An overview of the Shared Governance structure at Lutheran “I AM Shared Governance”

An overview of the Shared Governance structure at Lutheran

“I AM Shared Governance”

Today we will answer:

• What is Shared Governance?

• How do my patients and I benefit from Shared Governance?

• What are Unit/Department Based Councils and Hospital-Wide Councils?

• How can I help Shared Governance work on my unit?

What is Shared Governance?

Shared Governance is shared decision making based on the

principles of partnership, equity, accountability and ownership at

the point of service.

All Professions have Accountabilities

• Practice

• Quality

• Education/Competence

• Research

• Management of resources

Clinical Accountability

• Defining practice

• Managing quality

• Assuring competence

Management Accountability

• Fiscal

• Human Resources

• Material Resources

• Systems Support

Why did Lutheran start Shared Governance?

• Compliments current structure

• Safe, fair and just culture

• Staff ownership in clinical and operational outcomes

How do my patients and I benefit from Shared Governance?

• Avenue to make changes

• Decisions made by bedside clinicians

• Fosters healthy work environment

• Improves employee satisfaction, patient outcomes and employee turnover

Directors & Managers

Clinical Decisions Implemented Here

The Evolution of Clinical Decision Making

Senior Leadership

Decisions Made Here

Clinical Mangers

Frontline Clinical and Nursing Staff

The Evolution of Clinical Decision Making

Decision

Action

Outcome

Clinical Staff Involved Here

This is Shared Governance

Decisions Made and

Implemented Collaboratively

Clinical Staff

What it is - What it isn’t

Shared Leadership Model

Partnering Relationships

Service Line Leadership Council

Opportunity/Improvement

Leaders/ Strategic

Collective Collaboration

Effective and Efficient

Ownership & Commitment

Traditional

Hierarchical Relationships

Bureaucratic Culture Boss/Manager/Subordinate

Problem Focused/Urgency/Crisis Competition/Silos

Entitlement

Compliance

Unit/Department Based Councils

• Made up of and led by frontline staff

• Clinical managers are mentors and guides

Unit/Department Based Councils

Unit/Dept.Based Council

Clinical Practice

Recruitment & Retention

Budgets & Management

Participatory/Self-Staffing

Quality and Improvements

Professional Development

Service Line Councils

• Cardiac• Neurology• Perioperative• Emergency Services• Oncology• Human Motion Institute (Ortho/Spine)• Medical Imaging• Behavioral Health• Long Term Care• Center for Women and Infants

Hospital-Wide Councils

Hospital Wide Councils

• Professional Nursing Practice Council

• Clinical Practice Council

• Education Council

• Advanced Practice Council

• Clinical Managers Council

• Service Line Coordinating Council

• Quality Improvement Council

Relationship with Medical Staff

• Critical to success

• Represented on Shared Governance Councils including Service Line Councils

How do my patients and I benefit from Shared Governance?

Decision Rights

Accountability

AutonomyAuthority

How Can I Contribute to My Unit/Dept. Based Council or other Committees?

Clinical Staff Involved Here

Decision

Outcome

Action

How can I help make Shared Governance work on my unit?

• Engage

• Commit

• Collaborate

• Deliver

• Encourage

FAQs

• Is this just one more “plan” that I can count on going away in 6 months?

• Will Clinical Managers go away?

• How do we know this will work?

Questions???

Contact Information