New Strategic Plan to Guide UK HealthCare through 2020

LEXINGTON, Ky. (June 19, 2015) The University of Kentucky's Health Care Committee of the UK Board of Trustees were presented a strategic plan that will guide UK HealthCare through 2020. The committee met Thursday during their annual retreat.

Building upon the success of the past 10 years, the plan continues to emphasize caring for the most complex, critically ill patients in Kentucky and beyond.

Some of the statistics and figures presented that reflect UK HealthCare's growth include:

  • Inpatient discharges have increased more than 85 percent since 2005 from 19,664 in FY2004 to 35,180 in FY2014
  • The number of physicians hired has increased 35 percent since 2006
  • Operating revenue growth is 200 percent since 2004
  • Total assets have increased from $473 million in 2004 to $1.4 billion in 2014
  • Number of full-time employees has increased 95 percent since 2004
  • Facility expansion includes addition of 120 licensed beds approved in 2014

In approving the new strategic plan, UK HealthCare officials asked for a commitment from its leaders, stakeholders and partners to move forward and achieve its vision by giving latitude for collaborative models, committing to clinical excellence and providing an outstanding patient experience as well as service line integration.  From its statewide partners, it was asked for participation in a statewide collaborative that fosters success against the challenges of the future.

"The 2020 Strategy is built on a foundation of patient-centered care and a patient-centered culture that includes growth in complex care as well as ambulatory care; strengthening partnership networks to reduce costs, and increase efficiency; and value-based care and payments which improve predictability of outcomes and cost while adopting evidence-based leading practices," said UK Vice President for Health Affairs Dr. Michael Karpf.

The plan includes developing a cultural change program in order to support the 2020 strategic vision. The program will identify key cultural strengths and opportunities. The goal will be to design a patient-centric experience that positions UK HealthCare to be Kentucky's destination provider for complex care and it will enable staff and leadership to be ambassadors of the patient-centered culture and UK HealthCare brand.

Also detailed in the Strategic Plan is growth in complex care and in ambulatory (outpatient care).  As part of this goal, substantial service line growth is needed in the next five years. Additionally, ambulatory specialty care will also need to grow by improving access to UK HealthCare specialists and developing a patient-centered care model as well as partnering with community physicians.

As part of the service line growth, the focus will continue to be on treating the most complex patients and partnering with community providers to keep lower acuity patients in their home community.

Service line areas of primary focus for growth will be the Gill Heart Institute, Kentucky Children's Hospital, Markey Cancer Center, Kentucky Neuroscience Institute, High-Risk Obstetrics and Neonatal Intensive Care, Solid Organ Transplantation, Digestive Health, Musculoskeletal, and Trauma and Acute Care Surgery.

Clinical and support services that UK HealthCare will invest in to enable growth in these service lines includes excellence in quality and operational efficiency; redesigning the transfer management processes in order to create capacity and treat patients in the appropriate care setting and return them to our community partners; and develop a service line operating model to support and coordinate comprehensive, multidisciplinary care across the continuum and community.

These same strategies will be used to expand ambulatory specialty care.

To achieve this plan, a new service line operating model will be implemented to enable and enhance the organization's strategic initiatives. This new model will incorporate the transition from department and specialty driven care to multidisciplinary, multi-specialty care; episodic and high-acuity focused care to disease and cross continuum focused care; from provider centric to patient centric; from individual physician or specialty care to team care delivery involving multiple specialties; and UK HealthCare management of high-acuity care to collaboration with external partners to optimize site and level of care.

Integrated technology that standardizes data across the organization and enables population health management will be utilized.

Another overarching premise of the 2020 Strategic plan is the strengthening of partnership networks including acute care partnerships, post-acute care partnerships, primary care and community care. As part of future planning, UK will develop a primary care network to ensure a seamless experience across the care continuum and position the organization for value-based care and population health.

The third selected strategy in the plan is value-based care. In order to provide enhanced value for patients, UK HealthCare will develop a "best in class" quality management program.

This strategy includes improving the predictability of outcomes, cost of care, and adoption of evidence-based practices throughout the enterprise across all settings of care.

"To be successful, patient care in the future must be affordable, accessible, coordinated, efficient and high quality with a shift to improving health outcomes and rationalizing but not rationing care," said Karpf.

He added that although a significant amount of time and effort has been invested in developing this strategic plan, UK HealthCare’s strategic journey does not end here.

"We will continue with work in the weeks and months to come to set priorities, develop timelines, and track progress and results."

Media Contact: Kristi Lopez, 859-323-6363, Kristi.lopez@uky.edu