Building a Culture of Health Through Change Leaders: The Clinical Scholars Program A Robert Wood Johnson Foundation Advancing Change Leaders Program

Giselle Corbie-Smith & Claudia Fernandez

The serious challenges we face are rooted in problems to the very culture of health in the United States

Dr. Risa J. Lavizzo-Mourey President and CEO of the Robert Wood Johnson Foundation

Her call for change leadership is to “engage sectors beyond health and health care, promote teamwork and collaboration, advance diversity and leverage technology to support robust networks and enhance mentoring.” --2015 President’s Message

change leadership – a concept from the business literature that focuses on initiating large-scale change, responding to urgent needs, actively tolerating risk, and seeking inspiration through collaboration

RWJF Culture of Health Leadership Teams Health Policy Research Scholars (HPRS): Johns Hopkins University, Baltimore, MD

Interdisciplinary Research Leaders (IRL): University of Minnesota, Minneapolis, MN

Natalie Burke Claudia Fernandez, DrPH Brian Smedley, PhD Giselle Corbie-Smith, MD, MSc

Culture of Health Leaders (CHL): National Collaborative for Health Equity, New Venture Fund, Washington, D.C.

Advancing Change Leaders—Clinical Scholars (ACL-CS): University of North Carolina at Chapel Hill, N.C.

Harolyn Belcher, MD, MHS

Jan K. Malcolm Thomas LaVeist, PhD J. Michael Oakes, PhD

A Wicked Problem

Economic realities driving policy decisions

Environmental and Housing justice

Public Health consequences

Medical sequelae

Each solution leads to unanticipated problems

Backdrop of historical and current inequalities

Requires change leadership to address wicked problems- threaten a Culture of Health

Wicked Problems Threaten a Culture of Health: A focus for Clinical Scholars

Clinically active providers including:

Who are Advancing Change Leadership Clinical Scholars?

-holding a terminal degree enabling practice or clinical licensure (MD, DO, DNS, DNP, DDS, DMD, DSW, PA, MSW, BSN, APRN, PsyD, AuD, RD, OTD/MSOT, PharmD, DPT, DVM)

Mid-career: 5 years+ out from terminal training

Primarily applying in inter-disciplinary teams of 2-5 (some individual slots available). Interdisciplinary is key!

Can be existing or newly formed team, can be co-located or not

Proposing a “Wicked Problem Impact Project”

Overarching Goals for training this cadre of leaders in creating a Culture of Health:

Understand how to appraise, synthesize, and use best evidence to guide practice and policy recommendations

Advocate for positive change within your teams, organizations, community, or in policy

Positively impact complex issues that create “Wicked Problems” around achieving a culture of health across the country, demonstrating effectiveness in project outcomes

Negotiate to create win/win outcomes for all stakeholders

Understand their leadership style and how to be increasingly effective in leading and managing others and working collaboratively and inter-professionally

Promote creative thinking, innovation, and thought diversity

Communicate effectively with both technical and non-technical stakeholders in multiple formats

Implementation Science Their project-focused learning presents a strong focus on

Impacting Wicked Problems affecting Culture of health

Leading Change

Understanding Others

Understanding Self

Creating a Culture of Health is a Classic Leadership Challenge

Curriculum Pedagogy:

Launch Session

Sept 2016

Onsite #2 April 2017 Onsite #4

April 2018 Onsite #3 Sept 2017

Onsite #7 Sept 2019

Onsite #5 Sept 2018

Onsite #6 April 2019

Team Leadership Skills for Addressing Wicked Problems

Technical Skills for Addressing Wicked Problems

Individual Leadership Skills for Addressing Wicked Problems

Systems-Level Skills for Addressing Wicked Problems

Participants developed as

individual leaders

Team Project Outcome: Impacting a Culture of Health

Participants developed as inter-professional leaders

Participants gain sophisticated and

diverse skills

Weave together complementary threads to create a net of skills that will improve leadership performance with teams and working on

Wicked Problems

Team-based ongoing learning

Advancing Change Leadership CS: Distance Learning System

Just in Time Asynchronous

Web-based learning

Group “Wicked Problem” Leadership Impact

Project

Team Project - based Peer

Facilitation Calls (“Peer Coaching”)

Mentoring: Internal and

External

Team Project

Consultation and Coaching with

Experts Synchronous Topic Specific

Webinars

Specialized Development Experiences (AH, CCPH)

Impacting Wicked

Problems in the Culture of

Health

Individual Development

Plan

O N S I T E

O N S I T E

Executive Coaching Sessions

Leadership Skills Self-Assessment

Individually-based ongoing learning

Program Readings

Topic specific Technical

Assistance Calls

Distance Education activities support and continue onsite learning for both individuals and groups

The Human Leadership

mirror:

Leadership Instruments: 360 feedback

CPI 260

MBTI I & II

EQi 2.0

FIRO-B

Change Style Indicator

On-going Executive Coaching

Individual Development Plan

Paper Planes Inc, Simulation

Simulation & Experiential Based Training

The FourSight Tool

The Organization Simulation Negotiation Experiential

Peer Coaching Experiential

Thomas Kilman Conflict

Managing Difficult Conversations, Simulation

Selling Change Experiential

Media Communication Experiential

Advancing Change Leadership CS: Onsite Program Insight Tools

Inter-Cultural Diversity and Conflict

Core Skills Organizational skills

The Advancing Change Leaders Clinical Scholars Program follows our evidence-based leadership development method

Pre-test Post-test

DOI: 10.1007/s10995-014-1573-1 MCHJ

N= 54 interdisciplinary clinical and health leaders

We have found similar results working with physicians, interprofessional leaders, and academic leaders with changes that are measurable at end of training, 6 months, and 1-3 years post training. These across the board statistically significant and clinically meaningful differences in skills are reflected in both skill level and use of skills for academic leaders.

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Program Partners

Timeline

DATE EVENT

February 22 Call for applications opens March 21 TODAY Webinar for prospective applicants to learn more March 30 12-1 pm EST

All program webinar

April 19 at 3 pm EST

Applications due

April 29- May 13 Applications reviewed May 23-June 24 Applicant interviews June 26- July 1 Selection meetings July 16 Finalists selected September 1 Program grants begin September 25 - 29 In-person program launch Princeton, NJ

http://clinical-scholars.org

http://clinical-scholars.org

http://www.rwjf.org/en/library/funding-opportunities/2016/clinical-scholars.html

Clinicians at the Leading Edge of Building a Culture of Health

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Advancing Change Leaders: 4 new programs to change the Culture of Health in the United States

Health Policy Research Scholars (HPRS): Johns Hopkins University

Interdisciplinary Research Leaders (IRL): University of Minnesota

Culture of Health Leaders (CHL): National Collaborative for Health Equity

Clinical Scholars (CS): University of North Carolina at Chapel Hill

Annual cohorts of 50 or more first- or second-year doctoral scholars in any eligible field from underrepresented or disadvantaged populations

Funding: $20,000/year for 4 years and competitive dissertation grant (up to $10,000)

Commitment: 4 years, with optional 5th year

Annual cohorts of 20 three-person research teams (two researchers from different disciplines + a community member or organization)

Funding: Annual stipend of $25,000/person and research grant of up to $125,000

Commitment: 3 years

Annual cohorts of 50 individuals who can be in established or emerging teams from diverse area such as education, transportation, technology, public health, public policy, business, health care, community development, urban planning, etc.

Funding: $20,000/yr/person & project support

Commitment: 3 years

Annual cohorts of 50 clinically active, inter-disciplinary teams, limited individual slots

Funding: $35,000 per team member unrestricted (for a team of 5 = $175,000/year or $525,000/3 years)

Commitment: 3 years

Apply at: http://clinical-scholars.org Contact us for more information: Melissa Green, MPH Deputy Director for Recruitment and Communications magreen@email.unc.edu 919-843-3304 or 919-445-0329 Other Advancing Change Leaders Programs:

Health Policy Research Scholars:

www.healthpolicyresearch-scholars.org RWJF_HPRS@JHU.edu

Culture of Health Leaders:

www.cultureofhealth-leaders.org info@cultureofhealth-leaders.org

Interdisciplinary Research Leaders:

www.interdisciplinaryresearch-leaders.org ResearchLeaders@umn.edu