Table process. The Changing Structure of Mission Naming Our New Reality. Panel Presentations. The Catholic Health Association of the United States

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Panel Presentations The Changing Structure of Mission Naming Our New Reality The Catholic Health Association of the United States Table process The Catholic Health Association of the United States ǀ 2

What structural changes have you seen in your organization as a result of the changing health care environment? How has mission integration been impacted structurally and programmatically by these changes? The Catholic Health Association of the United States ǀ 3 The Changing Structure of Mission: Naming Our New Reality CHRISTUS Health CORINNE FRANCIS, MA, M.DIV. Vice President of Mission Integration and Community Benefit GEORGE AVILA, MURP, MAHC Vice President, International Mission Integration CLAUDIO DANIELS Vice President, Mission and CSR, Santiago, Chile DENNIS GONZALES, PH.D. Regional Vice President, Mission Integration CHRISTUS Santa Rose Health System, San Antonio, Texas The Catholic Health Association of the United States The Catholic Health Association of the United States ǀ 4

CHRISTUS Health Our Mission: Why We Exist To extend the healing ministry of Jesus Christ

Our Vision CHRISTUS Health, a Catholic health ministry, will be a leader, a partner and an advocate in the creation of innovative health and wellness solutions that improve the lives of individuals and communities so that all may experience God s healing presence and love. Core Values Dignity Respect for the worth of every person with special concern for the poor and underserved. Integrity Honesty, justice and consistency in all relationships. Excellence High standards of service and performance. Compassion Service in a spirit of empathy, love and concern. Stewardship Wise and just use of talents and resources in a collaborative manner.

CHRISTUS Health Fact & Figures Headquartered in Irving, Texas Assets of $6.2 billion Approximately 42,000 Associates Almost 14,000 Physicians on medical staffs throughout the system CHRISTUS Health Fact & Figures Comprised of almost 350 services and facilities, including more than 60 hospitals and long-term care facilities, 175 clinics and outpatient centers, and dozens of other health ministries and ventures. Located in more than 70 cities in six U.S. Sates, including Texas, Arkansas, Iowa, Louisiana, Georgia, New Mexico. TRINITY MOTHER FRANCES COLOMBIA Located internationally in six states in Mexico, Chile and Colombia.

Mission Integration Division Gerry Heeley SVP and Chief Mission Integration Officer Elaine Harrison Assistant to SVP John Brothers VP, Mission Integration and Leadership Formation Corinne Francis System VP Mission Integration and Community Benefit Lawrence Chellaian System Director Spiritual Care Services Deborah Simmen System Director Mission Initiatives Becket Gremmels System Director, Ethics Deidra Hill-Webb Project Manager, Mission Integration Marcos Pesquera VP, Health Equity, Diversity, and Inclusion CHRISTUS Formation Programs System Office Mission Integration Leader System Spiritual Care Ministry System Spirituality of CHRISTUS Health Program Clinical Ethics Project Support and Logistics Health Equity, Diversity, and Inclusion Programs CHRISTUS Provider Group Community Benefit CHRISTUS CPE Programs Heritage and Culture Programs and Education Organizational Ethics Community Outreach Programs Tiffany Capeles Director, Health Equity CHRISTUS Continuing Care Vacant Program Manager Community Benefit System Rituals, Prayers and Celebrations Nadine Monforte Project Manager Health Equity, Diversity, and Inclusion Don Thompson Program Manager Community Benefit George Avila VP, International Mission Integration Joe Mouton, Coordinator Health Equity, Diversity, and Inclusion A part of International Operations but working in coordination with Division EH/10-17-16 CHRISTUS Santa Rosa

Red de Salud UC-CHRISTUS Red de Salud UC-CHRISTUS Context: o 2 Hospitals in the capital City o o o o 500 beds in Marcoleta o 103 beds in CSC 7 Clinics 17 Sampling Units 4800 associates Patient Mix: o 37% Public (FONASA) o 63% Private (ISAPRE) Annual Activity (without ANCORA Clinics) o Discharges: 29,400 o Consultations: 798,000 o Procedures: 63,000

What are the similarities or differences between the way mission is structured in your organization and what you heard? As a result of what you have heard, what are the implications and applications you see for your organization? The Catholic Health Association of the United States ǀ 15 The Changing Structure of Mission: Naming Our New Reality Ascension Health TIMM GLOVER Senior Vice President, Mission Integration JONATHAN FORD Chief Mission Integration Officer, Ascension Texas LINDA ROOT Chief Mission Integration Officer, Ascension Michigan Vice President, Ascension Health The Catholic Health Association of the United States The Catholic Health Association of the United States ǀ 16

The Changing Structure of Mission Integration Implications and Applications Ascension Health Jonathan Ford, MAHCM, Chief Mission Integration Officer, Texas Ministry Market Linda Root, RN, MAHCM, Chief Mission Integration Officer, Michigan Ministry Market Timothy Glover, M.Div., Senior Vice President, Mission Integration, Ascension Health A Frame of Reference Population Health FFS to FFV Health Disparities A federation of ministries to One Ascension Shift from a Holding Company to a Operating Company 18

Ascension Ascension Healthcare Ministry Markets organized according to Large, Mid-Size and Small designations Includes: - Ascension Medical Group - Ascension Senior Living - Ascension Home Health - Ascension Care Management - Ascension Community Health Centers Ascension Solutions Ascension Information Services (AIS) Ascension Clinical Holdings Ascension Global Mission Ascension Holdings - The Resource Group - Ascension Holdings International - Medxcel Facilities Management Ascension Ventures Ascension Investment Management Ascension SmartHealth Solutions Ascension Leader Institute - Ascension Leadership Academy Ascension Ministry Service Center 19 October 20, 2016 20 October 20, 2016

Ministry-Wide Functions: Enhancing Capabilities & Expertise Chief Mission Integration Officer and/or Regional VPs and/or Directors and/or Managers Coordinators VPs of Mission Integration or Mission Integration Lead 21 22

23 GOVERNANCE STRUCTURE Mission Integration Governance MI GOVERNANCE COUNCIL (Ascension) MI Strategy, MWF Priorities, Policies, COE coordination, and overall MI effectiveness MI LEADERSHIP COMMUNITY (Ascension Healthcare) Comprised of MM mission integration senior executives, translate and define MI strategy and priorities for MM, COEs. Centers of Expertise (COEs) Theological and Spiritual Formation Ethics Ecclesial Relations Organization al Workplace Spirituality Spiritual Care Community Benefit Ministry Identity Stewardshi p COE Strategy Councils Formatio n Advisory Council (FAC) Ethics Advisory Communi ty (EAC) Workplac e Spiritualit y Advisory Council (WSAC) Spiritual Care Advisory Council (SCAC) Community Health Improvemen t Model Communit y Task Forces Mission Integration Effectiveness Organizational Mission Integration Design Vocational Stewardship 24 October 20, 2016

Implications for the Future Are we structured in a way that truly leverages functioning in order to bring impact through our Centers of Expertise? Have we been transformational? How do we own stewardship and cost management as a MWF? How do we structure ourselves in ways that evolve how the work gets done while leveraging centralization, standardization and consolidation at the national level of our MWF? How do we evaluate and address variability in our MWF across the national ministry? Can we define an optimal, standard organizational structure or parameters for mission integration based upon ministry cohort? 25 October 20, 2016 What are the similarities or differences between the way mission is structured in your organization and what you heard? As a result of what you have heard, what are the implications and applications you see for your organization? The Catholic Health Association of the United States ǀ 26

Large group discussion The Catholic Health Association of the United States ǀ 27 What similarities and differences did your table discuss after you heard these two systems present? What were some of the implications and applications that were raised at your table? The Catholic Health Association of the United States ǀ 28