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This session explores how healthcare systems can think and act cohesively to foster large-scale change. Led by Susan Shaw, an ICU doctor from Canada, and Chiquita Hansen, an RN focused on primary care transformation from New Zealand, the discussion emphasizes the critical relationship between healthcare quality and cost. With a commitment to empowering patients and ensuring harm-free care, the presenters share insights from their experiences in transformational leadership, clinical governance, and collaborative clinical pathways, highlighting the importance of adaptive challenges and participant engagement in system-wide improvements.
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How does a system think and act as one? • Leading Large Scale Change • Susan Shaw • Chiquita Hansen • April 10 2014 @drsusanshaw @hansenchiquita
Conflicts of Interest #d2 • None to declare @drsusanshaw
Why are you here? #d2 • Patients deserve safe, harm-free care that meets their needs • System needs to be sustainable: • Value: the relationship between quality and cost @drsusanshaw
Why are we here? #d2 • Chiquita: RN from New Zealand with a focus on primary care transformation • Susan: ICU doctor from Canada who works to generate system change @drsusanshaw
Shared purpose #d2 @drsusanshaw
Leading large scale change @drsusanshaw
Engagement for Mobilization #d2 • Energy for Change @drsusanshaw
Energy for Change #d2 @drsusanshaw
Leadership #d2 • Transformational leaders • a different way of working requires a different set of skills, behaviours and attitudes @drsusanshaw
Leadership • - Clinical governance • - Clinical networks • - Productives • - Collaborative clinical pathways • - Transformational Leadership Programme The Bridge of Aspiration @drsusanshaw
Transformational Leadership Programme (For Us By Us) #d2 • - 11 programmes over 4 years • - 220 participants across sector/levels/professions • - 3 two-day modules (You/Teams/Improvement) • - Adaptive challenge • - 4 coaching sessions • - Participant satisfaction • 95% content • 98% working in groups @drsusanshaw
Success! #d2 6 months ago 6 months ago @drsusanshaw
Success! • Here is a referral from Dr xx which I think should have been dealt with in primary care. I have now arranged for the poor pt with suspected DVT to be scanned at Broadway this afternoon. Dr xx is a repeat offender with this. I have tried to phone and speak to her but they are closed for lunch (!!!!!) nice lifePlease can you pass on the message? • The community pathway is sooooooooooooooooooooooooooo much better for the patient than coming to ED it should be a no-brainerED Director and ConsultantMidCentral HealthPalmerston North @drsusanshaw
Success! #d2 @drsusanshaw
The Why and The How #d2 • Ki mai ki ahau, he aha te mea nui o tenei ao • Maaku e ki atu • He tangata, he tangata, he tangata • If you ask me what is the most important thing in the world, my reply is this, • It is people, it is people, it is people.