Download - models quality improvements Fine Art of Collaboratio… · Improved transitions from one care setting to another Care delivery moved to a lower cost setting Care Coordination Chronic

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Dominatingconceptinhealthcaretoday:

COLLABORATION

“Withouttheinvolvementoflong‐termcareservicesandsupports,ACO’sorothernew

collaborativemodelsofservicedeliverywillnotbeabletoachieve

sustainedqualityimprovementsandreduced

costs.”‐MarkMcClellan,MD,Ph.D

CASTChairDirector,EngelbergCenterforHealthCareReformLeonardD.SchaefferChairinHealthPolicyStudies

BrookingsInstitution,WashingtonDC

ReformThemes– DrivingCollaboration

ACOs,BundledPayments,VBP,MedicalHomes

HospitalReadmissionReductionPrograms

Improvedtransitionsfromonecaresettingtoanother

Caredeliverymovedtoalowercostsetting

CareCoordination

ChronicDiseaseManagement

Person‐centered

Healthinformationandsharingofdata

MoreManagedCare

Patient‐centeredcare/experience

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DrivingCollaboration

Focusbeingputtowardsintegratedcaredeliverymodelsthatdemandavarietyofformsofcollaborationatmultiplelevels

Providersareseekingscale/growthwhichisdrivinguniquecollaborationsacrossthecontinuum

Providerslookingtotrimcostsassociatedwithduplicativeserviceswhichincludescollaborationviacombiningexpertiseorotherfunctions

Providersinsurvivalmodeandmayneedtopartnertomakeit

MOVINGFROMWHYTOHOW

Howdoweinitiatemeaningfulpartnershipsandcreatethetimerequiredtomaintainandimproveuponthem?

Howdowemovebeyondtheassumptionsthatweholdaboutourpotentialpartnersandmovetowardsunderstandingmultipleperspectives?

Howdowedevelopcollaborationsthatareeffectiveandproducebusinessresultsopposedtojustcollaboratingforthesakeofcollaborating?

Howdoweinspireacultureofcollaborationwhenwemaybemorewiredforcompetitionandprotectionourpersonalagendas?

MOVINGFROMWHYTOHOW Post‐AcuteCareNetworks&ContinuumStrategies

Seeking1st/2nd referral– volume

NewServiceDevelopment

Acquisition/StrongerAffiliations

Positioningtointegratew/hospitals,ACOs,BPinitiatives,etc.

Hospitalsforming“preferredprovider”PACnetworks

CommunityBasedTransitionalCareInitiatives

HospitalsandCBOscollaborating

NewServiceDevelopment

CCTP– sec3026ofACA

QIOdrivenCommunityCollaborative(s)toimprovetransitions/reducereadmissions

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MOVINGFROMWHYTOHOW Medical&SocialIntegration

Hospitalbasedhubforreferralstothecommunity

ManagedCareentitiesreachingouttoCommunityBasedOrg(CBOs)

ManagedCarecontractingw/CBOsforCT/CMservices

Post‐Acute/LTCleveragingconsumerrelationships&expertisetocreatenewvalue

Foundationfocus

Non‐profitsjoiningforcestostrengthenofferings

Housingwithservicesmodels

Sharingofresources(staffing,billing,etc.)

Combiningexpertise

MOVINGFROMWHYTOHOW Consolidation/JointVentures

Hospital– CCRCJVdiscussion

JV/AcquisitionsofHomeandCommunityBasedServices

SmallerPACproviderslookingtoaffiliate/JV

AcquisitionoforganizationtoactasNewCoforInnovation

HospitalsbackintothePACbiz?

ForProfit– NotforProfitCombinations

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FURTHEROBSERVATIONPaceisaccelerated&collaborationstaketime

Changeisdifficult&resistancemakesitmoreso

Talkisnotcheap&cancreatetheillusionofcollaborating

Internalculturecantrumpexternalcollaborations

Needtounlearntheirrelevant&prioritizetherelevant

Upfrontworkiscritical&oftenjumpingincreatestheclarityneeded

ObjectivesforthisSessionExplorecreatingandsustainingyourcollaborativeendeavors

Starttocreateaframeworkforaction

Sharesomeideasthatmayhelpadvance&accelerateyourcollaborativeinitiatives

Facilitatediscussiontosupportsharedlearning

Asitrelatestocollaboration/partnership,whatdoyouseeas themostsignificantopportunityforyourorganization?

Whatissues/challengesareinthewayofadvancingthisopportunity?Internally?Externally?

Inwhatmannerdoesyourorganizationcollaborate/partner?

What doyoudofeelyouneedtolearnaboutcollaboration?

Questions

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Break‐OutDiscussion&Introductions

Groupsoftwo

Discussyourresponses

Introduceyourpartner

Whatisontheirmindasitrelatestocollaboration

#1objectivefortoday’ssession

15minbreak

Considerations Internal– StartwithyourWhy ExternalScan‐ whatistheneed Strategytomeettheneed Research&Education– NewLearning DeeperInternalAssessment‐ PartnerReadiness Abilitytoarticulatevalue– whatyoubringtothepartnership Cleargoals/priorities DeterminePartnershipcriteria UnderstandPartner’sperspective Processforpartnerselection MOUasstagingstrategy&tocreatepartnershipstructure

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EFFECTIVECOLLABORATION

CLARITY

• InternalAssessment

• Clearpurpose/goals

• Collaborationoranotherstrategy

• Self‐Assess

Startwithyourwhy

Whatareyoutryingtoaccomplish&why?

Externalandinternalfactors–whatisdrivingyourwhy?

IsCollaboration/Partnershiptherightstrategy?

Isthereacompetitiveadvantagebycollaborating?

InternalOrganizationalAssessment

Rightpeople,rightpositionCultureofcollaborationFluidityforchangeWillingnessfororgtostretchbeyondcomfortzoneAbilitytoidentifyandconveyyourvalueRightboardmembersPeerrelationships/councilneededParallelstrategiesCommunicationplan Self‐Assess

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“Youcan’tshakehandswithaclenchedfist.”

‐MahatmaGandhi

Whatareyourmentalmodels?

KnowThySelf

Awarenessofhowyouthinkabilitytosuspend,examineand

changeyourassumptions

Awarenessofhowyouinteract

creatingbalancebetweenadvocacyandinquiryinexploringcomplexissueswithavarietyof

participants

Impacthowwethink/act

Maybeconscious/unconscious

Incomplete

Easiertoseeinanotherandhardtoseeyourown

Highleverage

* source is ReThink Health

mentalmodelsBeliefs,assumptionsandthethinkingwehaveabouteveryaspectofourselves,others,ourorganizations,andhowthe

worldworks

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Openness‐ canIbeimpactedandinfluenced?

Transparency‐WillIshowup,beseen,andnothidebehindatitle?

Authenticity‐ CanIsaywhatIthinkopposedtowhatis

politicallycorrect?

Intensity‐Whatismywillingnesstostretchbeyondmycomfort

zone?

AskYourself

BeingAccountable– holdthemselvesandrequireitfromothers

Source: Collaboration by Morten Hansen

collaborativeleader?

RedefineSuccessfromNarrow

AgendastoBiggerGoals

Involveothersindecisionmaking&

exhibitanopenmindtoalternatives,divergent

views,dialogue

COLLABORATIVELEADER

Organization’sgoalsvs.ownAbilitytohelppeopleunderstandthe“bigpicture”Goodatfindingcommongroundamongthosewhohavedifferentgoals/agendas

SeekstounderstandavarietyofperspectivesEncouragesopendiscussionsanddebatesissuesearlyonThinks:HowdoIinvolvepeoplevs.justtellingthemwhattodoTakesresponsibilityforamistakeUseofcollaborativelanguageAccountabilitySource:CollaborationbyMortenHansen

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COLLABORATIVECULTURE

BehaviorandAttitudeCompetitionoutside,notinsideBalanceofunificationandindividualaccountabilityCreateoptfornetworking,ideasharing,connectw/otherdept. Identifybarrierstocollaboration&seeksolutions

Notinventedhere

Hoardinginfo

Searchproblems

Transferproblems

Source:CollaborationbyMortenHansen

WrittenExerciseReflectonyourapproachtocollaboration

Howdoyouinviteandobtaindiverseviewpoints?

Howdoyouhandleopposingopinions/discussions?

Howdoyougiveandreceivefeedback?

Whatarea/issuemightrequireyoutoseethroughanewlens?

Wherecanyoustretchbeyondwhatiscomfortableforyou?Or,whatisonethingyoucandodifferently?

And,howwillyoudothis?

15minbreak

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Break‐OutDiscussion

3Groupsof4

Discussthequestions

Discussasalargergroup

Howwasitdecidedthatcollaborationistheappropriate strategy?

Whatprocessdidyourorganizationgothrough?

Howwillthiscollaborativebeevaluated –hassuccessbeenclearlydefinedforallinvolved?

Whathaveyoulearned?

Thinkofacurrentcollaboration

10minbreak

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Consideringyourcurrentorganizationalstateand/orfuturefocus,whattypeofpartnershipsaregoingtoenhanceyouroperationand/oradvanceyourmission?

QuestiontoConsider

Howwillyouidentify,create,andsustainpartnerships/collaboration(s)?

QuestiontoConsider

ExternalScan

Doweunderstandemergingtrends/issuesonthehorizon?

Doweunderstandpotentialopportunities?

Canwecreateacompetitiveadvantagebytakingactiononidentifiedopportunitiesearlierthanothers?

Arewepayingenoughattentiontowhatwedon’tknow–ifnot,howcanwebetterunderstand?

Howwellarewemonitoringpossiblefuturerisks,challenges,andopportunities?

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ReferralPatternsandutilizationofpost‐acute

MarketDataReview

Physicianpracticestrategies/hospital&physicianalignment

PayerStrategies

Howfastisthemarketmovingtowardsintegratedcare

Acquisitionstocompletethecontinuum

CompetitorIntelligence

Whatarepotentialcollaboratorsinyourmarketdoing

ExternalScan

ConsiderPartnershipCategories&Structures

Affiliate

Acquire

Merge

Consortium

StrategicPartnerships

PartnershipCriteria

StandardDueDiligence(ops,finance,clinical,IT,compliance)

Partnerknowsthemarketwell

Partnerreputation/currentclients

Understandingofhowproviderhasworkedinotherpartnerships

Understandingofthepartner’scriteria

Mutualrecognitionofthevalueintheofferings

Evaluateinitialinteractions,followup,appetiteforpartnership,willingnesstoinvestinupfrontdiscussions, appropriatepeopleinvolvedearlyon

Alignmentofvalues–whattheydonotwhattheysay

Intangibles– chemistry&trust

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UseofMemorandumofUnderstanding(MOU) Stagingtoformalcontract

Outlinesintegrationstrategy

Flushoutlingeringquestions,details,etc.

Projectroll‐outschedule

Useasawaytoformulizethepartnership

Roles/Responsibilities‐ whowilldowhatandwhen

Infrastructure/Operations

DecisionMaking

Communications

Resourceallocation

Conflictresolution

MoreQuestions:

Whatareaprovokedthemostinterestforyoutoday?

Whatlevelofprioritydoesthishold?

Whatactioncanyoutaketo moveyourPriorities/collaboration(s)forward?

Whatassistance/resourcesareneeded?

Whatdoyouneedtolearn?Howwillyoudoit?

LASTWORDS

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"Inthelonghistoryofhumankind...thosewho

learnedtocollaborate and

improvisemosteffectivelyhave

prevailed.”‐ CharlesDarwin

ThankYou!LoriPeterson

[email protected]

866.332.3923