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Success stories at member organizations that provide lessons and opportunities for others to consider.



Improving Community Health: Case Studies →

View the accompanying white paper   

These case studies were conducted as research for The Governance Institute’s Fall 2016 white paper, Improving Community Health: Leading Governance Practices to Catalyze Change. They follow three organizations, Dignity Health, headquartered in San Francisco, California, Providence Health & Services, based out of Renton, Washington, and Boston Children’s Hospital.

Author: The Governance Institute
Date: December 2016

 

Leadership, Governance, and Changing the Business Model at Carilion Clinic →

This case study focuses on the transformation of Carilion Clinic, a $1.5 billion physician organization that includes hospitals, clinics, and a college of health sciences, along with a cutting-edge medical school and research institute in partnership with Virginia Tech. It covers the catalysts for change, local market issues affecting the decisions, designing the clinic model, creating an attractive work environment, and fulfilling the clinic’s mission to create healthier communities.

Author: The Governance Institute
Date: September 2016

 

Designing Governance for the Future: The New St. Luke’s Health System   

St. Luke’s Health System, based in Boise, Idaho, came together over several decades through formerly independent hospitals (ranging from community medical centers to critical access and public hospitals) and physician groups, across the southern region of the state, forming various types of affiliations and arrangements until ultimately becoming one organization. This case study focuses on why St. Luke’s saw a need to restructure governance and operations, the key decisions surrounding the restructure, the process for implementation, and results to date.

Author: The Governance Institute
Date: February 2016

 

Hospital Foundation Boards Rely on Skills and Training to Boost Impact →

Just like the governing board, the foundation board functions best when it selects board members based on needed skills, receives appropriate training for its role, and conducts regular self-assessments to maintain and improve its work. In this case study we will look at changing patterns in healthcare fundraising, and will examine some of the methods foundation boards use to increases their effectiveness. This case study profiles ProMedica Health System in Toledo, Ohio and Anne Arundel Medical Center in Annapolis, Maryland.

Author: Elaine Zablocki
Date: December 2015

 

Rural Providers Band Together →

In light of recent changes in payment methodologies, some rural hospitals are joining together to participate in Medicare’s Shared Savings ACO Program. Through these innovative alliances, they hope to gain knowledge, skills, and experience that will prepare them for population health management and value-based purchasing. This case study profiles Morris Hospital in Morris, Illinois, Ridgecrest Regional Hospital in Ridgecrest, California, and Reid Health in Richmond, Indiana.

Author: Elaine Zablocki
Date: November 2015

 

Salem Health Models Widespread Quality Improvement →

Salem Health is a not-for-profit regional medical center located in Salem, Oregon. This case study explains how Salem Health has evolved its own models for quality improvement without the help of a corporate quality improvement office. Its experience shows that consistent, open-minded effort yields significant results and could serve as an important example for other community-based hospitals with a strong commitment to quality.

Author: Elaine Zablocki
Date: June 2015

Quality Improvement Project Charts:

 

Loma Linda University Health Reaches Out to Share Its Vision →   |    ePub →

Loma Linda University Health includes a 371-bed medical center, five additional hospitals, and eight health-related professional schools. This case study shares the work Loma Linda is doing, including integrating the university, hospitals, and physician organizations into one organizational structure; encouraging employees to improve their health through its corporate wellness program; and starting Vision 2020, a fundraising campaign to prepare the organization for success in coming decades.

Author: Elaine Zablocki
Date: January 2015

 

Health First Prepares for the Future Healthcare Business Model (Part 2) →   |    ePub →

During the past two-and-a-half years, Health First has experienced many major changes. Four independent hospitals started to act like a unified organization and physicians started to receive scorecards on their quality and safety, cost-effectiveness, and patient satisfaction. In this case study, we examine some of the factors that make Health First a leader in preparing for our future system of healthcare.

Author: Elaine Zablocki
Date: October 2014

 

Health First Prepares for the Future Healthcare Business Model (Part 1) →   |    ePub →

During the past two-and-a-half years, Health First has experienced many major changes. Four independent hospitals started to act like a unified organization and physicians started to receive scorecards on their quality and safety, cost-effectiveness, and patient satisfaction. In this case study, we examine some of the factors that make Health First a leader in preparing for our future system of healthcare.

Author: Elaine Zablocki
Date: September 2014

 

Building a Culture of Accountability from Within: The Transformation of Scripps Health →   |    ePub →

When Chris Van Gorder first arrived as COO, Scripps Health was facing a number of challenges. The crisis became clear when, just six months later, the medical staffs of each of the six hospital campuses in the system voted no confidence in the CEO. The board asked Van Gorder to step in as interim CEO and within a month he became the clear choice as Scripps Health’s permanent leader. Since then, Scripps Health has seen drastic improvements in financial performance, turnover rates, and employee morale.

Author: The Governance Institute
Date: June 2014

 

Wellmont: Rural Health System Prepares for Challenging Future →   |    ePub →

Rural hospitals and health systems face unique challenges. This case study shares how Wellmont Health System, a rural system in Kingsport, TN, is dealing with these very challenges, among others, and has created proactive responses to prepare for a challenging future.

Author: Elaine Zablocki
Date: April 2014

 

Genesys Health System Tackles Pioneer ACO Challenge (Part 2) →   |    ePub →

Pioneer ACOs are organizations that already have experience offering coordinated, patient-centered care, and already operate in ACO-like arrangements. In 2011, Genesys Health System and its physician partners applied for and were selected as one of 32 Pioneer ACOs, which are developing innovative models of population-based healthcare. In Part Two, we look more closely at the system’s relationship with its physicians, and how those special relationships prepared the way for Genesys’ current role as a Pioneer ACO.

Author: Elaine Zablocki
Date: December 2013

 

Genesys Board Transitions to a New Level to Prepare for Healthcare Change (Part 1) →   |    ePub →

Leaders at Genesys Health System took steps over a six-year period to ensure that all aspects of system leadership were working at a very high level. The organization prepared itself in order to ensure its success through this incredible time of transition. Part One focuses primarily on new structures and processes the Genesys board has implemented within a remarkably short timeframe to prepare for changes in the healthcare delivery and payment system.

Author: Elaine Zablocki
Date: December 2013

 

Quality Reporting Expands beyond Hospital Walls →   |    ePub →

These days, many hospitals and health systems are offering their patients increasing information about the quality of care they can expect when they enter the hospital. However, the BayCare quality report card is an outstanding example of detailed information. This case study provides a detailed review of BayCare’s hospital-based quality report card, and then explores the organization’s efforts to expand quality reporting beyond hospital walls, across the care continuum.

Author: Elaine Zablocki
Date: June 2013

 

Bringing Hospitals Together to Provide High-Quality Care →   |    ePub →

Hospital consolidation is on the rise as organizations work to prepare for the changes and challenges of health reform. This case study profiles two organizations: one that recently entered into a partnership and another that has acquired several hospitals throughout the years. It provides insight into the benefits of partnering and what goes into finding the right partner. 

Author: The Governance Institute
Date: April 2013

 

Patient Experience: Best Practices for Service Excellence →   |    ePub →

This case study profiles the experiences of three member organizations that have decided to focus on patient satisfaction as a key strategic priority. Each organization has changed their culture to address the patient experience and, through this process, seen significant improvement in their HCAHPS survey scores.

Author: The Governance Institute
Date: August 2012

 
 
 
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