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Malcolm Baldrige National Quality Award - American Society for ...

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P.2b Strategic Context. Fig. P.2-2 outlines SCF’s key<br />

strategic challenges and advantages. Sustainability depends on<br />

SCF’s ability to balance, align, and integrate its responses to<br />

its key strategic challenges and advantages, while, at the same<br />

time, maintain and enhance the funding stream it needs to<br />

support growing capacity, achieve high per<strong>for</strong>mance, and meet<br />

increasing demands.<br />

P.2c Per<strong>for</strong>mance Improvement System. SCF’s approach to<br />

maintaining and supporting the organization’s focus on<br />

improvement includes implementing PDSA Rapid Cycle,<br />

Balanced Scorecards, Annual Planning, reviewing highper<strong>for</strong>ming<br />

organizations, and utilizing the Healthcare Criteria<br />

of the <strong>National</strong> <strong>Baldrige</strong> <strong>Quality</strong> Program as a framework.<br />

The PDSA Rapid Cycle Improvement Model, used<br />

organization-wide, offers a common language and framework<br />

<strong>for</strong> improvement and encourages small tests of change and<br />

learning be<strong>for</strong>e broad implementation. It is used at all levels –<br />

by individuals, work groups, project teams and committees –<br />

and is central to SCF’s planning process and <strong>for</strong>mat.<br />

SCF has a linked system of scorecards (strategic measures)<br />

and dashboards (operational measures) to track per<strong>for</strong>mance,<br />

quarterly <strong>for</strong> most measures. Defined thresholds and goals<br />

help identify improvement priorities. Annual Plans (AP) at all<br />

levels link to these key measures. Reviewing per<strong>for</strong>mance<br />

against AP promotes learning and allows <strong>for</strong> adjustment.<br />

SCF regularly seeks to learn from high-per<strong>for</strong>ming<br />

organizations. SCF participates in the Quest <strong>for</strong> Excellence<br />

Conference, learning and improvement collaboratives<br />

sponsored by the Institute <strong>for</strong> Healthcare Improvement (IHI)<br />

and others, and other site visits, all of which provide<br />

opportunities to benchmark processes and results. In 2002,<br />

SCF adopted the <strong>Baldrige</strong> Criteria <strong>for</strong> Per<strong>for</strong>mance Excellence<br />

as its framework <strong>for</strong> periodic organization-wide review of its<br />

key processes and per<strong>for</strong>mance, per<strong>for</strong>ming a self-assessment<br />

in 2003, and submitting applications in 2005, 2006, and 2007.<br />

SCF received a <strong>Baldrige</strong> site visit in 2007. In 2009, SCF was<br />

the recipient of Alaska’s APEX <strong>Award</strong> <strong>for</strong> Per<strong>for</strong>mance<br />

Excellence. As a result of learning from our <strong>Baldrige</strong> and<br />

APEX applications, we implemented a functional committee<br />

structure to promote communication and broaden involvement<br />

in decision-making [Fig. 1.1-2]; balanced scorecards and<br />

dashboards (BSC/DB) to support planning and per<strong>for</strong>mance<br />

review [4.1a(1), 4.1b]; a focus on seeking comparative data to<br />

evaluate per<strong>for</strong>mance [Category 7]; creation of a Web-based<br />

planning tool to deploy the annual planning cycle [2.2a(2)];<br />

and P/CEO departmental site visits to enhance two-way<br />

communication [1.1b(1)].<br />

Figure P.2-2: Core Competencies, Strategic Advantages, Strategic Challenges, and Corporate Goals<br />

Core Competencies Strategic Advantages Strategic Challenges Corporate Goals<br />

SA1: Engaged C-O; C-O<br />

who own and use the<br />

system<br />

SC1: Understanding and responding<br />

SA2: Focus on multidimensional<br />

wellness <strong>for</strong><br />

to C-O expectations <strong>for</strong> service<br />

the whole community and<br />

delivery<br />

<strong>for</strong> the whole life of each<br />

C-O<br />

CC1: Communication & Teamwork:<br />

Openly, clearly and respectfully share<br />

and receive in<strong>for</strong>mation, opinions,<br />

concerns and feedback in supportive<br />

manner. Work collaboratively by<br />

building bridges and creating rapport<br />

with team members across the<br />

organization.<br />

CC2: Improvement & Innovation: A<br />

capacity <strong>for</strong> rapid change and flexibility<br />

in order to make meaningful<br />

improvement to services, programs,<br />

processes, and/or organizational<br />

effectiveness that creates new value <strong>for</strong><br />

customer-owners and employees.<br />

CC3: Customer Care &<br />

Relationships: Creating, developing<br />

and nurturing culturally appropriate<br />

interactions and connections with each<br />

other, customer-owners, and the<br />

community.<br />

CC4: Work<strong>for</strong>ce Development Skills,<br />

& Abilities: Necessary to provide<br />

quality care services – Seek out<br />

additional learning opportunities to<br />

continue to develop technical and<br />

professional current and future<br />

skills. Taking responsibility <strong>for</strong> all<br />

work activities and personal actions by<br />

following through on commitments.<br />

SA3: Employee and<br />

work<strong>for</strong>ce development<br />

focus, a learning<br />

organization<br />

SA4: Internalized passion<br />

<strong>for</strong> the Mission that<br />

results in willingness to<br />

continually change and<br />

innovate<br />

SA5: Relationship focus<br />

as driver <strong>for</strong> all that we<br />

do<br />

SA6: Longevity in<br />

leadership and<br />

governance that provides<br />

consistency in direction<br />

and focus<br />

SC2: Developing a recruitment and<br />

retention strategy that addresses the<br />

short-and long-term needs of SCF<br />

SC3: Compliance with changing<br />

regulatory environment<br />

SC4: Ensuring the sustainability of<br />

current programs while developing<br />

new business opportunities<br />

SC5: Finding ways to engage C-O<br />

and families in their health care<br />

SC6: Responding to the migration of<br />

C-O into Anchorage and Matanuska-<br />

Susitna Valley from remote locations<br />

in Alaska<br />

SC7: Building corporate<br />

infrastructure to keep pace with<br />

growth of programs and services<br />

(e.g., data management and<br />

reporting, utilizing IT to assist in<br />

delivery of services). Maintaining<br />

and improving our future funding<br />

stream to meet growth and C-O<br />

needs and expectations<br />

v<br />

SR-Shared Responsibility: We value working<br />

together with the individual, the family, and the<br />

community. We strive to honor the dignity of<br />

every individual. We see the journey to wellness<br />

being traveled in shared responsibility and<br />

partnership with those <strong>for</strong> whom we provide<br />

services.<br />

CQ-Commitment to <strong>Quality</strong>: We strive to<br />

provide the best services <strong>for</strong> the Native<br />

Community. We employ fully qualified staff in<br />

all positions and we commit ourselves to<br />

recruiting and training Native staff to meet this<br />

need. We structure our organization to optimize<br />

the skills and contributions of our staff.<br />

FMW-Family Wellness: We value the family as<br />

the heart of the Native Community. We work to<br />

promote wellness that goes beyond absence of<br />

illness and prevention of disease. We encourage<br />

physical, mental, social, spiritual and economic<br />

wellness of the individual, the family, the<br />

community, and the world in which we live.<br />

OPE-Operational Effectiveness: We will<br />

develop and improve our operations that support<br />

delivery of services to our customer owners.

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