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. Spreading & Sustaining the Transformation
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 System Current Challenges and Future Possibilities
What Good Looks Like
Collaborative Care
New Delivery Model
Home Care/Senior Services
Horizontal Thinking