Approved By LTG Schoomaker

Army Nurse Corps Balanced Scorecard Alignment Briefing Approved by LTG Schoomaker February 9, 2009. Good Afternoon Sir:\爀屲The purpose of today’s ...
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Army Nurse Corps Balanced Scorecard Alignment Briefing Approved by LTG Schoomaker February 9, 2009 ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 2&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Briefing Outline Background Assessment and Process Overview SWOT Strategic Linkage Similarities ANC Balanced Scorecard The Way Ahead ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 3&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Background ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 4&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Assessment and Process Overview SWOT Analysis & Identification of Army Nurse Strategic Themes Developed new mission, vision, and Strategic Themes nested in AMEDD Strategy Leader Development: Building Our Bench Warrior Care: Back to Basics Evidence Based Management: Optimize Performance Human Capital: Portfolio of Expertise Draft Strategy Map published Oct 08 ANC Campaign Planning Conference 30 Oct 08 Draft Scorecard Feb 09 Alignment brief to TSG 9 Feb 09 ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 5&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Assessment Process SWOT Strengths Weaknesses Recruiting strategies Strong relationships with national nursing leaders Civilian loan repayment program Deployment experience Civilian longevity Research cells Non Increase in length (FORSCOM) or frequency of deployments Internal External ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 6&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Strategic Vision Army Medicine Vision: America’s Premier Medical Team Saving Lives and Fostering Healthy and Resilient People Army Medicine...Army Strong! ANC Vision: A professional corps that consistently achieves performance excellence, fosters innovation, builds knowledge and capabilities, and ensures organizational credibility and sustainability. ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 7&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Strategic Mission Army Medicine Mission: Promote, Sustain and Enhance Soldier Health Train, Develop and Equip a Medical Force that Supports Full Spectrum Operations Deliver Leading Edge Health Services to Our Warriors and Military Family to Optimize Outcomes ANC Mission: “All actions and tasks must lead and work toward promoting the wellness of Warriors and their families, supporting the delivery of Warrior and family healthcare, and all those entrusted to our care and ultimately, positioning the Army Nurse Corps as a force multiplier for the future of military medicine. Promote, Sustain and Enhance Soldier Health Train, Develop and Equip a Medical Force that Supports Full Spectrum Operations Deliver Leading Edge Health Services to Our Warriors and Military Family to Optimize Outcomes For more information go to: https://ke2.army.mil/bsc This is a dynamic, living document America’s Premier Medical Team Saving Lives and Fostering Healthy and Resilient People Army Medicine…Army Strong! Patient/Customer/ Stakeholder CS 6.0 Inspire Trust in Army Medicine CS 4.0 Responsive Battlefield Medical Force CS 1.0 Improved Healthy and Protected Families, Beneficiaries and Army Civilians CS 3.0 Improved Healthy and Protected Warriors CS 5.0 Improved Patient and Customer Satisfaction IP 10.0 Optimize Medical Readiness IP 13.0 Build Relationships and Enhance Partnerships LG 18.0 Improve Training and Development IP 11.0 Improve Information Systems CS 2.0 Optimized Care and Transition of Wounded, Ill, and Injured Warriors IP 12.0 Implement Best Practices IP 14.0 Improve Internal and External Communication LG 20.0 Improve Knowledge Management LG 17.0 Improve Recruiting and Retention of AMEDD Personnel Internal Process Learning and Growth LG 19.0 Promote and Foster a Culture of Innovation Maximize Value in Health Services Provide Global Operational Forces Build the Team Balance Innovation with Standardization Optimize Communication and Knowledge Management Feedback Adjusts Resourcing Decisions IP 8.0 Improve Quality, Outcome Focused Care and Services IP 7.0 Maximize Physical and Psychological Health Promotion and Prevention IP 9.0 Improve Access and Continuity of Care IP 16.0 Synchronize Army Medicine to Support Army Stationing & BRAC R 21.0 Optimize Resources and Value R 22.0 Optimize Lifecycle Management of Facilities and Infrastructure R 23.0 Maximize Human Capital ENDS MEANS WAYS Resource IP 15.0 Leverage Research, Development and Acquisition All actions and tasks must lead and work toward promoting the wellness of Warriors and their families, supporting the delivery of Warrior and family healthcare, and all those entrusted to our care and ultimately, positioning the Army Nurse Corps as a force multiplier for the future of military medicine. A professional corps that consistently achieves performance excellence, fosters innovation, builds knowledge and capabilities, and ensures organizational credibility and sustainability. “Building Our Bench” “Back to Basics” “Optimize Performance” “Portfolio Of Expertise” Feedback Adjusts Resourcing Decisions MEANS IP 5.0 Develop Full Spectrum Leaders Life Cycle IP 9.0 Maximize Strategic Communication IP10.0 Amplify Recruiting and Retention of Nurses Internal Process and Systems IP 7.0 Standardize Care Delivery Systems IP 6.0 Develop Leader Succession Plan WAYS IP 8.0 Leverage Research and Development LG 11.0 Enhance Training and Development LG 14.0 Develop Career Systems Management Learning and Growth LG 13.0 Promote and Foster Innovation LG 12.0 Identify Best Clinical and Business Practices This is a dynamic, living document R 16.0 Optimize Resources and Value R 15.0 Optimize ANC Footprint R 18.0 Capitalize on Human Capital Resource R 17.0 Focus and Consolidate Research Priorities CS 1.0 Developed Full Spectrum Leaders CS 2.0 Optimized Care Delivery Systems CS 3.0 Codified Evidence Based Management Practices CS 4.0 Optimized Human Capital ENDS Patient/Customer/ Stakeholder ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 10&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 MEDCOM Similarities: ANC BSC cascades from MEDCOM BSC Strategic objectives aligned to support AMEDD mission & vision ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 11&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Nursing Care Delivery System Standardize nursing practice Increase nurse satisfaction and autonomy Head Nurse role redesign Redefine role and supporting processes Revamp training Organizational Baseline Assessment Gauge AN overall health Understand AN Recruiting and Retention Diagnostic Identify top priorities for AN across channels Army Medicine Strategic Themes Army Nursing Strategic Themes Initiatives Back to Basics Building Our Bench Optimize Performance Portfolio of Expertise Balancing Innovation With Standardization Build the Team Optimize Communication & Knowledge Management Provide Global Operational Forces ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 12&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Transformation Expert Based Practice Practice variance Evidence Based variance Fragmented, uncoordinated, and characterized by unnecessary duplication of services Systems Based Patient Driven Care Centered on teams & interdependence Well defined processes Supported by information technology tools Evidence Based ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 13&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Cascading MEDCOM ENDS Patient /Customer/ Stakeholder ANC CS 1.0 Developed Full Spectrum Leaders CS 2.0 Optimized Care Delivery Systems CS 3.0 Codified Evidence Based Management Practices CS 4.0 Optimized Human Capital ENDS Patient/Customer/ Stakeholder ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 14&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Cascading MEDCOM ANC IP 10.0 Optimize Medical Readiness IP 13.0 Build Relationships and Enhance Partnerships IP 11.0 Improve Information Systems IP 12.0 Implement Best Practices IP 14.0 Improve Internal and External Communication Internal Process IP 8.0 Improve Quality, Outcome Focused Care and Services IP 7.0 Maximize Physical and Psychological Health Promotion and Prevention IP 9.0 Improve Access and Continuity of Care IP 16.0 Synchronize Army Medicine to Support Army Stationing & BRAC WAYS IP 15.0 Leverage Research, Development and Acquisition IP 5.0 Develop Full Spectrum Leaders Life Cycle IP 9.0 Maximize Strategic Communication IP10.0 Amplify Recruiting and Retention of Nurses Internal Process and Systems IP 7.0 Standardize Care Delivery Systems IP 6.0 Develop Leader Succession Plan WAYS IP 8.0 Leverage Research and Development ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 15&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Cascading MEDCOM LG 18.0 Improve Training and Development LG 20.0 Improve Knowledge Management LG 17.0 Improve Recruiting and Retention of AMEDD Personnel Learning and Growth LG 19.0 Promote and Foster a Culture of Innovation ANC LG 11.0 Enhance Training and Development LG 14.0 Develop Career Systems Management Learning and Growth LG 13.0 Promote and Foster Innovation LG 12.0 Identify Best Clinical and Business Practices ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 16&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Cascading MEDCOM ANC R 21.0 Optimize Resources and Value R 22.0 Optimize Lifecycle Management of Facilities and Infrastructure R 23.0 Maximize Human Capital Resource R 16.0 Optimize Resources and Value R 15.0 Optimize ANC Footprint R 18.0 Capitalize on Human Capital Resource R 17.0 Focus and Consolidate Research Priorities ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 17&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Assesses appropriate utilization of external agencies, i.e. RAND, TWI Assess are AMEDD C&S AN LD 1.B: : Leader Training and Development Life cycle model Clinical tracks Plans for all key leader positions Nurse Consultants USAREC ROTC EBOD Develop life cycle models with appropriate force modeling to insure current and future capabilities and force structure Develop and execute a leader succession plan that insures sustainable mission capabilities LD 1.A: Leader Succession Plan Define Full Spectrum leaders Define and validate critical leader positions Develop leader capacity and capability plan Integrate a credible, viable, sustainable civilian workforce into the ANC leadership structure FORSCOM TRADOC EBOD Nurse Consultants Perform gap analysis between current capability and capacity and future requirements. Provide appropriate nursing capability and capacity in support of The Army CoS and The Surgeon General’s strategic objectives LD 1.0: Full Spectrum Leaders Critical Task Status Coordinating Points Operational Task Objective Statement Operational Objectives Leader Development (LD): A persistent, sustainable nurse leader succession plan created full spectrum leaders; who were adaptive to any conditions based mission, provided a persuasive voice at key echelons of influence in the AMEDD, and innovated doctrine to blueprint the future of the ANC. Strategic Objective ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 18&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Capitalize on Infosphere Battlespace Engage key audiences Break down “Stove Pipes” RMC CN EBOD AMEDD STRATCOM Align AN knowledge management with AMEDD corporate solutions Leverage decision support and knowledge management methodologies to provide a foundation for AN strategic imperatives EB 1.B: Knowledge Management Implementation of a standardized nursing care delivery system across the AMEDD Identify high risk nursing practices Validate Scope of Practice RMC CN EBOD NRAB AMEDD Patient Safety Synchronize AN practice, standards, scope of practice and performance with national standards, evidence based management and best practices Standardize nursing practice across Army Nursing EB 1.A: Professional nursing practice Define and codify the scope of nursing research Create a culture and workforce for nursing research Develop research agendas RMC CN NRAB EBOD TSNRP Operationalize an AN research system that provides a strategic grid which integrates and synchronizes with AN agenda Develop a nursing science and technology foundation for AN strategic imperatives EB 1.0: Research and Development Critical Task Status Coordinating Points Operational Task Objective Statement Operational Objectives Evidence Based Care (EB): Evidence based methodology optimized business practices and cost capabilities by blending analysis, measuring, and re designing into daily performance. Strategic Objective ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 19&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 ANC Residency Program Maintain ISP Exit Surveys RMC CN EBOD AMEDD HR AMEDD C&S Operationalize measurable retention strategies to sustain AN mission capabilities Improve Human Capital business processes to enhance professional nursing practices across the AN spectrum HC 1.B: Retention Validate recruitment programs Accessions Incentives Accessions Recruiting Critical Task Status Coordinating Points Operational Task Objective Statement Operational Objectives Human Capital (HC) : The ANC footprint is optimized through validation of priorities and the force structure is re postured for conditions based capability and capacity Strategic Objective ANC Balanced Scorecard Alignment Briefing UNCLASSIFIED 20&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;&#x/BBo;&#xx [3;.9; 0;&#x.385;&#x 434;&#x.074; 14;&#x.449;&#x ]/S;&#xubty;&#xpe /;oot;r /;&#xType;&#x /Pa;&#xgina;&#xtion;As of 3 February 2009 Incorporate the Following: Documentation processes Patient Advocacy concept Ethical framework Workload capture/patient acuity system Scope of Practice delineation EBOD NRAB CSBPO Nurse Consultants TSNRP Execute a evidence based/best practice nursing care delivery system Provide operational ballast for The Surgeon General’s strategic imperatives WC 1.0: Nsg Care Delivery Systems Ambulatory Care Case Management Discharge Nursing Flight Nursing Disaster Management Infection Control Wellness CQM Rehabilitative Nursing Telehealth Critical Task Status Coordinating Points Operational Task Objective Statement Operational Objectives Warrior Care (WC) : Optimized nursing care delivery systems wrapped nursing capability around AMEDD strategic goals and missions; Warrior/patient/family centered care models embraced evidence based practice to achieve best patient outcomes. Strategic Objective 30 OCT 08 ANC Campaign Plan Conference FEB 09 Brief OTSG on ANC Balance Scorecard JAN 09 Campaign Plan STRATCOM JAN 09 Validate and Execute ANC Campaign Plan JAN FEB 09 Pilot Professional Practice Model MAR 09 Execute Metric Reporting Congressional Testimony: Campaign Plan APR 09 AN EBOD Bi Annual Report MAY 09 AN EBOD Re Validation of Priorities JUNE 09 State of the Army Nurse Corps JULY 09 FY 10 ANC Campaign Plan AUG 09 End of Year Briefing to Chief, Army Nurse Corps SEP 09 The BSC Way Ahead