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Providence St. Joseph Health’s’ ‘tight, loose, tight’ management style

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In an NEJM Catalyst article, Amy Compton-Phillips, M.D., executive vice president and chief clinical officer for Providence St. Joseph Health, based in Renton, Wash., and serving large parts of the western U.S., describes how her organization’s simple model has led to substantive change there in managing complex, seemingly intractable health-care problems.

Among her remarks:

“Since 2015, Providence St. Joseph Health has employed a simple model for leading complex change at scale. The simple concepts that we used to achieve meaningful change can be summarized into five essential foci: Vision (the ‘Why’), Trust (the ‘Who’), Data (the ‘What’), Capacity (the ‘How’), and Alignment (the ‘What’s In It For Me?’). PSJH has applied this change model along with a ‘tight, loose, tight’ management style, which serves to standardize a few critical elements across the system while allowing each local group to customize implementation based on their context, environment, and innovation.”

To read her article, please hit this link.

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