How Oklahoma Healthcare Leaders Can Create a Better Future for Their Communities Oklahoma Hospital Association November 2, 2017 Presented by Tom Atchison
How Oklahoma Healthcare Leaders Can Create a Better Future for Their
Communities
Oklahoma Hospital AssociationNovember 2, 2017
Presented by
Tom Atchison
CORPORATE
TANGIBLES
PERSONAL
INTANGIBILES
CORPORATE
INTANGIBLES
INPUTS • Management• Cash
• People
• Policy/Procedures
• Strategy
• Plant
• Information Systems
• Communications
• Meaning• Caring
• Giving
• Leadership• Mission
• Values
• Vision
• Inspiration
• Talent
• Recognition
• Motivation
OUTPUTS • Profit
• Market Share
• Customer Satisfaction
• Growth
• Metrics
• Quality
• Commitment
• Joy
• Pride
• PURPOSE
• Culture• Followers
• Commitment
• Job Satisfaction
• Team Spirit
• Trust
• Quality
Remember—The best healthcare models for Oklahoma communities are a Balance between theTangibles and the Intangibles—
Connected (Sustained) by Purpose.*
*Mark Twain: “The two most important days in your life—the day you were born and the day you find out why.”
Mission Defines The Organization’s Purpose
•Mission Statement—Oklahoma Hospital Association
“To promote the welfare of the public by representing its members and advocating on their behalf, providing services to assist its members in meeting the health care needs of their communities, educating the public and providers on health policy and issues, and promoting quality health care for Oklahomans.”
Leadership is THE Critical Success Factor
•Not a title but an earned connection between leaders and followers—Turn Around, is Anyone There???
•To Lead is to Serve
•Leadership equals Relationships
“Leaders have trusting followers with
aligned values who commit to
achieving a vision”
-Tom Atchison
Leadership - Definition
Leadership Management
Leadership/Management
Leaders lay the track.
Managers make sure the trains run on time.
Leaders are thermostats.
Managers are thermometers.
Leaders are gyroscopes
Managers are compasses
Professional--Manager--Leader
Control-----------------------------------------------Influence
Technical Management Leadership
Organizational DynamicsExecutives---Physicians
Decision Process
Influence---------------------------------Control
Perception of Time
Long Range--------------------------------Now
Sense of Self
Part of a Team---Protection of Individual Prerogative
Locus of Control
Corporate Strategy-------------------Practice Needs
First Loyalty
To the Corporation-----------------------To the Patient
Leadership—Management
Inspires Predictable
Influence Control
Listens Talks
Vision Focus Tactics Focus
Manages change Reacts
Minutes (1440) Money
Relationships Plans
People Policies
Question: Are your meetings
Leadership Advances…?
or—
Management Retreats…?
Leadership-Quick Test
1. I am aware of the way I am perceived by various groups.
2. I have complete control over my calendar.
3. I invest two-thirds of my time to relationship improvement.
Leadership-Test
4. I invest more time in the future than the present or the past.
5. I know the capabilities and capacity of the talent needed to be successful.
6. I am trusted throughout the organization.
7. Coaching and professional development are a big part of my daily work.
Leadership-Test
8. I am a servant leader.
9. I routinely listen for meaning before talking.
10. I deal with difficult behaviors, problems and conflicts quickly and effectively.
Mean score:___
Leaders Create a Vision of a Better Future
•Organizational Change is the process of moving from A to B, where B is better than A.
•A=the current situation
•B is the desirable future state, i.e., The Vision
Vision - Definition
• Visions are statements of destination, so, they are forward-looking.
• Visions are conceptualizations of hopes for the future.
• Visions express a sense of the possible (not the probable).
• Visions are unique, they set you apart from everyone else.
• Visions are your THE.
Visions are the------Transcendent Purpose
Measurable
Directional
Inspirational
INDIVIDUAL PERFORMANCE
TACTICS
STRATEGY
VISION
Vision Quick Test:
1. Our vision describes the possible—not the most likely.
2. Everyone knows their role in vision achievement.
3. The Board agenda always includes a discussion of the vision achievement metrics.
4. Our vision drives our strategic and tactical objectives.
5. Physician leadership (eg, department chiefs and informal leaders) were involved in the development of the vision
Vision Quick Test
6. We have a comprehensive communication plan for our staff and community.
7. Our staff development programs train the skills necessary to accomplish personal and departmental vision-focused goals.
8. The board, executive team and physician leaders “refine” the vision once a year at an (off-site) leadership advance.
9. Our vision is short---less hat 12 words.
10. We have a slogan, based on our vision, that is very motivating.
Mean_____
What Can Go Wrong• Hubris—”Kodak”
• Fundamental Attribution Error(Weak Emotional Intelligence)
• Abilene Paradox
• Money as a Motivator
• Fear, Loss, Punishment as a Motivator
• Misunderstanding the 4 Fundamental Connections to Purpose—slide
• No Trust—No Sustainable Change—slide
• Investing in the wrong people/behaviors
• Habit
4 Fundamental Connections to Purpose
1. I am valued.
2. I am very clear about my role and responsibilities.
3. I have a strong social network. (discuss friendship, trust, role clarity and respect).
4. I have a future and potential for growth.
Trust – Definition: The Benefit of the Doubt
• Trust is the perception of honesty, openness and reliability/ dependability.
• Trust increases in direct relationship to the frequency of meaningful interactions.*
• Trust takes a long time to develop and can be weakened or broken easily.
• Trust is the lubricant needed to ease tensions• Trust is the glue that holds teams together• There is NO relationship between being trusted and
being likedThink minutes and active listening
Trust-Quick Test
1. I am approachable when others have a concern or issue.
2. I encourage honesty and open communication to flow from any direction.
3. I listen non-judgmentally regardless of whether the information is good or bad.
Trust
4. I behave consistently.
5. I show interest and concern for others regardless of their position or power.
6. I meet frequently with those individuals most critical to the achievement of our Mission.
7. I make hard decisions about ineffective people, processes and programs.
Trust
8. I show genuine regard for others’ knowledge, contributions and experience.
9. I keep my promises.
10. I explain decisions non defensively.
Mean score:___
Things Learned….
Applications to my role….
Questions????
References
Basic: Good to Great, Jim Collins
Emotional Intelligence 2.0, Bradberry, Travis and Greaves, Jean
Inside the Physician’s Mind, Joe Bujak, MD
The Checklist Manifesto, Atul Gawande, MD, and Being Mortal
The Patient comes Second. Britt Barret, PhD
Intermediate: How the Mighty Fall, Jim Collins
Active Listening, Michael Hoppe
Onward, Howard Schultz
Leadership’s Deeper Dimensions, Tom Atchison
Why Pride Matters More than Money, Katzenbach, Jon
Advanced: Great by Choice, Jim Collins
The Speed of Trust, Steve Covey, Jr
Let My People Go Surfing, Yvon Chouinard
Emotional Intelligence, Daniel Goldman
The Zappos Miracle, Shinobu Ishizuka
*Escape Fire--video