Ascension Health’s Approach to Transformational Development

Ascension Health’s Approach to Transformational Development

Ascension Health Board of Trustees

September 13, 2007

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We have embraced a Strategic Directionto realize our 2020 Vision

Model Community of Mission-Centered, Healthy Associates

Integrated Alliance Network of Values-Compatible Partners

Knowledge on Demand as a Connected Ministry

Presence as Needed at Full Potential

Healthcare That Leaves No One Behind:100% Access Through National Advocacy, New

Models for Care and Transformed Access Leaders

Healthcare That Is Safe:Clinically Excellent Services Across the Care

Continuum and the Community

Healthcare That Works:Consistent, Exceptional Ascension Health Experience

Through Holistic, Sustainable Models for Life

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Total Excellence

Total Access

Total Satisfaction

Vital Presence

Empowering Knowledge

Trusted Partnerships

Inspired People

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FOR LIFE!

Model Community of Mission-Centered, Healthy Associates

Integrated Alliance Network of Values-Compatible Partners

Knowledge on Demand as a Connected Ministry


Healthcare That Leaves No One Behind:100% Access Through National Advocacy, New

Models for Care and Transformed Access Leaders

Healthcare That Is Safe:Clinically Excellent Services Across the Care

Continuum and the Community

Healthcare That Works:Consistent, Exceptional Ascension Health Experience

Through Holistic, Sustainable Models for Life

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Total Excellence

Total Access

Total Satisfaction

Vital Presence



Inspired People

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We have recognized that our current approach represents good strategy,

Per

form

ance Operatio

ns

Operations

Strategy

Strategy

RISK: Transform

ing

innovations come from other h

ealthcare sectors

with risk

Time

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…our evolved approach requiresfocused resources to Optimize Operations

and dedicated resources for TransformationP

erfo

rman

ce

Optimizatio

n Strategy

Optimizatio

n Strategy

Optimizatio

n Strategy

Optimizatio

n Strategy

Transformatio

nal

Transformatio

nal

Strategy

Strategy

Transformatio

nal

Transformatio

nal

Strategy

Strategy

Time

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If Not Us, Who?If Not Now, When?

• Compelling need to transform healthcare to achieve Strategic Direction

• Ascension Health positioned to lead this work– Mission and Vision– Role within healthcare– Call To Action results

• Evolved structure provides focus and urgency• Will benefit from the gifts of all

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Two Tracks of Transformational Development Work

1) Sharpen our Focus on “What’s Next”• Nurturing seeds planted today to ensure Ascension

Health is positioned to deliver what is “next” toward accomplishing our Strategic Direction

2) Extend our Line of Sight to “Beyond Next”• Developing and planting new seeds through the

identification and exploration of complementary models and/or disruptive innovations with the potential to transform Healthcare and achieve our Vision

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HealthcareOperations

SocietalHealth

Sco

pe

of

Tra

nsf

orm

atio

nAscension Health’s Approach

to Transformation

HealthcareDeliverySystem

Time Horizon

Long-termShort-term

Medium-term

Operations Optimization

Deliver the 5-year ISFP

Transformational Development

Track #1

What’s Next

Track #2

Beyond Next

2020 VisionRealized

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Strategic Direction serves as a construct for Operations Optimization & Transformational

Development

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• AH Experience for those we serve (patients)

• AH Experience for those who serve with us (associates, MDs)

• Optimizing patient flow and caregiver effectiveness

• Priorities for Action to eliminate preventable injuries and deaths

• Standardized meds administration technologies to minimize ADEs

• Integrative palliative care models• Redesign physician relationships

+ =

Vision Realized202020102005

5 Year ISFP Period 6-15 Year Window

Inspired People



Vital Presence

Healthcare That Leaves No One BehindHealthcare That Leaves No One Behind

Healthcare That Is Safe

Healthcare That WorksHealthcare That Works



Consistent, Exceptional Experience Through Holistic, Sustainable Models for Life

Total Satisfaction

Clinically Excellent Services Across the Care Continuum

and the Community

Total Excellence

Examples Examples



• AH role in navigating healthcare options & resources

• Financially sustainable models (new revenue streams, more sensible delivery & payment systems)

• Chronic disease management• Evidence-based predictive

models and practices• Clinical research capabilities• Preventative care management• Community wellness

1

2

3

4

5

6

7

1111

• Implementing Ministry Configuration recommendations

• Ambulatory development• Strengthening the Catholic health

ministry – Catholic consolidation

+ =



• Advocate for legislation that expands access for patients served by the public safety net

• Support HMs to develop Access Leadership Plans to implement the 5-step model to 100% access

Inspired People



Vital Presence





Vital Presence

100% Access Through National Advocacy, New Models for Care & Transformed Access Leaders

Total Access


Be Where We Are Needed, How We Are Needed to be There

Examples Examples



• Strengthening the Catholic health ministry – innovative collaborations and Broader Context exploration

• Develop core leadership capability for 100% access

• National public policy partner towards sustainable national funding model for 100% access


Development

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Map

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• Continuum partnerships to optimize current model

• Support partnerships to optimize current model

• Continuum and support partnerships that catalyze transformation

+ =



• Clinical information systems• Digital imaging systems• Event reporting system• ERP systems (Fin, HR, SC)• IT infrastructure management• IT application imp./support

Inspired People



Vital Presence






Alliance Network of Values-Compatible Partners

Provide Access to a Full Continuum of Care for Life

Knowledge on Demand as a Fully Connected Ministry

Bring All That Is Known to Someone Known to Us at the

Point of Service

Examples Examples



• AH knowledge architecture• Community, regional and

national connectivity


Development

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1313

+ =



• Associate satisfaction/ engagement improvement

• Leadership formation & development

• Workplace spirituality• Associate

assessment/selection• Socially just rewards• Associate health promotion

Inspired People



Vital Presence




Inspired People

Model Community of Values-Inspired Healthy Associates

A Model Community that Fosters Spirituality in the

Workplace and Is Intentionally Committed to the Health and Well-being of our Associates

Examples Examples



• Developing a pipeline of inspired, qualified caregivers

• Leadership formation & development

• Workplace spirituality


Development

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HealthcareOperations

SocietalHealth

Sco

pe

of

Tra

nsf

orm

atio

nAscension Health’s Approach to Transformation:

Strategic Direction as Organizing Construct

HealthcareDeliverySystem

Time Horizon

Long-termShort-term

Medium-term


Deliver the 5-year ISFP


Track #1

What’s Next

Track #2

Beyond Next

2020 VisionRealized

Healthcare That WorksHealthcare That WorksHealthcare That Leaves No One BehindHealthcare That Leaves No One Behind


Inspired People



Vital Presence

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2

3

5

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9 11

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10

Inspired People



Vital Presence




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17 Map

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Constructing and filling a virtual pipeline of input, partnerships and projects with traditional and non-

traditional sources

Virtual scanning/

networking

Informal affiliations

Formal engagements

Seeding/ incubating

Integrating components

# of ideas in each stage decreases

Intensity of AH resources increases

Scanning/Discovery

Development

Test & validate

Ex

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CEO

Those We Serve

President’s Council



Testing & Validation Adhocracies

President’s Council Serves as Supporting Cast to Operations Optimization and Transformational

Development

Inspired People



Vital Presence




Health Ministries

“…the President’s Council will serve as the “supporting cast” to both Operations Optimization and Transformational Development, offering advice and counsel to ensure value creation for our Health Ministries, and, ultimately, those we serve as we work together to accomplish our Strategic Direction.“

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Those We Serve

Inspired People



Vital Presence




Health Ministries

J DoyleS LeResche

H KimE Engler


T Tersigni

S LevyD Pryor

B HenkelT Speranzo

J ImpiccicheSr. MaureenSr Bernice



The Core Group of Transformational Development will add selected resources and rely on President’s

Council members “…the President’s Council serves both as the “supporting cast” and as content contributors/leaders of components of the Transformational Development agenda, offering not only advice and counsel, but actually leading the work within their areas of expertise or pioneering work in non-traditional areas.“

Wco

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Those We Serve



President’s Council Also Serves as Supporting Cast

to Operations Optimization

Inspired People



Vital Presence




Health Ministries

“…the President’s Council serves as the “supporting cast” to Operations Optimization offering advice and counsel to ensure value creation for our Health Ministries, and contributing to operations programs upon request.”


T Tersigni

S LevyD Pryor

J DoyleT Speranzo

J ImpiccicheSr. MaureenSr Bernice

B HenkelS JeffcoatL Kaiser9 Ministry Market

Leaders

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R&D

Strategy & Development Operationalize

Testing & Validation

Effective Rapid Cycle Decision-making Process to Achieve

Nurturing, Nimble, High-Performance Transformational Agenda

Full Operations

Operationalize

Preparation

Discovery

Spread/ Migration

Replicability

Piloting

Validation of Value Prop

Collaborative Prototyping

Design Development

Pure Research

Low Time

Deg

ree

of

Invo

lvem

ent

Theoretical

Knowledge Management

Screen 1*

Screen 2**

Screen 3***

*Screen 1 = Transformational Development Leadership **Screen 2 = Collaboration between Transformational Development & Operations Optimization ***Screen 3 = President’s Council Agenda Management

Pro

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Focused Inquiry

1. What areas need greater clarity?

2. What guidance would the Board provide regarding the components that will be essential to ensure a successful launch of Transformational Development?

3. What meaningful symbols, resources and other commitments would the Board suggest to demonstrate our commitment to transformation?

4. How do we ensure that we stay the course for this work when the culture is primarily operations and shorter-term performance driven?

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Transformational Development Elevator Speech

Our Mission compels us, our strength enables us, and our experience empowers us to lead the

transformation of healthcare. The time is now. We have the purpose, the passion and the people.

Back

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Why These Things Fail

Background InfoExcerpts from “Why Transformation Efforts Fail”

Harvard Business Review

Not establishing a sense of urgency and compelling vision – recognition by the organization of why transformation is required (making the status quo more dangerous than launching into the unknown)

Not creating a powerful enough guiding coalition – titles, expertise, reputations, relationships, influence

Not establishing credible communication that captures the hearts and minds of the organization

Not removing obstacles – organizational structure, compensation/performance appraisals, etc.

Not anchoring changes to the corporation’s culture – including ensuring that the next generation of management personifies the new approach

Ascension Health’s Approach to Transformational Development

Ascension Health Board of Trustees

September 13, 2007

Ascension Health’s Approach to Transformational Development

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