INSPIRED CARING:Transforming for population health

Mark Herzog, FACHEPresident & CEO

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Holy Family Memorial Intense local competition; regional dynamics 90 provider multispecialty group practice employment model Hospital services include OB, Orthopedics, Cardiac, Cancer 1,500 employees and volunteers - average tenure 15+ years Faith-based organization serving for 115 years

INDEPENDENT, SINGLE-MARKET, TIGHTLY-INTEGRATED SYSTEM

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Holy Family Memorial’s Mission

Holy Family Memorial is a network of health professionals who, rooted in the healing ministry of Jesus Christ, provide services to help individuals and our communities achieve healthier lives.  

Adopted 2008  

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Core Belief: Doing What’s Right

“Start by doing what is necessary; then do what is possible; and suddenly you are doing what is impossible”

St. Francis of Assisi 1181-1226

“Are you meeting the needs of a community, or the needs of a corporation?”

Sr. Laura Wolf 2013

IMPROVEMENT• Lean Healthcare• Six Sigma

INNOVATION• Bright Ideas• SPUR

TRANSFORM FOR POPULATION HEALTH• Outside Eyes• Flatten Organization• Culture of adaptability

HFM’s Reform RoadmapTransforming Culture and Care

MOVING CULTURE & CARE TO THE RIGHT

Staff & Physicians LeadershipCommunity Partnerships

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Connecting with our Keynote

“The health of the community includes more than the physical health of the people. It includes political, economic, educational, mental, social and religious health.”

Rev. John G. Simmons, as quoted by Emily Friedman June 4, 2013

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Policies & Programs

Health Factors

Health Outcomes

Health Behaviors (30%)

Clinical Care (20%)

Social & Economic Factors (40%)

Physical Environment (10%)

RANKINGS BASED ON THE FOLLOWING:

FOUR TYPES OF HEALTH FACTORS MEASURED:

Adapted from Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute County Health Rankings

Population Health ModelUNIVERSITY OF WISCONSIN

At 21st & Franklin Street

SEPTEMBER 2012

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At 21st & Franklin Street June 2013

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Source: County Health Rankings & Roadmaps: A Healthier Nation, County by County 2013

Regional County Comparison

Clearly, there’s more topopulation health than great healthcare!

Socio-Economic Development is job one.

RANKOut of 72 Fox Valley Green Bay Manitowoc

Clinical Care 7th 13th 15th

Health 20th 30th 40th Outcomes

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DEVELOPING LEADERSHIP CAPACITY1. Intentional culture shaping2. Continuity & Development of Self, Staff & Providers3. Continuous renewal- Strategic Program Unit Review 4. Learning Partnerships

Source: Dean Lindsay

2001: 10 Senior Leaders

2012: Focus on Wellness & Prevention

2012:90 Employed

Providers

2001:90 bed

hospital

2001: 35 Employed

Physicians

2001: Focus on the Sick Population

HOSPITAL Caregivers MISSIONSENIOR LEADERS

2012:35 bed hospital

2012:4 Senior Leaders

HFM‘s transformation 2001-2012

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Transformation Metrics2001 - 2012

• 43% reduced admissions• 5% inpatient market share loss• 8% outpatient volume growth • 39% growth in clinic visits• Margins last 3 years 0-2%, 200 Days cash

S&P BBB+ stable outlook• Safest patient is the one never admitted!

200%

100%

150%

Manitowoc

Fox Valley

Green Bay

Transformation’s Impact on

Hospital Utilization and Expenses

Population adjusted regional growth in hospital charges 2001 to 2012:

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Why Should This Matter?

What if every hospital provider focused on “Right Care”?

What could redirecting these resources to addressing the true drivers of population health achieve?

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How did we do it?Through a Flexible and Nimble Business Model

A Culture of Learning

Meaningful Physician

Engagement

Shifting Focus From

Beds to ClinicsPlanning, Governance,

Operations, Culture Shaping

F l e x i b i l i t y a n d A d a p t a b i l i t y

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Population Health Partnerships

CLINICAL

OPERATIONAL

COMMUNITY

LEARNING

BUSINESS

CareTech

Performance Accountability ReviewHow well did you perform over the last year?

Source: NCHL

“Rearview Mirror”

Leadership Team AssessmentCan you lead this organization into the future?

30% Weighting ABLE TO: competent to lead WILLING TO: desire to lead

20% Weighting PROMOTABILITY:

Advancement potential

50% Weighting COURAGE TO: internal fortitude to lead CULTURE SHAPING CONGRUITY: ability to fit in

current culture & transform to ideal culture

“Headlights”

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Transformational LeadershipWhat Brought You Here Won’t Take You There

1. Surprises in assessing future leadership capacity:a. Only 30% of leaders are strong in both toolsb. 32% of leaders scored low on the leadership assessmentc. 17% of the highest PAR score leaders had low leadership

assessments2. Closing the gap:

Leadership Institute Fellowships Internships Mentorships Dyads

0% 20% 40% 100%80%60%

The CULTURE DifferenceOver 70% participation in network pride survey:

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I am proud to work at HFM

I recommend HFM services

I am excited about HFM’s future

HFM leadership welcomes my ideas and suggestions for process improvement

20082011

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The Key to Population Health?

Ronnie Bryant, President & CEO of Charlotte USA among the most effective Economic Development Corporations in the Nation

Dream big and set your boundaries clearly.

…Then take out the lines.“ “

The Next StepsHFM catalyzing efforts to improve socio-economic

performance by leading economic development, etc.Fostering continuum relationships

Embedding primary care in LTC facilities Embracing Open Innovation with partners

Maintain Core Strengths: Our mission, community engagement, and operational discipline foster culture and leadership

Negotiate from a position of strength22

RIGHT CARE

RIGHT SETTING

RIGHT OUTCOME

S

THE RIGHT CHOICE

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Copyright © 2013 Holy Family Memorial. All rights reserved.

The Holy Family Memorial Story

Since 2010 HFM has presented at: ACHE Congress 2010-2014 AHA’s Healthcare Forum, Partnership for Patients and

Society for Healthcare Strategy & Market Development American Society for Quality International Forum Beryl Institute CoDev 2013 International Open Innovation Conference College of Healthcare Information Management

Executives National Center for Healthcare Leadership University of Michigan Health Management and Policy

Program Griffith Leadership Center Symposium