Strengths Based Leadership Approach to Building

Patient-Centered Medical Home Teams

Angela MitchellExecutive Master of Public Administration

CapstonePortland State University

June 2013

Topics Covered Today…

• Health care reform • Patient-Centered Medical Home teams• Strengths Based Leadership • Research Methodology & Design• Conclusions & Implications• Recommendations

Brief Background• The United States spends $2 trillion annually on

healthcare, more than any other industrialized nation

• 2010, Affordable Care Act (ACA) was signed by President Obama

• Over the next four years 50.7 million Americans will be eligible for insurance – 140,000 in Oregon

• As a result, Providence Medical Group is transforming into a Patient-Centered Medical Home

Not Just Checking off Boxes…Means a Culture Change

physician centered to team-based model

Patient-Centered Medical HomeAchieves Triple Aim

Research Questions 1. Does having an understanding of individual

and team members’ leadership strengths improve team development?

2. Will team members find the Strengths Based Leadership training useful to their role and their team?

Methodology• Interviewed with Director, Manager and 3

Change Coaches• Organizational Development Analysis using CAP– Found a GAP in team building

• Developed Training Curriculum• Experimented on 4 clinics• TDM measure & Team Evaluation Questionnaire used to test

Organizational Development Analysis

GAP FOUND

Developed & Applied Training Curriculum

Experiment 2 Clinics received

Strengths Based Leadership trainingHappy Valley

North Portland

2 Clinics did not receive the training

Glisan

Mercantile

Conclusions & ImplicationsResearch Question 1

North Portland TDMMean Score

Stage of Team Development

Team A 62 Stage 4Team B 65 Stage 5Team C 64 Stage 5

Happy Valley TDMMean Score

Stage of Team Development

Team A 56 Stage 3Team B 55 Stage 3

Mercantile TDMMean Score

Stage of Team Development

Team A 59 Stage 4Team B 62 Stage 4

Glisan TDMMean Score

Stage of Team Development

Team A 40 Stage 1

Teams who received the Strengths Based Leadership training

Teams who did not received the Strengths Based Team training

Research Question 2

Satisfied Objectives Activities Recommend Useful 2 Role

Own Strength Understanding

Team Strength Understanding

Team Develop

4.09 4.03 4.09 4.14 4.14 4.17 4.31 4.23

Physicians/PA/NP Medical Assistants/CCC Patient Relations Reps

4.04 4.04 4.25

Average scores for 35 team members who received the training

Recommendations

Questions?