St. Luke's Health System to undergo restructuring

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TWIN FALLS, Idaho (KMVT/KSVT) Changes are happening inside hospital doors.

St. Luke's Health System is undergoing some restructuring.

The goal of the St. Luke's Health System is to move away from a fee-for-service model and instead focus on population health.

They want to see less unnecessary hospital visits and utilize more clinics and outpatient services.

Some St. Luke's staff will now have new job titles, others adding new responsibilities.

A few are learning their position is being eliminated.

“Because we grew so fast and became large relatively rapidly,” said Mike Fenello, vice president of population health. “We felt like we needed to take a very thoughtful look and say ‘How do we decrease the bureaucracy in our organization? How do we improve the speed of decision making.’“

The process is part of a major restructuring that is estimated to impact less than one percent of the more than 14,000 employees system-wide.

“But we recognize any impact to our employees is important,” Fenello said.

For years the hospital has created advisory boards to help better understand the community they serve and find ways to minimize the financial burden on patients.

“So we can stay connected to patients in their home setting and help prevent the need for them to have to come back to the most expensive parts of our health care continuum,” Fenello said. “Like the emergency department or having to be hospitalized.”

Instead of charging for a specific service, the hospital wants to focus on patient outcomes.

That means the hospital will not only treat immediate concerns, but focus on overall health, which will save you money.

“So that we can really effectively still manage their care while also making it more convenient and reducing the cost,” said Fenello.

A new position was created: Chief Operating Officer/Chief Nursing Officer. That’s someone who manages the day-to-day site operations but has a nursing and leadership background.

“Nurses are the largest part of our workforce and have the most connections with our patients,” Fenello said.

While change can be hard for Fenello and his coworkers, in the end, it’s about providing you better healthcare.

“That's why that mission is so important to me,” Fenello said. “I always approach the work I do from the lens of ‘How would I want care to go for the people I love the most?'”

Any of the hospital staff affected is being encouraged to apply for other positions available.

“While I think people are beginning to see more and more how this change can be very positive, as human nature we all have to look how has that impacted me personally and individually,” Fenello said. “I think most of our people are beginning to see where there is positive impacts both personally and professionally.”

The total number of employees impacted won’t be available until the end of January.

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