1 Three to One: A Process, Not A Score New Horizons for Catholic Health Care Partnerships at KentuckyOne Health Ruth Brinkley, President and CEO Brian Yanofchick, Senior Vice President, Mission Elements of Today’s Process • Hear from you • Tell the story of KentuckyOne Health • Describe what we have set out to do and how we have done it • Share our lessons learned • Dialogue
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Three to One:A Process, Not A Score
New Horizons for Catholic Health Care Partnerships at KentuckyOne Health
Ruth Brinkley, President and CEOBrian Yanofchick, Senior Vice President, Mission
Elements of Today’s Process
• Hear from you
• Tell the story of KentuckyOne Health
• Describe what we have set out to do and how we have done it
• Share our lessons learned
• Dialogue
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Hearing From You
Hearing From You
• What are you hoping to hear from us today?
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Hearing From You
From Your Experience…• Name one thing that you think makes a merger work
• Name one thing that makes a merger go bad
Our Story
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Our Story
Forming KentuckyOne• Formation of JHSMH in 2005
• Formation of SJHS in 2007
• Beginning of conversations to form statewide network in 2009
• Failed merger in 2011
• KentuckyOne in 2012
• ULH/JGBCC in 2013
Public Debate
Physicians• Concerns about loss of control to academic physicians in
merged entity
• Perceived limits on care due to ERD compliance
• Communication gaps due to minimal physician leadership
Community• Acquisition of state facility by a religious organization
• Limitations on existing women’s services because of ERD
• Concerns about Catholic approach to end-of-life care
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Our Structure
Sponsorship• CHI - Majority Equity Ownership and Operational Support
• Jewish Heritage Fund for Excellence – Minority Equity Ownership
Relationship to the Church
Interaction with the Archdiocese of Louisville• Nihil Obstat
• Approval prior to RFP response
• Annual ERD Audit
• Frequent update meetings
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WHY?
Looking Ahead• Need for scale in an evolving environment
• Passage of ACA in 2010
• Long-term sustainability
Building a Culture
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Building a Culture
Culture is…• Stories
• Symbols
• Heroes
• Myths
• Narratives
Building a Culture
Defining Culture“A culture . . . is far more complex than the popular definition,
‘what people do around here’. Rather a culture tells its members how to view the world and, above all, how to experience it emotionally. In this sense, a culture primarily resides deep in the hearts of people, not in their heads as structures do. It is the emotional glue that binds people together, giving them a comforting sense of meaning and predictability, often in a confusing and changing world.”
Fr. Gerry Arbuckle, S.M.
Humanizing Healthcare Reform
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Building a Culture
What do you think?What is helpful about this definition for you?
Building a Culture
Defining Purpose and Values:
A New “Symbol” for a New System• Needed a statement that was inclusive
– Expressing Catholic values in new language
– Jewish Hospital remains Jewish
– ULH remains an entity of the state even though employees are KYOne
• Employee and board involvement
• Succinct and memorable
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Building a Culture
KentuckyOne Purpose and Values
Building a Culture
KentuckyOne Purpose and Values
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Paying Attention
to the Heart
Paying Attention to the Heart
The Catholic Heart• Guiding virtues:
– Compassion
– Excellence
– Justice
• Merger worries:
– Catholic identity in a pluralistic system
– Loss of “control” to a new entity
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Paying Attention to the Heart
What Do You Think?A Jewish Hospital is an expression of Jewish faith
in the same way a Catholic hospital is an expression
of Catholic faith. T/F
Paying Attention to the Heart
The Jewish Heart• Guiding Virtues
– Excellence
– Innovation
– Service: Tikkun Olam (תקון עולם)-Repairing the World
• Merger Worries
– Loss of control
– Alienation from the Jewish community
– Creeping Catholicism
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Paying Attention to the Heart
What Do You Think?There are few differences between the mission of
an academic hospital setting and the mission of a community
hospital setting. T/F
Paying Attention to the Heart
The Academic Heart• Guiding Virtues
– Teaching
– Research
– Patient Care
• Merger Worries
– Lack of respect/understanding for academic enterprise