Leadership in the New Health Care World of Leadership in the New Health Care World of Local Health Integration Networks Local Health Integration Networks Carol Annett, VHA Home HealthCare National Healthcare Leadership Conference 2007 c1
Leadership in the New Health Care World of Leadership in the New Health Care World of
Local Health Integration NetworksLocal Health Integration Networks
Carol Annett, VHA Home HealthCare
National Healthcare Leadership Conference 2007
c1
Slide 1
c1 cannett, 10/31/2006
LHIN CONTEXT
• “Made in Ontario” form of regionalization
• What’s New?
– Legislation
– Funder
– Relationships
– Expectations and accountabilities
– Emphasis on local integration and
horizontal initiatives
HOME CARE CONTEXTHOME CARE CONTEXT
• Managed competition
• Consolidation – of buyers and providers
• Acuity and complexity of clients
• No control over work environment
• Undervalued component of health care system
ORGANIZATION CONTEXTORGANIZATION CONTEXT
• VHA Home HealthCare > 80 years in service
• accredited not for profit home care provider of nursing, personal support and homemaking services
• > 1,200 staff provide complex care & simple comforts to > 15,000 each year across the GTA & in south western Ontario
• United Way member agency – offering a variety of community support services
CHALLENGES CHALLENGES • Unrelenting crush of change
• Changing demographics
• Chronic disease management
• Access and wait times
• Shortages of talent
• Diversity in the workforce
• New technology
• Quality/Safety/Performance Improvement
• New organizational structures/ systems/models of
service delivery
• Turbulent and competitive environment
• Stakeholder skepticism/cynicism
WIZARD OF OZ ANALOGYWIZARD OF OZ ANALOGY
“…there’s no place like home!”
• Scarecrow – brain
• Lion – courage
• Tin Woodsman – heart
• Dorothy
BRAIN
• IQ – Conceptual Thinking
• Emotional Intelligence
• Executive Intelligence
• Systems Thinking
EMOTIONAL INTELIGENCEEMOTIONAL INTELIGENCE
effectiveness in leading change
persuasiveness
expertise in building and leading teams
Social Skills
expertise in building and retaining talent
cross-cultural sensitivity
service to client and customers
Empathy
strong drive to achieve
optimism, even in the face of failure
organizational commitment
Motivation
trustworthiness and integrity
comfort with ambiguity
openness to change
Self-regulation
self-confidence
realistic self-assessment
self-deprecating sense of humour
Self-awareness
HallmarksHallmarksComponentsComponents
EXECUTIVE INTELLIGENCEEXECUTIVE INTELLIGENCE ––Justin MenkesJustin Menkes
• Aptitude for executive work is determined by
a certain set of cognitive skills
• Testing tool used by largest US executive
search firm, Spencer Stewart
• Focuses on 3 areas:
– accomplishing tasks;
– working with other people; and
– a critical view of self
SYSTEMS THINKINGSYSTEMS THINKING
• Wave vs. Ocean Mentality
• Systems architects
COURAGE COURAGE
• Challenge the status quo
• Draw out and deal with conflict
• Take risks
• Learn from failures
• Instill courage in others to follow
• Lead change
““ItIt’’s not the strongest of the species that s not the strongest of the species that
survives nor the most intelligent but the survives nor the most intelligent but the
one most responsive to changeone most responsive to change””
Charles Darwin
LEADING CHANGELEADING CHANGE
• Change leadership/organizational
transformation must become a core
competency
• Starfield Consulting study on successful
cross-boundary change initiatives in the
government and health care sectors
(Sharon King and Larry Peterson –
www.starfield.ca)
KEY FINDINGSKEY FINDINGS
• Effective Leaders Command and Let
Go of Control
• Effective Engagement is an Absolute
Imperative
• Leaders Proactively Create
Environments that Foster Change
SUCCESSFUL LEADERS SUCCESSFUL LEADERS
FOCUSED ONFOCUSED ON……
• Strategically building momentum – to
get results
• Creating and keeping alive a shared
vision
• Nurturing collaboration and initiative
CRITICAL SUCCESS FACTORS CRITICAL SUCCESS FACTORS
FOR CHANGEFOR CHANGE
HEART HEART
Outstanding leaders appeal to the hearts of their followers – not their minds.”
Author Unknown
• Passion and compassion
• Mission driven
• Relationship builder/interpersonal skills
DOROTHYDOROTHY
• Professional will + humility
• Strong communication skills
• Ability to harness diversity
““WEWE’’RE NOT IN KANSAS RE NOT IN KANSAS
ANYMORE TOTO!ANYMORE TOTO!””
• New world – new culture – new ways
• Competencies can be learned
• Need to recognize, celebrate and
encourage leadership at all levels