101816PLIWebinar2 - ctileadership.com · Our mission is to accelerate the clinical transformation through ... (Kotter) Cohor t PLI ... Steps to Success Checklist

10/18/2016

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Copyright © 2016 AHA Solutions – 155 North Wacker Drive, Suite 400, Chicago, IL 60606 | [email protected] | 800.242.4677

AHA Solutions Signature Learning Series™ events are exclusive offered to hospital personnel. There is no charge to attend.

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TitleSubtitle

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Roadmap to Clinical Transformation with Tools for Engagement

A Guide to Engaging Physicians, Administrators, Nurses and More

Tuesday, October 18, 2016

The audio to this webinar will be streaming through your computer, please make sure the speakers are turned on.

If you prefer to access the audio portion via phone, please dial: 1.866.710.0179 when prompted by the operator, give the Passcode: 36549

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Agenda Slide

Introduction by Felicia Bloom, AHA Solutions

Roadmap to Clinical Transformation with Tools for EngagementA Guide to Engaging Physicians, Administrators, Nurses and More

Mo Kasti, CEO and Founder, CTI Physician Leadership Institute

Question and Answer Session

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A division of Health Forum, the strategic business enterprise of the American Hospital Association(AHA), AHA Solutions is actively focused on improving the operational performance of our nation’s hospitals and care systems. AHA Solutions is dedicated to serving member hospitals by helping them identify the optimal solutions to their most pressing market challenges by providing field leadership, education and research.

AHA SOLUTIONS – WE KNOW HOSPITALS.

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ABOUT THIS WEBINAR

This educational event has been developed by AHA Solutions together with CTI Physician Leadership Institute. We thank this organization for its willingness to share its expertise.

Physician Leadership Training and Development Services from CTI Physician Leadership Institute have earned the exclusive Endorsement of The American Hospital Association.

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Educational Credits

This webinar has been approved for 1.0 recertification credit hours toward CHHR recertification through the American Society for Healthcare Human Resources Administration (ASHHRA) and HR Certification Institute.

The use of this seal is not an endorsement by the HR Certification Institute of the quality of the activity. It means that this activity has met the HR Certification Institute’s criteria to be pre-approved for recertification credit.

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Mo Kasti Bio

A leader in healthcare transformation with more than 25 years of experience, Mo Kasti works with hundreds of healthcare executives and organizations to transform their cultures, develop strategy, and develop leaders.

Author of “Physician Leadership: The Rx for Healthcare Transformation,” as well as dozens of articles, Mo is a sought-after speaker on strategy, leadership development, innovation, cultural transformation, and effective process improvement.

Mo has faculty appointments in the USF College of Medicine, College of Nursing, College of Engineering, Business School, Honor College, and College of Pharmacy. He has received numerous awards for outstanding performance in management, as a coach, and as a trainer.

Mo Kasti

CEO and Founder

CTI’s Physician Leadership Institute

[email protected]

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Roadmap to Clinical Transformation with

Processes and Tools for Engagement

A Step-by-Step Guide to Engaging Teams of Physicians, Administrators, Nurses and More

Mo Kasti

CEO and FounderCTI Physician Leadership Institute © CTI Physician Leadership Institute

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© CTI Physician Leadership Institute

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Engagement Begins and Ends with YOU

Engagement is Intentional and Follows a Map

Engagement is Courageous Leadership Act at Every Level


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The CTI Physician Leadership Institute

• National Clinical Leadership and Talent Development

• Strategy Development

• Physician + Executive Coaching

• Leadership Fellowships, Academies, Board & MEC Retreats

Exclusively Endorsed by AHA

Our mission is to accelerate the clinical transformation through leadership, strategy, and innovation.


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Medicine

…everything changes

Leadership

© CTI Physician Leadership Institut

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Healthcare is finally going through its Transformation

(2nd Curve)

Yesterday Today Future

Craft Age

Industrial +Information Age

Healthcare Transformation

Service,ManufacturingTransformation

Craft Age

Industrial Age

Information Age

Value

• Leadership (Physician)• Strategy• Patient Centricity• Innovation• Engagement

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Requiring a Higher Level ofAlignment and Engagement


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50%49%

10%© CTI Physician Leadership Institute

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What is Engagement?

Emotional Connection and Commitment © CTI Physician Leadership Institute

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Alignment versus Engagement

Alignment Engagement

Shared purpose, vision, goals, strategic and operational priorities

Fully here and energized to the point that one is willing and able to give discretionary effort


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Imagine….

Imagine a world of healthcare where every

team member is engaged and contributing

their full intellectual capacity. A world where

every member is happier because they feel

listened to – a world where everyone sees

themselves as an active team member and a

collaborative leader.© CTI Physician Leadership Institute

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Engagement is A Leadership + Linguistic Act

Leader

SituationLed


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Human Doing

Typical Management Approach


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Human Being

High Performing Leadership Approach

Human Doing


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SEE and LEAD SELF before

you try to SEE and LEAD others.

Compelling character is more persuasive then perfect logic


Do you want our legacy to be “CLINICIAN”

“ADMINSTRATOR”

Or We have a Professional Mandate

to be also a TRANSFORMATIONAL LEADER? © CTI Physician Leadership Institute

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“Engagement Starts With YOU!”

MOJO NOJO

NOJO

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“People will forget what you said, people will forget what you did, but people will never forget how you made them feel.”

—Maya Angelou

Uncommon Compassion

MOJO

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CTI Engagement Road Map™3. Engage a Coalition

4. Influence

5. Anchor in the Culture

1. Map Terrain

2. Align to Relevant Purpose

Desired State

Current State


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Engagement Road Map™


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Map the Terrain

Desired State

Current State

1. Map Terrain


3. Engage a Coalition

4. Influence



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Map Terrain – Assess Engagement Level

Disengaged ResistorsNO!

20%

Actively EngagedGO!

20%

Neutral Silent

Majority

60%


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DisengagedResistorsNO!

20%

Actively EngagedGO!

Neutral Silent

Majority

30% 30%

80% Leader Focus

20%



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DisengagedResistorsNO!

20%

Actively EngagedGO!

Neutral Silent

Majority

30% 30%

80% Leader Focus

20%



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80% Leader Focus

30%

Disengaged Resistors NO!

20%

Actively EngagedGO!

Silent Majority

30%

20% Leader Focus

20%



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Sepsis Engagement Map


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Align to a Relevant Purpose

Desired State

Current State


1. Map Terrain


4. Influence



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Results

Behaviors/Actions

Commitments

Conversations

Care

Domains of Concerns, Hidden Assumptions

TRUST


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A Test – Reduce HAI with Hand Washing

1. Hand hygiene prevents you from catching diseases.

2. Hand hygiene prevents patients from catching diseases.

3. Gel in , Wash out

Grant and David Hofmann of the University of North Carolina at Chapel Hill© CTI Physician Leadership Institute

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What do you see?

Business

Life

HC

Specialty

ClinicDO

BE

KNOW

CoreBeliefsThoughtsFeelings

Concerns


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Major Sources of Disengagement• The environment is extremely

complex

• Less time, more patients, more documentation

• I have less autonomy

• I am reaching burnout point

• I am already patient centric and quality focused

• Too many barriers, hassle factor increasing

• I am helpless

• Everyone asking me for something© CTI Physician Leadership Institute

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Leadership = Relationships Are you requesting or offering?


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Which is more effective?

We need to improve

Sepsis bundle compliance

Request 1:

Saving Lives

by successfully adopting and

implementing Sepsis Bundle

Offer 2:

I know you care about…


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Engage a Coalition

Desired State

Current State



4. Influence

1. Map Terrain


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Engage a Coalition (Kotter)

Cohort

PLI Project

Team


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However Clinician ShyAway from Leadership

• Physician Education

• Skepticism about leadership/administration (the dark side)

• Not their core competencies or area of comfort (Mastery) –Different Side of the Brain


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You have to develop them –Engagement is a muscle


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Develop Your Leaders = Engagement

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• Lead with Purpose • Lead Self then Lead Others

Collaboratively• Resilience • Deal and Lead Change • Active Listening and Having the

Difficult Courageous Conversation

• Engaging Others• Bringing out the Best Instinct in

Others• Strategy • Execution

Engagement is a Muscle © CTI Physician Leadership Institute

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Uncommon Strategy: Engage the Engaged!!!

StakeholdersEngagement

Position

Name

ED DOC (C5)Strongly Disengaged (Disruptive)

Hospitalist (2) Disengaged

ED Director (4) Disengaged

ED Nurse (5) Neutral

Chair (5) Neutral

ICU Team Neutral

Hospitalist Actively Engaged

CMOActively Engaged

Highly Engaged

Late Adopters

Neutral

Timeline of Change

Transition from: • I to WE• My Plan to OUR Plans• My idea to OUR ideas• I do it all to I need your help


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Influence

Desired State

Current State



1. Map Terrain


4. Influence


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“The greatest problem with communication is the illusion that it’s being

accomplished.”

‐ George Bernard Shaw

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Influence through Clarity and Hyper Communication

Picture

The vision

I BELIEVE..

Purpose

Why it matters (from their perspective)

Because I KNOW YOU CARE ABOUT

Plan

How will we get there?

Part to Play

Key Actions, Behaviors or

Commitment they need to engage in?

I CARE ABOUT YOU…

Use of language from change to shift


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Example4P Example

Picture “ I believe (I am committed) we could be the best and safest place for patients and best place to practice”

Purpose I know you care about:• Saving Lives• Reducing LOS• Improving Quality Outcomes • Reducing Liability• Giving Input

Plan “We’ve identified sepsis bundle that helped other physicians and organizations achieve this goal and we want to share this bundle with your department,…”

Place I care about you and the team. “I’d like your team’s help to learn about the bundle. Can I schedule time with you and your team to discuss?”


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The Pike Syndrome


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Influential Actions

The D’s of Influence

• Demonstration – Seeing examples of a successful outcome

• Data – Compelling facts and figures that illustrate the need

• Demand – A mandate from someone in a position of authority

• Destroy- Remove Hassle Factors


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Schramm GE Crit Care Med 2011 Vol. 39, No. 2

Sepsis Influence Actions ‐ DATA


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Compact Example

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Engagement is a leadership act and it starts with you.

Engagement is contextual and requires a strategy

Understand the Current Terrain and levels of engagement.. “Engagement is not one size fits all”

Align the change to a shared purpose

Build a coalition by engaging the engaged

Develop your natural leaders (Engagement is a muscle)

Hyper communicate the Why (4P)

Address the underlying concerns, motivations, and reasons for dis-engagement

Model the way and anchor in the culture

Engagement Steps to Success Checklist


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John Quincy Adams

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Contact InformationMo Kasti

Founder & CEO

3802 Spectrum Blvd.

Suite 116

Tampa, FL 33612

813-333-1401

[email protected]

www.ctileadership.com

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To submit a question, please type your question on the left-hand side of your presentation screen.

WE INVITE YOUR QUESTIONS!

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Contact Information

Mo KastiCEO and Founder CTI Physician Leadership [email protected]

Felicia BloomAccount ManagerAHA [email protected]

For more information on AHA Solutions or CTI Physician Leadership Institute, please visit www.aha-solutions.org

Follow us!

#AHASealServes

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Frontline Staff Engagement Drives a System-Wide Quality Improvement ProcessFeaturing a Case Study by Baptist HealthWednesday, October 19, noon – 1 pm Central

Building a Patient and Employee Safety HRO ProgramCase Study of SCL Health’s ‘One Safety Program’ Thursday, October 20, noon – 1 pm Central

Impacts of Lease Accounting Changes on Your Health Care OrganizationFeaturing Hospital Equipment Leasing and Financing Case Studies Friday, October 21, noon – 1 pm Central

To learn more or to register

Call 1.800.242.4677or visitwww.aha-solutions.org

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Additional Resource from the AHA

Health Career Center™ is brought to you by the American Hospital Association to connect healthcare employers and top talent in all disciplines through its online job board network.

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Join us in Chicago this October!

Register Now at www.hhnmag.com/executiveforum

Speakers will include:

Copyright © 2016 AHA Solutions – 155 North Wacker Drive, Suite 400, Chicago, IL 60606 | [email protected] | 800.242.4677

AHA Solutions Signature Learning Series™ events are exclusive offered to hospital personnel. There is no charge to attend.

Facebook.com/AHASolutions LinkedIn.com/company/AHA-SolutionsTwitter.com/aha_solutions

THANK YOU!

AHA Solutions values your participation and interest in our Signature Learning Series™ events.

For further information on other educational events and our endorsed products, please visit www.aha-solutions.org

Documents

101816PLIWebinar2 - ctileadership.com · Our mission is to accelerate the clinical transformation through ... (Kotter) Cohor t PLI ... Steps to Success Checklist