Strategy and Alignmentfor New Affiliations

James BlazarChief Strategy and Transformation Officer

April 15, 2015Using Measurement to Drive Success 1

April 15, 2015Strategy & Alignment for New Affiliations 2

Hartford HealthCare by the NumbersFY 2014

Revenue: $2.5 billionInpatient discharges: 83,873Emergency Department visits: 379,877Psychiatric admissions: 8,706Primary care visits: 361,131Home care admissions: 16,209Senior care: ALF occupancy rate 96.8%Physical therapy treatments: 753,498Medical residents and fellows 776Community benefit: $206 million (FY 2013)

April 15, 2015Strategy & Alignment for New Affiliations 3

HHCService Area

• 5 Acute-Care Hospitals• 29 Ambulatory Satellites• 18,107 Employees

Find the Right PartnerNo speed dating

• Move beyondconsiderations ofbalance sheet andgeography

• Think sharedvalues, culturesand fit

• Both potentialpartners shoulddevelop a matrix

April 15, 2015Strategy & Alignment for New Affiliations 4

What Makes a Good Partner?HHC’s model in a fee-for-valueenvironment

55

Shared VisionShared Vision

Provide ValueProvide Value

AlignedCultureAlignedCulture

Readiness:Value, ClinicalIntegrationand Care

Management

Readiness:Value, ClinicalIntegrationand Care

Management

FinancialProfile

FinancialProfile

Physicians:Quality &Alignment

Physicians:Quality &Alignment

ScaleScale

Capital NeedsCapital Needs

RegulatoryRegulatory

Primary Care:Covered LivesPrimary Care:Covered Lives

CompetitivePosition

CompetitivePosition

Demographics

Demographics

Geography /Location

Geography /Location

April 15, 2015Strategy & Alignment for New Affiliations 5

The Perfect ProposalPaint a picture of your future together

• Compelling, sharablevision

• Idea: Fund a strategicplan.

• Partner on innovative pilotprojects (PreventiveMedicine Institute) that cancome about as a result ofthe affiliation

• Show, don’t just tell, valueof affiliation

• Become part of the story

April 15, 2015Strategy & Alignment for New Affiliations 6

Go on a Serious DateFind out more — lots more — about each other

•Formal meetings are finefor a start, but also:

- Schedule walk-thoughmeetings with key staff

- Attend as a guest at asuitable (non-proprietary)portion of a board meeting

- And even do some “secretshopping”

April 15, 2015Strategy & Alignment for New Affiliations 7

Meet the Future In-LawsWelcome to the family

• Boards• Medical Staff• Leadership• Corporators• Volunteers• Auxiliaries• Philanthropic groups• Natural, legacy and “hidden”leaders• “Be curious, not judgmental.”

April 15, 2015Strategy & Alignment for New Affiliations 8

Don’t Stop Thinking (and Talking) About the FutureCommunicate continuously

• Web updates. Example:

- updates, releases, newscoverage.

• Use existing platforms:newsletters, digitalsignage

• Leadership-levelaffiliation updates: townhall meetings, etc.

April 15, 2015Strategy & Alignment for New Affiliations 9

Don’t Stop Thinking (and Talking) About the FutureCommunicate continuously

April 15, 2015Strategy & Alignment for New Affiliations 10

Have a Great Reception“Welcome to the family”

April 15, 2015Strategy & Alignment for New Affiliations 11

First Day of the Rest of Your LifeUnite the teams on day one

• Affiliation / integration workgroup

• Set milestones• Communications/marketing

get a seat at the table• Two-way learning• Find and promote qualified

people from the new affiliate• Instant culture sharing

April 15, 2015Strategy & Alignment for New Affiliations 12

Making this Marriage WorkHave clear plans and expectations

• Share(create, ifneeded) anAffiliationPlaybook

April 15, 2015Strategy & Alignment for New Affiliations 13

Show the Plan in ActionRepetition: The key to adult learning

April 15, 2015Strategy & Alignment for New Affiliations 14

Celebrate SuccessThis is no small task

• Milestones = celebration• Don’t forget your

anniversary!• Create a one-year “report

card”• Don’t neglect social

niceties. Show up forwhat’s important: galas,ribbon-cuttings, donorevents, golf tournaments

April 15, 2015Strategy & Alignment for New Affiliations 15