1

Marin Healthcare District Marin Healthcare District Board RetreatBoard Retreat

February 12, 2010February 12, 2010

The Lodge at TiburonThe Lodge at Tiburon1651 Tiburon Blvd.1651 Tiburon Blvd.Tiburon, CA 94920Tiburon, CA 94920

9 am – 3 pm9 am – 3 pm

2

AgendaAgenda

9:00 am9:00 am Welcome and Agenda Review………………………..Dr. Larry Welcome and Agenda Review………………………..Dr. Larry BedardBedard

9:15 am9:15 am Management ……………………………………..……………Lee Management ……………………………………..……………Lee DomanicoDomanico

- Transition plan statusTransition plan status- (Break)(Break)- Implementation plan targetsImplementation plan targets

11:05 am District Board………………………………………..……………….John 11:05 am District Board………………………………………..……………….John AirdAird

- Priorities through Bond PassagePriorities through Bond Passage- ““The Board Onstage” and the Impact on Public Image, Public The Board Onstage” and the Impact on Public Image, Public

ConfidenceConfidence12:45 pm Lunch12:45 pm Lunch

““A Glimpse into the District’s Future”………….Lucy JohnsA Glimpse into the District’s Future”………….Lucy Johns1:45 pm1:45 pm Convene into Closed Session – Trade Secrets………..Lee DomanicoConvene into Closed Session – Trade Secrets………..Lee Domanico2:45 pm2:45 pm Reconvene into Open Session………………………….Dr. Larry Reconvene into Open Session………………………….Dr. Larry

BedardBedard2:55 pm2:55 pm Evaluation and Wrap-Up……..………………………….Dr. Larry Evaluation and Wrap-Up……..………………………….Dr. Larry

BedardBedard3:00 pm3:00 pm AdjournAdjourn

3

Transition PlanTransition Plan

► IntroductionIntroduction LeeLee► Executive LeadershipExecutive Leadership LeeLee► FinanceFinance DavidDavid► Human ResourcesHuman Resources LeeLee► Business DevelopmentBusiness Development JonJon► MGH FoundationMGH Foundation JonJon► OperationsOperations LeeLee► New CampusNew Campus LeeLee

4

Executive Leadership - CEOExecutive Leadership - CEO

January – June 2010January – June 2010 July – December 2010July – December 2010

Transition PlanningTransition Planning Stabilize OperationsStabilize Operations

Board Board Development/MembershipDevelopment/Membership

Board Officers, Board Officers, CommitteesCommittees

Community RelationsCommunity Relations Employee, Physician Employee, Physician RelationsRelations

Strategic OpportunitiesStrategic Opportunities Management ContractManagement Contract

Employee ForumsEmployee Forums

Recruit Executive TeamRecruit Executive Team

Equity TransfersEquity Transfers Final Resolution – Equity Final Resolution – Equity IssuesIssues

Transition Organization ChartTransition Organization ChartPreliminary and Subject to Change – February 11, 2010Preliminary and Subject to Change – February 11, 2010

* Transition CEOLee Domanico

* Transition CFODavid Cox

* Transition CFDOJon Friedenberg

* Chief Clinical OfficerTBD

* Chief Medical OfficerTBD

* MGH FoundationJon Friedenberg

Strategic PlanningTBD

Government RelationsTBD

Community RelationsTBD

AccountingJean Johnson

Decision SupportJill Hussain

Support ServicesVernon Moreno

•Chief Nursing OfficerTBD

* VP Clinical ServicesTBD

* Medical StaffSusan Cumming, MD

Quality AssuranceJoan McCready

Risk ManagementPeggy Hackett

* LegalArcher Norris

Business ProcessesKelly Morgan

Information ServicesSoma Bulusu/ACS

AuditMoss Adams

Capital FinanceShattuck Hammond

* Construction Project

MarketingTBD

Business Development

**Compliance & JCAHOMarc Tatarian

Social Work/Case Mgt Jane Ritchie

* Transition CHROTheresa Gianfortune

Medical Staff ServicesMary Holman

Employee RelationsTom Terzian

CompensationDinorah Diamond

RecruitmentJennifer Haslet

BenefitsSabrina D’Angelo

Employee HealthSandy Domerathi

VolunteersKathy Meyer

ChaplaincyBruce Murphy

1206(B) ClinicTBD

Prima Medical FoundationTBD

Cardiac Specialty CareJackie Jewell

Intensive CarePaula Holman

Surgery, PACU, ASCSandy Batt

Peds/NICUAnne Lupus

Sterile ProcessingChristina Bataglia

Surgical Units

Ob/L&DLynn Kaverny

LaboratoryLinda Miller

Cardiology/RadiologyLouis Manila

Marin Heart InstituteLouis Manila

Therapies

PharmacyMichael Sillman

Marin Cancer Institute

Mental HealthMarcella Brink

Medical Units

EmergencyMary Jane Boyd

Endoscopy

Nurse Ed/CEBetsy Borregard

Outpatient Infusion

General ObligationBond

Internal Audit

• Personnel and/or positions to be provided by District pursuant to a management contract with Marin General Hospital Corporation• Includes direct reporting to Transition CEO

6

FinanceFinanceJanuary – June 2010January – June 2010 July – December 2010July – December 2010

IT ConversionIT Conversion Launch New IT SystemLaunch New IT System

Arrange Take Out FinanceArrange Take Out Finance Managed MGH Cash Managed MGH Cash PositionPosition

Negotiate Managed Care Negotiate Managed Care ContractsContracts

Evaluate Results of Evaluate Results of ContractingContracting

Replace GPO AgreementsReplace GPO Agreements Product StandardizationProduct Standardization

Stand Up New Business Stand Up New Business OfficeOffice

Improve Revenue CycleImprove Revenue Cycle

Relocate MGH Support Relocate MGH Support CenterCenter

Staff and Support Finance Staff and Support Finance CommitteeCommittee

Recruitment and StaffingRecruitment and Staffing Build and Effective TeamBuild and Effective Team

7

Human ResourcesHuman ResourcesJanuary – June 2010January – June 2010 July – December 2010July – December 2010

Recruit Chief HR OfficerRecruit Chief HR Officer Introduce Expanded Introduce Expanded BenefitsBenefits

Bid New Benefits Package Bid New Benefits Package for 2011for 2011

Compensation Plan/Open Compensation Plan/Open EnrollmentEnrollment

Conduct Employee Town Conduct Employee Town HallsHalls

Employee CommunicationsEmployee Communications

Activate Management Activate Management ShadowingShadowing

Launch Leadership Launch Leadership DevelopmentDevelopment

Relocate HR/Employee Relocate HR/Employee HealthHealth

Union NegotiationsUnion Negotiations

Communicate Pension Communicate Pension IssuesIssues

Implement New Pension Implement New Pension PlanPlan

Recruitment and StaffingRecruitment and Staffing Performance Evaluation Performance Evaluation SystemSystem

8

Business DevelopmentBusiness DevelopmentJanuary – June 2010January – June 2010 July – December 2010July – December 2010

Physician Development Physician Development StrategyStrategy

Integrate Physician Integrate Physician StrategiesStrategies

1206(b)/PMF 1206(b)/PMF DevelopmentDevelopment

MGH Strategic PlanMGH Strategic Plan Strategic Planning Strategic Planning RetreatRetreat

Identify Strategic Identify Strategic OpportunitiesOpportunities

Develop Strategic Develop Strategic OpportunitiesOpportunities

Joint VenturesJoint Ventures TraumaTrauma

Recruit Key ManagersRecruit Key Managers

9

MGH FoundationMGH FoundationJanuary – June 2010January – June 2010 July – December 2010July – December 2010

Recruit Foundation BoardRecruit Foundation Board Finalize Board MembershipFinalize Board Membership

Develop Community Develop Community SupportSupport

Develop Community Develop Community SupportSupport

Develop Fundraising Target Develop Fundraising Target and Planand Plan

Develop Fundraising Target Develop Fundraising Target and Planand Plan

Recruit Foundation StaffRecruit Foundation Staff

10

OperationsOperationsJanuary – June 2010January – June 2010 July – December 2010July – December 2010

Ancillary Contract Ancillary Contract NegotiationsNegotiations

Replace SignageReplace Signage

JCAHO Readiness JCAHO Readiness AssessmentAssessment

JCAHO SurveyJCAHO Survey

Operations AssessmentOperations Assessment Staffing and ProductivityStaffing and Productivity

Contract AssessmentContract Assessment Renegotiate Trauma Renegotiate Trauma AgreementAgreement

11

New CampusNew CampusJanuary – June 2010January – June 2010 July – December 2010July – December 2010

MOB, Parking, Hospital MOB, Parking, Hospital EntitlementEntitlement

ContinuedContinued

HAZUS ReapplicationHAZUS Reapplication

Complete Master PlanComplete Master Plan

Begin A&E DesignBegin A&E Design Hospital Design GroupsHospital Design Groups

Initiate Plan for GO BondsInitiate Plan for GO Bonds

Site PlanSite Plan