Building a Successful Organization from the Bottom Up

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Building a Successful Organization from the
Bottom Up

• Mark Laret
• CEO
• UCSF Medical Center
• ABOG, April 5, 2005

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My Undergraduate Experience at UCLA
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MLK Holiday, 1994
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Opportunity at UCI
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UCSF Medical Center 2000

• End of failed merger with Stanford
• Lead management positions held by Hunter Group
• 60 million annualized operating loss
• Low of 12 MM (6 days) cash on hand
• Reportable condition on audit
• IT, other infrastructure in poor condition
• Lack of clear strategic direction
• Low employee and faculty morale
• Low patient satisfaction

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UCSF Medical Center 2005

• Operating income will exceed 60 million
• Cash approximately 120 million
• Strong and increasing support of academic mission
  
  
• Major investments in facilities and equipment
  underway
  
• Long-term hospital replacement plan developed
• Implementing strategic plan
• Highest patient satisfaction of SF hospitals
• Improved employee turnover and morale
• UCSF Medical Center ranks 6th among top 10
  hospitals in US
  

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Successful Organizations

• Are built from the bottom up
• but
• Rely on the top to empower the bottom

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Managing in Bad Times

• Accept as a given that there are always problems
  in every organization
  
• We only control the sail . . . and not the wind.

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The Importance of Looking in the Mirror

• Goleman, Boyatzis and McKee Primal Leadership
  Realizing the Power of Emotional Intelligence
  
• Leaders mood and behaviors drive the moods and
  behaviors of everyone else.
  
• Start in front of the mirror.

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The Mirror, continued

• Tom Hopkins How to Master the Art of Selling
• To be something, act like something.
• Accept Leaders are in service to everyone else
  in the organization.

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The Importance of Knowing Where We are Heading

• Douglas McGregor The Human Side of Enterprise
• Theory X mushroom diet
• Theory Y ownership of work leads to creativity
  and commitment

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UCSF Medical CenterMission, Vision, Values

• MISSION
• Caring, Healing, Teaching, Discovering
• VISION
• To be the best provider of healthcare,
• The best place to work, and to have
• The best environment for teaching and research
• VALUES
• Embodied in PRIDE Professionalism, Respect,
  Integrity, Diversity and Excellence

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Values

• Roy Disney Its not hard to make decisions
  when you know what your values are.
  
• Aaron Lohr Always err in favor of the
  patient.
  
• Widely accepted and practiced values help control
  behavior
  

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The Importance of People

• Jim Collins Good to Great
• People first, strategy second
• The criteria
• Integrity
• Attitude
• Intelligence
• Hire people who are better than you

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The Importance of Communication

• Communicate, communicate, communicate until you
  are sick of hearing yourself, then communicate
  some more.
  
• Jack Welch, former CEO General Electric

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The Importance of Getting Good Advice

• UCSF Executive Council
• Dick Rosenberg, former chair B of A
• Mike Ullman, CEO JC Penney
• Max Messmer, CEO Robert Half International
• Toni Rembe, Pillsbury law firm
• Howard Lester, Chairman Wm Sonoma
• Doug Shorenstein, Shorenstein Real Estate
• Bill Davidow, Mohr Davidow
• Engaged in every major issue facing UCSF Medical
  Center
  
• Every leader needs people who will tell you the
  truth

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Summary

• Every organization has challenges
• Getting everyone, from the bottom up engaged is
  key to success
  
• This begins with the leader him/herself
• Clear and compelling mission, vision, values
• The right people
• Communicate often
• Get advice
• BUILDING SUCCESS FROM THE BOTTOM DEPENDS ON YOUR
  ACTIONS AT THE TOP

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