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  1. Surveys
  2. 2012
  3. November
  4. P
  5. President Eval - SDA Board - 12/12
0%
 


The following statement is a 2012 recap from Dr. Duggan:

Overall Board Function

- We’ve functioned well as a team and exceeded expectations considering the challenges of the past 6 months.
- Board members have given up call, 1800s and 2030s, and worked many weekends to complete work for SDA this summer and fall. We’ve spent many days in the office to orient Bob Boyle and to work to move the group to another level of performance as other large groups across the country have already done.


CEO Transition

- We spoke to several CEO recruiters, did strong due diligence and found an excellent interim CEO.
- Much of our time in the summer was spent preparing for and implementing the CEO transition.
- We spent significant time working with our attorney to minimize liability.
- Board members stepped up and helped take the reins of the group during the time before Bob Boyle came in
- During the transition, communication with the management team and employees was handled carefully and successfully to maintain a functioning business.


Business Development

- The Buy-Out task force and the BOD met with 5 strategic groups/private equity firms to start the due diligence process of a possible buy-out. We have also been in contact with investment bankers to learn more about the process. The survey sent to the group after the SPM gave us valuable direction.
- Castle Rock Hospital: We met with the Castle Rock CEO twice and presented an RFP to compete for the OB contract. We developed a comprehensive plan to get the OB contract. We asked multiple surgeons to help us win the business.
- Have met with and introduced Bob Boyle to the following facility administrators: Sky Ridge, Swedish, Parker, Porter, Littleton. Also had a business review meeting with Kaiser.
- Met with HCA corporate personnel to discuss possible revisions to the HCA contract signed last summer. Also met with the HealthOne VP for ASCs to discuss the Centrum situation and to discuss further work at their ASCs.
- Other groups: Have met with Lutheran and are in the process of setting up another meeting with GCA to discuss possible affiliations.
- Management Services Organization: Mr. Boyle and board members have spent numerous hours learning about and considering the possibility of starting an SDA MSO to lower costs, improve our managed care contracts, and to create an entity we could sell for profit.


Strategic Planning

- The Strategic Planning Meeting was well attended and started our planning process for 2013. Shareholders were able to give the board input on our strategic direction.
- We continue the strategic planning process and plan to complete the 2013 plan by the end of the first quarter 2013.


IT Effort and Support

The BOD and Mr. Boyle have put their support behind the IT department to work on the following projects:
- Meaningful Use which could give each SDA doc $39,500.
- Working to develop a data warehouse and capabilities to more easily collect QA data from facilities to improve our performance and to improve our relationships with facilities.
- Working closely with Centura to pick and possibly help finance an AIMS (Anesthesia Information Management System).
- Preparing to work with HCA and their chosen IT systems.


Recruiting

Nursing: Have hired a full time nurse to replace a retiring part-time nurse. The increased RN presence will allow them to help with blocks in pre-op.

CEO: The CEO search committee interviewed 3 search firms but have postponed the search as of now.

Physician: Gave direction to the recruiting committee to find candidates who have pediatric fellowships and/or interest in doing OB to increase breadth of our service and for support of increasing Sky Ridge OB volume.


Benchmarking and Best Practices

We are in the process of comparing ourselves to other groups regionally and nationally so we can determine areas for improvement:
- Compensation for physicians
- Managed care contracts
- Revenue Cycle Management/ Finance
- IT support: Professional review complete
- Office staffing


BOD and Committee Development

The Board has spent time this fall and will continue working on the following:
- How to best ID future leaders at SDA
- Leadership development
- Reviewing leadership compensation
- Leadership position descriptions
- How to better support facility chiefs
- Reviewing committee charters


Annual Meeting and Board Elections

Over 70 people attended the meeting, a bigger attendance than previous years. The board and scheduling elections went well.


Board Education Plans for 2013

- Some of us will attend the ASA management meeting in January to learn more about how we can prepare for the future healthcare environment.
- We will not be attending the ACPE meeting as boards have done in the past but will have another late winter education/strategic discussion retreat with an outside management/governance expert.
- We’ve spoken to a physician leadership coach who will work with us to improve our teamwork, communication and effectiveness.


CEO Oversight / CEO Goals

1. Complete Meet/Greet with staff and physicians (service chiefs, committee chairs, opinion leaders)
2. Meet with administration of all facilities: Porter, Littleton, Swedish, Sky Ridge, Parker, Rocky Mountain Surgery Center.
3. Consistent BOD and Committee support
4. 2013 Budget: Complete for BOD approval
a. Final assumptions
b. Detail projected budget

5. Complete comprehensive financial review
6. Resolve audit Issues related to the 401K and ensure 5500s filed for MERP and Insurance Plans.
7. Finalize plan for a financial dashboard for the BOD
8. Finalize plan for a robust SDA data warehouse containing the following content:
a) Financial
b) Operations
c) Physician
d) Disease management

9. Compete review of the top three payer contracts
10. Strategic planning
a) Complete strategic plan structure
b) Prepare for the Strategic Planning meeting on 10/20 with pre meeting packets

11. Present overview of planning tasks
12. Finalize preliminary strategic plan for BOD approval
13. Complete review of the physician compensation plan and benchmark with regional and national groups
14. Plan and implement efforts to get the business at Castle Rock Hospital with successful RFP completion
15. Plan for collaboration with GAS and other regional groups.
16. Assist/advise BOD on buy-out decision process.
17. Organization and Human Resources
a) Review and modify the internal management reporting structure
b) Review current staffing plan by area and establish position control
c) Review all job descriptions
d) Complete salary and benefit survey
e) Update current salaries in relation to the 50th percentile of the market
f) Evaluate impact on 2013 budget

18. Support the CEO recruitment process
 
 
 
Please keep in mind these instructions when filling out this evaluation:

1. The process is similar to prior President evaluations where the Board (40% weight), Management Team (20% weight) and all non-Board SDA physicians (40% weight) are asked to participate in this process.

2. The eligible bonus compensation to the President is 10% of the prior years average shareholder W2 income.

3. Based on the tabulated score, payout is made ½ at mid-year (2nd quarter reconciliation) and ½ at year end (4th quarter reconciliation). A year end evaluation will determine the score and payout value at that time.

4. Any scores on the evaluation of “Needs Improvement” or below must be accompanied by comments in order to count in the evaluation score.

5. The evaluation is anonymous, but realize the survey software does track the number of responses from each participant so that only one score per individual is counted. Individual scores will not be tracked back to physicians nor be shared with the President. A final summary of the calculated scores and comments will be reviewed by the Board to determine if a bonus payment is due.

6. If you feel there is no suitable answer for a particular question, please leave that question blank. This will serve as a “not applicable” answer and won’t be counted in the totals.


Thank you for your interest and participation!
 
 
Goals and Objectives: (40%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. To actively pursue any new business opportunities which are in alignment with our strategic goals.
2. To continue to maintain effective relationships with all of our facilities.
3. To continue to work with our hospital section chiefs to focus our time on maintaining existing relations as well as pursuing attractive new business relationships.
4. To provide effective leadership to help raise the level of accountability throughout SDA.
5. To ensure the Board and Management Team make every effort to improve transparency throughout SDA.
 
 
* Please explain the rating of Needs Improvement or below regarding the Goals and Objectives section:
   
 
 
Please enter any comments regarding the Goals and Objectives section:
   
 
 
Leadership: (20%) - Board
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Demonstrates ability to motivate Board Members, physicians, and management.
2. Demonstrates effectiveness in developing leaders within the group.
3. Demonstrates effectiveness in working with all of the physicians within the group.
4. Effectively runs Board meetings.
5. Demonstrates the ability to improve accountability within SDA.
6. Effectively provides input to SDA's committees.
 
 
* Please explain the rating of Needs Improvement or below regarding the Leadership section:
   
 
 
Please enter any comments regarding the Leadership section:
   
 
 
Managerial Effectiveness: (10%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. The President is a competent and effective manager of the organization.
2. Effectively communicates board issues to non-board physicians.
3. Responsiveness to problems.
4. Demonstrates ability to resolve complex issues.
5. Recognizes and utilizes unique skills of individuals.
6. Supportive of SDA physicians and concerns of the group.
 
 
* Please explain the rating of Needs Improvement or below regarding the Managerial Effectiveness section:
   
 
 
Please enter any comments regarding the Managerial Effectiveness section:
   
 
 
Organizational Commitment: (10%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Effectively supports organizational strategic priorities.
2. Effectively supports changes as they occur.
3. Communicates in a positive and supportive manner.
 
 
* Please explain the rating of Needs Improvement or below regarding the Organizational Commitment section:
   
 
 
Please enter any comments regarding the Organizational Commitment section:
   
 
 
Job Knowledge: (10%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Possesses knowledge of SDA that enables effective decision making.
2. Demonstrates ability to resolve complex issues.
 
 
* Please explain the rating of Needs Improvement or below regarding the Job Knowledge section:
   
 
 
Please enter any comments regarding the Job Knowledge section:
   
 
 
External Relationships: (10%)
Unacceptable Needs Improvement Satisfactory Above Average Outstanding
1. Effectively expresses SDA's position on issues.
2. Willingness to support changes.
3. Fairness in dealings, even in difficult situations.
4. Displays a high level of professionalism.
5. Follows through on commitments.
 
 
* Please explain the rating of Needs Improvement or below regarding the External Relationships section:
   
 
 
Please enter any comments regarding the External Relationships section:
   
 
 
 
Please insert any comments you have on the President's ability to meet your expectations individually and as a group.
   
 
Please contact Michael if you have any questions regarding this survey.
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