Wisconsin Health System Integration

Download PDF »


A non-profit, community-directed Wisconsin health system included eight hospitals, outpatient clinics, post-acute care and high-quality affiliated physicians. Although one system, the entities mainly operated independently with limited interactions and cooperation between the facilities. The system recognized the need to offer high quality, well-coordinated and cost effective care to patients through improved system integration.


The system and Prism and embarked on a strategic imperative to achieve “systemness” and create synergies across the organization, improve patient experience and increase operational efficiencies. Core initiatives included:

  • Developing a culture of ‘systemness’ by rede-fining corporate and operating roles, sharing authority and responsibility, and creating open channels of communication
  • Defining and demarcating clinical and adminis-trative functions and roles to allow management to focus on the patient clinical experience and build a world-class back office function for support and shared services
  • Rationalizing and streamlining corporate and clinical teams through standardization, con-solidation, and centralization of practices, services, and support functions
  • Structuring initiative teams with subject matter experts to build alliances across different system entities.
  • Leading with the best by adopting a ‘hub and spoke’ organizational architecture where staff moving to a corporate role are able to remain at their local site.
  • Establishing guiding principles on path, process, time lines and criteria for success, including:
    • First standardization, then centralization
    • Reduction of workforce through attrition, reduction of overtime and elimination of sub-contractors, in lieu of layoffs and relocations
  • Reducing resistance and obtaining support through tactics such as change readiness plans and proactive communication strategies.

The system integration initiative delivered over $20 million in annual financial benefit.

Connect With an Expert

Mukesh Gangwal

Managing Director

Learn More

Jan van Londen

Managing Director

Learn More