Self-assessment for Transition Planning

Public Burden Statement:  An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.  The OMB control number for this project is 0906-0026.  Public reporting burden for this collection of information is estimated to average .25 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N39, Rockville, Maryland, 20857. Expiration date (3/31/2020).

Assess your organization's current capacity in each of these key areas to help identify opportunities for growth and development of system-based capacity for transitioning to value. Consider having a team of six to eight people from across your organization complete this assessment independently, then use it as a tool for discussion to bring in perspective from across the organization, to understand varying perceptions, gain buy-in and identify opportunities and priorities for action.
Our leadership team...
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Is aware of health industry trends and changes and how they may impact our facility *
Understands need for systems (multi-faceted) approach in all aspects of our organization *
Provides ongoing education opportunities for board, internal leadership and managers *
Aligns organization and medical leadership around values, goals and strategies *
Empowers and motivates employees to achieve performance excellence *
Our organization…
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Conducts meaningful strategic planning at least annually *
Involves multiple stakeholders to ensure strategic plans reflect community needs *
Uses a systems framework for planning to ensure a holistic approach *
Communicates the plan organization-wide in easy to understand language *
Our organization…
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Measures and publicly reports data on patient satisfaction *
Excels at customer services as shown by our comparative results on patient satisfaction *
Engages in partnerships with larger systems or rural networks *
Works collaboratively with other types of providers in our service area to improve transitions of care and care continuity *
Collaborates with public and private organizations in the community to assess and improve health of the population *
Our organization…
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Uses a strategic framework to manage information (such as a Balanced Scorecard) *
Evaluates strategic process regularly and shares information organization-wide *
Uses data to improve health and safety of patients in the service area *
Our organization…
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Supports development of a workforce that is change ready and adaptable *
Has an intense focus on staff development and satisfaction *
Supports ongoing staff skill building and education *
Has developed a customer/patient focused staff culture *
Our organization…
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Has developed efficient business processes and operations in all areas *
Continually improves quality and safety *
Uses technology appropriately to improve efficiency and quality *
Ensures continuous process improvement is embedded in the culture *
Our organization…
Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree
Regularly documents and assesses outcomes and impact of the care and services we provide *
Reports quality outcomes to federal agencies, community, staff and other stakeholders *
Benchmarks outcomes with peers and internally *
Documents value in terms of cost, efficiency, quality, satisfaction and population health *
Contact Details
Please check all that apply.

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,560,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.