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Mission Forward Key Results

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Workstream Progress

Teams have reached the halfway mark in 84% of their metrics across all Mission Forward workstreams.

Registered Nurse Vacancies Declined

RN vacancy rate fell to 3.4% in July, marking three months in a row of steady declines.

Case Counts Reached Goal

Half of our operating rooms met or exceeded their case count goals in August.

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Cash Collection Increased

Monthly cash collection was 2.4% higher in August 2024 than in August 2023, setting a new all-time high.

Metrics as of Oct. 4, 2024.

About Mission Forward

Mission Forward is a systemwide initiative to ensure a future for UW Medicine that is financially stable, operationally efficient, and promotes the well-being of our staff, faculty and trainees so we can continue providing high-quality, equitable patient care to our community.

Read a Note from UW Medicine Leadership

Spotlight on Mission Forward

Learn more about the programs and people advancing UW Medicine’s Mission Forward.

Nurse typing on computer
How Mission Forward is Improving Access to Data

How Mission Forward is Improving Access to Data

With better access to data, UW Medicine teams can make more informed decisions.
July 8, 2024 Read More
Read More

What people are saying about Mission Forward

Mission Forward emphasized that this is a team effort. No single individual or group can succeed on their own. We have to collaborate and build partnerships among multiple departments. It's hard work, but we've been reviewing the data and putting teams in place, and our trendlines are going in the right direction. We just have to keep going.

Celine EnglandInterim Director of Clinical Operations and Surgical Services, Harborview Medical Center

When I think Mission Forward, two words come to mind: collaboration and transparency. It’s taking a deep dive with your colleagues across the health system to make sure no stone is left unturned as we ask ourselves, ‘Can we do this better?’ It’s an opportunity to reflect and be open to trying something new, and it shows our continued commitment to innovation and excellence at UW Medicine.

Caron McMahonAssistant Administrator for Emergency Department & Ambulatory Care Nursing for UW Medical Center

Mission Forward is the story of the operating room, the emergency department, the social work department. It’s the story of all our care teams. They’re the ones changing their routines and workflows, and that can be difficult. But when they see the tangible differences, the benefit of doing something differently, that makes it all worthwhile.

Kellie Garth GreenInterim Chief Nursing Officer, UW Medical Center

Across our healthcare system, Mission Forward helped each department identify its most important metrics. That focus is empowering IT to do its best work supporting other teams in service of the larger mission.

Todd BurstainMD, Chief Medical Information Officer, UW Medicine

Recognition initiatives are an investment, but they pay dividends in employee retention. Mission Forward has given us an opportunity to highlight the work we’ve done and a platform to keep it going.

Allison OsenarInterim Senior Director, Patient Experience, UW Medicine

Mission Forward helped make communication clearer across all our teams. We’re more focused and efficient because the left hand knows what the right hand is doing, and that’s creating huge financial savings.

Kamalpreet DhillonSystem Manager, Supply Chain, UW Medicine

Culture change is hard. It takes a while, especially for an organization that’s as large as we are. We’re not going to flip on a dime, but Mission Forward gave us a framework to do this work. These initiatives aren’t fading away; now we’re making them part of our book of business.

Kassie HollmanAssociate Administrator, Ambulatory Care, Harborview Medical Center

With Mission Forward, our work culture feels more collegial. It feels like you’re not alone. You’re not trying to do something in your own silo. … We don’t initiate any changes without checking in with Harborview. That wasn’t ingrained before. Now, it’s very natural.

JoAnne McDanielsAssociate Administrator, Ambulatory Care, UW Medical Center

When I consider the impact of Mission Forward, I think about what I’m not seeing. The initiative’s success is reflected in the absence of things going wrong. Of course, everything is complex, and there are still barriers — but when everything’s going well, there’s no explanation required. The system is just working.

Mark TaylorSenior Associate Administrator, Surgical, Emergent and Integrated Clinical Services, Harborview Medical Center

Mission Forward Workstreams

Mission Forward has operational workstreams underway. Each has a charter, success metrics and cadence for reporting progress to ensure we meet our fiscal year objectives.

OPERATIONAL

Care Delivery
LOS

Care Delivery
Periop OR Optimization & Pre-Surgical Workflow

Care Delivery
ED, IP, Nursing, Ancillary, Support

Care Delivery
Workforce Foundational

Care Delivery
Post-Acute Care

Revenue Cycle
Hospital

Revenue Cycle
Physician

Ambulatory Clinic Efficiencies

Ambulatory Access & Provider Productivity

Doc & Coding Excellence
Professional Services E&M

Doc & Coding Excellence
Risk Adjustment

Business Continuity

Information Technology Services

Supply Chain

Pharmacy

Retention & Leader Development

Patient & Family Experience

Environmental Sustainability

Enterprise Learning

Op Model/Span of Control

Featured Questions

Have a Question? Email ideas4mf@uw.edu

History of Mission Forward

Mission Forward was launched in 2022 to identify, design and implement changes that improve our financial stability, increase operational efficiency, promote the well-being of our staff, faculty and trainees, and ensure we can continue providing high-quality, equitable patient care to our community.

Learn More About Mission Forward

While all healthcare systems across the country have faced challenges, UW Medicine’s financial situation is exacerbated by our unique role within the state and region:

  • Our mission is to provide care for all people, including the most vulnerable and most complex patients. This results in over $800 million in under compensated care per year.
  • We train over 65% of the residents in Washington state. However, the Federal reimbursement for resident education has been capped since 1996.
  • We have continued to invest in temporary labor to meet the clinical needs of our state while other healthcare systems have reduced their staffing and are not using all their physical beds.
  • We have over 175 patients in our system on any given day that medically are ready to be discharged to the next level of care but remain in our hospitals due to the lack of post-acute care availability; reimbursement covers only about 17% of the cost of their hospital care.

Mission Forward has three distinct phases. Phases 1 and 2 are complete and we are now fully engaged in Phase 3, Implementation.

Phase 1: Assess & Identify

Gathered information, analyzed data, conducted
stakeholder interviews and established benchmarks to inform the short- , mid-  and long-term opportunities that were outlined in a comprehensive assessment report (read the summary here). Completed in May 2023.

Phase 2: Decide & Design

Validated the assessment report, briefed key stakeholders to ensure alignment, designed improvement programs and identified teams to implement plans. Completed in June 2023.

90-Day Action Plan. Bridged the first and second phases of Mission Forward, to make immediate improvements in key areas of operations. Nearly a dozen teams were involved in the work, which paved the way for longer-term improvements. Completed in March 2023

Phase 3: Implement & Achieve

Implementing workstreams and process solutions. Approximately two dozen work streams are now active with teams making progress in priority areas such as care delivery and revenue cycle. Each team has defined targets and success metrics and is delivering regular progress reports.