CHW Horizon 2020

What is Horizon 2020?

It’s CHW’s integrated strategic, operational and financial plan – a roadmap that will help us fulfill our mission over the next 10 years and a framework for service area planning.

Horizon 2020 is:

  • Our response to the challenges of the current economic environment
  • Our strategy for meeting the demands of a reformed U.S. health care system
  • Our road map that will guide us in fulfilling our mission over the next 10 years

What will maintain our focus?

Deliver the right care at the right place, cost, and time for every patient. Measurement: CHW will achieve top decile quality performance at all care sites.
Become America's best health system at which to work and practice. Measurement: CHW is recognized nationally and locally as the best place to work and practice.
Become the healthcare system most valued nationally as a leader, partner, and successful model of reform. Measurement: CHW will triple the size of the organization and individuals served as measured by a tripling of net revenue.

CHW Arizona Service Area 2012 - 2015

Our Strategies

Our strategies embody how we extend our mission, live out our values, and realize our vision.
Quality
Cost
Growth
Integration
Connectivity
Leadership

RAISE OUR QUALITY

Implement changes and initiatives necessary to raise CHW’s clinical quality, patient safety, and service measures to top decile performance nationally.


2012 Strategic Plan

St. Joseph's Hospital & Medical Center
(Goals/Tactics)

Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

Develop consistent, patient-centered quality standards for key service lines
  • Work collaboratively with hospital, physician and leadership on development of quality standards: take lead on Neurosciences. Thoracic. Oncology & High-Risk Obstetrics service lines
  • Enhance/develop standardized reporting capabilities
  • Incrementally improve standardized data reporting by provider
  • Continue to refine Crimson reporting capabilities
  • Utilize Crimson to improve quality

Develop clinically aligned physician medical staff
  • Develop teams to identify opportunities for increased clinical alignment in support of bundled payment or episodic reimbursement programs/pilots
  • Identify physicians and build teams to participate in clinically aligned initiatives including evaluation of chronic disease management
  • Develop in conjunction with medical staff standardized order sets for key service lines

Develop evidence-based inpatient and outpatient order sets
  • Lead development of evidence-based, standardized inpatient order sets for Neurosciences. Thoracic. Oncology & High-Risk Obstetrics
  • Lead development of physician practice EHR order sets through St. Joseph's Medical Group
  • Continue to find effective ways to increase physician acceptance of data integrity

Implement patient-centered quality improvement initiatives
  • Meet or exceed clinical quality, patient safety and service goals (readmissions, top decile quality, NPSG, HAPU, etc.)
  • Expand family team models to focus on and improve patient-centric experience
  
Contact Person

Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

Champion
  • Develop consistent quality standards for key clinical service lines
  • Develop and utilize standard inpatient and outpatient order sets.
  • Develop and utilize standard inpatient and outpatient order sets.
  • Develop clinically aligned physician medical staff
    		•
    • Dr. Happel
    • Dr. Happel
    • Dr. Happel
    • Dr. Mulligan

    St. Joseph's Hospital Medical Center (Goals/Tactics)

    Champion
  • Develop consistent quality standards for key clinical service lines (CV, Neuro, Oncology)
  • Develop standard inpatient and outpatient order sets
  • Develop engaged medical staff leadership for Market
    		•
    • CMOs/Medical Directors (all)

    LOWER OUR COSTS

    Implement changes in CHW’s clinical and administrative processes that lower CHW’s costs below Medicare reimbursement levels.


    2012 Strategic Plan

    St. Joseph's Hospital & Medical Center (Goals/Tactics)

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Advance population management and ACO capabilities
    • In collaboration with care continuum partners, develop structure for ACO model
    • Engage SJHMC leadership to develop ACO plan for employee health plan
    • Selectively implement new utilization and compensation models with payers and physicians (Mercy Care Plan, Medicare bundled payment)

    Develop functional and operational efficiencies through organizations and across service area
    • Improve administrative processes to lower costs
    • Improve clinical and support services throughput, efficiency, and cost management (supplies, purchased services, salaries, worker safety, etc.)
    • Incrementally consolidate HR and Foundation functions for optimal cost effectiveness
    • Initiate CI capabilities
    Contact Person

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Champion
    • Initiate ACO capabilities
    • Incrementally consolodate Human Resources and Foundation functions for optimal cost effectiveness
    • Selectively implement new utilization and compensation models with payers (Mercy Care Plan, Medicare bundled payment)
    • Bob Campbell
    • TBD
    • Mark Kem

    St. Joseph's Hospital Medical Center (Goals/Tactics)

    Champion
    • Develop department cost redeuction initiatives
    • Consolidate functional areas for optimal cost effectiveness
    • Improve Medicare performance/clinical resource consumption
    • COOs
    • VPs, HR/Foundation
    • CFOs

    GROW OUR CONTINUUM

    Grow our healing ministry by expanding access and market share within existing service areas, entering new service areas, and significantly expanding our community based wellness, ambulatory, and non-acute services.


    2012 Strategic Plan

    St. Joseph's Hospital & Medical Center (Goals/Tactics)

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Incrementally grow an integrated delivery network across the service area
    • Develop market service line teams and growth initiatives
    • Expand physician network with emphasis on primary care and strategic service line specialists
    • Grow First Call transfer center into rural areas for cardiac support and direct admissions

    Non Hospital-Based: Expand our non hospital-based services
    • Evaluate care continuum and prioritize alignment opportunities
    • Grow relationships with post-hospital providers
    • Expand Maricopa Urgent Care and aligned PCP practices
    • Identify practices in satellite markets in need of specialty support
    • Evaluate opportunity with SMI to develop presence in Maricopa and/or Case Grande

    West Valley: Develop presence in the West/Northwest Valley
    • Expand St. Joseph’s Medical Group presence in the West Valley
    • Implement alignment options with community-based physicians
    • Grow key service lines across the market
      • Cardiovascular: Develop CRMC as CHW AZ Heart Center
      • Neurosciences: Build CHW/BNI brand in the East Valley
      • General Surgery: Enhance focus on referral to/marketing of high margin product lines
      • Orthopedics: Target high commercial volume markets for physician referral volume, community outreach
      • Oncology: Execute agreement with ACC

    Develop the growth, sales and marketing program across the service area
    • Implement marketing and sales program , align with strategic initiatives, and grow commercial volume
    • Increase commercial volumes in key service lines across the market

    Grow operating EBIDA
    • Grow operating EBIDA
    • Grow operating EBIDA
    Contact Person

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Champion
    • Incrementally grow and integrated delivery network across the Service Area
    • Expand our non hospital based services
    • Develop presence in the West/Northwest Valley
    • Bob Campbell
    • Bob Campbell
    • Bob Campbell

    St. Joseph's Hospital Medical Center (Goals/Tactics)

    Champion
    • Expand our non hospital based services
    • Establish presence in West Valley
    • Develop and implement plans (Services Lines)
    • Grow commercial volume
    • Bob Campbell
    • Bob Campbell
    • Jeff O' Malley
    • Business Dev/Physician Sales

    INTEGRATE OUR CARE

    Offer patients the full spectrum of care, from prevention to post-acute, through the development of health plan capacity, new partnerships, greater physician alignment, and ACOs. Through clinical integration, build new partnerships among physicians and our hospital systems, improve our outcomes on hospital pay-for-performance measures, and establish a competitive advantage across our service areas.


    2012 Strategic Plan

    St. Joseph's Hospital & Medical Center (Goals/Tactics)

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Selectively implement new utilization and compensation models with payers (self-insured plan, Mercy Care Plan, Medicare bundled payment)
    • Develop bundled payment and/or episodic care models/pilots.
    • Implement/expand disease management and utilization models
    • Expand Medical Home model to other payers/geographic areas
    • Improve Medicare performance/clinical resource consumption
    		  

    Physician Integration: Implement new physician engagement and network consolidation strategies
    • Build physician alignment models (contracted, employment, JV, IPA)
    • Develop new or enhance existing service line provider networks (e.g., oncology)
    • Integrate SJMG with engaged multi-specialty, primary care and other market physicians
    • Develop PCP network
    • Develop new physician governance model
    • Align PCPs with loyal specialists
    • Grow specialty coverage through strategic recruitment & employment

    Integrate key service lines across the service area
    • Partner with East Valley to define leadership teams and grow strategic service line capabilities across market
    • Lead the integration of cardiology across the service line
    • Work with Barrow to adopt neuroscience protocols and establish brand name

    Incrementally develop clinical integration capabilities
    • Develop CI capabilities within key strategic service lines.
    • Build care coordination function across care continuum
    • Develop innovative care management models/solutions (e.g., iCHW)
    • Develop clinical integration capabilities with hospital medical staff

    Integrate our non hospital-based partners
    • Increase alignment with non hospital partners
    • Develop working relationship between hospital radiology departments and SimonMed
    • Establish referral base with MinuteClinic
    • Evaluate bundling opportunities with United Surgical Partners, Inc.
    Contact Person

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Champion
    • Integrate our non Hospital Based partners
    • Incrementally develop clinical integration (CI) capabilities
    • Integrate key service lines (SL) across SA
    • Implement new physician engagement and network consolidation strategies
    • Bob Campbell
    • Bob Campbell
    • Larissa Spraker
    • Bob Campbell

    St. Joseph's Hospital Medical Center (Goals/Tactics)

    Champion
    • Integrate our non Hospital Based partners
    • Complete assessment and recommendation for clinical integration (CI)
    • Implement new physician integration and network consolidation strategies
    • COS (all)

    ADVANCE OUR CONNECTIVITY

    Develop industry-leading levels of electronic connectivity with and between our physicians, nurses and patients to achieve superior service experiences, higher quality outcomes, and more efficient care delivery and management.


    2012 Strategic Plan

    St. Joseph's Hospital & Medical Center (Goals/Tactics)

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Incrementally implement standardized IT systems supporting clinical integration
    • Begin preparation for Client Server 6.0
    • Develop IT solutions to improve SJHMC system ease of use for providers
    • Implement EHR Alliance Client Server 6.0

    Achieve physician desktop connectivity
    • Implement physician connectivity solutions (e.g., MobileMD)
    • Develop and implement patient connectivity solutions (e.g. MiHospital, Allscripts, MobileMD, etc.)
    • Connect 80% of medical staff on Mobile MD

    Adopt and implement evidence-based best practice order sets in our IT systems
    • Engage medical staff in development and adoption of order sets
    • Engage medical staff in development and adoption of order set
    • Monitor use of order sets through IT systems

    Drive extensive use of EMR for data tracking and order set adoption
    • Lead implementation of Allscripts physician EHR
    • Rollout EHR Allscripts offering
    Contact Person

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Champion
    • Incrementally implement standardized IT systems supporting CI
    • Adopt and implement evidence-based best practice order sets in our IT systems
    • Achieve physician desktop connectivity
    • Drive extensive use of EHR for data tracking and order set adoption
    • Bob Campbell
    • Dr. Happel
    • Bob Campbell
    • Scott Whyte

    St. Joseph's Hospital Medical Center (Goals/Tactics)

    Champion
    • Establish a market level implementation team to drive effective IT process throughout Market
    • Achieve physician desktop connectivity
    • CSO/CMIO
    • Business Development

    STRENGTHEN OUR LEADERSHIP

    Strengthen CHW as an organization through new investments in employees and physicians, a more active role in advocacy and public policy, continued development of a culture of innovation and collaboration, and a greater role for foundations in raising community funds to help build and maintain the programs, structures and systems necessary to maintain healthy communities.


    2012 Strategic Plan

    St. Joseph's Hospital & Medical Center (Goals/Tactics)

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Branding & Positioning: Roll out integrated CHW brand
    • Integrate branding strategies into new partnerships
    • Strengthen our reputation
    • Identify and brand appropriate hospital partners with new CHW brand
    • Strengthen our reputation

    Mission & Advocacy: Sponsor healthcare reform efforts in community
    • Advocate for the poor and positively impact public policy
    • Enhance proactive community benefit programming
    • Identify and execute on opportunities in East Valley to strengthen CHW Mission and support market advocacy efforts
    • Enhance proactive community benefit programming

    Philanthropy: Transform philanthropy function for service area to strengthen capital position
    • Align philanthropic support and planning around strategic initiatives
    • Support SA philanthropy initiatives and extend to EV to strengthen foundation and fund raising

    Human Resources: Support and grow physician and staff leadership
    • Develop new leadership competencies through Human Resources
    • Support leadership development in key areas
    • Support leadership development in key areas including workforce, physicians and nursing
    • Implement ‘Employer of Choice’ Bundle
    • Spur innovation and collaboration
    • Continue to develop market physician leadership teams specific to service line initiatives

    Academics & Research: Achieve sustainable education and research
    • Build long range research strategic plan
    • Develop translational research to enhance clinical services
    • Expand medical education relationships
    • Continue to consolidate research programs with St. Joe’s
    • Evaluate expanding academic residencies to EV
    Contact Person

    Chandler Regional & Mercy Gilbert Medical Centers (Goals/Tactics)

    Champion
    • Roll out CHW integrated branding & positioning
    • Sponsor healthcare reform efforts in community through mission and advocacy
    • Transform philanthropy function for Service Area to strengthen capital position
    • Develop new leadership competencies through Human Resources
    • Achieve sustainable academic and research programs
    • Paul Szablowski
    • Paul Szablowski
    • Foundation Director (TBD)
    • Renea Brunke
    • Paul Szablowski

    St. Joseph's Hospital Medical Center (Goals/Tactics)

    Champion
    • Advocate for the poor and positively impact public policy
    • Transform philanthrophy function for Market to strengthen capital position
    • Develop new leadership competencies through Human Resources
    • Achieve sustainable academic and research programs
    • Suzanne Pfister
    • Foundation VPs
    • Maureen Sterbach
    • Ron Lucas
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