Ronald Lavater, Sylvia Basterrechea, Andrew N Garman
{"title":"Erratum: International Healthcare Leadership: The Global Pursuit of a Healthier Future.","authors":"Ronald Lavater, Sylvia Basterrechea, Andrew N Garman","doi":"10.1097/HAP.0000000000000228","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000228","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"43"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum: Essential Innovation: Thriving amid Significant Change.","authors":"David E Entwistle","doi":"10.1097/HAP.0000000000000229","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000229","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"42"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Doug Niedzwiecki, Nate Shinagawa, Sherwin Rosario, Chad T Lefteris
{"title":"UCI Health Acquisition: The Lasting Benefits of Transformative Integration.","authors":"Doug Niedzwiecki, Nate Shinagawa, Sherwin Rosario, Chad T Lefteris","doi":"10.1097/HAP.0000000000000225","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000225","url":null,"abstract":"<p><p>University of California (UCI) Health acquired an integrated healthcare delivery system from Tenet Healthcare in March 2024. The acquisition, which included four hospitals and added 858 beds to the system, was a pivotal move toward pursuing the organization's commitment to the long-term health needs of the region and progressing UCI Health's strategic priorities to improve health, increase sustainability, and transform healthcare. Following the acquisition, UCI Health embarked on a journey to integrate the system. This process strengthened the system's ability to deliver high-quality, patient-centered care across the region. From the beginning, UCI Health established three guiding principles to support a successful integration and inform the path toward systemness: 1. Quality and access 2. People and culture 3. Financial performance The integration of the acquired hospital facilities, referred to as the UCI Health Community Network, has been a dynamic process. UCI Health began by addressing challenges related to the format of a divestiture, identifying opportunities for synergies within this new structure, and then advancing transformative initiatives that can bring lasting benefits. UCI Health has also established an integrated mission and vision, as well as coworker values, ensuring that all these statements are representative of the broader system. The integration efforts demonstrate UCI Health's commitment to systemness and the positive impact it has had across the organization.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Methodist Le Bonheur Healthcare: One Health System's Journey to Systemness.","authors":"Michael Ugwueke, Paula Jacobs","doi":"10.1097/HAP.0000000000000223","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000223","url":null,"abstract":"<p><p>In response to growing challenges in health care, such as regulatory changes, financial pressure, and physician and workforce shortages, Methodist Le Bonheur Healthcare (MLH) has embraced \"systemness,\" a concept emphasizing coordinated, unified operations with a shared focus on high quality and efficiency, to ensure sustainability. Drawing from foundational theories in systems thinking, MLH applies a systemness mindset to improve care quality, operational efficiency, and patient experience across its six hospitals and dozens of physician practices and outpatient services. MLH's strategic initiatives have included chartering a Systems Operational Improvement Team (SOIT) to achieve $73 million in savings in its first year, and the Methodist Associate Advancement Program (MAAP) to support workforce development. To actualize a branded commitment to enterprise-wide excellence, MLH implemented a transformational change in its accountability framework to boost Leapfrog Hospital Safety Grades and Centers for Medicare and Medicaid (CMS) star ratings with the Organizational Performance Tracker (OPT), an innovative dashboard aligning more than 90 performance goals to national benchmarks. Technology integration has been central to MLH's systemness journey with a transition to unified Epic electronic health record (EHR) and Workday platforms to streamline operations and enhance care coordination. The interprofessional care model supports important collaboration across disciplines and facilities to ensure consistent patient-centered care. Key to the systemness strategy is a balance between standardization with local innovation, recognizing unique needs of diverse patient populations. Programs like the Power of One Idea and Performance Excellence Award have encouraged staff-driven improvements to realize measurable gains. For MLH, systemness is an ongoing journey to deliver the exceptional care each patient deserves.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Integrated Health System Attains Success to Meet Future Challenges.","authors":"Michael J Dowling","doi":"10.1097/HAP.0000000000000231","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000231","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"31-35"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Promise of Healthcare Systemness: Is Bigger Really Better?","authors":"Carla Jackie Sampson","doi":"10.1097/HAP.0000000000000230","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000230","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"One OSF: Building a Unified Health System for the Future of Care.","authors":"Michelle D Conger","doi":"10.1097/HAP.0000000000000222","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000222","url":null,"abstract":"<p><p>Over the past decade, OSF HealthCare has undergone a bold and deliberate transformation to evolve from a collection of hospitals and ambulatory sites into a unified, high-performing health system. In an era marked by rapid industry change, escalating costs, staff shortages, and technology transformation, along with the need for consistent, high-quality care models across diverse sites, OSF recognized that its operating model would not be sustainable for its future in healthcare. Without a consistent operating model, members of the same organization would operate in leadership silos, have inconsistent strategies, and struggle to achieve operating efficiency, all of which could create internal competition. With a renewed vision of One OSF, the organization embarked on a journey to systemness by prioritizing integration, cultural alignment, and innovation. Leadership restructured core functions, such as analytics, human resources, IT, legal, marketing, and communications, while establishing centralized roles and enterprise-wide analytics to drive performance. Through the creation of the Integration Management Office, OSF brought structure and consistency to growth efforts, ensuring that new acquisitions shared the same values and standards without losing their local relevance. Systemness proved especially vital during the COVID-19 pandemic, enabling OSF to dynamically reallocate resources and staff across its care sites. Today, with a focus on delivery system redesign, virtual care models, and artificial intelligence (AI)-driven tools, OSF is building a sustainable, scalable healthcare model tailored to the unique needs of the communities it serves, including those in rural settings. This article explores the OSF HealthCare journey to systemness, examining how a clear vision, aligned leadership, and strategic innovation enabled a seamless care experience, while driving efficiency, resilience, and long-term viability across a growing network.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Kaiser Permanente Sees Improved Outcomes Through Systemness.","authors":"Nolan Chang","doi":"10.1097/HAP.0000000000000226","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000226","url":null,"abstract":"<p><p>Kaiser Permanente occupies a unique space in today's healthcare marketplace. It is the largest managed healthcare organization in the United States, providing care to 12.6 million members in eight local markets at 40 hospitals and more than 600 medical offices. With a fully integrated, patient-focused system of care, Kaiser Permanente is realizing improved health outcomes and satisfaction for its patients, while ensuring physician wellbeing and engagement of the entire care team. The integrated, team-based system is supported by an industry-leading electronic medical record system, an embrace of emerging technologies as care support tools, and a commitment to drive optimal, short- and long-term patient outcomes. This article highlights the value of integration and systemness, provides examples of Kaiser Permanente's unique approach, and outlines the vital roles that technology and team-based care play in ensuring Kaiser Permanente's innovative and integrated approach, as it achieves improved health outcomes.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"42 1","pages":"36-41"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144972906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ronald Lavater, Sylvia Basterrechea, Andrew N Garman
{"title":"International Healthcare Leadership: The Global Pursuit of a Healthier Future.","authors":"Ronald Lavater, Sylvia Basterrechea, Andrew N Garman","doi":"10.1097/HAP.0000000000000218","DOIUrl":"https://doi.org/10.1097/HAP.0000000000000218","url":null,"abstract":"<p><p>Healthcare leaders worldwide focus on patient and community health, facing intertwined challenges like staffing shortages, geopolitical changes, and environmental sustainability. The International Hospital Federation (IHF), established more than 90 years ago, unites healthcare leaders to create healthy communities served by well-managed hospitals through knowledge exchange and leadership development. Based in Geneva, Switzerland, the IHF collaborates closely with US healthcare leaders, particularly through organizations such as the American College of Healthcare Executives (ACHE) and the American Hospital Association (AHA), a founding member of the IHF. This article presents insights from four global healthcare leaders, who discuss their backgrounds, leadership approaches, and the influence of international learning on their own journeys, especially in regard to environmental sustainability. We also recommend three practical ways to connect with international learning communities to expand their access to innovative solutions.</p>","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"4-9"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Case for Global Perspectives in US Healthcare Leadership.","authors":"Carla Jackie Sampson","doi":"10.1097/HAP.0000000000000220","DOIUrl":"10.1097/HAP.0000000000000220","url":null,"abstract":"","PeriodicalId":39916,"journal":{"name":"Frontiers of Health Services Management","volume":"41 4","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}