Beruflich Dokumente
Kultur Dokumente
OrganizationalDevelopement@uams.edu or 501.526-6494
Executive Summary
This report includes a collection and synthesis of data from a sample of 800 employees and community
stakeholders. The report is a tool to be used to provide insight in the current situation and future perspective
of UAMS which will inform the strategic planning for UAMS. This report is segregated into the five subtopics
below.
1. UAMS Organizational SWOT Analysis
2. Integrated Clinical Enterprise
3. Education – All of the Colleges
4. Northwest Arkansas Campus
5. Regional Programs
The framework used to approach this project includes a qualitative data collection, coding, and theming,
which is summarized in multiple SWOT analysis and recommendations for strategic and operational
implications. The framework also includes a quantitative data analysis that displays data in graphics. The data
reported for each subtopic includes SWOT Analysis and implications for strategic and operational implication.
1
Weaknesses: ‘Siloed’ mentality, leadership, recruiting the best talent, communication, and salary issues
Opportunities: Digital medicine, online education, using social media in patient experience, using artificial
intelligence in patient care
Obstacles: Retention of good employees, living wages, rising health care cost
Why a patient would not choose UAMS for care: Access to care, reputation, facilities
Knowledge of the 2020 vision: 59.24% of town hall participants and 84.25% of frontline had little to no
knowledge of the 2020 vision
Legend
Please refer to the legend throughout the report. The legend includes two symbols use symbols of color to
represent items in the SWOT Analysis, and the symbols explains what they mean.
2
Contents
Executive Summary ................................................................................................................................................................. 1
UAMS Organizational SWOT Analysis ...................................................................................................................................... 4
Implication for Strategy – UAMS ......................................................................................................................................... 5
Integrated Clinical Enterprise (ICE) .......................................................................................................................................... 7
Implication for Strategy – ICE .............................................................................................................................................. 8
Education ................................................................................................................................................................................ 9
Implication for Strategy - Education .................................................................................................................................. 10
Research ................................................................................................................................................................................ 11
Implication for Strategy – Research................................................................................................................................... 12
Northwest Arkansas Campus................................................................................................................................................. 13
Implication for Strategy – NWA Campus ........................................................................................................................... 14
Regional Programs................................................................................................................................................................. 15
Implication for Strategy – Regional Programs ................................................................................................................... 16
References............................................................................................................................................................................. 17
Appendices ............................................................................................................................................................................ 18
Interview Guide ................................................................................................................................................................. 18
Data from Town Hall Meetings and Front Line Survey ...................................................................................................... 19
Organizational Development Team ....................................................................................................................................... 29
3
UAMS Organizational SWOT Analysis
Weaknesses
Growth in NWA f
Opportunities Threats
4
Implication for Strategy – UAMS
Integration of tripartite
mission
Weaknesses
Partnerships w/ private
sector (i.e. Walmart, JB Partner with private sector to expand reach into rural areas of Arkansas. Sponsor a
Hunt, Tyson, and etc.) community and use the tripartite mission to manage the healthcare needs of the
community. Continue sponsoring communities in SEA.
U of A Fayetteville sports Grow bioinformatics and sports medicine programs. Bioinformatics combines biology,
medicine and research computer science, information engineering, mathematics and statistics to analyze and
programs interpret biological data. Bioinformatics analyzing complex biological data such as genetic
codes. Leverage educational and research agenda.
Use medical technologies – the procedures, drugs, equipment, and processes to drive
advance population health and to reduce the cost of care per capita. Partner with the
Digital Health private sector to assist in developing a Wi-Fi infrastructure in rural locations.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
DO School them and find gaps in the market. Work with parenting hospital in rural regions to develop
exclusive contracts to protect UAMS’ interest.
Study healthcare consumerism to mitigate its potential threat. Patients are becoming
healthcare consumers and seek higher value in care. They are willing to travel to other
Threats
countries and states and pay for higher quality. Higher value refer to lower cost for the same
Healthcare Reform quality; higher quality for the same cost.
Medicaid PCP Referrals Create a bridge across multiple health systems to coordinate care for patients.
Target millennials and Arkansans without designated primary care physician to be a part of
UAMS’s health system. Approximately 50% of Americans do not have a designated primary
care physician. These patients do not have a medical home so they flip from urgent care to
Payer Mix urgent care clinics. Partner with the private sector to help create jobs to increase private
5
insurance payers. Mitigate medical tourism. Wealthy patients who pay out of pocket leaving
the country for their healthcare needs. This is a disruptive trend.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
Growth of Urgent Care them and find gaps in the market. Recent gaps led to ambulatory surgical and retail clinics.
Clinics Use digital health model to mitigate the threat of Urgent Care entering our market.
6
Integrated Clinical Enterprise (ICE)
Weaknesses
7
Implication for Strategy – ICE
Partnerships w/ private
sector (i.e. Walmart, JB Partner with private sector to expand reach into rural areas of Arkansas. Sponsor a
Hunt, Tyson, and etc.) community and use the tripartite mission to manage the healthcare needs of the
community. Continue sponsoring communities in SEA.
U of A Fayetteville sports Grow bioinformatics and sports medicine programs. Bioinformatics combines biology,
medicine and research computer science, information engineering, mathematics and statistics to analyze and
programs interpret biological data. Bioinformatics analyzing complex biological data such as genetic
codes. Leverage educational and research agenda.
Opportunities
Use medical technologies – the procedures, drugs, equipment, and processes to drive
advance population health and to reduce the cost of care per capita. Partner with the
Digital Health private sector to assist in developing a Wi-Fi infrastructure in rural locations.
Study healthcare consumerism to mitigate its potential threat. Patients are becoming
healthcare consumers and seek higher value in care. They are willing to travel to other
countries and states and pay for higher quality. Higher value refer to lower cost for the same
Healthcare Reform quality; higher quality for the same cost.
Medicaid PCP Referrals Create a bridge across multiple health systems to coordinate care for patients.
Target millennials and Arkansans without designated primary care physician to be a part of
UAMS’s health system. Approximately 50% of Americans do not have a designated primary
care physician. These patients do not have a medical home so they flip from urgent care to
urgent care clinics. Partner with the private sector to help create jobs to increase private
insurance payers. Mitigate medical tourism. Wealthy patients who pay out of pocket leaving
Payer Mix the country for their healthcare needs. This is a disruptive trend.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
Growth of Urgent Care them and find gaps in the market. Recent gaps led to ambulatory surgical and retail clinics.
Clinics Use digital health model to mitigate the threat of Urgent Care entering our market.
8
Education
Government relationships f
Slow to make decisions
Allocation of time dedicated to research Integration of tripartite
mission
Strengths Healthcare provider / employee burnout f
Employee engagement 26.4% engaged vs. 9.8% disengaged
Difficult to recruit talent f
Poor succession planning – aging faculty and workforce
Lack of compensation equity f
Employee dev.
SWOT Lack of innovation across 3 disciplines
Analysis Philanthropy strategy
Weaknesses
Threats
Opportunity
9
Implication for Strategy - Education
parenting health systems in rural regions. Create an exclusive contractual agreement with
sponsoring hospital that protects our interest against DO school and potential new entrants.
Increase R.P footprint Study population shrinkage and avoid investing in area.
U of A Fayetteville sports Grow bioinformatics and sports medicine programs. Bioinformatics combines biology,
medicine and research computer science, information engineering, mathematics and statistics to analyze and
programs interpret biological data. Bioinformatics analyzing complex biological data such as genetic
codes. Leverage educational and research agenda.
Use medical technologies – the procedures, drugs, equipment, and processes to drive
advance population health and to reduce the cost of care per capita. Partner with the
Digital Health private sector to assist in developing a Wi-Fi infrastructure in rural locations.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
DO School them and find gaps in the market. Work with parenting hospital in rural regions to develop
exclusive contracts to protect UAMS’ interest.
Keep up with the market regarding competitive, low-cost educational methods such as
Threats
Online education
hybrid courses, on line and live facilitation via video conferencing/classrooms.
Community college Partner with community colleges to offset some of the high costs of affordable healthcare
education
Study healthcare consumerism to mitigate its potential threat. Patients are becoming
healthcare consumers and seek higher value in care. They are willing to travel to other
countries and states and pay for higher quality. Higher value refer to lower cost for the same
Healthcare Reform quality; higher quality for the same cost.
10
Research
Weaknesses
Opportunity Threats
11
Implication for Strategy – Research
Integration of tripartite
Weaknesses
mission
Develop a tripartite mission integration team to align the mission.
Develop and resource the Office of Strategy Management. Its primary purpose is to facilitate
Accountability to carry out strategic planning for the organization, manage the strategy, and train leaders on strategic
the vision thought and planning.
Healthcare burnout and Develop strategies to mitigate physician and resident burnout.
employee engagement
Poor succession planning –
aging faculty and workforce Develop middle-level shinning stars program to succeed retiring faculty, staff, and
administration.
Partner with U of A Fayetteville and private sector to grow footprint in NWA. Have a
Growth in NWA presence in NWA beyond Fayetteville.
Establish 8 new sites by 2029 and fully staff facilities. Partner with existing and new
parenting health systems in rural regions. Create an exclusive contractual agreement with
sponsoring hospital that protects our interest against DO school and potential new entrants.
Increase R.P footprint Study population shrinkage and avoid investing in area.
NIH / NCI destination Support protected time for research.
Opportunities
Partnerships w/ private
sector (i.e. Walmart, JB Partner with private sector to expand reach into rural areas of Arkansas. Sponsor a
Hunt, Tyson, and etc.) community and use the tripartite mission to manage the healthcare needs of the
community. Continue sponsoring communities in SEA.
U of A Fayetteville sports Grow bioinformatics and sports medicine programs. Bioinformatics combines biology,
medicine and research computer science, information engineering, mathematics and statistics to analyze and
programs interpret biological data. Bioinformatics analyzing complex biological data such as genetic
codes. Leverage educational and research agenda.
Study healthcare consumerism to mitigate its potential threat. Patients are becoming
healthcare consumers and seek higher value in care. They are willing to travel to other
countries and states and pay for higher quality. Higher value refer to lower cost for the same
Healthcare Reform quality; higher quality for the same cost.
12
Northwest Arkansas Campus
Lack of statewide research strategy
Talented workforce f Lack of coordinated research support to help researchers
Only academic medical institution in the recruit participants for studies
Accountability to carry out the vision f
state f
Leadership’ strategy knowledge
Level 1 Trauma Center f
Access to care
Partnerships (i.e. ACO Baptist Conway)
Healthcare operational efficiencies
Leadership dev. Program
Financial issues f
Specialty care f
Government relationships f
Cancer f
Slow to make decisions
Allocation of time dedicated to research f
Integration of tripartite mission
Adjust educational programs according to market demand
Strengths
Healthcare provider / employee burnout f
Employee engagement 26.4% engaged vs. 9.8% disengaged
Pressure on clinical to subsidize rest of organization
Difficult to recruit talent f
Poor relationships with R.P. sponsoring parent hospitals
Poor succession planning – aging faculty and workforce
SWOT Lack of compensation equity f
Analysis Employee dev.
Poor alignment between specialty and primary care
Lack of innovation across 3 disciplines
PCMH commitment and culture
Philanthropy strategy
Weaknesses
13
Implication for Strategy – NWA Campus
Integration of tripartite
Weaknesses
mission
Develop a tripartite mission integration team to align the mission.
Develop and resource the Office of Strategy Management. Its primary purpose is to facilitate
Accountability to carry out strategic planning for the organization, manage the strategy, and train leaders on strategic
the vision thought and planning.
Healthcare burnout and Develop strategies to mitigate physician and resident burnout.
employee engagement
Poor succession planning –
aging faculty and workforce Develop middle-level shinning stars program to succeed retiring faculty, staff, and
administration.
Partner with U of A Fayetteville and private sector to grow footprint in NWA. Have a
Growth in NWA presence in NWA beyond Fayetteville.
NIH / NCI destination Support protected time for research.
Partnerships w/ private
sector (i.e. Walmart, JB Partner with private sector to expand reach into rural areas of Arkansas. Sponsor a
Hunt, Tyson, and etc.) community and use the tripartite mission to manage the healthcare needs of the
community. Continue sponsoring communities in SEA.
U of A Fayetteville sports Grow bioinformatics and sports medicine programs. Bioinformatics combines biology,
medicine and research computer science, information engineering, mathematics and statistics to analyze and
programs interpret biological data. Bioinformatics analyzing complex biological data such as genetic
codes. Leverage educational and research agenda.
Use medical technologies – the procedures, drugs, equipment, and processes to drive
advance population health and to reduce the cost of care per capita. Partner with the
Digital Health private sector to assist in developing a Wi-Fi infrastructure in rural locations.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
DO School them and find gaps in the market. Work with parenting hospital in rural regions to develop
exclusive contracts to protect UAMS’ interest.
Study healthcare consumerism to mitigate its potential threat. Patients are becoming
healthcare consumers and seek higher value in care. They are willing to travel to other
countries and states and pay for higher quality. Higher value refer to lower cost for the same
Healthcare Reform quality; higher quality for the same cost.
Threats
Medicaid PCP Referrals Create a bridge across multiple health systems to coordinate care for patients.
Target millennials and Arkansans without designated primary care physician to be a part of
UAMS’s health system. Approximately 50% of Americans do not have a designated primary
care physician. These patients do not have a medical home so they flip from urgent care to
urgent care clinics. Partner with the private sector to help create jobs to increase private
insurance payers. Mitigate medical tourism. Wealthy patients who pay out of pocket leaving
Payer Mix the country for their healthcare needs. This is a disruptive trend.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
Growth of Urgent Care them and find gaps in the market. Recent gaps led to ambulatory surgical and retail clinics.
Clinics Use digital health model to mitigate the threat of Urgent Care entering our market.
14
Regional Programs
Weaknesses
Opportunity Threats
15
Implication for Strategy – Regional Programs
Partnerships w/ private
sector (i.e. Walmart, JB Partner with private sector to expand reach into rural areas of Arkansas. Sponsor a
Hunt, Tyson, and etc.) community and use the tripartite mission to manage the healthcare needs of the
community. Continue sponsoring communities in SEA.
Use medical technologies – the procedures, drugs, equipment, and processes to drive
advance population health and to reduce the cost of care per capita. Partner with the
Digital Health private sector to assist in developing a Wi-Fi infrastructure in rural locations.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
DO School them and find gaps in the market. Work with parenting hospital in rural regions to develop
exclusive contracts to protect UAMS’ interest.
Study healthcare consumerism to mitigate its potential threat. Patients are becoming
healthcare consumers and seek higher value in care. They are willing to travel to other
countries and states and pay for higher quality. Higher value refer to lower cost for the same
Healthcare Reform quality; higher quality for the same cost.
Threats
Medicaid PCP Referrals Create a bridge across multiple health systems to coordinate care for patients.
Target millennials and Arkansans without designated primary care physician to be a part of
UAMS’s health system. Approximately 50% of Americans do not have a designated primary
care physician. These patients do not have a medical home so they flip from urgent care to
urgent care clinics. Partner with the private sector to help create jobs to increase private
insurance payers. Mitigate medical tourism. Wealthy patients who pay out of pocket leaving
Payer Mix the country for their healthcare needs. This is a disruptive trend.
Study the trend of the most demanding patients to identify potential disruptions.
Demanding patients are the most engaged patients in their care. Disruptive providers study
Growth of Urgent Care them and find gaps in the market. Recent gaps led to ambulatory surgical and retail clinics.
Clinics Use digital health model to mitigate the threat of Urgent Care entering our market.
16
References
17
Appendices
Interview Guide
What is your view of an ideal academic health system for Arkansas in the future? How does UAMS differ?
How well does UAMS develop talent? How could we do this better?
Pertaining to the Vision 2020, what goals, objectives, and initiatives did we accomplish? Please provide examples.
How do you feel our current resources will help us carry out our strategy?
Is there a population that hasn’t been identified that UAMS should serve?
Relative to the ideal state you described earlier, what financial concerns do you have?
What core values are going to guide UAMS employee behavior regarding the Vision 2029?
18
Data from Town Hall Meetings and Front Line Survey
Which executive leader at UAMS is a
member of the Jake Brakes band?
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This question is meant to be an ice breaker to get people involved while simultaneously acting as an orientation for
participants to the software we used to collect data. This gives us an opportunity to make sure the survey system is
capturing data and working properly. This question was only asked in town hall meetings.
FACILITIES 16.41%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
19
Rate your knowledge of the Vision 2020.
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
Most employees have little to no knowledge of the vision 2020. The front line workers showed significantly less
knowledge of the previous 2020 vision.
20
I know how my work contributes to the
Vision 2020.
AGREE 34.22%
DISAGREE 28.88%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
AGREE 32.74%
DISAGREE 36.69%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
The general pattern is the same between the town hall and front line survey. This will be a key consideration when
implementing the 2029 vision in the coming years.
21
What are the major strengths of UAMS?
BRAND RECOGNITION (CLINICAL, EDUCATION,
52.66%
RESEARCH)
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
EMPLOYEES 65.55%
RESEARCH 63.19%
CLINICAL 41.34%
LEADERSHIP 28.94%
OTHER 4.92%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This question was asked two different ways. Town hall participants could only vote for one major strength while frontline
workers could choose several strengths. However, Town hall participant could send text responses as “other” strengths
not listed in the survey. Research, education, employees, and high quality patient care were the most listed text
responses.
22
What are the major weaknesses of UAMS?
LEADERSHIP 28.35%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
OTHER 29.92%
EMPLOYEES 21.85%
CLINICAL 16.93%
EDUCATION 9.06%
RESEARCH 5.12%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This question was also asked two different ways. Town hall participants could only vote for one major weakness while
frontline workers could choose several weaknesses. However, Town hall participant could send text responses as “other”
weaknesses not listed in the survey. Communication, leadership created bureaucracy and silos, salary issues, morale, and
low funding were the most listed text responses.
23
What innovative opportunities might move
UAMS forward?
DIGITAL HEALTH (I.E. POINT-OF-CARE DIAGNOSTICS
55.14%
AND BIOSENSORS AND TRACKING)
BIOINFORMATICS 9.19%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
OTHER 20.08%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This question was also asked two different ways. Town hall participants could only vote for one major innovative
opportunity while frontline workers could choose several innovative opportunities. However, Town hall participant could
send text responses as “other” innovative opportunities not listed in the survey. Use of Technology, telemedicine/digital
health, collaborations, research and training were the most listed text responses. *This questions provided the highest
amount of variety of responses.
24
Major obstacles that face UAMS
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This question was also asked two different ways. Town hall participants could only vote for one major obstacles while
frontline workers could choose several obstacles. However, Town hall participant could send text responses as “other”
obstacles not listed in the survey. Funding was by far the leading response, leadership, communication, and issues of
changes (resistance, fatigue, fear of, etc.) were the most listed text responses. This question created a large variation of
responses also.
25
How can you help successfully implement
the Vision 2029?
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
OTHER 8.74%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This is an engagement question assessing how employees connect their work to the overall vision and mission of UAMS.
This question was also asked two different ways. Town hall participants could only vote for one major implementation
while frontline workers could choose several implementations. However, Town hall participant could send text responses
as “other” implementation not listed in the survey. Communication, listening, engagement, job alignment, participation,
and feedback were the most listed text responses.
26
Do you want to be informed about the
progress of the Vision 2029?
98.44%
PERCENT OF RESPONSE
1.56%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
Yes No
87.01%
PERCENT OF RESPONSE
12.99%
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
Yes No
Here we see almost all employees want to be kept updated on the development of the Vision 2029. Those that attended
the town hall meeting showed a stronger desire to receive communication while some frontline workers showed a
disinterest in the development process but a strong majority still want to be informed about the process and results.
27
How do you want to be informed about the
progress of the Vision 2029?
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00
This question was also asked two different ways. Town hall participants could only vote for one method of receiving
information while frontline workers could choose several methods of receiving information. Most employees favor emails
and face-to-face communication opportunities with their managers. This makes senses with the desire of job alignment
and opportunity for feedback with how employees see how they can implement the new Vision 2029.
28
Organizational Development Team
OrganizationalDevelopment@uams.edu,
(501) 526-6494
29