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• Managing current roles with additional transitional work
                              • Loss of jobs
                              • Change in pensions, etc.

                         However, at the same time, there is interest and enthusiasm to meet their new
                        colleagues and cross-share best practices.

                Recommendations:


                1.  One size does not fit all: Do not strive to have one common corporate culture. There is
                    opportunity to maintain the uniqueness of each hospital site based on the common
                    foundation established by the Sisters of St. Joseph, while enhancing each site with the
                    overarching culture that will ultimately emerge with the new healthcare network.

                2.  Relationships are the building block of culture: There was a compelling consistency across all
                    three sites regarding strong working relationships between staff-to-staff and staff-to-
                    leadership. This provides considerable opportunity to build on a culture of inclusive
                    teamwork. Explore strategies for leaders, initially, to meet in person for planning sessions and
                    best-practices sharing. These early interactions will not only assist in breaking down current
                    barriers to collaboration, but will reduce the degree of rumors and misinformed assumptions
                    that are presently being perpetuated.

                3.  Diversity: There was also response uniformity regarding inclusiveness not just with patient
                    care for the disadvantaged but also with each site accepting varied religions, beliefs and
                    sexual orientation that move beyond the Catholic orientation of the Sisters. With that brings
                    opportunity to provide further education and policies such as anti-bullying with more
                    education for a better understanding of patients and employees’ sexual orientation, and
                    aboriginal customs and philosophies.



               Domain #3: Organizational Values:  What is valued and fundamental to the hospital?

               As noted in the Our Shared Purpose – Proposal for Voluntary Integration, one of the original incentives
               for the integration is the fact that Providence, St. Joseph’s and St. Michael’s all share similar values.

               Throughout the assessment, these values were articulated by staff consistently and emphatically as well
               as evidenced in the ways they treat one another and their patients.

               When asked “What is sacred in your organization?” the key response themes were:
                   1.  Care for the disadvantaged
                   2.  Compassion
                   3.  Human dignity

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