leadership and self-deception getting out of the box
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Leadership and Self-Deception Getting out of the Box
Partnership for Patients Thursday, May 1, 2014
Dennis Wagner and Dr. Paul McGannCo-Directors, Partnership for Patients
U.S. Department of Health & Human Services CMS Center for Medicare & Medicaid Innovation
Thank You• For the hard work you are doing to improve
our nation’s healthcare system. • For your active commitment to improve the
care of patients and clients. • For your leadership and history of
commitment and success on health care improvement, innovation and spread.
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Questions To Run On
• How does a limited mindset unknowingly sabotage our effectiveness?
• What are some of Georgia Hospital Association “Out of the Box” hospitals?
• What can each of us do “Out of the Box” to further ramp up urgency, action and results in this final year?
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• Keeps us from connecting with others
• Keeps us from getting results that exceed our immediate reach
• Keeps us focusing on ourselves and “justifying” our behaviors, even when deep down we know better
Natural Mindset of “The Box”
• Blaming Others• Critiquing Others• Trying to Change Others
This mindset:• Isolates us from people• Generates resistance from people
How We Deal With Being “In The Box”
• Choosing to Focus on Others…as People• Choosing to Focus on Aims & Results…not Ourselves• Choosing to Honor Our Sense of Humanity, Rather
Than Betraying It– In traffic– Sitting in an airplane as it is filling with people– In our work– In life
• Choosing to Be Open to Resets
Alternatives to Being in the Box
The Most Powerful Model:Choosing How We Respond to the World
• Embracing Work on All Harms• Embracing EEDs• Embracing Marilyn’s Request for Network-wide
Results by August, 2012• Embracing Patient & Family Engagement• Embracing “Harm Across the Board” as the New
Normal• Embracing LEAPT as an Extraordinarily Rapid Cycle
Initiative with Accountability for Results
Evolving to a State of Constant “Reset” Choices: “Embracing” v. Resisting
“Be Kind, for Everyone You Meet is Engaged in a Great Battle”
Philo of Alexandria
Our Requests:• Focus on People• Focus on the 40-20 Aims – Holding the Line• Focus on & Embrace Resets As “The Way We Roll”• Focus on Improving Where We Need to Improve
– Harm Across the Board; Safety Across the Board– All 3 ADE Priority Areas– Pressure Ulcers
“You Move Toward What You Focus On”-- Doug Krug
GHA “Out of the Box” Hospitals
Sepsis C-diff Procedural Harm
Failure to Rescue
Culture of Worker Safety
Atlanta Medical Center x xChatuge Regional Hospital x xCrisp Regional Medical Center x x DeKalb Medical Center x *x
Doctors Specialty Hospital (Doctors Hospital of Columbus) x x
Effingham Health System x x Floyd Medical Center *x x Habersham Medical Center x *xMidtown Medical Center (The Medical Center) x x Newton Medical Center x x Northside Medical Hospital (Hughston Hospital) x x South Georgia Medical Center x x Spalding Regional Medical Center x *x St. Mary's Healthcare System x *x Ty Cobb Regional Medical Center x *x Union General Hospital x x University Hospital *x x * indicates Lead Hospital for Topic Area.
“Out of the Box” Prescription for Results
Name: Georgia Hospital Association Commit to focus on people, 40/20
Aims, and “resets” as a way of doing business
Lead on improving where we need to improve
Re-engage top leaders and middle management in your hospital
Ramp up work in areas that need further attention – like CAUTI and ADEs, and Pressure Ulcers
Sustain GHA’s national leadership in the Partnership
Date: May 1, 2014 Make Patients and Families an
integral part of your safety program
Address Disparities in Harm & Readmissions
Support others in this work
Achieving a 20% Reduction in 30-Day Readmissions and a 40% Reduction in Hospital Acquired Conditions
Questions To Run On
• How does a limited mindset unknowingly sabotage our effectiveness?
• What are some of Georgia Hospital Association “Out of the Box” hospitals?
• What can each of us do “Out of the Box” to further ramp up urgency, action and results in this final year?
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