor coordination and 'lanning0
Interview !eslts" !esearch
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y <!!o"t'nities,"ima"y <!!o"t'nities ,"ima"y =h"eats,"ima"y =h"eats
/0 7roaden multidisci'linary, inter( 'ro+essional and translational collaborations within the DGSOM as well as with other :C;A schools, a=liate hos'itals and industry 'artners0
10 De"elo' a trans+ormational, su''orti"e research in+rastructure0
30 !denti+y a limited number o+ research areas +or +ocused de"elo'ment0
80 eno"ate C2S to become a state( o+(the(art research +acility0
90 ecruit and retain outstanding research +acultyB de"elo' succession lans +or a in +acult
/0 ;ac% o+ +unding to su''ort research enter'rise which distinguishes :C;A as a world( class uni"ersity0
10 *aculty recruitment and retention challenges in current economic en"ironment0
30 State budget cuts and their im'act the :ni"ersity o+ Cali+ornia0
80 Animal rights acti"ism0
90 Strong com'etition e0g0, :SC, CSMC in ;os Angeles County0
90 2ea"ily regulated research en"ironment0
Interview !eslts" !esearch
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y St"en$ths,"ima"y St"en$ths ,"ima"y 9ea:nesses,"ima"y 9ea:nesses
/0 !nsu=cient +unding +or the educational mission0
10 Variable <uality o+ graduate students, 'ost(docs and residents0
30 &ducational curricula0
90 Varying le"els o+ +aculty commitment to teaching0
90 !nade<uate 'ro+essional de"elo'ment +or graduate student and 'ost(doctoral +ellows0
/0 &4cellent national re'utation as a to' medical school0
10 Dedicated and 'ro+essional grou' o+ medical educators0
30  To'(notch and di"erse medical student body0
80 !nno"ati"e and well(integrated medical school curriculum0
90 Com'etiti"e GM& 'rograms that attract e4cellent residents0
90 A=liate training hos'itals with large and di"erse 'atient 'o'ulations.
Interview !eslts" E#cation
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y <!!o"t'nities,"ima"y <!!o"t'nities ,"ima"y =h"eats,"ima"y =h"eats
/0 !denti+y +unding sources to su''ort educational 'rograms0
10 Assess and im'ro"e curricula0
30 De"elo' strong, well(coordinated interdisci'linary and inter'ro+essional educational 'rograms0
80 eward and su''ort e4cellent teaching0
90 !denti+y the ty'es o+ medical students, graduate students, and residents :C;A should be attracting and re"am' the admissions 'rocess accordingly0
/0 ;ac% o+ +unding to su''ort the medical education mission and its in+rastructure0
10 ?eed +or +aculty to be clinically 'roducti"e strains their ability to contribute to the educational mission0
30 Constraints +rom 'ro'osed F>(hour resident wor% wee% would signifcantly im'act surgical training and ser"ice deli"ery0
30 !ncreasingly com'etiti"e en"ironment +or attracting to' students0
90 State budget cuts and 'otential im'act on state(+unded *T&Es0
Interview !eslts" E#cation
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y St"en$ths,"ima"y St"en$ths ,"ima"y 9ea:nesses,"ima"y 9ea:nesses
/0 :C;AEs current 'osition through +ormal a=liations with large, 'ublic, health care organi)ations0
/0 Strong re'utation as being committed to community engagement0
30 Se"eral strong community(+ocused 'rograms#ser"ices already underwayB those noted as strengths0
80 2igh(<uality medical clinics that 'ro"ide care to indigent and underser"ed 'o'ulations0
80 !nno"ati"e collaborati"e 'roects within the community, including DGSOM#So2 'roects and Cancer CenterEs relationshi' with community oncology 'ractices0
/0 ;ac% o+ :C;A 'resence in the Greater ;os Angeles communityB too much +ocus on the $estside o+ ;os Angeles0
10 2istorically, School o+ Medicine leadershi' and "ision has not been +ocused on community engagement0
30 :C;AEs community initiati"es are not well('ublici)ed0
80 erce'tion that :C;A is not interested in community re+errals due to either bed ca'acity issues and#or 'oor insurance o+ 'atients0
90 elations with a=liate hos'itals could be strengthened0
F0 ;ac% o+ centrali)ed 'lanning and coordination o+ community engagement initiati"es0
Interview !eslts" Commnit$ Engagement 
David Gefen School o Medicine at UCLA & UCLA Health Syste
,"ima"y,"ima"y
/0 *urther demonstrate :C;AEs commitment to community engagement by e4'anding 'resence in the community0
10 Assume a greater leadershi' role in im'ro"ing 'ublic health both locally and globally0
10 Strengthen collegial 'artnershi's with :C;AEs a=liated hos'itals to best ser"e the community0
80 De"elo' a centrali)ed :C;A in+rastructure and identi+y resources to ade<uately su''ort community engagement mission0
90 &nhance outreach to and im'ro"e relationshi's with community 'hysicians0
/0 Other institutions may claim to ma%e greater contributions to community health i+ :C;A does not assume a leadershi' stance0
10 Martin ;uther ing Hr0 2os'ital is a 'otential threat to :C;A0
10 !nsu=cient +unding to su''ort community initiati"es0
80 Small si)e o+ education and training 'rograms relati"e to +uture demand +or 'hysicians and health ser"ices0
Interview !eslts" Commnit$ Engagement 
David Gefen School o Medicine at UCLA & UCLA Health Syste
1 Increase the caliber and impact of the research enterprise
! Strategically recruit and retain excellent faculty
"  Address space constraints that limit growth in research and clinical care
#  Articulate a clearly defined, integrated vision that provides strategic direction
for U$%A School of &edicine and 'ealth System
( Secure financial resources to support targeted strategic initiatives in the School
of &edicine and 'ealth System
) Identify targeted clinical programs for growth and development
* +uild a more collaborative, adaptable, teamoriented organi-ation
. %everage all that U$%A has to offer to improve community health
* Based on input from ! intervie"s#
 
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
/ Deliver the highest 0uality medical student, resident, and graduate education
1 Develop an integrated delivery system that will position U$%A to respond to
health care reform#
11 $ontinue with initiatives that foster excellent, patientcentered clinical care
1! Strengthen administrative leadership and infrastructure within the School of
&edicine to further all mission areas and better support faculty
1" Enhance visibility and image in the local, regional, national and global
community
1# Develop, recogni-e and reward outstanding faculty, trainees, students and
staff
 
 
David Gefen School o Medicine at UCLA & UCLA Health Syste  
Core Va!es 4a$5$" Fac!ty )s Staff 
4a$5
 
2  A!though sta"" an# "au!t$ %oth ran&e# E'e!!ene an# Integrit$ a(ong
their to) three ore *a!ues+ "au!t$ ran&e# Diso*er$,Inno*ation nu(%er
to+ hi!e sta"" sa it as  th. /*era!!+ "au!t$ an# sta"" ran&e# the ore
 
2  A!though sta"" an# "au!t$ %oth ran&e# E'e!!ene an# Integrit$ a(ong
their to) three ore *a!ues+ "au!t$ ran&e# Diso*er$,Inno*ation nu(%er
to+ hi!e sta"" sa it as  th. /*era!!+ "au!t$ an# sta"" ran&e# the ore
*a!ues that sur"ae# in the inter*ies "air!$ si(i!ar!$.
Srve$ !eslts" Core %ales
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
Where We Are in the
 Process…
David Gefen School o Medicine at UCLA & UCLA Health Syste
Strate"c *!a$$$" I$tat)e 8 For Strate"y Des"$ Tea,s U$der7ay9
STRATEGIC PLANNING
Researh C!inia! Care
E#uation Co((unit$
Gasson+ 5ohn a88iotta
Co-Chairs7
Co-Chairs7
 
David Gefen School o Medicine at UCLA & UCLA Health Syste
 Stay Connected…
David Gefen School o Medicine at UCLA & UCLA Health Syste
htt)7,,strateg$.hea!thsienes.u!a.e#u,