cultivating family leaders · cultivating family leaders an mch workforce strategy 303-692-2794...

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Leadership With Purpose Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 [email protected] Learning Objectives: Following this presentation, you will understand: The Progression of Leadership The benefit of recognizing readiness indicators Successful strategy in Colorado FLTI Further introduction… Parent of a young adult with complex health needs Background in marketing and media Former corporate trainer Currently direct family and community engagement activities for Colorado Title V Former Director of Colorado’s Medical Home Initiative

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Page 1: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Leadership With Purpose

Cultivating Family Leaders

An MCH Workforce Strategy

303-692-2794 [email protected]

Learning Objectives: Following this presentation, you will understand:

•The Progression of Leadership

• The benefit of recognizing readiness indicators

•Successful strategy in Colorado – FLTI

Further introduction… • Parent of a young adult with complex health needs

• Background in marketing and media

•Former corporate trainer

•Currently direct family and community engagement activities for Colorado Title V

•Former Director of Colorado’s Medical Home Initiative

Page 2: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

On any ordinary day…

Pair up…consider the first time you got involved in a community issue?

Page 3: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Value of Family Engagement

“In a growing number of instances where truly stunning levels of improvement have been achieved….Leaders of these organizations often cite that putting patients and families in a position of real power and influence, using their wisdom and experience to redesign and improve care systems – as being the single most powerful transformational change in history.”

Reinertsen, J.L., Bisagnano, M & Pugh, M. Seven Leadership Leverage Points for Organizational level Improvement in Health Care. 2nd Edition, IHI

InnovationSeries, 2008.

Healthcare - Areas of impact at Practice Level

• Improved communication between all members of the medical home team

• Transitions of care more efficient

• Improved self management skills

• Stronger alliance with family in promoting child’s health and development

• Greater understanding family’s strengths AAP Policy Statement, Feb 2012

Families are a horizontal thread in a vertical system.

Health Education Safety Housing

Page 4: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Quality Improvement Strategy

We must shift from servicing families to partnering with families.

So What… Now What?

Page 5: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Mythbusting for MCH Professionals

Fear-Based Thinking Innovative Thinking

Families are complainers Families bring informed solutions

Don’t understand the business of prevention or healthcare

They are business owners too

HIPPA regs won’t allow for this Family Leaders sign confidentiality statements like any other consultant

FCC takes too much time Efficiency is increased

Families are not available to participate Develop equitable contract/agreement

The families we work with don’t care We haven’t tried hard enough

Mythbusting for Parents Fear-Based Thinking Innovative Thinking

My experience doesn’t matter. My experience could be a valuable teaching moment for my practice.

The “business” of healthcare is too complex.

Most healthcare providers run their clinic as a small business – and I understand small business.

HIPPA regulations won’t allow me to have access to clinic files.

As a Parent Partner I will sign a confidentiality statement like any other consultant.

Quality Improvement is ambiguous and takes too much time.

Quality improvement is based on core “customer service” principles, to which I can contribute with relative ease.

I don’t have time to get involved. Developing a clear and concise consulting framework will benefit myself and other families.

I’ve offered feedback in the past, but no one ever listens.

Communicate differently.

An intentional shift from a dependency model to a partnership model.

Page 6: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Progression of Family Leadership

Progression of Family Leadership

Progression of Family Leadership

Page 7: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Progression of Family Leadership

Progression of Family Leadership

Value at All Levels

Page 8: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Readiness Indicators

• Inner Ring – Clinical or direct service focused

• Mid-Ring – Community focus such as schools, neighborhood

• Outer Ring – Policy focus, understands broad context and impact.

The Right Partner at the Right Time

Your role is to clearly define what your needs and expectations are.

Achieving outcomes is based on our ability to understand, respect and embrace a family’s care experience and braid that into innovation for quality improvement.

Readiness Factors

• Explore past history

• Are you ready for full transparency

• Leadership support in all directions

• Willingness to be flexible

• Your budget is your policy statement!

Page 9: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Diversity Matters We can adopt systemic strategies from what we have learned from families with CYSHCN, to grow the impact to all MCH populations.

Colorado Family Leadership Training Institute - FLTI

•Community-based initiative, but in partnership with Colorado’s Dept. of Public Health (Title V) •Anchored by a leadership course

•Partnership with Connecticut – based on the copyrighted Parent Leadership Training Institute (PLTI) •Broad impact – not designed to be issue specific

FLTI Curriculum Highlights

• 20-sessions with 2 distinct phases

• Kicks off with a day-long retreat

• Weekly for 4 hours, 1 night a week

• Community Project

• www.ColoradoFamilyLeadership.com

• National partnership with Connecticut’s Parent Leadership Training Institute (PLTI)

Page 10: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

41. 39%

9. 8% 45. 42%

4. 4%

3. 3% 2. 2% 2. 2%

Race/Ethnicity: 2013 class

White

Black/African American Hispanic/Latino

Native American

Mixed

Other

Asian

16. 15%

5. 5%

15. 14%

19. 18%

33. 31%

16. 15% 2. 2%

Education: 2013 class

Less than high school

GED

High school diploma

Associate's degree

Bachelor's degree

Master's, doctoral or professional degree

Post graduate work

11. 11%

32. 30%

33. 31%

12. 11%

18. 17%

Income: 2013 class Less than $20,000

$20,000 to $39,999

$40,000 to $59,999

$60,000 to $84,999

$85,000+

Page 11: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

1

1.5

2

2.5

3

3.5

4

4.5

5

3.02

2.36

3.02

2.79

3.5

3.77

3.01

3.97 3.96 4.23

Civic Literacy and Empowerment: Cohort 5

Pre-Test

Post-Test

0

10

20

30

40

50

60

70

80

90

60.4

46.2 50.9

23.6

62.3

84

74.5

66

54.7

87.7

Per

cen

t

Civic Activities: Cohort 5

Pre-Test

Post-Test

States need a Communication Mechanism

Families have valuable information to share…

how are you harvesting their insight?

Page 12: Cultivating Family Leaders · Cultivating Family Leaders An MCH Workforce Strategy 303-692-2794 Eileen.Forlenza@state.co.us Learning Objectives: Following this presentation, you will

Sustainability Strategies

• Support and offer the Parent/Family Leadership Training Institute (FLTI) in your state/community

• Consider strategies to survey families to identify professional skill sets

• Extend invitation to include families in professional development opportunities

• Consider a mentoring program

• Establish a community bulletin board, managed by a family leader

• Feature a family story in your agency newsletter

Thank You!

303-692-2794 [email protected]

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