high impact leadership in the real world - ihi home...
TRANSCRIPT
High Impact Leadership in
the Real World
Kevin Rooney, MBChB, FRCA,
FFICM, FRCP
Q8
Declaration of Conflict of Interest
We have no financial conflict of interest in presenting this topic.
Session Objectives
• Identify their organization’s leadership mental models and behaviors
• Develop new individual and organizational leadership skills and behaviors consistent with achieving Triple Aim results
Housekeeping
Please put mobile phones on silent.
1
If you hear a fire alarm, please follow staff to the muster point.
2
Blue Shirts – here to help
3
Aims
• By the end of this Quick Course you will have a better understanding of how to:
– Identify your organisation’s leadership mental models and behaviours
– Develop new individual and organisational leadership skills and behaviors consistent with achieving Triple Aim results
Agenda
Time Topic
08:30 – 08:40 am Introduction
08:40 – 10:00 am Person-Centredness
10:00 – 10:30 am Morning Break
10:30 – 12:00 pm Frontline Engagement
12:00 – 1:00 pm Lunch
1:00 – 2:30 pm Relentless Focus & Transparency
2:30 – 3:00 pm Afternoon Break
3:00 – 4:00 pm Boundarylessness & Close of Meeting
Icebreaker
• Introduce yourself to your table
• Who are you?
• Where do you come from?
• Professional background?
• What do you hope to learn from this Quick Course?
Brain Teaser
• It is time to elect a new world leader, and only your vote counts. Here are the facts about the three leading candidates.– Candidate A - Associates with crooked politicians, and consults
with astrologists. He's had two Mistresses. He also chain smokes and drinks 8 to 10 martinis a day.
– Candidate B - He was kicked out of office twice, sleeps until noon, used opium in college and drinks a quart of whiskey every evening.
– Candidate C - He is a decorated war hero. He's a vegetarian, doesn't smoke, drinks an occasional beer and never cheated on his wife.
Brain Teaser
• It is time to elect a new world leader, and only your vote counts. Here are the facts about the three leading candidates.– Candidate A - Associates with crooked politicians, and consults
with astrologists. He's had two Mistresses. He also chain smokes and drinks 8 to 10 martinis a day. Franklin D Roosevelt
– Candidate B - He was kicked out of office twice, sleeps until noon, used opium in college and drinks a quart of whisky every evening. Winston Churchill
– Candidate C - He is a decorated war hero. He's a vegetarian, doesn't smoke, drinks an occasional beer and never cheated on his wife. Adolph Hitler
Person Centred
A useful lens
Ask yourself a Question.
From… “What’s the matter?”
to“What matters to you?”
“Has a gift for rocking babies to sleep”
“Drinks Diet IrnBru for
Scotland”
“Plumber”
“Makes the best French Toast”
“Very good at art”
Shared Decision Making
What matters to me?
Preferred Place of Death
Table Exercise (5
mins)
Fill out individually and share with your neighbour
What Matters to Me?
Your name
How might you use WMTY to understand better what your patients need?
Table Exercise (5 mins)
Person-Centeredness
Report Out
• What did you already know?
• What surprised you?
• What are you going to do by next Tuesday?
Frontline Engagement
Hospital Safety Huddles Across Scotland in 2015
Continuously improve quality and safety every day
Improve staff engagement and empowerment
Improve patient and family experiences
Hospital Huddle started 7th Jan 2013
Royal Hospital for Sick Children, Yorkhill, PICU Total Delayed Discharges (+ 4 hrs)
I always felt supported in my role – the huddle
has made it better
Gives me an overview of the whole hospital -who needs help Feels like we are
one team working together
Gives me real time information that is
being acted on
What Matters to Them?
Joy in the Workplace
….over 1,700 leadership walkrounds have been conducted in Scotland.
Since 2008…….
Frontline Engagement
Report Out
• What did you already know?
• What surprised you?
• What are you going to do by next Tuesday?
Relentless Focus and Transparency
2020 Vision for Health & Social
Care: A Scotland where everyone lives
longer, healthier lives
at home or in a homely setting.
A useful lens
The Door of my ICU
% 30 day Mortality of ICD 10 A40/A41
Total Cardiac ArrestRate for 13 hospitals
Patient Stories
Source: Care Opinion November 2017
9,496 stories told
291 stories have led to changes
1,041 staff listening
Per capita cost
Chief Exec Annual Report 2016/17
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Baseline Period
NHSScotland Hospital Standardised Mortality Ratio
January 2011 – June 2017
Alcohol related deaths registered in Scotland (1979-2016)
Source: National Records of Scotland 2017
Relentless Focus
Transparency
Report Out
• What did you already know?
• What surprised you?
• What are you going to do by next Tuesday?
Boundarylessness
General Medical Services
Pharmacy
Community Nursing
Dentistry
Scottish Stillbirth Rate (per 1000 births) 2000 - 2015
‘My neonatal colleagues in Edinburgh tell me that they notice more small babies in the cots now - they would previously not have made it to the unit of course…’
Dr Catherine Calderwood, Chief Medical Officer for Scotland
“I talk about my feelings using the emotion bags. It helps me to feel
much better and calmer.”
“When I feel frustrated I can talk to my friends and teachers about it and it makes me feel happier”
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Number of targets achieved by childrenOur Lady of Peace Primary School, Renfrewshire
Christmas Holidays
Easter Holidays
Started timing sessions
Plannng tool introduced
Emotion Bags introduced
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Our Lady of Peace Primary School, Renfrewshire
Invite given at parents night
Emotion bags used
Children make the invitations
“Sam’s behaviour has improved in class. He is able to talk about his feelings and regulate his
emotions. He is developing friendships and relationships with others”
Sam’s Teacher
Boundarylessness
Report Out
• What did you already know?
• What surprised you?
• What are you going to do by next Tuesday?
Any Questions?
Thank You