the african queen … a lesson in (1) collaboration, (2) history … the african stage during world...
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The African Queen …The African Queen …A lesson in (1) collaboration, (2) history … the African
stage during World War 1, and (3) citizenship.
Grade 7 Social StudiesGrade 7 Social StudiesTuesday, March 4
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Lesson Objectives …
The student will be able to :
• identify the key elements in building a strategy for productive communication between (1) students, and (2) between a student and his or her teacher.
• understand how two vastly different different people can bridge their differences to achieve objectives and goals.
• build a culture of long-term cooperation between (1) students, and (2) the student and teacher.
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Rose Sayer – Missionary
Her priorities : religion, proper English values, elegance, doing the right thing, “God and Country”, spinster
Charlie Allnut – Local Trader
His priorities : pragmatic, making money, drinking, having fun in a manly manner, “me, myself and I”, freedom of choice - autonomy
The African Queen
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Both forced onto a small boat, The African Queen, to escape the German invasion.
Both forced to come to terms with each other as they faced external threats – Germans, the river, drought, the Luisa.
Both learn to appreciate each other – fall in love, risk their lives willingly, commit to a higher goal, and succeed.
What do they have in common?
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Hospital Administration and Medical Staff, different incentives, different priorities, are facing an external force to undertake a major mission – CPOE.
Is the external force appropriate and legitimate?
Yes – safety, quality, efficiency, variation
Will CPOE help?
Yes – handwriting, transmission speed, pharmacy checks, order sets and quality, efficiency
Defining the issues …
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How major is CPOE as a mission?
Major - change in work flow of patient care, change in method (paper to computer), time consuming, cost (hardware, software, teaching, coverage, updates), involuntary
Defining the issues …
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Rose and Charlie would have fought among themselves and been killed or captured by the Germans, starved to death on the river, died from the leeches, or drowned – never getting close to sinking the Luisa. What in the culture of a hospital could support collaboration rather than disaster?
Working together …
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1. Broad quality and safety program
Forthright peer review at department, medical staff and Board of Trustee level;
Aggressive pursuit of quality/safety agenda pre-problem, post-problem
Clear resolution of conflict policy
Requirements for success …
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2. Transparency
Group decision-making
Role of Chairs
Role of President of Medical Staff, CMO, PHO, Med. Dir.
Joint Trustee Staff
Board of Trustees (20% M.D. membership)
Requirements for success …
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3. Communication
Gang of 9
ECMS
Medical Staff Meetings
Community Letter
Town Hall Meetings
Access – email, talk, rounding
Requirements for success …
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4. Management Structure
IS, IS/MD
CMO, PHO, Medical Directors
IS Committee
CPOE Implementation Committee
Vendor Responsiveness
Budget Contingency for emerging programming, coverage
Requirements for success …
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5. Clearly defined roles for:
Hospital staff
Hospitalists
PA’s
6. Key leadership role of primary care
7. Moving past control by secrecy, favoritism, financial power, “autonomy” of self-interest
8. Some blind courage
Requirements for success …
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Many missions lie ahead as students, members of our family, and citizens of our home country.
As a student and as a member of this class, what are the advantages for us to be more like Rose and Charlie?
Conclusion …