• Under the oversight of the Quality Council, each unit utilizes the TQM process to identify 1-2 quality improvement initiatives to maintain results and report on a regular basis.
• Work with UUMG to develop a process for measuring and reporting clinical outcomes.
• Over the next two years achieve a Patient Satisfaction goal of 90%.
• Select an analysis team to develop central accountability for reporting and analyzing factors relevant to patient satisfaction.
• Aesthetic upgrade to the Hospital Front entrance and parking areas consistent with the Eccles Critical Care Pavilion.

• Continue to develop a culture of blameless event reporting throughout the institution.
• Increase the number of potential adverse events reported by 25%.
• Continue to develop a multifaceted system to capture all significant adverse events.
• Continue to develop a closed loop system to identify, analyze, and rectify system conditions resulting in adverse events.
• Begin implementation of a Electronic Physicians Order Entry System Incorporating quality measurements and evidence based principles
• Continue to participate in the IMPACT program for improving patient safety.
• Continue the spread of safety debriefings throughout the institution.

retention and recruitment.

• Evaluate core competencies of first line supervisors and provide education and mentoring to increase skills.
• Conduct Physician Opinion Survey, analyze results and develop an action plan for increased physician satisfaction.
• Completely revise UUHC’s new employee orientation program and implement program revisions.
• Begin process of improving communication with UUHC employees by reviewing types of communication methods used, determining employee-preferred communication methods and making necessary revisions in communication techniques.
• Implement improvements to employee performance review process.
• Review employment application screening methods currently used, evaluate management staff’s preferred screening methods and implement modifications to improve service to management staff.
• Evaluate implementation of position management.
• Begin process of implementation of on-line PAN form.

• Determine existing capacity and expansion options for enterprise.
• Determine location of clinical and support services based on institutional priorities.
• Integrate UUHC planning process into the University’s long range development plan.
• Proceed with planning for the west pavilion
• Secure land options in Research Park.

• Complete a revenue enhancement and accountability strategy.