OneTeam initiative – Setting the foundation for effective enterprise leadership

Editor’s Note: The medical center has hired Deloitte to provide consulting services in an effort to better integrate and coordinate the activities and planning of our clinical enterprise. Each week, the group leading this effort, deemed OneTeam, will send out a newsletter updating progress on the initiative. Here is the July 15 update. In the future, all College of Medicine employees will receive this weekly newsletter through an email from Dean Britigan. 

The Clinical Enterprise’s future success is largely dependent on transforming its separate entities into a single integrated and financially aligned enterprise. Integration will position the Clinical Enterprise to deliver the highest value patient care while providing the returns to achieve continued growth and excellence in its shared clinical, education and research missions.

One of OneTeam leadership’s top priorities is to design a new leadership structure which will span across the enterprise and enable the enterprise to work as one. Supporting elements of the leadership structure will include new roles, clear decision-making processes and accountabilities, and refreshed criteria for evaluating leadership performance.

There are many pieces which need to be put in place to pave the way for this future structure to take effect. Therefore, OneTeam leadership is shaping the future Clinical Enterprise leadership structure with the following assumptions in mind:

  1. Our patients view us as one enterprise and we must operate as such. Therefore, we are pursuing the creation of a single employer for staff currently employed by BMC, NMC and UNMC Physicians. Transition to a new organizational model will likely take 12 – 18 months.  
  2. All clinical revenue and expense will flow through the integrated Clinical Enterprise. 
  3. A new funds flow model will be developed to ensure alignment between the Clinical Enterprise and the teaching and research mission of UNMC.  The model will also be designed to accommodate financial relationships with other partners not fully encompassed by the Clinical Enterprise. 

There are many details which need to be worked out for each of these three assumptions, and in order to continue to deliver exceptional patient care, the Clinical Enterprise must be structured to anticipate and respond effectively to the evolving health care environment. Creating an effective leadership structure is an essential first step on this journey, and OneTeam leadership looks forward to sharing the proposed structure with employees and physicians across the enterprise once it is finalized. 

To continue to communicate about OneTeam progress, various OneTeam leaders will present updates at upcoming meetings across the enterprise. They recognize that employees and physicians are anxious to learn about OneTeam and the upcoming changes to enterprise-wide operations. OneTeam leadership is committed to maintaining transparency through this process and will continue to share detailed information as decisions are finalized.

In the meantime, employees can shape the future of the Clinical Enterprise by reaching out to work group members and OneTeam leaders.  Additionally our OneTeam intranet site is updated with weekly communications, an ongoing FAQ area, timelines, and form to submit feedback and questions.