Leading Change: Shifting To Population Health Management

Building Leaders – Transforming Hospitals – Improving Care Who We Are Our Company Our Team Our Mission Formerly known as Brim Healthcare we have a 45 year track record of delivering superior clinical & operating results for our clients. Our Executive Team has experience in managing hospitals from multi-billion $ healthcare systems to community hospitals We believe that the combination of People, Process & Technology transforms healthcare & provides the required results Management Consulting Placement Technology Turnaround Strategy Financial Operations Corporate Compliance Board Development Regulatory Compliance and Accreditation Preparation Lean Process Improvement Community Health Needs Assessments Execuitve Recruiting Interim Executive Placements Mid-level and Specialty Placements Gaffey Revenue Cycle Management CrossTX Population Health Platform Optimum Productivity Update Verbiage Building Leaders – Transforming Hospitals – Improving Care

Instructions for Today’s Webinar You may type a question in the text box if you have a question during the presentation We will try to cover all of your questions – but if we don’t get to them during the webinar we will follow-up with you by e-mail You may also send questions after the webinar to Diane Bradley (contact information is included at the end of the presentation) The webinar will be recorded and the recording will be available on the HealthTechS3 web site www.healthtechs3.com HealthTechS3 hopes that the information contained herein will be informative and helpful on industry topics. However, please note that this information is not intended to be definitive.  HealthTechS3 and its affiliates expressly disclaim any and all liability, whatsoever, for any such information and for any use made thereof.  HealthTechS3 does not and shall not have any authority to develop substantive billing or coding policies for any hospital, clinic or their respective personnel, and any such final responsibility remains exclusively with the hospital, clinic or their respective personnel. HealthTechS3 recommends that hospitals, clinics, their respective personnel, and all other third party recipients of this information consult original source materials and qualified healthcare regulatory counsel for specific guidance in healthcare reimbursement and regulatory matters.

Building Leaders – Transforming Hospitals – Improving Care Clinical Consulting Diane Bradley, PhD, RN, NEA-BC, CPHQ, FACHE, FACHCA Regional Chief Clinical Officer Diane began her health care career as a staff nurse in the Emergency Department of a major Medical Center. She has worked in diverse areas of nursing in acute care, long term care, and behavioral health. While in the U.S. Army, she advanced to Chief Nurse of a 400-bed field hospital, and again was appointed as the Chief Nurse in a multihospital system after the Army. Diane has been in her current position as Regional Chief Clinical Officer with HealthTechS3 for almost seven years.   In her role as Regional Chief Clinical Officer, Diane provides guidance and assistance to hospitals to integrate her expertise into operations, clinical areas, quality and patient safety, and board functions. Her special interests include mentoring and coaching clinicians, leadership development, quality and patient safety, patient engagement, conducting mock surveys, and especially addressing the unique needs of each organization and the demographic they serve. Building Leaders – Transforming Hospitals – Improving Care

Change Definition: To make radically different; to become different; to undergo transformation, transition or substitution; implies making either an essential difference often amounting to a loss of original identity or a substitution of one thing for another. Source: Merriam-Webster Dictionary

Changes in Health Care Procedures: CABG, Heart transplant Medications Acuity Infection Prevention FFS PFP VBP LOS MRI & CT New diseases: AIDS, Ebola, Zika Longevity New Medical Specialties

Characteristics of Health Care Competition Independent practitioners Isolationism Inward leadership Fee-for-Service Hierarchical Traditions

Qualities of Leaders to Affect Change Vision– Where is the organization going? “Vision without action is merely a dream. Action without vision just passes the time. Vision with action can change the world.” ---Joel Barker. 1990 Persuasiveness – Charisma, ability to convince employees of the change Systematic and thorough when making decisions Communicative – Is the change good for the organization? Confidence – Assuring employees that the change is good for the future. Resolute – overcome hurdles, but stay strong to achieve change

Leader Capability Gaps Experience leading non-traditional partnerships Change management experience Risk aversion Lack of data analytics expertise Flexibility, agility to make change innovative thinking Advanced financial expertise by all senior leaders Creation of different roles needed for population health management, e.g. Chief Strategy Officer, Chief Transformation Officer

How to Address the Gaps?

Think Different Consider hiring from different sectors Define needs succinctly for new roles Conduct behavioral interviews Assess culture fit and hire the candidate who will fit the best Develop educational programs to groom internal personnel for leadership positions Interview successful board members from different businesses Identify internal up-and-comers

Critical Skill Set for the Future Critical thinking Strategic planning Innovation Change management Transformational change Creativity Collaboration Courage Results-driven Interconnectivity Disruptive Innovator Flexibility/Adaptability/Nimbleness

Healthcare Business Model

The Learning Organization Optimize the human side of relationships. Plan for the transfer of knowledge from the current workforce to tomorrow’s workforce. Assure competence development at all levels of the organization.

“I found Rome a city of bricks and left it a city of marble.” The New Leader “I found Rome a city of bricks and left it a city of marble.” --Augustus Caesar

Leader Success The four avatars of Steve Jobs. Avatar – translated from Sanskrit means incarnation and manifestation.

“The reasonable man adapts himself to the world; the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man.” --George Bernard Shaw

According to Anil Inamdor, “Thinking” – the thought process leading to a decision: Routine or out-of-the-box Risky or safe Predictable or a surprise “Approach” – the method of execution: Professional or skillful as expected in a business environment Unprofessional or audacious

Four Avatars M Artist – creative and imaginative thinker Cowboy – a reckless and impulsive decision maker Manager – an analytical and results-oriented person Tyrant – an autocratic and oppressive person acting without restraint

Summary Good leadership drives change; ineffective leadership drives chaos and crisis management Move outside the four walls of the hospital Individual/Patient-centered Involve physicians in process change IT is an essential component of the change we need Educate everyone on the changes Change will happen whether we do it or someone else makes us change

“Life can only be understood backwards; but it must be lived forward.” --Soren Kierkegaard

Upcoming Events 2017 Planned Webinars Medicare and Medicaid LTC Reform: A Breakdown Of The New Requirements Date: Monday – December 19, 2016 12:00 – 1:00 p.m. CDT Host: Cheri Benander, RN, MSN, CHC, NHCE-C 2017 Planned Webinars Antibiotic Stewardship – the New CoPs for Critical Access Hospitals Silent Epidemic 2017 OIG Plan: Gaining Insight What the 2017 changes to the CCM regulations mean to your practice The True Impact of IT Within Healthcare 2017 Community Health Needs Assessment – Start the New Year right! Infection Control – the New CoPs for Critical Access Hospitals A Guide To Reading Financial Statements Tools and Resources For Successful Advanced Care Planning Creating An Engaged Workforce In Changing Times Physician Engagement In Rural Hospitals  

Regional Chief Clinical Officer Contact Information If you would like to schedule a consultation or have questions, please contact: Diane Bradley Regional Chief Clinical Officer Email: diane.bradley@healthtechS3.com Phone: 585-671-2212

THANK YOU Diane Bradley, PhD, RN, NEA-BC, CPHQ, FACHE, FACHCA HealthTechS3 Diane.Bradley@healthtechs3.com Jennifer Building Leaders – Transforming Hospitals – Improving Care