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Preparing Hospitals and Care Systems for the Future The 2011 AHA Committee on Performance Improvement report, Hospitals and Care Systems of the Future , identified must-do strategies and core organizational competencies to help leaders achieve the Triple Aim of health care.Two must-do strategies and four core organizational competencies support building a strong organizational culture, essential to developing the future workforce. 2. Utilize evidenced-based practices to improve quality and patient safety 3. Improve efficiency through productivity and financial management 4. Develop integrated information systems 5. Join and grow integrated provider networks and care systems 6. Educate and engage employees and physicians to create leaders 7. Strengthen finances to facilitate reinvestment and innovation 8. Partner with payers 9. Advance an organization through scenario-based strategic, financial and operational planning 10. Seek population health improvement through pursuit of the Triple Aim The must-do strategies are: 1. Align hospitals, physicians and other providers across the continuum of care

The core organizational competencies are: 1. Design and implement patient-centered, integrated care 2. Create accountable governance and leadership 3. Plan strategically in an unstable environment 4. Promote internal and external collaboration 5. Ensure financial stewardship and enterprise risk management 6. Engage employees’ full potential 7. Collect and utilize electronic data for performance improvement

This report identifies approaches and initiatives to help health care leaders deploy the boldfaced strategies and competencies. Hospital leaders must focus on developing organizational culture, particularly managing the intergenerational workforce, to find success in the second-curve, value-based environment. Figure 1 illustrates intergenerational management strategies that will ultimately lead hospitals and care systems to achieve second-curve outcomes.

Figure 1: Managing an Intergenerational Workforce to Achieve Second-Curve Outcomes

Intergenerational Management

Must-do Strategies and Competencies

Second-Curve Outcomes

• Build a strong generational foundation • Establish effective generational management practices • Develop generational competence

• Align clinicians and hospitals • Engage employees in transformation • Deliver optimal team-based, patient-centered care • Have an organizational culture to support execution

• Optimal clinical outcomes • Optimal patient experience • Reduction in total cost of care

Source: AHA CPI, 2014.

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Managing an IntergenerationalWorkforce: Strategies for Health Care Transformation