IMPACT! Newsletter: July 2018

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We are pleased to introduce our quarterly e-Newsletter – IMPACT! The name reflects our company’s values and intent of sharing the latest trends and topics impacting the health ecosystem.

For more information on how we partner with our clients to develop leaders to execute strategy, visit our Coaching Solutions page. Please send any comments and feedback to

TLD Group welcomes the following new clients:

  • Yale New Haven Health (YNHH) is a health system which brings together five of Connecticut’s most distinctive hospitals and the physicians of Northeast Medical Group, each with strong ties to their local communities. With more than 6,300 physicians, including a 600-member multispecialty physician foundation, and over 20,000 employees, Yale New Haven Health is Connecticut’s leading healthcare system.
  • New Hampshire Health Care Association (NHHCA), established in 1951, is the largest association of long-term care providers in NH. Their members include skilled nursing facilities, nursing homes, and assisted living facilities throughout the state of NH.

Stay tuned for the release of our upcoming book, “From Competition to Collaboration: How Leaders Cultivate Partnerships to Deliver Value and Transform Health” coming this October by Health Administration Press. Our book (abstract below) demonstrates the importance of developing collaborative partnerships in which organizations from various sectors operate interdependently, and describes the key leadership competencies to drive collaborative solutions across the health ecosystem. Click here to learn about our Health Ecosystem Leadership Model© (HELM™) and here to sign up to receive an email notification when our book is released.


Everyone agrees that the US healthcare industry is facing ever-growing issues and challenges, the great majority of them too complex and wide ranging for any one sector to solve independently. This is where a health ecosystem approach pays more than significant dividends.

Solutions which emphasize how the various sectors – such as hospitals and health systems, pharmaceutical companies, payers, policymakers, local government, community organizations, etc. – operate interdependently are the only ones with the potential to deliver on critical imperatives, like affordability, access, and outcomes. Health organizations across the ecosystem are beginning to realize the great value of cross-sector partnerships and are starting to forge those collaborations. For these efforts to be created, implemented and sustained, health leaders need to foster the behaviors and skills to address the unique challenges that arise when stakeholders from diverse sectors and backgrounds work together. This book identifies these requisite leadership competencies via the Health Ecosystem Leadership Model (HELM™), see model below.

The leadership capabilities covered in this book are needed to successfully work across sector boundaries to develop innovative solutions to today’s healthcare challenges—and this is not just a collection of theories. The approaches espoused via HELM are illustrated by practical examples of how key industry leaders have successfully demonstrated an ecosystem mindset and critical behaviors that lead to positive outcomes for their organizations, their patients, and the communities they serve.

No industry leader can afford to ignore the messages in this book, which begins with a review of the state of the industry today¬ and argues the need for transformative change toward collaborative, cross-sector partnership. The case for a new type of health leader is followed by a detailed review of the HELM model, all of which is endorsed by industry leaders who represent the pioneers of ecosystem thinking. This is all brought together in an end-to-end case study. The case study is followed by detailed recommendations for how individuals and organizations can develop ecosystem leadership.

We have had the distinct pleasure of working with some of the brightest talent in our industry – leaders who are clearly making a difference in the work they do to provide high quality care to those in need while working solutions to enhance health and wellness. Our podcast series features health ecosystem leaders who will share practical examples of how they have successfully demonstrated a collaborative mindset and the critical behaviors that lead to positive outcomes for their organizations, their patients, and the communities they serve. Click here to sign up to receive an email notification when our inaugural podcast is released.

As part of our series on health ecosystem leadership, we are pleased to present our interviews from outstanding leaders who demonstrate leading collaborative solutions for the industry’s most pressing concerns.

Poonam Alaigh, M.D.Poonam Alaigh, MD, MSHCPM, FACP, is the Executive Vice President of Commercial Business at Remedy Partners, Inc., an organization focused on mobilizing payment reform by creating software and services that enable payers, employers, and at-risk providers to organize and finance healthcare delivery around a patient’s episode of care. Dr. Alaigh was previously the Acting Under Secretary for the U.S. Department of Veterans Affairs (VA), where she directed a healthcare system with an annual budget of over $70 billion and over 300K employees, overseeing the delivery of care to more than 9 million enrolled veterans.

Key take-aways:

  • In order for an organization to have a meaningful impact on the health of the populations it serves, it must tap into the various stakeholders that play a role in community health and wellness.
  • Building a foundation of trust, a critical component of successful collaborations, occurs when stakeholders show they care for one another both personally and professionally.
  • One of the biggest challenges in achieving successful collaborations is being able to both recognize and celebrate the small wins along the way while staying focused on the long game.

Click here to read our interview with Poonam.

Robert C. Garrett is Co-CEO of Hackensack Meridian Health, which has four hospitals ranked among the top 10 in New Jersey according to U.S. News & World Report – including No. 1 ranked Hackensack University Medical Center - more than any other network in the state. Robert focused on aggressive expansion of the Hackensack University Network before its merger with Meridian Health. As Co-CEO, Robert concentrates on innovation and leading partnerships, including launching New Jersey’s first private medical school with Seton Hall University and a historic partnership with Memorial Sloan Kettering Cancer Center.

John K. Lloyd is Co-CEO of Hackensack Meridian Health, one of the largest, most comprehensive health networks in New Jersey, which includes 13 hospitals, 28,000 team members, more than 6,000 physicians and over 140 patient care locations across the state. John has focused much of his career on developing a full continuum of care – long before national health care reform mandated such changes. As Co-CEO, John oversees all non-acute care hospital businesses, including population health and the foundations. John’s expertise and vision have helped the network meet and exceed the challenges of health care reform.

Patrick R. Young is president of Population Health for Hackensack Meridian Health, where he leads the Population Health division and is responsible for accelerating the development of strategic priorities related to health care reform; population health management; Meridian’s Medicare Shared Savings Accountable Care Organization; Hackensack Meridian Health Partners, Hackensack Meridian Health’s clinically integrated network; health insurance partnerships; as well as overseeing Managed Care.

Key take-aways:

  • In a merged system comprised of multiple entities, a continuum of care model – which focuses on coordination and collaboration between healthcare providers – is essential to enhance the patient experience and deliver value.
  • Data integration and analytics – whereby provider, payer, and pharmaceutical data come together in one location – is a key ingredient for predictive modeling that allows providers to proactively manage the health and wellness of their patients to enhance outcomes.
  • As a health system, it is critical to pay attention to the social determinants of health because it allows for a more holistic approach to patient care rather than just focusing on the delivery of clinical care.

Click here to read our interview with these Hackensack Meridian Health leaders.

On July 26-28, 2018, we will be attending the 2018 AHA Leadership Summit in San Diego, CA.  Please join us during our poster session, “Aligning system-wide service lines to change culture and execute organizational strategies: A collaborative partnership approach.”  Our session will explore how, through a focused development effort on collaborative leadership, Catholic Health Initiatives – Texas Division created a new Service Line Leadership Model, where administrative, physician, nurse, and academic leaders partnered at every hospital, service line, and market to execute on their strategy. Click here to learn more about AHA’s Leadership Summit, and here to learn more about our leadership development solutions.

On September 28-29, we will be presenting our research at the Harvard McLean Hospital Institute of Coaching Annual conference in Boston, MA. Our poster, entitled, “The Impact of Surface- and Deep-Level Diversity on Coach Selection and Coaching Outcomes,” will reveal how coachees’ perceived similarity with their coach on surface-level (age, gender, race, and ethnicity) and deep-level (values and personality) diversity characteristics influenced their coach selection as well as coaching outcomes. The Institute of Coaching is a non-profit organization dedicated to enhancing the integrity and credibility of the field of coaching. Click here to learn more about the Institute of Coaching conference, and here to learn more about our coaching solutions.

Please be sure to join us for our next webinar in our series focused on our Health Ecosystem Leadership Model (HELM). HELM is a leadership framework designed for health industry executives who are charged with developing collaborative partnerships and solutions to positively impact their organization’s bottom line and improve health outcomes. Our upcoming webinar is on Aligning Stakeholders, presented by Dr. Ruth Wageman, Director of Team Diagnostics, LLC, Director of ReThink Health Stewardship, and Visiting Scholar at Harvard University on October 23rd from 12-1:30pm. Click here to register for the webinar.

We are pleased to be partnering with Vanguard Forum for Healthcare Leaders, November 7-8 in NYC. The Forum brings together leading executives from across the health ecosystem with current and former CEOs and advisors, for intimate dialogue on real-world issues and challenges at the highest levels of leadership. This one and a half day, invitation-only leadership development program is designed for rising senior high potentials and newly minted top executives. Click here to view the agenda for the forum and request an invitation.

We are delighted to share the first of our series of webinars focused on our Health Ecosystem Leadership Model (HELM).  HELM is a leadership framework designed for health industry executives who are charged with developing collaborative partnerships and solutions to positively impact their organization’s bottom line and improve health outcomes.

As leaders within the health industry, regardless of sector or position, we all have a vested interest in creating solutions to enhance the health and wellness of the communities we serve. However, understanding what the needs are of our communities requires leaders to envision a new future, one which takes into account not only the services and products your organization provides, but also focuses on the social determinants of health. This webinar explored how health leaders can best understand and address the broader determinants of health. In this webinar, population health experts Dr. Drew Harris and Dr. Rickie Brawer from Thomas Jefferson University in Philadelphia:

    • Examined how the movement from volume to value-based care is stimulating collaborative opportunities to address the social determinants of health.
    • Provided resources for reliable and robust community health data for comprehensive community health assessment.
    • Identified evidence-based practices for addressing community-health issues.
    • Explored how to implement, leverage and evaluate community collaborative efforts that are inclusive of those impacted by health disparities and equity.




Cross-sector collaboration guides much of our work and that of our clients. We are pleased to share recent success stories from across the health ecosystem. These examples demonstrate the innovative thinking and practical application of health ecosystem leadership and its impact on health outcomes.

UnitedHealth Group and Quest Diagnostics form partnership
Modern Healthcare

UnitedHealth Group partnered with Quest Diagnostics to expand value-based programs, improve their digital platforms and price transparency efforts, and use real-time data sharing to reduce gaps in care. UnitedHealth Group is also looking to acquire DaVita Medical Group to steer more consumers into less expensive ambulatory care sites.

R&D Leaders on Leadership

The critical leadership skills for pharmaceutical R&D leaders are expanding. While the ability to keep up with scientific advances is critical, several leaders in the industry noted that it is becoming increasingly important that pharma leaders create a culture of innovation and collaboration, build diverse teams, and be able to partner both internally and externally in order to advance the vision of the organization.

Syneos, Elligo Enter Strategic Collaboration
Contract Pharma

Syneos Health and Elligo Health Research are forming a strategic partnership to create a system of accelerated research to expand the vision of engaging the patient and physician in clinical research. This collaboration will provide physicians with the infrastructure to conduct research within their practices, which will help to maximize clinical trial process efficiency and improve health outcomes for the patient.

Humana Targets Social Determinants of Health, Improves Outcomes in 2 Cities
Managed Healthcare Executive

Humana is using its Bold Goal strategy to target social determinants of health such as access to healthy food, social isolation, safe housing, and financial stability. Helping people remain healthy can help save money on healthcare costs, so the Bold Gold strategy is trying to improve the health of the communities 20% by 2020. They have already started implementing this strategy in San Antonio and Tampa Bay.

Seattle Children's Hospital launches immunotherapy collaborative to expand clinical trial access at children's hospitals
Fierce Healthcare

Four academic children’s hospitals are joining forces to create a research collaborative to make it easier for patients to access immunotherapy clinical trials and for researchers to find good candidates for therapies. The goal of this new initiative, called CureWorks, is to more quickly develop treatments with fewer side effects, better readmission rates, and enable more kids with cancer to grow up and realize their full potential.

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