tag:blogger.com,1999:blog-50802543329966819882024-03-18T22:01:42.478-07:00Keeping Life Grand! Middle Park Medical Center COO blogKeeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.comBlogger24125tag:blogger.com,1999:blog-5080254332996681988.post-66503837878105460932014-08-22T13:22:00.000-07:002014-08-22T13:29:56.735-07:00Hold on! Let me take a selfie...<br />
<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">What a Summer MPMC has had! Many
changes have been made in many areas and a majority have had a very positive
effect. The overall financial picture is improving; the community, staff
and all providers have seen improvement. Morale, while it ebbs and flows
like at any other business, is better. Though we have a lot of work left
to do, I am proud to report that patient satisfaction scores are doing well and
continuing to rise. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span><br />
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<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">I wanted to give some updates on some projects that are nearing
completion…but first, let me take a selfie….</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span></div>
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<tr><td class="tr-caption" style="text-align: center;">Wicked selfie skills.</td></tr>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
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<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">The email server migration is taking place tomorrow morning
(8/23/14). Email will be down for 24 hours so please refrain from
checking your email under Sunday after 5am. Also, please check ALL your
mobile devices (smartphones, tablets, laptops) and turn the auto email check
function off. Elizabeth, John, Evaldas and Synoptek will be available
Monday for training and questions. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br />
<br />
</span><span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">The final large item that will require IT
downtime will be the IT server migration to Denver, which will take place the
weekend of 9/6/14. After this migration, all data will be accessed
through our new network in Denver. There will be a clean-up period where
user issues will be rectified as we find them. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br />
<br />
</span><span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">The CEO search is going well; two candidates
have scored exactly equal per Centura Health’s talent evaluation scoring.
Both candidates will be interviewing at MPMC over the next month. The
first candidate is scheduled to interview with the Board, Leadership, Managers
and Staff this Monday and Tuesday, 8/25 & 8/26/14 (see the all MPMC email
from earlier this week). </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span></div>
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<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">The other candidate…hold on let, me take
another selfie…</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span></div>
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<tr><td class="tr-caption" style="text-align: center;">Dr. Stuerman, Brendan, Myself reppin' MPMC at recent Golf Tourney <br />
(photo courtesy and not pictured Jason Bryan)</td></tr>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"> <o:p></o:p></span></div>
<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">…The other candidate will be interviewed soon
as well. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 12pt;">
<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">July was the best month in hospital history from a financial stand
point. I am sure most of you felt this with the volume of patients we had
come through the organization. Kudos goes out to the entire organization
for taking this in stride and maintaining excellent patient service. Now
that August has rolled around and schools have started…things have slowed down
a bit. Hopefully this will give everyone a short breather until ski
season kicks into high gear again. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">After my 3 month hiatus from the blog expect
to see this regularly…the info, not the selfies.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span><br />
<br />
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<span lang="EN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; mso-ansi-language: EN;">As always, thank you all for your dedication
and your hard work!</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span></div>
<br />
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<span style="color: #1f497d;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
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<span style="color: #1f497d;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-74172640786617042632014-05-08T11:11:00.002-07:002014-05-08T11:11:57.303-07:00Good stuff!
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">A
number of exciting announcements and updates have transpired recently. These
opportunities position Middle Park Medical Center for sustainable growth and
improved patient care. The leadership team wants to keep you informed of these
advancements as they occur, and welcome your feedback and questions.<o:p></o:p></span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Centura Health
management agreement<o:p></o:p></span></b><br />
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">On
Friday, May 2, 2014, the Kremmling Memorial Hospital Board of Directors held a
special meeting to vote on the Centura Health management agreement. <o:p></o:p></span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">The
meeting was well attended by staff and community members, many of whom voiced
their support of the measure and asked several clarifying questions. After the
board, our leadership team and a representative from Centura Health addressed
the questions and comments during the meeting, the board voted unanimously
(with one board member absent) to enter into the agreement. <o:p></o:p></span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">See
the attached letter from Board President Mark (Bernie) Murphy about the
agreement and what this decision will mean for MPMC and the communities we
serve. The leadership team emailed the letter to all staff and distributed it
in paper form to break areas and nurses’ stations on Friday evening following
the meeting.<o:p></o:p></span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">This
is an exciting time for all parties, and looks to strengthen MPMC’s overall
sustainability. <o:p></o:p></span></div>
<br />
<div class="MsoNoSpacing" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Board meeting
highlights</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p></o:p></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
The Board of Directors also held its regular monthly meeting
last week – on Tuesday, April 29, 2014, at MPMC-Granby.<o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
There are many positives coming to fruition within our
organization. March 2014 produced the third best gross revenue in district
history at more than $2.3 million. Factoring in bad debt and contractual
adjustments resulted in a net revenue of nearly $1.7 million. Salaries and
benefits were under budget. Continuing cost containment has left us within
$6,500 of our budget, and more than $23,000 less spending than a year ago.<o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Year-to-date numbers are even more impressive, as gross
revenue for 2014 is 5% greater than the same period a year ago. Salaries and
benefits came in at more than $76,000 less than the same period in 2013. Operating
expenses were $90,000 less than a year ago, with the year-to-date numbers forecasting
the organization operating more than $825,000 below last year’s expenses.<o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Cash at the end of March was $466,525, remaining at about
nine days of operating cash on hand. Accounts payable (A/P) decreased by about
$50,000 from February to March 2014. Days in accounts receivable (A/R) (net)
sits at about 82 days. The district’s cash position and A/R continue to trend
in the right direction but cash flow challenges will likely continue through
2014.<o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Total payables showed a slight increase in March, though
trade accounts have been trending modestly in the right direction since
mid-February. Cost-saving measures and staffing changes are expected to make more
cash available for the reduction of A/P in the near future.<o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
We expect to receive the bondholders’ report this week. The bondholders
did encourage the board to sign the Centura Health management agreement. We are
confident in our relationship with the bondholders and their commitment to
helping MPMC grow and thrive.<o:p></o:p></div>
<br />
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<o:p> </o:p></div>
<b style="mso-bidi-font-weight: normal;">Information
technology</b><o:p></o:p><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
The information technology upgrade has begun. The space at
the Critigen server farm in Denver has been upgraded to provide space for our
data. The network hardware has been ordered and is expected to be in soon. The
entire network upgrade and data transfer to Denver should be complete in 90
days. <o:p></o:p></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
I will share more information on this progress as it is
available. <o:p></o:p></div>
<br />
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<o:p> </o:p></div>
<b style="mso-bidi-font-weight: normal;">Electronic medical
records</b><o:p></o:p><br />
<br />
<div class="MsoPlainText" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Centura
Health is evaluating its future direction related to electronic medical records
(EMR) and how its programs will integrate with MPMC’s software. <o:p></o:p></span></div>
<br />
<div class="MsoPlainText" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">The
process is nearly complete, and the leadership of both Centura Health and
Middle Park Medical Center will meet after the Centura Health board meeting on
May 6 to discuss next steps and timelines.<o:p></o:p></span></div>
<br />
<div class="MsoPlainText" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">MPMC
and Centura Health are currently looking at Epic, Cerner or Meditech 6.1 for
the EMR system.<o:p></o:p></span></div>
<br />
<div class="MsoPlainText" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Centura
Health is committed to working with MPMC to upgrade and integrate our systems.
I look forward to working together with their staff to provide excellent
patient care to the people we serve. <o:p></o:p></span></div>
<br />
<div class="MsoPlainText" style="margin: 0in 0in 0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Please
stay tuned for additional updates as they become available. Thanks so much for
all you do and for your commitment to the organization and our communities!<o:p></o:p></span><br />
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-17970209624537104502014-04-04T11:16:00.001-07:002014-04-05T09:01:16.564-07:00Dr. John Wisneski submits resignation <br />
<br />
<b></b><br />
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<span style="font-family: Palatino Linotype,Palatino; font-size: large;"><span style="font-family: Palatino Linotype,Palatino; font-size: large;">What this means for MPMC and our patients <br />
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<span style="font-family: Palatino Linotype,Palatino; font-size: small;"><span style="font-family: Palatino Linotype,Palatino; font-size: small;">John Wisneski, M.D., announced Tuesday his resignation from Middle Park Medical Center. His last day will be June 30. <br />
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Dr. Wisneski sees patients in the clinic in Kremmling and the emergency departments in Kremmling and Granby. He has been a part of the Middle Park Medical Center team since 2005. <br />
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"I have deeply enjoyed working with all of you at Middle Park Medical Center and developing relationships with my patients," Dr. Wisneski said. "I will miss you and always value my time here. I know that MPMC is destined for greatness and will continue to grow and thrive. Thank you for making this experience a great one." <br />
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Our CEO Cole White said that Dr. Wisneski’s relationships with his patients speak volumes about his commitment to health care and his community. <br />
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"Dr. Wisneski engages patients and builds trust with his patients, and we will certainly miss his leadership," White said. "We know that Dr. Wisneski’s patients and all of our staff will feel his absence." <br />
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Dr. Wisneski is currently our Chief of Staff. Dr. Lynnette Telck of North Park Medical Center in Walden, who is currently our Vice Chief of Staff, will assist in the transition over the next 90 days. <br />
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We have already begun recruiting a new provider for the facilities. All of MPMC’s providers are accepting new patients and will work with Dr. Wisneski in transferring patients to their new provider of choice. </span></span>Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-24297673296650562562014-03-28T12:48:00.000-07:002014-03-28T18:50:49.889-07:00Updates on exciting initiatives and financial news<br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Service
Excellence Advisor graduation<o:p></o:p></span></b></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf1J_VyTLY1m8IMKvncDGJdv4OEQbjl9FqreafgPA0eAO5q4AsI6k0QsR929B92es_tfXb6ocOnFrgDj3Rux0I4H5otWIYMXEnojB7FToSxQTz9DfoZ5WRotpVC4i68fJygOS0SSHIf80/s1600/B.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhf1J_VyTLY1m8IMKvncDGJdv4OEQbjl9FqreafgPA0eAO5q4AsI6k0QsR929B92es_tfXb6ocOnFrgDj3Rux0I4H5otWIYMXEnojB7FToSxQTz9DfoZ5WRotpVC4i68fJygOS0SSHIf80/s1600/B.jpg" height="240" width="320" /></a></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Yesterday was the Service Excellence
Advisors’ (SEA) graduation ceremony, and it was a great event to kick off this
team of frontline workers’ journey into the realm of teaching service
excellence to all MPMC staff. Members of the administrative team spent two
hours yesterday morning in a question-and-answer session, and I believe I speak
for the entire administrative team when I say that the SEA members are going to
make MPMC shine!</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMfXG1tWZBvxyA7wdtXRBRNlH-s5CU8bL3JLvjDKdn2azm2XZtaq1MVwaUQtlLxQLpq0N2fsx1AXxXUqjgwZin9tw-wFLJzJU-F-ffRoER_m2YWQeAoVqEC4OzL6wz-D7PBx8fpppbh78/s1600/A.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiMfXG1tWZBvxyA7wdtXRBRNlH-s5CU8bL3JLvjDKdn2azm2XZtaq1MVwaUQtlLxQLpq0N2fsx1AXxXUqjgwZin9tw-wFLJzJU-F-ffRoER_m2YWQeAoVqEC4OzL6wz-D7PBx8fpppbh78/s1600/A.jpg" height="320" width="240" /></a></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">It was awesome to feel the positive enthusiasm
in the air during the event. The team is truly passionate about its work, and
the advisors are eager to roll out the program. Thank you to the Service
Excellence Advisors for their hard work! Speaking personally, I truly believe
they will have a positive influence on our operations and that everyone will
want to follow their lead in this initiative. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Centura
Health management agreement<o:p></o:p></span></b><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">One important topic we have been discussing
recently is the Centura Health (CH) management contract agreement. The goal was
to sign this at the March 26 board meeting. However, as we mentioned in the Connect
with Cole meetings, MPMC’s bondholders sent a consultant out to assess the
overall operational and financial health of MPMC. All parties have decided to
put the signing on hold until this report comes out, which is expected to be in
the next week or so. MPMC has had nothing but positive communications with the
consultant, and the leadership team feels confident about the impending report.
<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";"><o:p> </o:p></span></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Medicaid
reimbursements and cash collections<o:p></o:p></span></b><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">One very good piece of news is that
Medicaid has sent MPMC notification that MPMC has been underpaid for quite a
while. Medicaid failed to adjust their reimbursement models to the current
models. This means that MPMC will be getting a total reimbursement of about
$650,000 over the next couple of months. This is great news and puts MPMC in a
better financial position!<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Another good note is that MPMC was
in the black for month of February to the tune of about $88,000. Also, upfront
cash collections have drastically increased from $80,000 in January to $125,000
in February. We are approaching the $125,000 mark already for the month of
March. This is huge for our bottom line. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">The revenue cycle is seeing vast
improvements. Kudos to Jodi Docheff and the Patient Financial Services and
intake staff, Patti Bushey and Health Information Management staff, Bethanie
Reynolds and Mary Jo Hargadine and the entire nursing staff!<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">We are making gains, and we know
this is no small part due to the team effort we are all exuding. Thank you,
everyone, and keep up the great work!</span><o:p></o:p></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-64177520645359039282014-03-04T15:11:00.000-08:002014-03-04T15:11:13.015-08:00A letter from the CEO. <br />
<span style="font-family: Palatino Linotype,Palatino; font-size: small;"><span style="font-family: Palatino Linotype,Palatino; font-size: small;"><br />
Dear Middle Park Medical Center staff: <br />
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At last week’s Board of Directors meeting, a few employees expressed their interest and concern in Middle Park Medical Center’s current situation and opportunities for the future. I, along with the board and the leadership team, welcome employee input and feedback and am encouraged by the passion and energy shared. </div>
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I understand that our employees want information about the achievements, challenges and decisions of our hospital’s leaders, and I want to share that information in timely and effective ways. The leadership team is working to implement such strategies – under advisement from the lean workgroup focused on communication and through the work of our human resources and public relations departments – ranging from email and newsletter communication to leadership rounding and employee meetings with me. </div>
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Our Service Excellence Initiative – with its Advisors, Council and lean workgroups – is one way that the leadership team and the Board of Directors are exhibiting our commitment to each of our employees. We strive to gain meaningful feedback from you as we all work to improve the service we provide every day in our communities. We are investing in you and striving to provide you with the resources and opportunities you need to feel successful and satisfied in your job. </div>
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The hospital is experiencing some financial constraints that are encouraging us to reevaluate some of our business strategies to decrease expenses and increase revenue. Optimizing value is about more than just finding places to cut costs. We want to maximize resources to increase our return on investment. Improving efficiency and effectiveness means doing our work better, not just cheaper. Please be assured that during our discussions, patient safety and satisfaction are at the forefront of our decisions and that we will maintain the same top-notch patient care that we have continuously provided. </div>
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In December 2013, Middle Park Medical Center used monies held in reserve to make the bond payment associated with the Granby facility. Bond covenants require that MPMC replace the monies back into reserves within the next six months. </div>
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I, as well as members of the leadership team and Board of Directors, will be meeting with the bond holders this month to tour our facilities and assure that we are able to comply with the bond covenants. So far, our bond holders are satisfied with our operations, and our relationship has been strengthened by these communications. </div>
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We will be able to pay back our reserves and continue forward with our reliable payment schedule. However, we will be looking at cost-saving measures to keep this organization moving forward and financially strong. We have already implemented a spending freeze to eliminate non-essential expenditures. </div>
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One primary resource for improving our financial stability – and therefore the ability to continue to provide high-quality care to the residents of Grand, Summit and Jackson Counties – is to consider a management agreement with a larger health system. </div>
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In August 2011, Centura Health and MPMC signed an affiliation agreement to establish an expanded system of care for MPMC. Currently, Centura Health and MPMC are exploring opportunities to expand their affiliation agreement which may include a management agreement. </div>
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Under a management agreement, Centura Health would provide management and leadership expertise under the direction of a Centura Health-employed chief executive officer, appointed by Centura Health and approved by the MPMC Board of Directors.</div>
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Through the proposed management agreement, the Board of Directors would retain its governance and authority over MPMC as well as fulfill its ongoing role to provide the strategic direction of the hospital. The CEO would run the hospital operations on a day-to-day basis and work with MPMC to identify areas where additional clinical and operational services, education and resources are needed. MPMC staff would have significant support and access to colleagues and partners throughout Centura Health with whom they can discuss challenges, explore best practices and obtain feedback to help determine high-value health care solutions for our communities. </div>
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The details and negotiations of a management agreement are ongoing and are sensitive legal matters that require us to maintain confidentiality until an agreement is signed. The Board of Directors aims to sign the agreement at its March 26, 2014, meeting. </div>
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In recent years, we have enjoyed a positive and uplifting relationship with Centura Health and look forward to the additional benefits a management agreement could bring – lower operating costs, improved negotiating power with vendors and an expanded marketing approach to draw new and returning customers. </div>
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Other future cost-saving measures may include: staff adjustments and realignments, a moratorium on overtime without explicit pre-approval, service line revisions, a service price increase, the 401k match becoming a discretionary benefit based on the organization’s financial performance, selling unused equipment, and renegotiating insurance contracts to ensure maximum reimbursements for services rendered. </div>
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Please be assured that each of these decisions is made with much consideration and research while keeping patient care our highest priority. We understand that change is hard and can cause some to have feelings of uncertainty about MPMC’s future. I want you to know that this is hard for everyone, including myself, the leadership team and the Board of Directors. We value each and everyone one of our employees and are carefully deliberating to make the best decisions possible for all of us and the community. </div>
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These decisions are also made under the guidance of our 2014 strategic plan, carefully built with input from the leadership team, managers and the Board of Directors. We are committed to staying true to the ideals and priorities presented in our strategic plan and use it as our guide for making difficult decisions. </div>
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I hope you will take the time to review our strategic plan, sent out as an attachment with the all staff email and available on the main page of MPMC’s intranet – intranet.kmhd.local. </div>
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I want to note that the financial challenges MPMC is facing are not unique to us. Rural hospitals throughout the nation are facing looming challenges. Health care has been on an unsustainable track, with skyrocketing costs and inefficient systems producing uneven results. The pressures on the health care delivery system are becoming more urgent. Reduced reimbursement rates and demands for proof of performance mean that we have to improve our efficiency and operational effectiveness every year just to stand our ground. </div>
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Please contact me if you wish to discuss any of the items discussed in this letter further or provide cost-saving suggestions. Also, look forward to an announcement soon about face-to-face staff meetings with me to hear your feedback and answer your questions. </div>
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We are moving in the right direction, and I am confident that with some carefully considered operational and strategic changes, we can correct our financial challenges. </div>
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Thank you for staying positive in this time and for continuing to provide the best patient experience possible! </div>
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Thank you, <br />
<br />
Cole White <br />
Chief Executive Officer </span><br /></span><br />Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-30469484611075619362014-02-24T06:00:00.000-08:002014-02-24T06:00:00.090-08:00Getting lean and mean...<br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Rural hospitals serve 54 million people in the
United States.<span style="mso-spacerun: yes;"> </span>This is 1/6 of the nation’s
population.<span style="mso-spacerun: yes;"> </span>One would think that with
that number rural hospitals would be more profitable.<span style="mso-spacerun: yes;"> </span>However, this is difficult due to the fact
that 9 million of the 54 million are Medicare recipients.<span style="mso-spacerun: yes;"> </span>According to the American Hospital
Association (2014), rural hospitals have the lowest profitability in terms of
Medicare profit margins.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Couple the inability for rural hospitals to
negotiate favorable insurance contracts, Obamacare, the cost of needed
(government mandated) IT investments, and the increasing self-pay patients;
rural hospitals struggle to be profitable.<span style="mso-spacerun: yes;">
</span><o:p></o:p></span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"></span><br />
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">MPMC is no different from the typical rural
hospital.<span style="mso-spacerun: yes;"> </span>Large insurers such as United
Health Care reimburse us lower than the Medicare rate on majority of the care
we provide to their members.<span style="mso-spacerun: yes;"> </span>Considering
the number of United Health Care patients we see is as high as 25%, this is a
considerable dollar amount.<span style="mso-spacerun: yes;"> </span>This is
where MPMC’s affiliation with Centura Health (CH) comes into play.<span style="mso-spacerun: yes;"> </span>CH has the ability to use its’ large size and
clout to negotiate much more favorable terms with United Health Care.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Kelly, T. (2010) states that “Systems with 50
hospitals have more leverage in negotiating with a health plan, whether it be a
small regional in their area or one of the large nationals, than a stand-alone
smaller rural hospital has.”<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Obamacare, or the Affordable Care Act, has created
another monster of its’ own… In order to afford the plans presented and meet
the criteria to be insured patients are signing up for low premium- high
deductible health care plans.<span style="mso-spacerun: yes;"> </span>This means
that patients who come into the ER have to meet 5 to 7,000 and sometimes even
10,000 dollar out of pocket expenses before their insurance picks up the
rest.<span style="mso-spacerun: yes;"> </span>This is difficult for most
patients to pay for.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">With the above mentioned, MPMC has a great deal of
money outstanding, or in accounts receivable (a.k.a days in A/R), that is owed
to us.<span style="mso-spacerun: yes;"> </span>This number is in the 7-8 million
dollar range.<span style="mso-spacerun: yes;"> </span>In this between 40-50% of
this are self-pay accounts.<span style="mso-spacerun: yes;"> </span>What is
interesting is that self-pay (non-insured) is only 10-12% of the patient load,
but they account for nearly half of the money owed to MPMC.<span style="mso-spacerun: yes;"> </span>The chances of MPMC seeing most of this money
are not good.<span style="mso-spacerun: yes;"> </span>In short, MPMC cannot pay
its’ bills if patients do not pay their bills.<span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Next, the AHA (2014) has stated that the increased
regulations and need to implement expensive information systems creates strain
on the profitability of small hospitals.<span style="mso-spacerun: yes;">
</span>It is common knowledge that MPMC has had IT and EHR struggles in the
past.<span style="mso-spacerun: yes;"> </span>With the affiliation with Centura
Health, we have a partner that is committed to providing us with an IT and EHR
system that works well.<span style="mso-spacerun: yes;"> </span>Also, with The
Health Information Technology for Economic and Clinical Health (HITECH) Act,
enacted as part of the American Recovery and Reinvestment Act of 2009, MPMC can
recoup 85% of the cost of the system.<span style="mso-spacerun: yes;"> </span>That
means that the entire cost of the entire system, nearly 2.25 million dollars,
will be paid back by the federal government. <o:p></o:p></span><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">While most of this sounds like doom and gloom MPMC
does have a plan to be profitable.<span style="mso-spacerun: yes;"> </span>This
includes:<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Implement
urgent care services for low level ED visits that require payments up front
before services are rendered<o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Up
to 55% of our ED’s are self-pay and most pay nothing<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Improved
revenue cycle through checks and balances, and move to Centura EHR and revenue
cycle systems<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Adjusting
staffing models to become Lean (or Leaner)<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Re-negotiating
insurance contracts with Centura’s clout.<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Currently
United Health Care reimburses us about 40% for the cost our services<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">All
other insurers reimburse 85-95% of our costs<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">This
would mean a large increase in revenue<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">This
is already underway<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>Selling assets that are not used<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Implementing
a price increase to become competitive<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">MPMC
has not implemented one in 3 years<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Currently
some of MPMC’s prices are at 30% of the prices of other hospitals of our size
and region, according to Craneware (leading chargemaster software in US)<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">A
discharge from St Anthony’s in Lakewood averages around $70K, MPMC around $7k<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">A
CT scan in Summit costs about $3200, MPMC is $1600<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Increasing
more referrals to Centura facilities to get them returned for increase swing
bed days and services that can be done at MPMC<o:p></o:p></span></div>
<br />
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 1in; mso-add-space: auto; mso-list: l0 level2 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>This includes keeping more patients here for
care rather than referring out to other facilities<o:p></o:p></span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Those are some of the plans of action that the
senior leadership team has identified to become more profitable and
sustainable.<span style="mso-spacerun: yes;"> </span>In the next two weeks we
(senior leaders) will be holding<strong> mandatory</strong> town hall meetings at various
locations to better communicate the issues and address the concerns.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Thanks for all you do!<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"><o:p> </o:p></span></div>
<br />
<div align="center" class="MsoNormal" style="margin: 0in 0in 10pt; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">References<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">American Hospital Association (2014). <i style="mso-bidi-font-style: normal;">Rural health care.</i> Retrieved from: <a href="http://www.aha.org/advocacy-issues/rural/index.shtml"><span style="color: blue;">http://www.aha.org/advocacy-issues/rural/index.shtml</span></a><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Kelly, T. (2010<i style="mso-bidi-font-style: normal;">). </i>Small hospitals face heavy weather<i style="mso-bidi-font-style: normal;">. Managed Care.</i> Retrieved from: <a href="http://www.managedcaremag.com/archives/1003/1003.smallhospitals.html"><span style="color: blue;">http://www.managedcaremag.com/archives/1003/1003.smallhospitals.html</span></a><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><o:p> </o:p></span></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-79857761716370587592014-02-17T07:45:00.000-08:002014-02-17T07:45:27.140-08:00A new way of communicating.
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">As Middle Park Medical Center continues to expand our
services to the residents of our communities, the leadership team strives to
communicate effectively and often with the MPMC family. We want you to be
apprised of the hospital’s happenings without being inundated with emails.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">To that end, “all MPMC” will be going through myself and
Michelle Balleck, Director of Marketing and Public Relations. We will then be
condensing most emails that need to be shared hospital-wide into one weekly
email that will arrive in your inbox each Monday. We will make this email
simple, to-the-point and bulleted for your ease of reading.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">When you have messages that need sent to the entire staff,
please send them to "All MPMC" </span><a href="mailto:all_mpmc@mpmc.org"><span style="color: windowtext;"><span style="font-family: Calibri;">all_mpmc@mpmc.org</span></span></a><span style="font-family: Calibri;"> for inclusion. Messages
need to be sent to this email by 8 a.m. Mondays to be included in that week’s
organization-wide email.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Exceptions will be made, and emails sent immediately, for
any issues that necessitate immediate attention or action.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Please stay tuned as we roll out more communication tools to
help us all stay connected over the coming months.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">Do not hesitate to contact myself, Michelle Balleck, or any
member of the leadership team with your questions or feedback. We want to share
information in an effective and efficient way and help MPMC be the best that it
can be.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-43882473237658595842014-01-31T13:27:00.000-08:002014-01-31T13:28:33.168-08:00Goals for the 2014 year<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;">The Board of Directors recently approved Middle Park Medical
Center’s 2014 strategic goals. These goals were put together through the
managers of MPMC and vetted by the senior leadership team. Board President
Bernie Murphy stated that this will be “our bible” for the upcoming year. This
document will be used organization-wide to guide our work throughout the year. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p><span style="font-family: Calibri;">However, this document will be a living document, which
means it will be adjusted as needed. In the quickly changing landscape of
health care, organizations must be ready to take challenges head-on. We want to
be proactive and adaptable in our important work. The leadership team will
prioritize these projects and will work with each of you to make these goals a
reality for our employees, our patients and our community.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<o:p><span style="font-family: Calibri;"> </span></o:p><span style="font-family: Calibri;">If you have any questions about MPMC’s 2014 goals, please feel
free to ask any member of the leadership team. Have a great weekend and <b style="mso-bidi-font-weight: normal;">GO BRONCOS!<o:p></o:p></b></span></div>
<br />
<div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="color: #4f81bd; font-family: "Cambria","serif"; font-size: 20pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: accent1;">Middle
Park Medical Center<o:p></o:p></span></div>
<br />
<div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="color: #4f81bd; font-family: "Cambria","serif"; font-size: 20pt; mso-ascii-theme-font: major-latin; mso-hansi-theme-font: major-latin; mso-themecolor: accent1;">2014
Goals<o:p></o:p></span></div>
<br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Calibri;">Priorities<o:p></o:p></span></b></div>
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Calibri;">1: Regulation or
requirement<o:p></o:p></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Calibri;">2: Very
important/critical to achieve Strategic Pillars and Vision<o:p></o:p></span></b><br />
<b style="mso-bidi-font-weight: normal;"><span style="font-family: Calibri;">3: Important<o:p></o:p></span></b><br />
<br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Pillar</b>:<b style="mso-bidi-font-weight: normal;"> Technology <o:p></o:p></b></span></div>
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: currentColor; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 160; width: 679px;">
<tbody>
<tr style="height: 59.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: rgb(217, 217, 217); border: 1pt solid windowtext; height: 59.05pt; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Goals<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; height: 59.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Time
Line<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; height: 59.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Priority<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; height: 59.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead
Team<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead*<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; height: 59.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Tactics<o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 47.95pt; mso-yfti-irow: 1;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Implement
a functional Electronic Medical Record: hospital and clinics. <o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l16 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Implement Meaningful Use II requirement (regulation)<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Dec
2014<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">1<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">COO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CQO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CNO<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l13 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Host selection:(complete)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l13 level1 lfo2; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Tactical Implementation
Plan: (March 2014)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; mso-list: l9 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Project Manager<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l9 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Users’ Implementation Team<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l9 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">IT Infrastructure<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; mso-list: l9 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Trainer/Training<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.5in; mso-list: l9 level1 lfo3; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Competency examination <o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 47.95pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Timely
and accurate bills out to patients <o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">July,
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">1<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CFO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Finance
Services Director<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 47.95pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 20pt; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Develop measures and
benchmarks: (February)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 20pt; mso-add-space: auto; mso-list: l12 level1 lfo4; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Complete a plan to achieve
benchmarks: (April)<o:p></o:p></span></span></div>
</td>
</tr>
</tbody></table>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Pillar:</b> <b style="mso-bidi-font-weight: normal;">Growth</b><o:p></o:p></span></div>
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: currentColor; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 160; width: 679px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: rgb(217, 217, 217); border: 1pt solid windowtext; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Goal
<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Time
Line<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Priority<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead
Team<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead*<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Tactics<o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Grow surgery<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Increase additional
outpatient services by minimally two service lines.<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l5 level1 lfo5; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Establish a three year
growth strategy <o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Dec.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2014<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CEO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CMO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CNO<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l2 level1 lfo6; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Complete market assessment:
March) <o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l2 level1 lfo6; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">General surgeon on board:
(January)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l2 level1 lfo6; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Successful recruitment of
the following specialties/services: (first quarter)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Ophthalmology<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Podiatry<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Retina specialists<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l0 level1 lfo7; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Urgent Care<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l2 level1 lfo6; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">4.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Assess feasibility of new
service opportunities: (October)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l11 level1 lfo8; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Oncology: chemo<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l11 level1 lfo8; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Pain management<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 31.5pt; mso-add-space: auto; mso-list: l11 level1 lfo8; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10pt; mso-bidi-font-family: Symbol; mso-bidi-language: X-NONE; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Microbiology<o:p></o:p></span></span></div>
</td>
</tr>
</tbody></table>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Pillar</b>: <b style="mso-bidi-font-weight: normal;">Organization<o:p></o:p></b></span></div>
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: currentColor; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 160; width: 679px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: rgb(217, 217, 217); border: 1pt solid windowtext; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Goals<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Time
Line<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Priority<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead
Team<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead*<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Tactics<o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 1;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Develop
and implement standardized salary structure<i style="mso-bidi-font-style: normal;"><o:p></o:p></i></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">June
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">HR
Director* CEO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l3 level1 lfo9; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Define core competencies:
(April) <o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 2;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Decrease
staff turnover by 33%<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">December
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">HR
Director* CEO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l17 level1 lfo10; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Initiate employee
satisfaction: (March)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l17 level1 lfo10; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Incorporate Centura
turnover measures: (May) <o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l17 level1 lfo10; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Develop focused strategies
for retention: (July)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 3;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Implement
3 to 5 lean projects that result in system efficiencies across sites
(supplies, people, services, information/ communication)<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Jan
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CQO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">AHA<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l14 level1 lfo11; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Identify projects and
measures: (January) <o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 4;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Build
medical staff engagement<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">June
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CMO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">AHA<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l10 level1 lfo12; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Create and disseminate CMO
job description: (January)<o:p></o:p></span></span></div>
<div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l10 level1 lfo12; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Appoint medical staff to
MPMC committees, teams, projects and strategic planning: (first quarter)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in; mso-list: l10 level1 lfo12; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Restructure medical staff
performance and compensation model: (April)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Implement
a Compliance Program <o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">June
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">1<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">COO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CNO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CQO<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 19pt; mso-add-space: auto; mso-list: l8 level1 lfo13; text-indent: -19pt;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Appoint a Compliance Officer: (January) <o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 19pt; mso-add-space: auto; mso-list: l8 level1 lfo13; text-indent: -19pt;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Define/refine the Compliance Program: (first quarter)<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Standardize
internal organizational communication <i style="mso-bidi-font-style: normal;"><o:p></o:p></i></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">June
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">3<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Marketing
Director*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CEO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">COO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CNO<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l18 level1 lfo14; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Redesign Intranet: (first
quarter)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l18 level1 lfo14; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Establish communication policies:
(June)<o:p></o:p></span></span></div>
</td>
</tr>
</tbody></table>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
</div>
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Pillar</b>: <b style="mso-bidi-font-weight: normal;">Community <o:p></o:p></b></span></div>
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: currentColor; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 160; width: 679px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: rgb(217, 217, 217); border: 1pt solid windowtext; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Goal<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Time
Line<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Priority<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead
Team<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead*<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Tactics<o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 1;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Develop
and implement the Ambassador Program<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Fourth
Quarter 2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">3<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Marketing
Director<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CEO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CFO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">HR
Director<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Define the program (March)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Identify Ambassadors
(April)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l15 level1 lfo15; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Complete training (July)<o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 2;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Complete
a multi-year Marketing/PR Strategic Plan and Framework <o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">February
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Marketing
Director*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CEO
<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l4 level1 lfo16; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Hire a Marketing Director:
(complete)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l4 level1 lfo16; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Complete the 2014 Marketing
Plan and framework: (February)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l4 level1 lfo16; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">3.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Review, evaluation and adjustment
of plan: (ongoing) <o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 46.3pt; mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 1.95in;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Implement
a vehicle/vendor to establish and measure patient satisfaction (requirement)<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">June
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">1<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CQO*
<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CNO<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 46.3pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l7 level1 lfo17; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Agreement signed: (January)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l7 level1 lfo17; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">First survey initiated:
(April)<o:p></o:p></span></span></div>
</td>
</tr>
</tbody></table>
<span style="font-size: 10pt;"><o:p><span style="font-family: Calibri;"> </span></o:p></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt 0.25in;">
<span style="font-family: Calibri;"><b style="mso-bidi-font-weight: normal;">Pillar</b>: <b style="mso-bidi-font-weight: normal;">Strategic Partner <o:p></o:p></b></span></div>
<br />
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: currentColor; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0in 5.4pt 0in 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 160; width: 679px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: rgb(217, 217, 217); border: 1pt solid windowtext; mso-border-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Goal<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Time
Line<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Priority<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead
Team<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Lead*<o:p></o:p></span></span></div>
</td>
<td style="background: rgb(217, 217, 217); border-color: windowtext windowtext windowtext rgb(0, 0, 0); border-style: solid solid solid none; border-width: 1pt 1pt 1pt 0px; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Tactics<o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 35.5pt; mso-yfti-irow: 1;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Establish
ongoing quarterly contact with primary care practices in Grand County.<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">July
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">3<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CMO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">AHA<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Marketing
Director<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l1 level1 lfo18; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Identify target practices,
liaisons and agendas: (June) <o:p></o:p></span></span></div>
</td>
</tr>
<tr style="height: 35.5pt; mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext; border-style: none solid solid; border-width: 0px 1pt 1pt; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 140.3pt;" valign="top" width="187"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Define
and structure the Centura relationship<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">May
2014<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"><div align="center" class="MsoNormal" style="margin: 0in 0in 0pt; text-align: center;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">2<o:p></o:p></span></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 58.5pt;" valign="top" width="78"><div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">CEO*<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Board<o:p></o:p></span></span></div>
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt; mso-bidi-language: X-NONE;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
</td>
<td style="background-color: transparent; border-color: rgb(0, 0, 0) windowtext windowtext rgb(0, 0, 0); border-style: none solid solid none; border-width: 0px 1pt 1pt 0px; height: 35.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0in 5.4pt; width: 206.95pt;" valign="top" width="276"><div class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l6 level1 lfo19; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Manage the messaging and
transition: (ongoing)<o:p></o:p></span></span></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 0pt 0.25in; mso-add-space: auto; mso-list: l6 level1 lfo19; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: 10pt; mso-bidi-font-family: Calibri; mso-bidi-language: X-NONE; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-size: 10pt; mso-bidi-language: X-NONE;"><span style="font-family: Calibri;">Implementation (June -
December)<o:p></o:p></span></span></div>
</td>
</tr>
</tbody></table>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 10pt;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-27727383558687425782014-01-20T06:09:00.001-08:002014-01-20T06:16:29.192-08:00Welcome aboard!<br />
<div align="center" class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Join me in welcoming Dr. Rebecca Wiebe!<o:p></o:p></span></b></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">I am excited to announce that<b style="mso-bidi-font-weight: normal;"> </b></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Middle Park Medical Center will soon be working with
Dr. Rebecca Wiebe, M.D., of Surgical Specialists of Colorado, PC, for general
surgery in Granby!<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">Dr. Wiebe will begin seeing patients on February 7 at
MPMC-Granby<strong>,</strong> </span><span style="font-size: 12pt;"><span style="font-family: Calibri;">1000 Granby Park Drive South. She will serve patients
with breast cancer, hernias, endocrine disease and </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">gastrointestinal
concerns as well as those needing other minor surgeries. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Dr. Wiebe’s accolades are many.
She is a Fellow in the </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">American College of Surgeons and is
certified by the American Board of Surgery. She is also a member of the
Association of Women Surgeons, Colorado Medical Society, Southwestern Surgical
Congress The American Society of Breast Surgeons, Denver Academy of Surgery and
American Society of General Surgeons.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Dr. Wiebe’s work
is a continuation of the general surgery work previously conducted by Dr.
Edward Medina. We wish Dr. Medina well in his future endeavors and are thankful
for the service he has given MPMC’s patients.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Under Dr. Wiebe,
MPMC will be able to grow our surgical days significantly. We are doubling the
amount of available surgery time and are working toward general surgery
services five days a week by the end of 2014. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Please join me
in welcoming Dr. Wiebe to the team!<o:p></o:p></span></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-36023380850526764552014-01-10T13:44:00.000-08:002014-01-10T13:44:25.429-08:00Family...
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">While there are challenges to being
a small, rural hospital, there are many advantages as well. One main advantage
is that we are small enough to be a large family. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">When my family has reunions, they can
rival the size of the MPMC organization in numbers (which is why I married an
out-of-state girl!).<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">As with any family, we have good
times and struggles, but work together to resolve our issues and grow stronger
in the process. At MPMC, we are striving to become a close, resilient family
working toward a common goal. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">One way we can learn and evolve
together is through our newly implemented Service Excellence Initiative. The
teams that have been put together to implement this three-year program will
lead the way for our family to continue to advance the level of patient care
and the bonds between us. <o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">These bonds are forged through
challenging times. Last week, the MPMC experienced one of these struggles.
Below is the release sent to Sky Hi News after a request for information about
the incident:<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0.5in 10pt; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";">O</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">n
January 2, 2014, three employees of Middle Park Medical Center Granby Family
Practice Clinic reported feeling ill and left work.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0.5in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">All three employees report
ingesting the same food product, though it is unclear at this time if the food
was tainted in any way.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0.5in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Middle Park Medical Center
administration, along with staff and outside agencies, is investigating the
incident and awaiting lab results on the food substance present in the clinic
to determine if the food was, in fact, tainted.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0.5in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">The employees have reported feeling
better after the incident and have resumed serving patients at the clinic.
There was little to no effect on patient appointment times or the quality of
their care.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin: 0in 0.5in 10pt; text-indent: 9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt;">There is no further information
available at this time.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">This is the extent of the verifiable information
currently available about the incident. The MPMC leadership team and local
authorities will continue to investigate this occurrence. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">We stand by our employees – our
family members – 100% and will protect them.<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Please
stayed tuned for any additional details as they become available. In the
meantime, please refer any inquiries to CNO Carmen Covington or Michelle
Balleck, Director of Marketing and Public Relations. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">We
ask that any communication you have about this incident is with Carmen and is
not conducted outside of MPMC.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-40500594212549750852013-12-27T12:42:00.004-08:002013-12-27T12:42:58.830-08:002013 to 2014As 2013 comes to a close, I’d like to thank each and every member of the MPMC family for their commitment to providing the highest quality patient-centered health care possible. This year has marked many advancements for the MPMC team and has made us stronger as we continue to grow.
As we look forward to a new year and the progress that awaits, I want to provide you an update on some important initiatives on which we have been working.
· Dr. Rebecca Wiebe of Surgical Specialists of Colorado will begin seeing patients at Middle Park Surgical Center four days a week on February 7. The goal is to increase days through 2014 to increase the availability of surgery in Grand County.
· We are working to secure an interim human resources director and hope to have that person in place in January while we continue to recruit a full-time director.
· Our new health information management manager will join us January 6. This should give us a good position to be more proactive in our charting and auditing of patient records as well as better position us for the ICD-10 crossover next year.
· As our new Director of Marketing and Public Relations, Michelle Balleck, gets acclimated with the MPMC family, she will be meeting with directors and managers to develop a comprehensive communication plan for our organization. Please look forward to increased communication within and outside of MPMC.
· Our Service Excellence Initiative is proceeding well. Currently we are focusing on the patient experience and how it is impacted by quietness and cleanliness. Trainings for staff will begin in 2014, and we look forward to the improvements to patient care we can all strive to achieve.
· Chief Financial Officer Brendan Gale, along with others from the organization, will be having a budget meeting in January to finalize a revised budget for 2014.
· Brendan and his team are working to standardize the revenue cycle and resolve reimbursement concerns. This is one of our primary goals for 2014 as we strive to improve cash flow and our billing processes.
I am optimistic to enter a new year with many possibilities with all of the MPMC team. We have many opportunities in front of us to continue to grow the level of patient care we offer to all of Grand County! Happy New Year!
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-40215693630012665902013-12-13T16:11:00.000-08:002013-12-13T16:11:31.704-08:00Congratulations!<b><span style="font-family: PalatinoLinotype,Bold; font-size: large;"><span style="font-family: PalatinoLinotype,Bold; font-size: large;"><div align="LEFT">
Service Excellence Initiative</div>
</span><div align="LEFT">
</div>
</span><div align="LEFT">
</div>
</b><span style="font-family: PalatinoLinotype; font-size: medium;"><span style="font-family: PalatinoLinotype; font-size: medium;"><div align="LEFT">
Middle Park Medical Center strives to provide world-class Service Excellence to</div>
continuously improve the patient experience, employee satisfaction and physician<br />
engagement at our facilities. We have launched our Service Excellence Initiative,<br />
which will be implemented throughout the MPMC family during the next three years.<br />
<br />
The Service Excellence Initiative will enhance the experience for our patients, their<br />
families and our community, as well as ourselves, and will move Middle Park Medical<br />
Center forward in becoming the health care provider and employer of choice in<br />
Northwest Colorado.<br />
<br />
<div align="LEFT">
As part of this project, we have selected the following leaders within our</div>
organization to lead the first phase of implementation. The Service Excellence Council<br />
will provide leadership and communication to the Service Excellence Initiative. The<br />
Service Excellence Advisors will lead Service Excellence Initiative workshops for the<br />
entire MPMC staff and guide us through implementation of customer service<br />
improvement projects.<br />
</span> </span><b><span style="font-family: PalatinoLinotype,Bold; font-size: medium;"><span style="font-family: PalatinoLinotype,Bold; font-size: medium;"><div align="LEFT">
Service Excellence Council </div>
</span></span></b><span style="font-family: PalatinoLinotype; font-size: medium;"><span style="font-family: PalatinoLinotype; font-size: medium;"><div align="LEFT">
David Solawetz, RN, CQO, Chair</div>
Janet Peters, Program Director<br />
Carmen Covington, CNO<br />
Zane Gray<br />
Miranda Marsh<br />
Bridget Newman<br />
Bethanie Reynolds<br />
Jeanine Shunk<br />
Jason Stuerman, MD<br />
Theresa Vague<br />
<br />
<strong>Service Excellence Advisors</strong><br />
Jean Anderson<br />
Alexis Bates<br />
Amanda Haight<br />
Jeff Hoffman<br />
Mary Meeks<br />
Holly Peck<br />
Evaldas Pilkis<br />
Chris Porter<br />
Daniele Porter<br />
Marjorie Pfeffer<br />
Chris Trimmer<br />
Darren Zunno<br />
<br />
<div align="LEFT">
Please look forward to further information as we progress with the Service</div>
Excellence Initiative into 2014! This initiative will enable us to reach higher levels of<br />
customer and employee experience. Your commitment to MPMC and patient<br />
satisfaction is paramount to make this initiative successful!<br />
</span></span>Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-9979037892277143612013-12-03T16:05:00.001-08:002013-12-03T16:05:48.102-08:00Old acquaintances...<br />
As we move toward a stronger relationship with Centura here are some facts on them and what they have to offer. <br />
<br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-family: Calibri;"><b><span style="font-size: 14pt;">WHO</span></b><span style="font-size: 14pt;"> – Centura Health is a joint venture between Adventist
Health System a mid-west and southern hospital system with net revenues in
excess of $6.5 Billion and Catholic Health Initiatives (CHI) a national
hospital system that has net revenues in excess of $10.5 Billion, which puts
them in the top 10 not-for-profit hospital systems in the country. Centura and
Adventist/CHI are faith based organizations and all share the common mission of
“promoting the healing ministry of Christ.” Centura and Adventis/CHI work
with a lot of affiliate hospitals, and while it is faith based, they do not
require affiliated organizations to comply with are parts of their operating
dogma. Centura Health is the <b>largest healthcare system in Colorado</b>
with net revenues exceeding $2.5 Billion, with hospital’s throughout the state
and provide other healthcare services, including home health, nursing home
care, and other ancillary services. <a href="http://www.centura.org/"><span style="color: blue;">http://www.centura.org/</span></a><o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 0pt;">
<span style="font-size: 14pt;"><o:p><span style="font-family: Calibri;"> </span></o:p></span></div>
<span style="font-family: Calibri;"><b><span style="font-size: 14pt;">WHY</span></b></span><br />
<div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 14pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Proximity to St.
Anthony’s and St. Anthony’s Summit.<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 14pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Well positioned
geographically in the intermountain and front range to take advantage of
population based medicine (See: Map of Centura CAH’s) and has a growing
presence on the eastern side of the state with affiliate and owned hospitals in
Western Kansas (</span><a href="http://www.centura.org/Workfiles/maps/CH-map-AllFacilities.pdf"><span style="color: blue; font-family: Calibri;">http://www.centura.org/Workfiles/maps/CH-map-AllFacilities.pdf</span></a><span style="font-family: Calibri;">)<o:p></o:p></span></span></div>
<br />
<div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 14pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Annual per-capita
spending on healthcare in the U.S. exceeds $8,233 per person or <b>$123,495,000
in Grand County </b>alone. Total population in the Centura affiliate hospital
counties exceed 150,000 with net healthcare expenditure in excess of $1.3 Billion.
This doesn’t even include the tourism base that consumes another $100,000,000
in healthcare while vacationing in affiliate counties (Jackson, Grand, Summit,
Alamosa, Chaffee, Clear Creek, Costilla, Fremont, Lincoln, and Park). Adjacent
counties hold an additional 250,000 people. Gaining a larger market share for MPMC in our area would be momentous. </span></span></div>
<br />
<div class="MsoListParagraph" style="margin: 0in 0in 0pt 0.5in; mso-list: l3 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 14pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Centura 2020
mission to move upstream to help </span><a href="http://www.centura.org/move-upstream-to-manage-health"><span style="color: blue; font-family: Calibri;">http://www.centura.org/move-upstream-to-manage-health</span></a></span><!--[endif]--></div>
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</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Improved revenue
cycle management (ICD-10, HIPPA compliance, value based purchasing, HCAPS)<o:p></o:p></span></span></div>
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</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Process
efficiencies and economies of scale that would reduce costs dramatically. </span></span></div>
<ul>
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<span style="font-size: 14pt;"><span style="font-family: Calibri;">New agile leadership to respond quickly to the needs of MPMC</span></span></div>
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</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Expanded service
lines (Surgical, inpatient, home health, nursing home, etc.)<o:p></o:p></span></span></div>
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<span style="font-family: Symbol; font-size: 14pt; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"> ·<span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";">
</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Access to high
end services like legal, consulting, marketing, accounting, etc. </span></span><br />
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</span></span></span><!--[endif]--><span style="font-size: 14pt;"><span style="font-family: Calibri;">Improved
viability as we face <i>Affordable Care Act, ICD-10, Value Based Purchasing and
Pay for Performance, Elimination of CAH Payments, Patient Centered Medical
Home, etc. </i><o:p></o:p></span></span></div>
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-10116991451290920252013-11-15T12:16:00.000-08:002013-11-15T12:16:33.016-08:00Stopping to smell the flowers.Today marks my fourth month of your Chief Operating Officer. I did not realize that fact until my awesome better half posted this on my facebook page...<br />
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When I interviewed for this position in June I sat down in front of 10 or so MPMC employees that shared with me the challenges, the hopes, the set-backs, the concerns and the anxiety. The one thing that stood out the most was there was no sign of "laying down and giving up". I knew right away I wanted this job because of the staff.<br />
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<span style="font-size: x-small;">The Four Horsemen: State Survey, IT Crash, Life Safety, and Workforce Reduction.</span></div>
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Fast forward four months...<br />
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CEO Cole White has recently likened these past year to the four horsemen of the apocalypse with all of the challenges that we have faced. However, the assessment of the staff that I had in my interview was correct. You all have not lain down your swords, stopped fighting and not feared any tribulation. You all have fiercely fought to make sure that our patients were taken care of. <br />
<br />
<strong>The senior leadership team and the board of director's are very proud of you all.</strong> <br />
<br />
Sometimes we all have to take a moment to pause and gather the holistic picture of the entire organization. Once you have done this and seen the entire organization working as a whole you can capture the beauty of the self-sacrifice to ensure our fellow human beings are being cared for with high quality. This involves EVERY individual. <br />
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This is an amazing process to experience and everyone should from time to time stop to smell the flowers. <br />
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...Oh yeah...and I am having a blast thank you all for all you do!Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-34747564581767261742013-10-25T08:43:00.000-07:002013-10-25T08:43:48.389-07:00Deaf and Dumb<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"></span><br />
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">We had a great senior leadership retreat on Wednesday
of this week.<span style="mso-spacerun: yes;"> </span>One of the things that we
did as an ice breaker was to give a personal experience on how something or
someone has affected us and our leadership style.<span style="mso-spacerun: yes;"> </span>This was a very easy topic to pick for me
because a day rarely goes by without me thinking of it.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">I was born with a congenital sensorineural hearing loss;
my hearing is classified as a profound loss.<span style="mso-spacerun: yes;">
</span>Which is one step below deaf; I am 93% deaf in both ears.<span style="mso-spacerun: yes;"> </span>This has definitely caused a lot of hurdles
in my life.<span style="mso-spacerun: yes;"> </span>However, I have been
received well in all circles with understanding people.<span style="mso-spacerun: yes;"> </span>Though, there is one teacher during my junior
high and high school years that whole heartedly tried to undermine my every
action.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">He called me deaf and therefore, dumb.<span style="mso-spacerun: yes;"> </span>That comment has resonated through me my
entire life.<span style="mso-spacerun: yes;"> </span>I went on to graduate from
high school, get my AAS in Radiology, BS in Kinesiology and I am ¾ done with my
Master’s in Administration…some of my classmates have called me “4.0”.<span style="mso-spacerun: yes;"> </span>While it seems like I am bragging (which I am
somewhat) my point is that any obstacle and hurdle can be overcome if you have
determination.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">In fact I have put determination as my personal
vision, mission and description word. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">In health care it always takes a healthy dose of
determination (pun intended) to give quality care, excellent customer service,
perform under duress, make changes needed to create the “employer of choice and
provider of choice”.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;">Thanks for all of your hard work this week!<o:p></o:p></span></div>
Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-19724981139238384912013-10-11T13:42:00.001-07:002013-10-11T13:42:02.707-07:00Who signs your PTO slip?<div style="text-align: justify;">
In my last blog post I mentioned that Trudy and I would be discussing organizational clarity at the next managers meeting. Organizational clarity has a lot of different pieces that are important in not only MPMC's hierarchy, but patient safety and care as well. This is important from front line staff to the Board of Directors.</div>
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Advis, S., A. (2010) states that "w<span class="ms-rteCustom-text-PSABody-P">hen hierarchical differences exist
between health care clinicians, communication problems may occur. Those
individuals that exhibit intimidating behaviors may further hinder communication
between health care clinicians, causing delays in patient care particularly if
the organization’s chain of command fails to outline structured communication
techniques and clinical practice guidelines to follow when disruptive behaviors
are encountered. Disruptive behaviors of health care clinicians have been linked
to adverse events."</span></div>
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<span class="ms-rteCustom-text-PSABody-P">This amplifies the need for a clear chain of communication/command. I use the communication/command interchangeably because largely that is what it is, a direction of communication flow for conflict resolution. However, the number one first thing one should do when there are non-life-threatening urgent matters is <strong>always </strong>work the issue at hand out with the person of interest. This always helps prevent wasteful, productivity killing, unnecessary use of the chain of communication.</span></div>
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<span class="ms-rteCustom-text-PSABody-P">Only then if the issue at hand cannot be resolved you should move up the chain of command. You might wonder which area to go to...go to your immediate supervisor, the person "who signs your PTO slip". That is the best place to start. The following is the Senior Leadership chain of communication. This is MPMC design and the Joint Commission best practice. </span></div>
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<span class="ms-rteCustom-text-PSABody-P"> We will be rolling out the full chart at the managers meeting. <br />
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</span>Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-7559060585413135182013-10-04T07:43:00.001-07:002013-10-04T07:43:52.582-07:00!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
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<span style="font-family: Calibri;">To:<span style="mso-spacerun: yes;"> </span></span><a href="mailto:IT@mpmc.org"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><span style="color: blue;">IT@mpmc.org</span></span></a><o:p></o:p></div>
<span style="font-family: Calibri;">Cc:<span style="mso-spacerun: yes;"> </span>Cole white,
Carmen Covington, David Solawetz, John Wisneski, Bethanie Reynolds, Sherri
Solawetz<o:p></o:p></span><br />
<span style="font-family: Calibri;">Bcc:<span style="mso-spacerun: yes;"> </span>Board of
Directors<o:p></o:p></span><br />
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<span style="font-family: Calibri;">From: Trampas Hutches<o:p></o:p></span><br />
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<span style="font-family: Calibri;">Subject: !!!!!!!!!!!!!<o:p></o:p></span><br />
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<span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<span style="font-family: Calibri;">i NEED MY SCANNER FIXED ASAP!!!!<o:p></o:p></span><br />
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<span style="font-family: Calibri;">Warm Regards,<o:p></o:p></span><br />
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<span style="font-family: Calibri;">Trampas Hutches, COO<o:p></o:p></span><br />
<span style="font-family: Calibri;">Middle Park Medical Center<o:p></o:p></span><br />
<span style="font-family: Calibri;">970-724-3130<o:p></o:p></span><br />
<br />
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<span style="font-family: Calibri;">------------------------------------------------------------------------------------------------------------------------------------</span></div>
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<o:p><span style="font-family: Calibri;"> </span></o:p><span style="font-family: Calibri;">How would you feel if you received this e-mail?<span style="mso-spacerun: yes;"> </span>Would you be offended, angry, hurt?<span style="mso-spacerun: yes;"> </span>How do you think the Cc people feel about
this?<span style="mso-spacerun: yes;"> </span>I know the senior leadership would
frown on this.<span style="mso-spacerun: yes;"> </span>Not over the scanner, but
the sender is acting like a petulant two-year-old.<span style="mso-spacerun: yes;"> </span>The Board of Directors would be wondering why
they even received this e-mail, let alone the use of the blind carbon copy.<span style="mso-spacerun: yes;"> </span>Not to mention IT would not be likely to move
on the issue just due to the simple fact of human nature.<o:p></o:p></span></div>
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<span style="font-family: Calibri;">Right now you are saying to yourself “oh nobody sends
these types of e-mails”.<span style="mso-spacerun: yes;"> </span>You would be
very wrong.<span style="mso-spacerun: yes;"> </span>Aside from the obvious
issues all around with this e-mail, the lost productivity to stop the fall-out
from these e-mails are huge wasteful and “un-Lean”.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<o:p><span style="font-family: Calibri;"> </span></o:p><span style="font-family: Calibri;">There are two things wrong with this:<o:p></o:p></span></div>
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: Calibri;"><span style="mso-spacerun: yes;"> </span>If the issue has not been resolved rather than
Cc and Bcc sending chain of command should be followed.<span style="mso-spacerun: yes;"> </span>An e-mail should be sent to the direct
supervisor of the department in question<o:p></o:p></span><br />
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-size-adjust: none; font-stretch: normal; font: 7pt/normal "Times New Roman";"> </span></span></span><!--[endif]--><span style="font-family: Calibri;">All
e-mail etiquette rules were broken<o:p></o:p></span><br />
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<span style="font-family: Calibri;">In the next managers meeting Trudy and I will be rolling
out e-mail etiquette training.<span style="mso-spacerun: yes;"> </span>This will
be part of a broader training of organizational clarity.<span style="mso-spacerun: yes;"> </span>The one thing that makes all of this go is
communication.<span style="mso-spacerun: yes;"> </span>It all comes down to the “good
ol Golden Rule”<span style="mso-spacerun: yes;"> </span>“Love thy neighbor as
thyself”.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
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<o:p><span style="font-family: Calibri;"> </span></o:p></div>
<span style="font-family: Calibri;">I am glad to back to writing my blog as I have written
close to a 50 page project over the past month for my Master’s Degree
program.<span style="mso-spacerun: yes;"> </span>This is one of my favorite
parts of my job, my blog.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
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<span style="font-family: Calibri;">**Disclaimer**<span style="mso-spacerun: yes;"> </span>The
above e-mail was completely fictional.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-59149560034279188442013-09-06T07:17:00.000-07:002013-09-06T07:17:14.377-07:00Grabbing the bull by the horns.<br />
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What does Gandhi, Abraham Lincoln, Jesus Christ, Charles Darwin and Socrates all have in common? They all exhibited a great deal of...</div>
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<span style="color: red;">cour·age</span></div>
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<span class="lr_dct_ph"><span style="color: red;"><span>ˈkərij</span>,<span>ˈkə-rij</span>/</span></span><span alt="Speaker icon" class="lr_dct_spkr lr_dct_spkr_off" data-log-string="pronunciation-icon-click" jsaction="dob.p" style="display: inline-block;" title="Listen"><input height="16" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAcUlEQVQ4y2P4//8/AyUYQhAH3gNxA7IAIQPmo/H3g/QA8XkgFiBkwHyoYnRQABVfj88AmGZcTuuHyjlgMwBZM7IE3NlQGhQe65EN+I8Dw8MLGgYoFpFqADK/YUAMwOsFigORatFIlYRElaRMWmaiBAMAp0n+3U0kqkAAAAAASUVORK5CYII=" style="height: 16px; width: 16px;" type="image" width="16" /><audio preload="auto" src="https://ssl.gstatic.com/dictionary/static/sounds/de/0/courage.mp3"><span style="color: red;"></span></audio></span></div>
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<i><span style="color: red;">noun</span></i></div>
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<span><span style="color: red;">noun: <b>courage</b></span></span></div>
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<span><span style="color: red;">the ability to do something that frightens one.</span></span></div>
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<span style="color: red;">"<span>she called on all her courage to face the ordeal</span>"</span></div>
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<span>One does not have to be a famous person to exhibit a large degree of courage. In fact some of the biggest acts of courage sometimes go un-noticed. As health care workers we see this every single day. The courage of people battling illness, diseases and staring death in the face and winning (and losing). That courage can be quite monumental in comparison to many of the above mentioned people.</span></div>
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<span>Also, courage can simply be willing to face change during difficult times. A lot of times we do things not because it is the best thing to do, but it is the easiest thing to do. The phrase that comes to my mind is "because that is just the way we have always done it". This statement along with the rapidly evolving and changing health care landscape can be detrimental to many health care organizations. </span></div>
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<span>Many battles have been lost due to the inability to find the silver lining <strong>in/</strong><strong>and</strong> embracing change that is needed to adjust and adapt to changes that are uncontrollable. At MPMC there has been change and there is more change to come. This will require courage from the top leadership team and board of directors down to every single position in the MPMC organization. </span></div>
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<span><strong><span style="font-size: large;">Sometimes you gotta grab the bull by the horns...</span></strong></span></div>
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<tr><td class="tr-caption" style="text-align: center;">Our fearless leader, Cole "Tuff" White</td></tr>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-16738815036577108392013-08-23T15:36:00.003-07:002013-08-23T15:36:54.029-07:00HIPAA...It's a serious matter.<h1 class="header">
Ya it's boring, but it's serious...</h1>
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Just about everyone has heard of HIPAA, it is especially drilled down into all health care workers for obvious reasons. The whole reason of HIPAA is to protect sensitive information from becoming public knowledge. HIPAA can be confusing, but it is also fairly simple. The biggest phrase to remember is "is the information or access to information necessary to perform my job". If the information is not a necessity, and you access it anyways you are in violation of HIPAA. This pertains to even your personal records, your spouses records and your families' records.<br />
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The seriousness of the violation can be summed up in the following paragraph: </div>
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"Even if a person is the victim of an egregious violation of the HIPAA Privacy Rule, the law does not give people the right to sue. Instead, individuals must file a written complaint with the Secretary of HHS via the Office for Civil Rights. It is then within the Secretary’s discretion to investigate the complaint. HHS may impose civil penalties ranging from $100 to $25,000, and criminal sanctions ranging from $50,000 to $250,000—with corresponding prison terms—may be enforced by the Department of Justice." </div>
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All hospitals must self report any violation that is observed in its' organization. usually this leads to immediate termination. Also, it is worth noting that even minor violations can land a person on the National Database that will prevent any organization that participates in federal programs from hiring the violator. <strong>Essentially if you violate HIPAA you won't be working in the health care field again. </strong></div>
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MPMC will be increasing the presence in the security of HIPAA related issues. Also, we will be enforcing the rules and penalties. I, myself, am astounded at how well the security system monitors for HIPAA violations. So please...don't be the one that causes a jellybean (red flag) to be sent to our HIPAA administrator's...</div>
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Here are a few HIPAA Myths/Facts:</div>
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<strong>Myth #1 Health care providers can share personal health information with employers.</strong></div>
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<strong>FACT </strong>.</div>
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<strong>Myth #2 One doctor’s office cannot send a patient’s medical records to another doctor’s office without that patient’s consent.</strong></div>
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<strong>FACT</strong></div>
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<strong>Myth #3 The HIPAA Privacy Regulation prohibits or discourages doctor–patient e-mails.</strong></div>
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<strong>FACT </strong></div>
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<strong>Myth #4 Hospitals are prohibited from sharing information with the patient’s family without the patient’s express consent.</strong></div>
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<strong>FACT </strong></div>
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<strong>Myth #5 A patient’s family member can no longer pick up prescriptions for the patient.</strong></div>
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<strong>FACT </strong></div>
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<strong>Myth #6 The Privacy Regulation mandates new disclosures of patient information.</strong></div>
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<strong>FACT </strong></div>
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<strong>Myth #7 Patients can sue health care providers for not complying with the HIPAA Privacy Regulation.</strong></div>
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<strong>FACT </strong><strong>Myth #8 Patients’ medical records can no longer be used for marketing.</strong></div>
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<strong>FACT </strong>.</div>
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<strong>Myth #9 If a patient refuses to sign an acknowledgment stating that he or she received the health care provider’s notice of privacy practices, the health care provider can, or must, refuse to provide services.</strong></div>
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<strong>FACT </strong></div>
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<strong>Myth #10 The HIPAA Privacy Rule imposes many new restrictions on hospitals’ fundraising efforts so that fundraising becomes almost impossible.</strong></div>
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<strong>FACT </strong></div>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-80574041943618533642013-08-17T09:08:00.002-07:002013-08-17T09:08:10.263-07:00In the eye's of our patients...<div align="justify">
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I posted this video a few weeks ago..if you can't see it at work, please watch it at home...</div>
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<object width="320" height="266" class="BLOGGER-youtube-video" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0" data-thumbnail-src="http://img.youtube.com/vi/Wl2_knlv_xw/0.jpg"><param name="movie" value="http://youtube.googleapis.com/v/Wl2_knlv_xw&source=uds" /><param name="bgcolor" value="#FFFFFF" /><param name="allowFullScreen" value="true" /><embed width="320" height="266" src="http://youtube.googleapis.com/v/Wl2_knlv_xw&source=uds" type="application/x-shockwave-flash" allowfullscreen="true"></embed></object></div>
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Sometimes as health care workers we get caught up in the many processes that comes with the territory. We are focused on documenting in the charts, hurrying up to get a patient chest x-ray done, speedily trying to fax lab results, going from meeting to meeting to make strategic plans, texting a friend instead of working, not answering the phone during shift change, etc. We all sometimes fail to realize the purpose of the work we do here. This is collectively coming together and providing outstanding patient care for our #1 priority...our customer, the patient. Even if you have no patient contact, your job affects the patient some how, some way...there are no exceptions to this rule. </div>
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A simple way to help with this is a process called <strong>AIDET</strong>. Or:</div>
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<strong>Acknowledge —</strong> Greet people with a smile and use their names if you know them. Attitude is everything. Create a lasting impression.</div>
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<strong>Introduce —</strong> Introduce yourself to others politely. Tell them who you are and how you are going to help them. Escort people where they need to go rather than pointing or giving directions.</div>
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<strong>Duration —</strong> Keep in touch to ease waiting times. Let others know if there is a delay and how long it will be. Make it better and apply service recovery methods when necessary. (we will be adding said recovery methods in the future)</div>
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<strong>Explanation —</strong> Advise others what you are doing, how procedures work and whom to contact if they need assistance. Communicate any steps they may need to take. Make words work. Talk, listen and learn. Make time to help. Ask, "Is there anything else I can do for you?"</div>
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<strong>Thank You —</strong> Thank somebody. Foster an attitude of gratitude. Thank people for their patronage, help or assistance. The phrase "Thank you for choosing MPMC" should be ingrained in every ones customer service skills. </div>
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As you can see this process is based on communication skills. This is interesting in that majority of the issues that arise in almost all industries and personal lives are communication related. Just remember at all times try to view your work through the yes of our patients and ask yourself..."How would this look to me if I were coming through MPMC for care". </div>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-55154159912078341142013-08-09T06:28:00.001-07:002013-08-09T06:28:58.017-07:00A well oiled machine...<div align="justify">
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One of my all-time favorite movies is The Incredibles. In fact it is the only thing I wanted for my birthday the year it came out (my 30th...I am a kid at heart). In the movie there are many takeaways and real life lessons that apply to a broad spectrum of life issues and work instances. The one that really applies to MPMC, especially the last week, is the scene where Bob (Mr. Incredible) is getting lectured by his boss, <span class="mw-headline" id="Gilbert_Huph">Gilbert Huph, for helping his customer's finding their ways through Insuracare's red tape.</span></div>
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<em><strong>Mr. Huph</strong>: "We're supposed to help OUR people! Starting with our stockholders, Bob! Who's helping them out, huh?! (sighs) You know, Bob... a company..."<br /><b>Bob</b>: "Is like an enormous clock."<br /><b>Mr. Huph</b>: "Is like an enormous clo-- Yes! Precisely! It only works if all the little cogs *mesh* together! Now, a clock needs to be clean, well-lubricated, and wound tight. The best clocks have jewel movements, cogs that fit, that cooperate by design. (chuckles) I'm being metaphorical, Bob. You know what I mean by cooperative cogs?"</em></div>
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Bending Huph's metaphor a bit, MPMC and any other medical organization, is like a clock...or a system. For the system to work well all parts must be functioning at a high level and all jobs must be done in the best possible manner. Also, all pieces are important, without one piece the clock will not function.</div>
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With the impending Affordable Care Act or "Obamacare" there is a part called the Value Based Purchasing Program (VBPP). There are two main components of the VBPP one that focuses on patient outcomes and one that focuses on patient experience. Patient experience items are room cleanliness, staff friendliness, etc. </div>
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This area is important because it requires all staff to be on top of their game. Future reimbursements from medicare will be tied to the scores we receive from the patients. But the bottom line is...we should be doing this for our patients and each other anyways...to make sure we don't end up like this:</div>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-44025216945281381752013-08-02T22:34:00.000-07:002013-08-02T22:34:52.749-07:00
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<span style="font-size: 12pt; line-height: 107%;"><span style="font-family: Calibri;">The past
week was a very challenging week in a lot of areas in the MPMC
organization.<span style="mso-spacerun: yes;"> </span>However, when push came to
shove we pulled through.<span style="mso-spacerun: yes;"> </span>This makes me
proud to be a part of something great. I look forward to watching MPMC grow
into a great provider and employer of choice.<o:p></o:p></span></span></div>
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<span style="font-size: 12pt; line-height: 107%;"><span style="font-family: Calibri;">In the
little time that I have been at MPMC one area needs addressed.<span style="mso-spacerun: yes;"> </span>This also goes for the majority of other
organizations across all spectrums of industry; this is accountability.<span style="mso-spacerun: yes;"> </span>O'Hagan, J., & Persaud, D. (2009) states
that “accountability encompasses the procedures and processes by which one
party justifies and takes responsibility for its activities such as for
achieving various organizational goals”.<span style="mso-spacerun: yes;">
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<span style="font-size: 12pt; line-height: 107%;"><span style="font-family: Calibri;">As health
care workers this can be anything from not taking responsibility for medication
errors, blaming others for your mistakes and letting your co-worker down by not
performing your job in accordance to normal standards.<span style="mso-spacerun: yes;"> </span>Accountability comes from the top level of
CEO, COO and CNO holding each other accountable down to the most important
health care workers….the front line workers. <o:p></o:p></span></span></div>
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<span style="font-size: 12pt; line-height: 107%;"><span style="font-family: Calibri;">We will be
working more on accountability in the future to ensure we transform into the
employer of choice and provide of choice.<span style="mso-spacerun: yes;">
</span>In the meantime watch the video…there is a lot of take away in it.<span style="mso-spacerun: yes;"> </span>BTW we will be moving my blog to the MPMC website
in the future.</span></span></div>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-24997522140687271962013-07-26T12:33:00.001-07:002013-07-26T12:33:31.553-07:00Health care...it's not just in the hospital.
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This past Wednesday the Middle Park Medical
Foundation hosted its annual meeting and dinner. This was held at the park in
downtown Kremmling. The food was excellent and the fellowship even better.
Meara Michel and the rest of the foundation did an outstanding job. The
foundation does several things for the hospital and the community and they
should be commended on their efforts.<o:p></o:p></div>
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Health care is not just about what we do within
the four walls of the organization. Health care is about ensuring that our
communities and population as a whole has an excellent quality of life. There
are many ways that we at MPMC can ensure that happens. Right now there are
already several good programs that MPMC does to promote the quality of life
such as the health fair, partnerships with the school districts on concussion
education, West Grand School nurse program and numerous others too many to
list.<o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzJ2ISI9A1-TanLY3D0a9Tk46pT93XiRdIYEuFgbbXmmMtom_LYdVJ5B-B0XsiAsmmxXxctq0lsJlr6nqVQyTlbZNb7uPbRztyRFpAaaCBfFc5yiKladNT47WzuE8PHQsOhXK01p0Gx_U/s1600/pool.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzJ2ISI9A1-TanLY3D0a9Tk46pT93XiRdIYEuFgbbXmmMtom_LYdVJ5B-B0XsiAsmmxXxctq0lsJlr6nqVQyTlbZNb7uPbRztyRFpAaaCBfFc5yiKladNT47WzuE8PHQsOhXK01p0Gx_U/s320/pool.jpg" width="180" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgi4Oj_TDLfiPD1nxypMbW9zuxtL7t7hNXsVuIDUtDPcJpeopBKq6rn0YN0v_u4aWYRu12fXwDRzZuib-EvGwHf12RCWkpJjjYvuu4UUx9GIuBBYXPWNgD7xkWDDKCsU4UYWicK4BjMN_o/s1600/fball.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="112" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgi4Oj_TDLfiPD1nxypMbW9zuxtL7t7hNXsVuIDUtDPcJpeopBKq6rn0YN0v_u4aWYRu12fXwDRzZuib-EvGwHf12RCWkpJjjYvuu4UUx9GIuBBYXPWNgD7xkWDDKCsU4UYWicK4BjMN_o/s200/fball.jpg" width="200" /></a></div>
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In the future MPMC will be collaborating with
more schools in our area on the school nurse program. Furthermore, it is my goal to bring
the Kremmling Recreation District, West Grand School district, the City of
Kremmling along with MPMC together to explore more recreational and health
promotion services. The ultimate goal is a facility where these types of
activities can take place. </div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPb__GP3FnEDdtbci9tuBaiQIoeBCjqzA27QT_q3FiHmUvcE74T8ZpUzCDwwXuzWiAkSMCayeR6XCCwEKNueS_my-KFLd6Jxd1NXJagNQyA9zFa2Nx0dbjXyoL3RPWoSD4znUUV8ydCGg/s1600/deadlifting.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPb__GP3FnEDdtbci9tuBaiQIoeBCjqzA27QT_q3FiHmUvcE74T8ZpUzCDwwXuzWiAkSMCayeR6XCCwEKNueS_my-KFLd6Jxd1NXJagNQyA9zFa2Nx0dbjXyoL3RPWoSD4znUUV8ydCGg/s200/deadlifting.jpg" width="200" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjs11QFP540XcfR8ui4AbD7YfbSlFN_8bzGf4kP0qdXDz_dafPWn-OHhqQhyphenhyphenGb8fp7bSPNBv-abGCAvKmrgpL9KxFTX3XnEZChrQJPeH5uHI-quLpLY3dJ2OhkRyMZE24CM16xsDuFTwv8/s1600/E+pressing.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjs11QFP540XcfR8ui4AbD7YfbSlFN_8bzGf4kP0qdXDz_dafPWn-OHhqQhyphenhyphenGb8fp7bSPNBv-abGCAvKmrgpL9KxFTX3XnEZChrQJPeH5uHI-quLpLY3dJ2OhkRyMZE24CM16xsDuFTwv8/s320/E+pressing.jpg" width="180" /></a></div>
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This would help increase the health of the 80% of
the community who need little resources in order to focus our resources on the 20%
of the population that requires said services (Pareto Principle). This increase
in resources would greatly enhance the outcome of care on that 20% of the
population that needs it. <o:p></o:p></div>
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Moving forward any ideas or comments for these types
of services are greatly appreciated (no matter how wild). <o:p></o:p></div>
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Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0tag:blogger.com,1999:blog-5080254332996681988.post-2313905303966427502013-07-19T13:22:00.001-07:002013-07-19T14:07:00.592-07:00This past week has been a wonderful week as the new Chief Operating Officer. I have met a lot of really great people who no doubt make MPMC the great health care provider that it is. I feel blessed to be part of an organization as awesome as MPMC. I plan on helping make our organization the best place for health care needs, the VERY best place to work and help our communities of Kremmling, Granby and the surrounding areas grow to be strong, heal<br />
thy communities.<br />
<br />
My family and I are excited to call Kremmling and Grand County home. Though my family will not be joining me until at least the first weekend of August. We have purchased a new home and we will have two weeks of transition time before we can move into our new home. We will be living in our RV until that time comes, but that is one of our favorite pastimes...camping! <br />
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiV0vaIL_zA1bfU1KXX1QyxLRODhERUjokGYvwk8prwaApRugdygRtVnN6hMO9AYik_fbBi1sAEGJGb8EM5i6RcKqT91v1EMIEUoSECr4TepduSgOYn4IrZyWhlBsnVseIr8E8unIv5X58/s1600/hutches+fam+photo+2012.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiV0vaIL_zA1bfU1KXX1QyxLRODhERUjokGYvwk8prwaApRugdygRtVnN6hMO9AYik_fbBi1sAEGJGb8EM5i6RcKqT91v1EMIEUoSECr4TepduSgOYn4IrZyWhlBsnVseIr8E8unIv5X58/s320/hutches+fam+photo+2012.jpg" width="229" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Me, my daughter, my son and my wife, Elizabeth.</td></tr>
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Speaking of my family my wife and I have two kids...a 11-year-old daughter and a 8-year-old son, who are going into the 6th and 3rd grades respectively. You will see us around a lot as we like to be active in community events, church and just out and about always as a family. <br />
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A lot of people ask me, "why did you chose to move here"? My family and I have always wanted to move to the mountains. Also, we dislike the stifling heat of lower elevations, and we love snow! Just a week or so ago in Sidney, NE, where we moved from, it was 97 degrees at 1915 hrs (7:15 pm for you non-clinical folks)...so I was VERY glad to move to Grand County. <br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh36X-3dFAsfKzaeWU6Jnxz7M1pfLSxzbhCO-M1SDQOuRYfcabY4ZIpBZYgOaIvveGULhgsyR09cOgPZ1jgJeW8Fp4XnUT6ZDxgS9OPui3yBsSWIAGrZn8XBmGhExarvDnT41eG97_fW80/s1600/Screenshot_2013-06-26-19-14-16.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh36X-3dFAsfKzaeWU6Jnxz7M1pfLSxzbhCO-M1SDQOuRYfcabY4ZIpBZYgOaIvveGULhgsyR09cOgPZ1jgJeW8Fp4XnUT6ZDxgS9OPui3yBsSWIAGrZn8XBmGhExarvDnT41eG97_fW80/s320/Screenshot_2013-06-26-19-14-16.png" width="180" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Phone screenshot of heat...ugghh!</td></tr>
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The purpose of this blog is to help communicate MPMC's message to our patients, employees and community helping keep everyone connected. Our goal is to "keep life grand!"Keeping Life Grand! Middle Park Medical Center COO Bloghttp://www.blogger.com/profile/02145233246601768467noreply@blogger.com0