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Kathryn Correia President Appleton Medical Center Theda Clark Medical Center

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.

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Kathryn Correia President Appleton Medical Center Theda Clark Medical Center

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  1. Innovation in Health Care Delivery: Building the Seamless Care System Kathryn Correia President Appleton Medical Center Theda Clark Medical Center Senior Vice President ThedaCare

  2. Mission: To improve the health of our communities Horizontally integrated healthcare delivery system with 40 sites & 5,500 employees • 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

  3. Collaborative Care Case Study The Innovation • Complete redesign of acute care • True north for two hospitals • Irrespective of diagnosis • Synergistic model built with lean principles • Initiated 2007, completion 2012 The Results: Value • 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

  4. 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.

  5. Building a Seamless SystemCurrent Challenges and Future Possibilities What Good Looks Like Collaborative Care New Delivery Model Home Care/Senior Services Horizontal Thinking

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