Royer Transition Presentation March 2011

We are Ready for the Plane
Transition Presentation
January/February 2011
Presented by
Thomas C. Royer, M.D.
President and CEO

The Ministry Started on a Sailing Vessel – 1866
Extremely Slow
Turbulent Waters
Many Discomforts

The Galveston to San Antonio Trip in 1869 Utilized a Horse and Wagon
Extremely slow
Bumpy roads
Many Discomforts

For the First 12 Years of the CHRISTUS Journey, beginning on February 1, 1999, a Train Model has been Utilized
The Three Dimensional Integration Model
Finance
Planning
Operations
Spherical
Vertical
Vertical
Horizontal

First Dimension
Vertical Dimension
Growth
Individual Cars
Vertical
Finance
Planning
Operations
Spherical
Horizontal

Second Dimension
Finance
Spherical Dimension
Operational Metrics
Short-term Planning
Linking the cars around common performance metrics
Vertical
Planning
Operations
Spherical
Horizontal

Third Dimension
Horizontal Dimension
Future Planning
Vision
The linked train moving down the tracks to the System’s vision on the Journey to Excellence
Finance
Planning
Vertical
Operations
Spherical
Horizontal

Our Additional Uses of the Train Model . . .
During challenging times the question we often ask ourselves …
Are we the right people on the train?
We determined that the ideal train for a successful Journey to Excellence would be …
Having the right people in the right seats in
the right car traveling down the right tracks.

The History of the CHRISTUS Train
Began as separate cars – the two health systems
Painted the cars with the same logo
Connected the cars with the same …
Mission
Values
Creating Common Culture
Developing Common Brand
Named the Train …
The Journey to Excellence

Developed the train tracks to create a unified direction
Global System Services
CommonVision, revisited and restated 3 times
3-Year rolling strategic planning
Matrix planning
Futures Planning I & II

With All of our Travel Experience, Now is the Time for the CHRISTUS Plane

The CHRISTUS Plane . . .
Will help us accelerate our Journey to Excellence
Has a powerful tailwind
FY 2010 one of our best years
FY 2011 doing well in all 4 Directions on the Journey to
Excellence
FTF II completed
3 Drivers
5 Strategic Directions
8 Strategic Enablers

Brand well established
Sense of urgency related to Health Care Reform
Key Improvement Initiatives Underway
Medicare Sustainability
Labor Productivity
Asset Sales
Physician Integration
Use of evidenced based clinical protocols
Capital Review
Revenue Cycle Enhancements
Supply Chain Reevaluation
Information Management Upgrades
Continue Care & Non-Acute Strategies
International Growth Opportunities

Like our other Modes of Transportation, The CHRISTUS Plane could have its “Airline” Challenges
Late departures
Insufficient innovation and vision
Turbulence
Governmental budget reductions
Resistors to change
Uncertainties related to health care reform
Teaming constraints
Seeing ourselves as a business and not a ministry
Lack of energy to change
Complacency with the status quo

Late Arrivals
Slow to implement the future changes required
Mechanical Problems
Poorly integrated leadership teams
Bad Weather
Hurricanes and natural disasters
Low Fuel
Insufficient passion and commitment
Low cash reserves
Charging for Bags
Difficulty in lower costs
Angry Passengers
Decreased patient and customer satisfaction

Labor Disputes
Decreased Associate and Physician satisfaction
Overbooked
Increasing labor and supply costs
Aging Equipment
Failure to maintain plants and equipment
Grounding for Safety Violations
Failure to meet regulatory requirements

Other Learnings for Us from the Airline Industry – the Southwest Airline Guiding Principles . . .
Never walk away from the brand
Do not follow the directions of failing ministries
What we provide, most people need or want in their lives
There are always alternatives for those we serve

But, as Usual, Achieving Excellence will Always be Easier than Sustaining Excellence

The CHRISTUS Plane, hopefully, will take Us Faster to Our Future Reality . . .
We will have highly integrated arrangements with physicians, sophisticated technologies, efficient use of capital, the ability to direct patients to the lowest cost setting consistent with high quality and evidenced-based best care practices, and command and control the care delivery process from start to finish in our acute, non-acute, and international divisions.

Yes, at Various Times during our History, we have . . .
Used different modes of transportation
Experienced various speeds of travel
Overcome different challenges along the way

But, in Spite of the Differences, the Fabric of Our Transportation History is Weaved Together with some Common Threads
Each “mode of transportation” was successful, strengthened by the learnings from overcoming the challenges
Our journey has always had as one of its’ destinations to be one of the best health care systems in the world, particularly focused on the vulnerable and underserved
AND

Driven by our Sponsoring Congregations’ Incarnational Spirituality since 1865, we have had the desire to continue to respond to the call of Bishop Dubuis to carry out the healing ministry of Jesus Christ.

YES, CHRISTUS Health is Ready to Board the Plane

Transition Presentation
January/February 2011

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Royer Transition Presentation March 2011

by CHRISTUS Health on Mar 02, 2011

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