Transcript Kathryn Correia - Health Affairs

Innovation in Health Care Delivery:
Building the Seamless Care System
Kathryn Correia
President
Appleton Medical Center
Theda Clark Medical Center
Senior Vice President ThedaCare
Mission: To improve the health of our communities
Horizontally integrated healthcare delivery system with 40 sites & 5,500 employees
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22 Counties, 1 Million People
4 Hospitals
26 Clinic Sites, 184 Providers
6 ASCs
Senior Service Campus
Home Care/Hospice
Behavioral Health
Occupational Health
Community Partnerships
Collaborative Care Case Study
The Innovation
The Results:
Value
• Complete redesign of
acute care
• True north for two
hospitals
• Irrespective of
diagnosis
• Synergistic model built
with lean principles
• Initiated 2007,
completion 2012
• Defect free medication
reconciliation
• 100% pneumonia
bundle compliance
• Patient satisfaction 95%
top box
• 15-28% decrease
cost/case
• 10-15% decrease ALOS
• 8.89% readmission rate
How we did it
The Role of Leadership
“It took me 17 years to become the nurse I’ve always wanted to be. So strongly
do I feel Collaborative Care is the right thing for patients and for me
professionally.” - RN
Creating the Model
“Where we struggle is the loss of control, some loss of autonomy…
Now I’ve got a team attached to me.”* - Physician
“It is more demanding in that I have to use my brain a lot more.” - RN
Trialing: PDSA
“Until you actually go and do it, you don’t know what you don’t know.”*
- Pharmacist
Spreading & Sustaining the Transformation
*Golden-Biddle, Correia (forthcoming). “Hope as generative dynamic in transformational change: Creating and sustaining “Collaborative Care” in the
ThedaCare Health System.” In: K. Golden-Biddle and J.E. Dutton (Eds). Using a Positive Lens to Explore Social Change and Organization:
Building a Theoretical and Research Foundation. Routledge/Taylor & Francis Group Publishing.
Building a Seamless System
Current Challenges and Future Possibilities
What Good Looks Like
New Delivery Model
Home Care/Senior
Services
Collaborative Care
Horizontal Thinking