Norman Regional Hospital Authority - Study Session

NORMAN REGIONAL HOSPITAL AUTHORITY Board Study Session August 17, 2024 MINUTES The Norman Regional Hospital Authority met in a Board Study Session, Saturday, August 17, 2024 at 8:00am in the Conference Rooms at Norman Regional Moore. The meeting notification was posted on the NRHS and Norman/City Websites and at the entrance of Norman Regional Hospital on Thursday, August 15, 2024. Members Present: Joan Greenleaf Kevin Pipes Jerome (Jerry) Weber, Ph.D. Mary Womack James Chappell Dr. Muhammad Anwar Members Absent: Doug Cubberley, Chairman Dr. Dianne Chambers Paula Roberts Others Present: Richie Splitt, President and CEO John Manfredo, VP & Chief Operations Officer Rick Wagner, VP & Chief Financial Officer Dr. Aaron Boyd, VP & Chief Physician Officer Elaine Purvis, VP & Chief Strategy Officer Brittni McGill, VP & Chief Nursing Officer Keith Minnis, VP & Chief People Officer Recorder: Claudia Todd, Executive Assistant I. Call to Order Mr. Splitt called the Study Session to order the August 17, 2024 Board Study Session at 8:26am. II. Welcome Mr. Splitt expressed his gratitude to everyone for attending the board study session and conveyed Mr. Cubberley’s apologies for not being able to join today. During the session, we will delve deeper into “The Norman Way,” exploring our values, mission, and vision. By fully embracing these principles and understanding the rationale behind referring to every employee as a healer, we can more effectively navigate the challenges of implementing a service line optimization model driven by a dyad leadership structure. These elements form the bedrock of our organizational culture and operational success, guiding us as we prioritize service lines, drive growth, and align budgets with our strategic objectives. NRHA Board Study Session Minutes 2 February 18, 2023  The Norman Way: "The Norman Way" is NRHS's unique philosophy that defines our approach to healthcare delivery. It embraces the I.C.A.R.E. values (Integrity, Communication, Attitude, Results, and Engagement) to create an exceptional workplace and patient experience.  I.C.A.R.E. Values: The I.C.A.R.E. values form the foundation of Norman Regional's culture. Integrity ensures ethical care, Communication facilitates personalized care, Attitude fosters compassion, Results drive excellence, and Engagement empowers staff and strengthens community ties.  Healer Defined: At Norman Regional, every employee is considered a "healer," transcending traditional medical roles. This concept, born from adversity during a devastating May 20, 2013 tornado in Moore, OK, emphasizes holistic care that addresses physical, emotional, and spiritual needs of patients.  Mission & Vision Defined: The mission statement focuses on the present purpose of the organization, while the vision statement outlines future aspirations. Both are essential for aligning stakeholders and guiding strategic decisions.  Mission: Norman Regional's mission is "Personalized healthcare with compassion and excellence." This concise statement emphasizes individualized care, empathy, and high-quality service, resonating with employees' intrinsic motivations.  Vision: Trustees provided valuable input into the development of our new vision statement. The new vision statement will help guide our organization and inspire stakeholders.  Service Line Management & Dyad: Service lines organize healthcare delivery around specific patient groupings, enabling more effective analysis and decision-making. The dyad leadership structure pairs physician leaders with administrative leaders to bridge clinical expertise and business acumen.  Dyad Leadership Structure: This model creates partnerships between physician and administrative leaders, fostering collaboration, shared decision- making, and a unified vision. It aims to improve relations, enhance patient experiences, drive clinical quality, and increase profitability.  The Worry of Work (WOW): WOW is a philosophy that emphasizes shared responsibility and collaboration in leadership. It recognizes that challenges and responsibilities should be distributed among partners, leading to more resilient and innovative leadership.  Healthcare Billing Today – Peggy Sue's Billing Odyssey: This made up “short story” illustrates the complexities of modern healthcare billing through Peggy Sue's experience, highlighting the challenges faced by patients and 3132875.1 NRHA Board Study Session Minutes 3 February 18, 2023 healthcare providers in navigating insurance claims, coding, and payment processes.  Cashless Payments: Like most health systems and businesses across the country, Norman Regional is moving toward cashless transactions to enhance safety, security, and operational efficiency. The system recognizes the need for inclusive solutions and offers alternative payment options for those without credit or debit cards, and makes them available to all in need. III. Service Line/Dyad Leadership: Synergy in Action Mr. Splitt shared service lines are inclusive of operation, financial and strategic attributes and offer a patient-centric approach to organizing clinical services. A service line/dyad leadership structure pairs physician leaders with administrative leaders in key service lines and operational areas created powerful partnerships. Sharing data allows physicians to understand the impact of their decisions on both cost and quality, opening discussions around reducing variation in patient care. IV. Navigating the Financial Landscape Mr. Wagner provided an overview of the FY2024 budget and projections, and discussed the potential impact of consolidating patient services from the Porter campus to the HealthPlex – the new Norman Regional Hospital. Mr. Wagner also discussed the cashless pay system being implemented across the health system. BREAK V. Service Line Optimization Members of the executive team provided an overview of various service lines across the organization. Each of them is pursuing a patient-centered approach to operational and service excellence. VI. Innovative Horizons: Tech Trends Mr. Manfredo presented an update on cybersecurity threats, technological advances, and the potential use of artificial intelligence (AI) in healthcare. AI has a leading-edge technology that has been deployed in numerous areas – including environmental services, patient rooms, lab services, central sterile and more. Ms. McGill shared an update on staffing efficiencies as a result of combining services between Porter and HealthPlex campuses (e.g., fewer EMSStat patient transports between campuses). NRHA Board Study Session Minutes 4 February 18, 2023 Mr. Manfredo presented an overview of our Journey to Excellence focusing on sustainable systems and processes, centered around our patients and healers. VII. The Journey to Excellence Mr. Manfredo presented an overview of our Journey to Excellence focusing on sustainable systems and processes, centered on our patients and healers. The Journey to Excellence Award recognizes exceptional efforts to an internal project with a systematic approach to process improvement. NRHS also continues to focus on the principles of a High Reliability Organization. BREAK VIII. Workforce Optimization Mr. Minnis presented a brief update regarding our successful shift away from employment agencies that became prevalent through COVID. Our culture and hiring efforts have proven quite effective, and lead to the publication of a white paper through AHSA (i.e., Reducing Staffing Agency Utilization Through an Optimal Workforce Solution Design, Summer 2024). Mr. Minnis shared the benefits of the new HR system, Workday, along with new payroll, staffing, scheduling and timekeeping systems. This self-facing system will make it easier for healers to access and navigate their own information and day to day data. IX. Your Insight Matters: Vision for Tomorrow Ms. Purvis reviewed the feedback process for developing the new vision statement. Additional feedback was sought from trustees. X. Open Discussion Mr. Splitt inquired if the board had any questions. XI. Adjourn at 12:35pm Respectfully Submitted, Mary Womack, Vice Chair/Secretary