In this webinar, David will share a model outlining the cultural transformation necessary for sustained clinical, financial, and operational outcomes improvement. Critical components to this transformation that will be discussed are: 1. Sharing a clear and compelling vision with transparent expectations. 2. Engaging all levels of employees as improvement team members. 3. Establishing accountability and measurement mechanisms. 4. Promoting successes. This session is presented in cooperation with the Health Catalyst Accelerated Practices Program, a highly immersive, project-based learning experience that focuses on the tools and knowledge needed to achieve significant sustained improvements in healthcare.

1. Creating and Sustaining an
Improvement Culture
January 24, 2018

2. Agenda
1. Brief Health Catalyst Overview.
2. The Importance of Focusing on
Culture and Communication.
3. Outcomes Improvement Governance.
• Roles and responsibilities.
4. Creating an Improvement Culture.
• Best practices on how and what to
communicate.

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Health Catalyst Overview
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Representative Investors
Representative Customers Founded: 2008
Employees: 490+
HQ: Salt Lake City, UT
Solution: EDW, Analytic Apps &
Professional Services
Patients: 85+ Million
Hospitals: 390+
Clinics 4,000+

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Leadership, Culture, and Governance
Financial Alignment
What should
we be doing?
How are
we doing?
How do we
change?
Where do we focus?
How are we financially compensated?
Core Competencies of Outcomes Improvement
Why this focus is important.

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Key Definitions
- Culture
• The values, beliefs and norms that characterize your organization.
• A determining factor in your organization’s ability to adapt to change and
achieve meaningful outcomes improvement.
- Outcomes Improvement Governance
• The leadership, structure, process and organizational culture needed to
support sustained, system-wide outcomes improvement.
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Governance Handbook
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Governance Principles
Stakeholder Engagement: Starting at the top,
engage all stakeholders around a common vision.
Shared Understanding: Have a common
understanding of organizational need, capabilities,
and readiness.
Alignment: Adopt a consistent improvement
methodology, align incentives, and balance
polarities.
Focus: Practice disciplined decision-making to
prioritize, fund, organize, and sustain initiatives.
The governance “must-haves” that support the success of outcomes improvement in healthcare organizations,
regardless of their structure:
Our emphasis is on
principles, not prescriptions.

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Outcomes Improvement Governance Committee
• Establish a vision for outcomes improvement.
• Identify and select priorities.
• Develop structure to support improvement efforts.
• Allocate resources.
• Align incentives.
• Manage and hold teams accountable.
• COMMUNICATE.
Key Functions
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WHAT Needs to be Communicated to Support a
Culture of Improvement?
• A clear and compelling vision.
• Allows your leadership team to affirm the importance of outcomes
improvement work.
• Engages people at every level of the organization.
• Facilitates the achievement of organizational strategy and goals.
• The strategic goals and the organizational priorities.
• The output of the Governance Committee.
• Transparent expectations for improvement.
• Everyone is on the improvement team.
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WHAT Needs to be Communicated to Support a
Culture of Improvement?
• The improvement methodology.
• Process for initiating improvement
work.
• How to access resources.
• Include clarity on authority.
• Accountability, measurement and
reporting mechanisms.
• Results - successes and failures.
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Conversely - “Worst Practices”
• No vision or multiple visions.
• Improvement work is hidden,
isolated and not understood.
• No one knows the improvement
language or methodology.
• Resources are not clearly
allocated and the process is not
transparent.
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Poll Question #1
What “Worst Practice” do you most often see at your organization?
131 respondents
1. No vision or multiple visions. – 34%
2. Improvement work is hidden, isolated and not understood. – 23%
3. No one knows the improvement language or methodology. – 6%
4. Resources are not clearly allocated and the process is not
transparent. – 38%
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HOW Can Leaders Communicate?
• Include a specialist on your Outcomes Improvement
Governance Team.
• Analyze your stakeholders early and often.
• Understand who is impacted and customize messages.
• Craft your central message around shared values.
• Be a constant champion.
• Chief cheerleader.
Best Practices
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HOW Can Leaders Communicate?
• Commit to regular times and mechanisms for communication.
• Make sure communication flows both ways.
• Hold open forums; solicit feedback.
• Be transparent.
• Don’t be afraid to “show your work”.
• Mix it up – and be creative.
Best Practices - Continued
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“One of the most important things I do as a leader is to
market our improvements across the organization.
Among other things, I promote our successes, large
and small. I find that the more that I communicate, the
more people see the value of our shared work and want
to be a part of it”
Chief Medical Officer of a
community health system
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Communication – An example

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Leadership, Culture, and Governance
Financial Alignment
What should
we be doing?
How are
we doing?
How do we
change?
Where do we focus?
How are we financially compensated?
Core Competencies of Outcomes Improvement

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Proprietary and Confidential
ACCELERATED PRACTICES
PROGRAM
Attend with a team and a project—leave
knowing how to accelerate outcomes
improvement and lead change.
ACCELERATED PRACTICES FOR
EXECUTIVES PROGRAM
Working with you, we’ll customize a dynamic
program that focuses your senior leadership
team on the improvement journey ahead.
Health Catalyst University
Offering hands-on courses and customized training, Health
Catalyst University can help you with your improvement goals.
Create a
Culture of
Improvement
801.365.3646 university@healthcatalyst.com
healthcatalyst.com/health-catalyst-university

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Thank you
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