St. John Health System

Is a fully integrated healthcare organization encompassing seven hospitals in northeastern Oklahoma and southern Kansas (St. John Health System). St. John Medical Center began with a 50 bed hospital in 1926 and now it encompasses more than 800 primary care and specialist physicians and 7,000 employees. St. John Health System comprises Oklahoma’s only ACS Level II trauma center and northeastern Oklahoma’s only stroke center certified by Joint Commission. St. John Medical Center was recently ranked the number one Oklahoma hospital in U.S. News and World Reports 2017-2018 and is Tulsa’s first Magnet-recognized hospital for excellence in nursing. St. John Health System is a part of Ascension, the nation’s largest Catholic and nonprofit health system. Ascension is a faith based healthcare system devoted to transformation through innovation across the continuum of care (Ascension) Ascension Healthcare manages 2,500 sites of care, including 141 hospitals and more than 30 senior living facilities, in 24 states and the District of Columbia (Ascension).

Body

The mission of Ascension Health is embedded in the loving ministry of Jesus as a healer, they are dedicated to serving all individuals, with special devotion to those who are underprivileged and vulnerable.

The Catholic health ministry of Ascension is committed to spiritual, holistic approach which maintains and improves the health of individuals and communities. They are advocates for a compassionate and just society through their actions and words. Their vision is to envision a strong, vibrant Catholic health ministry in the United States which will lead to the transformation of healthcare. They ensure service that is committed to health and well-being for their communities and responds to the needs of individuals throughout the life cycle.

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To guarantee a Catholic health ministry in the future, they expand the role of masses, in both leadership and sponsorship. Their values entail generosity of spirit, especially for persons most in need, respect, and compassion for the dignity and diversity of life, inspiring trust through personal leadership, integrating excellence and stewardship, courageous innovation, and affirming the hope and joy of the ministry (Ascension).

Ascension’s sites of care including physicians, nurses, and staff that cater to an extensive array of healthcare needs including body, mind, and spirit. They compromise primary and preventative health services including behavioral health, counseling services and support groups, child development and early childhood education, dental care, health education, legal and social services, and senior services. Ascension’s palliative care focuses on enhancing quality of life for individuals facing chronic or life-threatening conditions. They manage the patients’ pain and other physical, psychosocial and spiritual needs from the moment they are diagnosed throughout the entire process until they are deceased. Ascension provides patient goals and make educated assessments that are in the patients best interest. They also enhance patients capability to function as independently as achievable in their community. Ascension’s mental health provides exclusive treatment program for adults, adolescents, and children. They perform an initial evaluation and work with you to construct a treatment plan that customized to meet your specific requests.

They treat all types of behavior and mental health conditions such as depression, anxiety disorders, schizophrenia, addiction, self-harm, attention-deficit disorders, eating disorders, abuse, and post-traumatic stress disorder. Ascension offers specialized and targeted health and wellness education programs and services. After an assessment of your corporate setting, staff works with you to personalize programs and materials best suited for your needs. Staff raises awareness of workplace stressors and can provide prevention and intervention strategies to lower injury rates, improve health, and increase organizational performance. Proactive education can result in naturally increased productivity for employees. Topics discussed may comprise first aid/CPR, stress management, smoking cessation, physical therapy, leadership training, lifestyle management, chronic disease management and much more. Empowering employees can also improve the business as a whole.

The Ascension Leader Institute was founded in 2015, to promote the creation and expansion of associates across Ascension, raise a common leadership culture, and serve as a mechanism for accelerating change. This program is projected to support both individual and collective growth for promising associates at various stages of their careers, from new graduates through seasoned executives. The Ascension Leader Institute serves as the center for integrating programs and resources that combine individual formative experiences with practical and experiential learning (Ascension). The program provides space for senior executives to reinforce capabilities, experiment new notions, and commence innovative initiatives. Leadership Associates are selected and chosen to partake in integrated residential and field experiences led by distinguished thought leaders and experts from both inside and outside of healthcare. Carol Whittington acts as the Senior Vice President of the Ascension Leader Institute and as Executive Director for the Ascension Leadership Academy. She provides executive leadership for talent stewardship and organizational development and learning within Ascension’s Human Resources ministry-wide function (Ascension).

The Interventional Radiology department at St. John Medical Center is partnered with Tulsa Radiology Associated which is comprised of 22 board certified radiologists that offer an extensive array of services. The Interventional Radiology department offers a wide range of services ranging from palliative care, emergency and trauma services, and outpatient services. The department offers many different imaging modalities including ultrasound, CT, MRI, nuclear medicine and fluoroscopic procedures. A few of the procedures offered include therapeutic procedures, intracranial mechanical thrombolysis, intravascular embolization, intravascular angioplasty and stent placement.

Oklahoma Cancer Specialists and Research Institute was formed in 2016 as a partnership between St. John Health System and the Tulsa Cancer Institute. The radiologists from Tulsa Radiology Associates also perform their services at OCSRI. OCSRI is a physician-owned clinic that offers physicians with more than 20 blood and cancer specialists and a team of over 200 employees. OCSRI has teamed up with MD Anderson Cancer Network has teamed up with Oklahoma Cancer Specialists and Research Institute to advance the treatment of cancer in Oklahoma. OCSRI is the first and only certified MD Anderson Cancer Network in the state. The OCSRI doctors have adopted many treatment plans and practices developed by the team at MD Anderson which is bringing a whole new type of care to cancer patients in Oklahoma. OCSRI underwent clinical reviews and rigorous evaluations of its medical oncology program, radiation oncology program, diagnostic imaging and pharmacy as a part of the evaluation process (OCSCRI). With regular peer reviews and treatment collaboration, some of the best cancer expertise is now close to home at Oklahoma Cancer Specialists and Research Institute (OCSRI).

The Interventional Radiology department is managed by Phil Ames, who is the Director of Radiology and Annette Friend, the manager of Interventional Radiology including Centralized Scheduling, who does all the scheduling for the IR department. They not only are in charge of St. John Medical Center Radiology, but the whole radiology department for St. John Health System. As a team, they oversee all the operations involved with Interventional Radiology, from the daily operations, productivity efficiency, audits, labor relations, and accreditation inspections. Phil and Annette work hand in hand with the team lead of Interventional Radiology, Mindi Plumlee. Mindi Plumlee is in charge of running the daily operations including daily staff huddles, training staff, establishing department goals and procedures. She facilitates in conjunction with Phil, Annette, physicians, and the staff of the Interventional Radiology department. The administrative team is very open with the staff and encourages a positive outlook towards team work and job performance.

Many studies have been performed to analyze leadership behavior, and how their behaviors effect their subordinates. In one study, Kerr and Jermier, proposed a taxonomy to explain how different types of contextual variable affect the leader’s influence on subordinates. They suggested that some contextual variables act as substitutes for the leader’s influence and other tend to neutralize the leader’s influence in a particular work situation (Sheridan). They determined less leadership direction has a positive motivational effect on subordinates (Sheridan). In a separate study, two findings have examined the relationship between leadership behavior and power variables in the same predictive model of leadership influence. The predictive relationships indicate that the leader’s behavior has varying effects on the work environment as evidenced by the inverse relationships with job tension and terminations, but concurrently had an inverse relationship with staff performance.(Sheridan, Vredenburgh).

Having a respectful and understanding leader reflects in the positive daily working environment and how the staff feels as if they are not just subordinates, but included in the organization on a higher level. President of Harbor Health System, Prell, has developed the master key of objectives, standards and strategies for his organization. “The plan for my position provided complete integration. I cascaded it to all levels of the organization so that people knew where they fitted in the overall picture and how they worked well with others. Each person then saw what he or she must do to help accomplish our overall plan” (Allen). The key to establishing a successful organization starts at the top of the totem pole. In order to have the run-of-the-mill staff feel included and incorporated in the organization, starts with respectable leaders.

Joseph Cacchione, MD, FACC is the President of Ascension Medical Group. He is responsible for developing a culture of high performance dedicated to improved health outcomes and an excellent provider and patient experience. Jason Alexander, FACHE, provides strategic and operational leadership while promoting alignment along facilities within his Ministry Market and with the System Office on issues related to Mission and Vision. Some of the biggest missteps Fuller sees is the lack of leaders with experience in risk management and other value-related sets, bloated board structures that don’t allow hospitals to change swiftly, and a dearth of outcomes-related data needed to drive change (Stempniak). In a study that determines if leadership instability was associated with sociopolitical structures between the board and CEO, it was determined the greater the influence the CEO has over the board and its decision making, the less likely those decisions will reflect adversely on top management and, consequently, the lower the level of leadership instability (Jeffrey).

Conclusion

The team in the Interventional Radiology department at St. John Medical Center seemed to mesh well together and everyone knew what their role was. The subordinates felt like they could go to their upper level management and discuss any issues they may have had. All of the staff seemed to love their job and the organization so I would be happy to work for this organization after graduation. An organization of this size depends on the behavior of everyone in the organization to be able to function properly without any major setbacks. There is no standard approach to developing a positive leadership and management based organization , however, it is important to have a plan and provide an optimistic outlook.