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

18

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