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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