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Leadership, Vision & Change

Leadership, Vision & Change. LAHQ 38 th Annual Education Conference Sheila Veuleman, RN, BSN, CPE, COS-C Project Manager HQI Partners. HQI Partners.

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Leadership, Vision & Change

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  1. Leadership, Vision & Change LAHQ 38th Annual Education Conference Sheila Veuleman, RN, BSN, CPE, COS-C Project Manager HQI Partners

  2. HQI Partners ·a division of Registry Partners, Inc. (RPI), and is a national provider of Core Measure Abstraction and Quality Improvement consulting services ·Our company has been in business 12 years as of May 2014 and currently has active or completed abstraction projects in 29 states with 400+ VPN connections ·In 2013, we abstracted nearly 90,000 cases for our client hospitals ·In August, 2012, we signed a two-year partnership agreement with Midas+ Solutions to provide core measure, meaningful use & specialty registries abstraction services for their 1,800+ clients ·In May, 2013, we signed an agreement with Xerox Consulting Company, Inc. to assist with their client’s quality project implementation ·Also in May, 2013, we completed a partnership agreement with VPS, LLC to provide abstraction assistance to their clients for the collection of Pediatric Intensive Care Unit (PICU) data

  3. Objectives • The participant will be able to describe one concept of leadership. • The participant will be able to discuss how assumptions affect vision. • The participant will be able to describe how leadership affects change.

  4. Leadership ™

  5. Team Leader Two types of leaders: • Designated – The person assigned to lead and organize a designated core team, establish clear goals, and facilitate open communication and teamwork among team members • Situational – Any team member who has the skills to manage the situation-at-hand

  6. Effective Team Leaders • Organize the team • Articulate clear goals • Make decisions through collective input of members • Empower members to speak up and challenge, when appropriate • Actively promote and facilitate good teamwork • Skillful at conflict resolution

  7. Delegation • Method of re-distributing tasks or assignments • Process includes 4 steps: • Decide what to delegate • Decide to whom to delegate • Communicate clear expectations • Request feedback

  8. Promoting & Modeling Teamwork Effective leaders cultivate desired team behaviors and skills through: • Open sharing of information • Role modeling and effectively cueing team members to employ prescribed teamwork behaviors and skills • Constructive and timely feedback • Facilitation of briefs, huddles, debriefs, and conflict resolution

  9. Exercise: Leadership INSTRUCTIONS: • Think of a great leader. • Describe why they are a great leader

  10. Team Events • Briefs – planning • Huddles – problem solving • Debriefs – process improvement Leaders are responsible to assemble the team and facilitate team events But remember… Anyone can request a brief, huddle, or debrief

  11. Briefs Planning • Form the team • Designate team roles and responsibilities • Establish climate and goals • Engage team in short and long-term planning

  12. Planning Essentials for Teams • Leader usually initiates the planning process • Team members are included in the planning process • Team members have a common understanding of the problem and their roles

  13. Briefing Checklist

  14. Huddle Problem solving • Hold ad hoc, “touch-base” meetings to regain situation awareness • Discuss critical issues and emerging events • Anticipate outcomes and likely contingencies • Assign resources • Express concerns

  15. Huddle

  16. Debrief Process Improvement • Brief, informal information exchange and feedback sessions • Occur after an event or shift • Designed to improve teamwork skills • Designed to improve outcomes • An accurate reconstruction of key events • Analysis of why the event occurred • What should be done differently next time

  17. Debrief Checklist

  18. Debrief

  19. Facilitating Conflict Resolution • Effective leaders facilitate conflict resolution techniques through invoking: • Two-Challenge rule • DESC script •  Effective leaders also assist by: • Helping team members master conflict resolution techniques • Serving as a mediator

  20. Leadership BARRIERS • HierarchicalCulture • Lack of Resources or Information • Ineffective Communication • Conflict TOOLS and STRATEGIES Brief Huddle Debrief OUTCOMES • Shared Mental Model • Adaptability • Team Orientation • Mutual Trust

  21. Teamwork Actions • Empower team members to speak freely and ask questions • Utilize resources efficiently to maximize team performance • Balance workload within the team • Delegate tasks or assignments, as appropriate • Conduct briefs, huddles, and debriefs • Utilize conflict resolution techniques (i.e., Two-Challenge rule and DESC script)

  22. Vision

  23. Golden Rule “You can win more friends in two months by becoming really interested in people than you can in two years by trying to get other people interested in you.” -Dale Carnegie

  24. Leadership/Vision “Leadership is a combination of practical skills and personal values that, when used together, create an atmosphere in which people feel valued and motivated to pursue a clear vision.” Ron Culberson. Do It Well. Make It Fun.

  25. A Shared Mental Model is… The perception of, understanding of, or knowledge about a situation or process that is shared among team members through communication. “Teams that perform well hold shared mental models.” (Rouse, Cannon-Bowers, and Salas 1992)

  26. Shared Mental Model?

  27. The more things change…

  28. “The costs of healthcare are spiraling upwards. Ideas for reforming the healthcare systems are hotly debated. The promise of medicine has never been brighter. This future, however, has never been more uncertain.” • “Our highest priority initiative is to discover the best organization for healthcare delivery to offer the most efficient production of service” • American Medical Association • Committee on Cost of Medical Care • 1927

  29. Then again…some things DO change!

  30. Leadership “Leadership is not always what you do but how you do it.” “Effective leaders know their limitations.” “Great leaders have a sense of humor.” “Leadership is a service, not a destination.” Ron Culberson. Do It Well. Make It Fun.

  31. Leadership “One of the best indications of effective leadership is not just what is accomplished but how the people being led to those accomplishments view the leader and the process.” Ron Culberson. Do It Well. Make It Fun.

  32. Don’t Miss The Boat!

  33. Sheila Veuleman, RN, BSN, CPE, COS-Csheilaveuleman@hqipartners.com Questions?

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