ThedaCare Center For Healthcare ValueHealthcare Value

Patient ExperienceS iSummit

October 28‐ 29, 2013

Mike StoeckleinNetwork DirectorNetwork Director

Transform the IndustryIndustry

Mission: To redesign three interdependent components of the healthcare industry whichwill result in improved value for patients.  We will accomplish this by collaborating withpatients and leaders in the provider, employer, insurer, and government communities.

The Patient’s Experience

Vertical Orientation of Healthcare

Now It’s Getting Personal

Tish’s Story

• Lasted 3 weeksLasted 3 weeks

• Stops in 5 different healthcare facilities (3 more than once)

• Re hospitalized for an infection• Re‐hospitalized for an infection complication from first hospitalization

• Multiple med rec errors• Multiple med‐rec errors

• Patient safety protocols ignored

• Lab specimens lost

• Waited for hours multiple times

• Her expressed wishes were ignored

• More than 20 needle sticks

• Lucky to have survived

Horizontal Focus for Healthcareo o ta ocus o ea t ca e

What This Means

• Healthcare providers must learn to:

Think horizontally ( = see the flows )Think horizontally ( = see the flows.)

Act horizontally ( = collaborate across verticals to optimize the flows.)

• To provide ever more perfect patientTo provide ever more perfect patient pathways = better outcomes, better patient experience, and better provider experience, p , p p ,with less time, effort & cost…J Womack

Enterprise Wide Cancer Value Stream

System of Care: Cancer 3rd draft

A itOutpatient Chemo/ Hormone Therapy

Ambulatory Surgery Center

TC, RMC, Encircle, TCOSCGroth

InPatient / Surgery / Chemo Hospital

TC, AMC, Groth, RMC, Aylward, NLFMC

Emergency CareAMC, TC, NLFMC, RMC

Acuity

Retail Pharmacy

Hospice

Radiation Therapy

AMC

Hormone Therapy

FVHO – many sites

Home CareTCAH SNF

Diagnostics Center

Groth

Aylward

AMCPrimary Care

26 TCP, PCAA, Kaukauna Clinic, etc.

GrothAylwardAMC, TC, RMC, NLFMC, EncircleTCOSCShawano ASC

OP RehabAMC, TC, RMC, NLFMC

LTACHNLFMC

Screening/ Imaging Center

ThedaCare Facility – Independent Providers

R f l l ti hi / N di t hi

Retail Clinics

Wellness & Fitness Center

YMCA

Survivorship ProgramsYMCA

Imaging Center

AMC, TC, Encircle, NLFMC, Waupaca- TCP, RMC, Shawano, Menasha- TCP, N th TCP Referral relationship/ No direct ownership

Co-ownership/ Joint Venture

Own Facility – providers Employed

North- TCP

Healthcare Value Network Member Organizations• Akron Children's Hospital

Alb t H lth S i• Nemours• New York City Health and Hospitals Corp• Alberta Health Services

• Beth Israel Deaconess Medical Center• BJC Healthcare• BloodCenter of Wisconsin• Bronson Healthcare Group

• New York City Health and Hospitals Corp. • Oregon Health & Science University• Palo Alto Medical Foundation• Park Nicollet Health Services• Parkview Health

P b t i H lth S i• Carolinas HealthCare System • Carolinas Lean Collaborative• Christie Clinic• Cleveland Clinic• Exeter Health Resources

• Presbyterian Healthcare Services• Regina Qu'Appelle Health Region• Rouge Valley Health System• Salem Health• Saskatoon Health Region

• Group Health Cooperative• Gundersen Health System• Harvard Vanguard Medical Associates• HealthEast Care System• Henry Ford West Bloomfield Hospital

• Scottsdale Health• Seattle Children's Hospital• Spectrum Health System• St. Boniface General Hospital• St. Joseph Health System

• Hotel-Dieu Grace Hospital• Inova Health System• INTEGRIS Health• John C. Lincoln Health Network• Kaiser Permanente

• St. Joseph Regional Health Center• St. Mary's General Hospital• St. Rita's Health Partners• Stanford Hospital & Clinics• Sutter Gould Medical Foundation

• Lawrence and Memorial• Lehigh Valley Hospital and Health Network• Lucile Packard Children's Hospital• Martin Health Systems• Martin's Point Health Care

• ThedaCare• UCLA Medical Center• University of Michigan Health System• University of New Mexico Health System• Vancouver Coastal HealthMartin s Point Health Care

• McLeod Health• MemorialCare Health System• Mercy Health System

• Wellspan Health• Winona Health

HVN Sponsor MembersMembers

What YouCan DoCan Do

1. Learn more, www.createvalue.org

2. Collaborate with providers on improvement, win‐win,be an acti e participant to impro e the hori ontal flobe an active participant to improve the horizontal flow

3 Participate in the “gang tackle”3. Participate in the  gang tackle

mstoecklein@createvalue.org 952‐334‐3578