Page 378 - CEO Orientation

 Providence: This organization, unlike the other two, is in the process of mourning the loss
of many of their leaders. This is an organization that is physically smaller, works at a
different pace than the critical care centers and has a very strong sense of “family”
amongst staff and leaders. However, all indications point to them being open and
accepting of future change, and enthusiastic regarding the advantages that are associated
with being partners with an academic hospital and teaching centre.

From a cultural standpoint, Providence demonstrated the strongest link to the Sisters of
St. Joseph which is represented in many tangible and intangible bonds to the Catholic
heritage. This was stressed as a sacred part of their heritage that should remain and be
honored during the process of integration.

 St. Joseph’s: The hospital is very proud of the support and patient care they provide to the
community as well as being an excellent teaching hospital. There is a sense of being a
supportive “neighborhood” hospital with employees citing examples of knowing patient
families across the life continuum, from the birth of children and grandchildren to the
death of grandparents.

Regarding the new health network’s organizational chart, leaders and physicians (less so
staff) expressed concerns as to the intent of the integration and how it would affect their
current principles and relationship with the community. There was anxiety regarding “The
lack of change in leadership roles at St. Michael’s compared to the losses at the other two
sites,” “This feels more like a takeover than an integration” and “Our community culture is
going to be swallowed up by a big downtown academic institution.” Physicians also
expressed apprehension about the loss of their autonomy and the close working
relationship they presently experience as a team.

During this period of transition, it will be critical for the new leadership to allow sufficient
time to:
•Understand and appreciate the anxieties and stress associated with this degree of
change
• Address these concerns in a sincere but straightforward manner
• Work closely with the St. Joseph’s leaders and physicians to establish a new
relationship while honoring the hospital’s distinct community history

 St. Michael’s: St. Michael’s has a strong historical association with the Sisters of St.
Joseph and caring for the disadvantaged, while over time emerging into an academic and
research facility. The principles of the Sisters are evident in the daily interactions that
staff have with each other and in their support for patients and families regardless of the
background or beliefs.

Concerns regarding the impending changes are:
• The pace of change
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