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#123: Taking Our Vision Personally Elliot Joseph Chief Executive Officer

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Page 1: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

#123: Taking Our Vision Personally

Elliot Joseph

Chief Executive Officer

Page 2: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

HHC: Creating a Market-Leading Brand Experience

2Hartford HealthCare March 25, 2019

Page 3: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

March 25, 2019 3

NorthwestRegion Hartford

Region

CentralRegion

EastRegion

FairfieldRegion*

*Pending Regulatory Approval

7 Hospitals11 Surgical and Diagnostic Centers39 Family Health Centers20 HHC/GoHealth & Other Urgent Care Centers33 Imaging Locations128 HHCMG sites313 Total Locations147 Towns & Cities Served

21,156+ EmployeesA-Rated (data includes SVMC*)

A Well-Coordinated Statewide Service Area

Hartford HealthCare

Page 4: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Creating the Required Scale & Integration

March 25, 2019Hartford HealthCare 4

Page 5: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Values Guide Personal and Organization Behavior

Operating Model Our Tool to Get Results Every Day

1. Leadership behaviors across the system

2. High Reliability organization3. Leadership development and

support across system

1. Daily standard work2. Huddles, rounding, mentoring3. Standardized meetings, calendars4. Goals cascade from balanced

scorecard to individuals

March 25, 2019Hartford HealthCare 5

A Robust Culture and Standard Operating Model

How we act How we execute.

Page 6: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Our Vision Informs Our Desired Experience

6March 25, 2019Hartford HealthCare

Page 7: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Building Trust: The Five Ones

March 25, 2019Hartford HealthCare 7

Page 8: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Building Trust: Progress on The Five Ones

March 25, 2019Hartford HealthCare 8

0 - - - - - - - - - 50 - - - - - - - 100

Page 9: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

One Bill: A Statement that Replaces a Shoebox

March 25, 2019Hartford HealthCare 9

Covered Now

HHC Acute Care Hospitals* HHC Medical GroupHHC at Home HHC Rehabilitation NetworkLIFESTARHospital-affiliated radiology centers*Excluding Behavioral Health services

Full Single Statement:

NOV 1, 2019

Page 10: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Building Trust: Introducing a System in Silo-Land

March 25, 2019Hartford HealthCare 10

2009

7 of CT’s29 hospitals

were system-affiliated

2019

7 of CT’s 28 hospitals

areindependent

Page 11: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

March 25, 2019 11

Trust in the System-of-Care Model

Hartford HealthCare

2017:Half of HHC service-area

respondents want system-based care

Page 12: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Coordination as a Cornerstone of the HHC Experience

12March 25, 2019Hartford HealthCare

Page 13: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Coordination: Care Logistic Center Leverages Tech

March 25, 2019 13

FY18

• 12% increase in transfers

• 56% decrease in denials

• Of 7,171 transfers, 903 were to our community hospitals

• Right setting fast

Hartford HealthCare

Page 14: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Coordination: Institutes Unify Care

March 25, 2019Hartford HealthCare 14

Page 15: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

A Personal Experience

15March 25, 2019Hartford HealthCare

Page 16: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

• All-staff experience training• Every Moment Matters

internal “marketing” campaign

• Training leaders to focus on key engagement issues: I feel listened to, respected, communicated to clearly and like I belong

• Provider support network building and strengthening

• Self-care and wellness

March 25, 2019Hartford HealthCare 16

“Every Moment Matters” in Three Key Populations

Page 17: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Bringing a Brand Experience to Life

March 25, 2019 17Hartford HealthCare

Page 18: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

We Have the Four “Must-Haves” for #123

March 25, 2019Hartford HealthCare 18

Agility

Culture

Talent

Technology

Page 19: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

What We’ve Built to Execute: Customer Experience Center

March 25, 2019Hartford HealthCare 19

Established Customer Experience Center: • Receive ~120,000 survey data points

weekly• Analyze data down to unit and function

levels and derive feedback• Human-Centered Care Team partners with

local leaders to create action plans around data and feedback

• At 30th in customer experience percentile ranking in 2016 – Now trending at 52nd

PHOTO

Page 20: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

What We Have Built to Execute: Map to Success

March 25, 2019Hartford HealthCare 20

Accountability Education Engagement

• Unit-based performance metrics

• Executive patient-experience steering committees

• Patient-experience best practices

• Focused plans for lower-performing units

• Online and in-person training for all employees

• Providing an exceptional experience: Making every moment matter

• Values-based interactions• Service recovery

• Fostering the culture of patient-experience ownership

• Staff and provider engagement

• Reward/recognition• Lean initiatives - support

drivers / huddle reports• Collaboration with Quality,

Risk and Patient Advocacy

Page 21: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

What We’ve Built to Execute: Reward & Recognition

March 25, 2019Hartford HealthCare 21

One Award Each (Annually) for: Integrity, exceptional experience, continuous

improvement and safety

$1.1 million to honor the EMMie Award winners

• $25,000 donated by Hartford HealthCare to a health-related charity

• $250,000 allocated by Hartford HealthCare for each of four projects that reflect the passion of each winner and will improve customer experience at Hartford

Page 22: We Take Our Vision Personally - Becker's Hospital Review · We Have the Four “Must-Haves” for #123 Hartford HealthCare March 25, 2019 18 Agility Culture ... • Lean initiatives

Making it Personal

March 25, 2019 22Hartford HealthCare