Lindquist Dental Clinic for Children STRATEGIC PLAN 2014-2017 – Working Draft as of May 23,2014 VISION STATEMENT LDCC is a thriving, state-of-the-art practice which, through the collaborative efforts of its staff, board and other members of the community, ensures that all South Sound children in need achieve optimal oral health. MISSION STATEMENT To provide accessible, compassionate, and effective dental care to South Sound children in need. (“ACE””) OBJECTIVES 1) 2) 3) 4) 5) 6) 7) Increase utilization of dental care services, including follow-up for controllable conditions. Reduced barriers to receiving dental care. Eliminate missed school days due to poor oral health. Eliminate long-term systemic health problems due to effective dental intervention and prevention. Dental care for children of all ages. A leading provider for affordable dental care. Serve as a model for other pediatric dental practices (profit and not-for-profit). VALUES We believe that: All children should have a healthy mouth. All individuals are entitled to high quality, affordable dental care, delivered in a nurturing, respectful environment. Our operations should exhibit the highest standards of integrity, professionalism, ethics and business acumen. We deliver: Professional, high quality dental care. Patient-centered care, with an emphasis on prevention. We provide: The experience of a personal, private practice for our patients and families. A safe, vibrant and productive workplace. KEY STAKEHOLDERS Patients and their families Orally unhealthy children who are not yet patients Funders (eg. WDSF, United Way, Pierce County, other South Sound counties, DSHS, foundations) Community-at-large Community service providers and schools as referrals and collaborators Board members Staff Vendors DREAM: RESULTS OF PEAK PERFORMANCE Looking ahead to 2017, what “better world” might LDCC accomplish if its greatest assets, peak moments and most significant accomplishments become the norm – all the time? DESIGN ELEMENTS: KEYS TO DELIVERING THE DREAM In order to achieve our DREAM we have identified seven key areas around which we will develop our Goals, Measures of Success, Strategies, and Implementation Plans: 1) 2) 3) 4) 5) 6) 7) Financial Sustainability and Accountability for Current Operations Philanthropy Community Image, Branding and Marketing Expansions, Collaborations and Accessibility Board of Directors Organizational Structure and Continuity Technology DESTINY: GOALS/MEASURES OF SUCCESS/ STRATEGIES/IMPLEMENTATION DESIGN ELEMENT #1: Financial Sustainability and Accountability for Current Operations GOAL 1.1: Maximize revenue from all sources Measures of Success Grow annual net production revenues by 10% each year Achieve an annual gross operating profit margin of at least 10% each year Ensure 85% of all revenue streams supports patient care Strategies Continue financial forecasting and oversight Improve A/R processes for optimal collection/reimbursement Establish annual UCR fee review process Research, analyze and establish contracts with those insurance providers we determine are beneficial to LDCC’s financial sustainability Establish collaborative working partnerships with healthcare exchange organizations (ie:Molina, United Healthcare Plan…) Marketing (see Design Element 3) Increase funding from Philanthropic endeavors (see Design Element 2) Train staff as to the appropriate treatment based on coverage Maximize our time and production with efficient “lean” expenditures (inclusive of supplies & staffing), while maintaining quality and compliance Evaluate vendor contracts annually Increase diversity of revenue streams Page 1 of 6 Lindquist Dental Clinic for Children STRATEGIC PLAN 2014-2017 – Working Draft as of May 23,2014 GOAL 1.2: Maintain financial sustainability DESIGN ELEMENT #2: Philanthropy Measures of Success Maintain at least 1 month of reserves by the end of 2017 Maintain at least 1 month of uncompensated care funds by 2017 Pay off PLA line of credit by 2017 Company-wide revenue covers all expenses (minus depreciation) Each clinic coves their own operational expenses (this is for front & back staff and supplies minus depreciation) Manage debt obligations Meet annual budgets GOAL 2.1: Increase contributed income and diversity of sources for sustainability and capacity-building Strategies Maximize our time and production with efficient “lean” expenditures (inclusive of supplies & staffing), while maintaining quality and compliance VISTA staff increased to 3 people to build capacity in financially sustainable and efficient manner, approved and filled positions Review investments with Financial Planner on a bi-annual (or more frequent) basis All above strategies in Goal 1.1 Work with Finance Committee to evaluate appropriate payments and allocations of funds to meet above measures of success Implementation Team Measures of Success Annually meet or exceed budgeted philanthropy goals for total dollars raised. (2014 Goal = $478,000; see 2014-2017 projections by fund document). 100% annual giving by LDCC Board, President & CEO, and key staff. 100% participation by board members in some fundraising task including planned cultivation/stewardship of donors (while recognizing different board member strengths). Increase annual dollars raised from individuals, businesses and service organizations from $49,000 in 2013 to $200,000 in 2017 to offset current reliance on UWPC, Pierce County and Foundations funding Attain 30% annual growth in total number of donors from 2014 to 2017 (exceeds -2.7% comparable national benchmarks as shown in attached 2013 Fundraising Effectiveness Survey Report, page 18). o LDCC acquires new donors at 80% annual growth rate (exceeds 54% comparable national benchmarks as shown in attached 2013 Fundraising Effectiveness Survey Report, page 18). o LDCC retains donors at 50% annual rate (exceeds 43% comparable national benchmarks as shown in attached 2013 Fundraising Effectiveness Survey Report, page 18) First Implementation Steps WHAT WHO BY WHEN Strategies Hire full-time philanthropy associate in 2014. Strengthen donor cultivation program and board and staff understanding of the purpose and process of cultivation. Develop and implement planned donor cultivation and stewardship program for board. Enhance communications regarding philanthropy within the board and with prospects, including regular presentations at board meetings by development chair. Develop plan for ongoing recruitment/training of fundraising volunteers. Recruit a minimum of five non-board volunteers to work in fund development. Develop new prospects for both personal solicitation campaign (major gifts) and direct mail solicitation; cultivate family foundation/trusts. Strengthen coordination between VSG and philanthropy to further support fundraising efforts. Upgrade fundraising page on LDCC website Maintain systems (eTapestry, Moneris, PayPal) for ongoing monitoring/evaluation of progress in all areas of fund development. Implement annual appeals three times per year segmented by current donors, lapsed donors, and prospects. Apply for two-times amount needed in grant money Hold carefully-targeted, cost and time-effective events (using Benevon Model or similar) to increase giving by current and prospective donors Develop collaborative partnerships that will fundraise for LDCC (i.e. golf tournaments, raise the paddles) Develop and implement Naming Opportunities plan Develop and implement “Sponsor a Smile” campaign (with evergreen option) Create a “movement” to support children’s oral health, i.e. ask individuals to post posters at schools, community organizations, physician offices, etc (action creates bond with our mission); capture contact information and steward persons that participate; track referrals generated from posters. Train and implement LDCC public-facing employees (president, directors, outreach, volunteer coordinator) on eTapestry contact management tools so that contacts and relationships are institutionalized, allowing anyone to pick up where LDCC employee has left off. Page 2 of 6 Lindquist Dental Clinic for Children STRATEGIC PLAN 2014-2017 – Working Draft as of May 23,2014 Implementation Team First Implementation Steps WHAT WHO BY WHEN DESIGN ELEMENT #3: Community Image, Branding and Marketing GOAL 3.1: Increase awareness of LDCC’s mission, services and impact among key stakeholders [note, includes donors and all others on the SP documents]. Measures of Success Increase chair utilization to 90% usage by the end of 2017 Develop collaborative partnership with TRICARE Dental/MetLife Develop collaborative partnership with managed care plans Increase outreach efforts Develop collaborative partnership with Metro Parks Consistent marketing outreach to All school districts within our service areas Develop and maintain up to date contact management database appropriately categorized for marketing materials dissemination Increase & train staff, volunteers, BOD and donors in LDCC’s mission and services for community engagement activities and invite to participate in various community events Annual marketing plan developed and implemented Intermittent random surveys done regarding knowledge of LDCC within the communities we serve First Implementation Steps WHAT WHO BY WHEN Increase # referral sources and partners by 15% annually totaling 60% by end of 2017 50% of LDCC’s key stakeholders (in the communities we serve) are aware of LDCC by end of 2017. DESIGN ELEMENT #4: Expansion, Collaborations and Accessibility STRATIGIES GOAL 4.1: To increase access to LDCC services for Puget Sound area children in need. Measures of Success Decrease patient attrition and no show rate General community awareness surveys at various times and locales Partner and coalition member surveys Develop and maintain MOU’s with community partners as appropriate Increase of new patients by 5% annually Increase of patient visits by 15% annually Increase the number of children receiving schoolbased services by 5% annually STRATEGIES Decrease patient attrition and no show rate Increase MOU’s with community partners as applicable Improve scheduling and check out process through technology and staff training Develop strategic scheduled communications plans with community partners and referral and potential referral sources Maintain and build relationships with providers to which we refer & who refer to us Train & implement regarding alternate methods to schedule appointments through outreach and community settings Develop collaborative partnership with TRICARE Dental/MetLife Focused marketing campaigns in specified geographical locations Develop & conduct community survey Continued collaboration with the Bethel School Dist with a possible partnership with the Pierce Co skill center to possibly have a mobile clinic to reach to outlying communities within Pierce Co Increase bilingual staff capabilities and each clinic Explore options for additional transportation assistance Assess need and pilot extended hours at all clinics Continue to build community awareness about what makes LDCC unique Assess possible barriers to services utilizing our VISTA service member Develop collaborative partnership with managed care plans Ongoing communication with WA State and 211 call centers Keep clinic info current on all insurance websites that we are in-network with Explore other options and complete application processes to become in-network with various insurance plans as appropriate Patient and community surveys show 80% satisfied with ability to access services Page 3 of 6 Lindquist Dental Clinic for Children STRATEGIC PLAN 2014-2017 – Working Draft as of May 23,2014 GOAL 5.2: Increase BOD participation in board development and training Implementation Team GOAL 4.2: Broaden the dental IQ (how much they know about dental health) and awareness of the patients we serve and our community. Measures of Success Measures of Success After an educational presentation we will see an increase of referrals from that source 80% or more patients complete their treatment plans. [see OBEs] WHAT WHO BY WHEN increase number of patients aged 0-1 seen by LDCC by 10% by end of 2017 ( baseline needs to be established) Increase the number of responses LDCC gets to its oral health community engagement efforts Develop consistent, science-based, current, key oral health messages that used throughout Ldcc when engaging with patients and community (can be via our telephone/email system, website, Facebook, print materials, presentations and outreach Actively participate in community oral health initiatives & activities that serve/engage with our clinic populations (eg. PCOHC, Kitsap ABCD Steering Committee, Kitsap oral health pilot, etc) Implement "poster campaign" that enlists community to share message of 1st Tooth/1st Birthday and importance of a child's dental home Seek out non-traditional community opportunities to bring oral health messages to forefront (eg children's museums, WIC, etc....) Increase the number of oral health education encounters (outside of the chair) by 5% annually Strategies First Implementation Steps 100% receive new member orientation w/in 90 days of officially joining the board BOD orientation process is reviewed, updated and implemented [need a strategy] Board member training/development based on a pre-defined schedule/calendar Succession planning in place for key board committees 100% of new board members attend at least one board-related educational activities their first year as a board member and at least one more every two years thereafter Strategies DESIGN ELEMENT #5: Board of Directors GOAL 5.1: Maintain a diverse and actively engaged BOD Measures of Success Implementation Team 100% of board members have a role in implementing the strategic plan (every board member engaged with a role to play) 90% member attendance (in person or virtual, as permitted by law) at each board meeting (regular and special) First Implementation Steps WHAT WHO Board composition reflects diverse professional backgrounds and representation from each county served Maintain 15 actively engaged board members with a pool of qualified applicants Strategies CEO, Dental Director and Board Chair write OpEds on why oral health matters Audience appropriate presentations and tools needed for presentation Page 4 of 6 BY WHEN Lindquist Dental Clinic for Children STRATEGIC PLAN 2014-2017 – Working Draft as of May 23,2014 DESIGN ELEMENT #6: Organizational Structure and Continuity GOAL 6.1: Improve continuity of the LDCC organization structure and operations Director of Business Operations and Director of Clinical Services to analyze, develop and implement a QI plan HR policies created and implemented as stated above DESIGN ELEMENT #7: Technology Measures of Success Have a written Continuation of Operations Plan in place (see previous wording). GOAL 6.2: Formulate and execute a long range organizational plan Quality Improvement Program for internal processes completed and implemented (see 2014 plan wording) Measures of Success Human Resources policies in place and fully implemented (professional development plan for each employees, individual employee development plan, performance evaluation) 80% of employees survey rate satisfaction with job and resources as 4 or above on a scale of 1 to 5 (5 being the best) Facility maintenance plan is updated CEO reviews compensation and benefits packages annually Volunteer program is fully documented and sustainable Dental outreach process is contained in a written document Strategies/Tasks Need an employee satisfaction survey LDCC would feel confident giving an employee satisfaction survey out any time Director team to Develop the Continuation of Operations Plan HR will gather compensation information and CEO will review, evaluate and make adjustments as appropriate Director of Business Operations to work with staff for development of Facilities Maintenance plan Director of Community Outreach to oversee development, documentation and maintenance o the volunteer program Director of Community Outreach to develop the written documentation of the outreach process GOAL 7.1: Achieve and maintain optimum technology Formal board training in place (internal and external) Analysis of board composition and needs performed annually Formal interim CEO operations plan established Skills set and experience needed of a future CEO identified Capacity review performed annually to ensure annual resources to carry out the mission Strategies Develop matrix of current BOD composition positions and needs Create a BOD training manual Success Plan developed to include interim CEO plan Develop document for skills, qualities and characteristics for a future CEO Annually review of organizational needs in regards to staffing, equipment, facilities & funding Implementation Team First Implementation Steps WHAT WHO BY WHEN Measures of Success Obtain needed software and hardware Become 100% current with applicable software updates Our network supports organizational needs Strategies Develop and complete a technology assessment for maximum efficiency Report creation LDCC has appropriate IT staff needed to achieve goal 7.1 Assess and implement any needed network upgrades of changes GOAL 7.2: Achieve and maintain maximum proficiency of technology Measures of Success LDCC is 100% compliant with industry requirements 100% compliance of LDCC policies and procedures Strategies All staff receive appropriate technology training Develop & implement a technology useage audit in order to measure compliance of industry requirements and LDCC policies & procedures Report creation Page 5 of 6 Lindquist Dental Clinic for Children STRATEGIC PLAN 2014-2017 – Working Draft as of May 23,2014 LDCC has appropriate IT staff needed to achieve goal 7.2 Research paperless input for Dentrix Enhance credit card processing capability Maintaining proper license counts Reporting Program completely documented Implementation Team First Implementation Steps WHAT WHO BY WHEN OVERALL PLANNING SCHEDULE WHAT WHO BY WHEN Page 6 of 6