Ted Townsend, St. Luke's Hospital President & CEO
The Leadership Challenge - August 2013
I have not seen the 2013 Disney movie about the Lone Ranger but as a Johnny Depp fan I'm likely to someday. The original radio show was long gone before I was born, though I suspect I've heard clips of it now and then in retro documentaries of one kind or another. What I do remember is the TV show, in black and white, most likely reruns since even this was gone by the late 50's. I learned later it was Clayton Moore who I saw as the face of truth, justice and good over evil. The Lone Ranger had a great horse, never wasted a silver bullet and had the first positive image I can remember of a Native American in Tonto his friend and sidekick.
So imagine my surprise the other day when an associate at St. Luke's stopped by to remind me I was the Lone Ranger. What he had really come to talk about though was Tonto, and in this case Tonto was our Chief Operating Officer, John Sheehan. After ten and a half years at St. Luke's John was taking an opportunity of a lifetime, returning home to Wisconsin as a Senior Vice President of their University's Hospital and Clinics and President of a new hospital near his home town of Sun Prairie. While we were proud of his selection, his loss was a big one for St. Luke's and even more to me personally since I've known John from when we first worked together at Geisinger Medical Center in Danville, Pennsylvania.
Over the years you learn a few things about leadership and what works and what doesn't. John was a tremendous leader who could teach us all a few leadership tips. He understood how to relate to all levels from the housekeeper to the board chair. He respected physicians and they respected him. He was productive, firm, and a doer. But even more he was a teacher and a team builder. During his tenure at St. Luke's there has been minimal turnover in leadership staff, a single strategic framework and all time high patient, associate and physician satisfaction. He didn't do it alone, but his was a firm hand on the saddle horn.
I may be suffering from selective memory here, but in my recollection it was always the Lone Ranger asking advice of Tonto, not the other way around. The Lone Ranger may have known right from wrong, had a vision of where they needed to go, but it was Tonto who knew the way to town. Great teams are made of complementary personalities and skills and that's where this homemade analogy seemed to work the best once I thought about it. Every organization needs its teams and its teachers. It is what separates the best from the rest, and it is what every CEO strives for: the right people, the right skills, the right chemistry. If you can hold these things together for a long time, even better.
In these times of great turmoil and change in the healthcare industry, it's a critical success factor. Here in Iowa with its own unique Medicaid expansion, a dearth of participants in the first round of the new insurance exchange, a constant stream of new regulations and incentives from Medicare and the growing sophistication of the patient as a more and more cost conscious consumer of healthcare services, putting together the right teams of people, made up of folks willing to work together over the long haul to make a positive difference in their communities is what most of us got in the business for.
It's why people who have the leadership skills like Tonto are a gift. They attract and keep the right kind of people. They build the loyalty of staff, patients and physicians because they know and trust who they're dealing with, and in the end they build a team of professionals behind them so that if ever the day arrives that they can't be there, someone else is in the saddle and the organization never skips a beat.
UnityPoint Health takes the lead in redefining the best way to deliver health care
April 16, 2013
Health care in the United States is changing. It's no secret that the Affordable Care Act requires providers to stop doing business as usual. Its goal is to increase coverage and improve services while lowering costs. But that's not the only reason health care providers are quickly evolving the way we treat patients. For those of us with a lot of skin in the game - such as hospitals and networks of providers - creating a better model of care is necessary because the current fee-for-service system that drives volume is simply unsustainable.
St. Luke's and the UnityPoint Health are uniquely positioned, as the fifth largest nondenominational health system in the country, to lead changes in health care that focus on care for a lifetime, not a visit, test, or admission alone. Our network of providers incorporates all levels of care, from hospital to doctor to home health, and spans a sizable geographical region. We can make a strong impact on the communities we serve. So we've decided to lead the change toward health management and disease prevention to improve care while lowering costs. In my view, it's what we wanted to do all along, but we've been working against decades of industry regulation and incentives, technology and specialty evolution and a culture of defeating death versus getting on with life.
It makes sense to reflect this degree of change in the name of our health system. UnityPoint Health, the name we chose to replace the name UnityPoint Health, tells the world we're approaching health care in a new and better way, focusing more on patients and coordinating their care. And because we are no longer just an Iowa organization, this name better represents our partners in Illinois than did our previous name.
St. Luke's Hospital will still be known as St. Luke's Hospital. We are affiliates of UnityPoint Health. All former St. Luke's Physicians and Clinics will now be called UnityPoint Clinics. All of our home care entities such as Hospice, Home Medical Equipment and Visiting Nurse's Association will be called UnityPoint at Home. We have developed a team-based approach with our clinic and home health partners over the years, and the name UnityPoint Health demonstrates the way our network has become a point of unity for our patients.
The name change is a result of two years of discussions and research. Our regional affiliates, board of directors, physicians, staff and most importantly our patients, came together to determine the best way to position our organization for the future. We developed a strategic plan focused on a new care coordination model, expansion and organizational growth. There will be no change in management, structure or staff involved in this brand change. Overall, UnityPoint Health employs more than 24,000 individuals throughout Iowa and Illinois, and each region will maintain its existing leadership and local boards of directors.
UnityPoint Health began in 1993, when Iowa Methodist and Iowa Lutheran in Des Moines merged. At the time, the merger created the state's largest provider of hospital and related health services. St. Luke's became an UnityPoint Health affiliate the following year. Over the decades, our health system has expanded its geographic reach throughout Iowa and into Illinois, and developed comprehensive services throughout the region. Today, UnityPoint Health is now one of the nation's most integrated health systems. Through relationships with 29 hospitals in metropolitan and rural communities and more than 200 physician clinics, UnityPoint Health provides care throughout Iowa and Illinois. There are 15 senior affiliate hospitals in Des Moines, Cedar Rapids, the Quad Cities, Dubuque, Sioux City, Waterloo, Fort Dodge and Peoria, IL.
At St. Luke's, we are redefining ourselves to become a fully integrated delivery system that includes doctors, long-term care, home health and a host of other services. We recognize we can best coordinate our patients' care with our own organized system of care. Unifying the distinct elements of our regional health care system in new ways will allow us to coordinate patient care more along the line of what's best for the patient and their family than "what do the regulations allow or insurance companies pay for." At the end of the day, St. Luke's true purpose and mission is to give the health care we'd like our loved one to receive.