Patient Safety and Accountable Care Patient Safety and Accountable Care Begins With Personal AccountabilityBegins With Personal Accountability
8/17/11 8/17/11 –– Mini Summit 7 Mini Summit 7 –– 4:15 pm4:15 pm
Patient Safety
Accountable Care OrganizationAccountable CarePersonal AccountabilityOrganizational Accountability
ACCOUNTABILITY It’s Personal
LEGALLEGALACCOUNTABILITYACCOUNTABILITY
(transactional)
PERSONAL PERSONAL ACCOUNTABILITYACCOUNTABILITY(transformational)
What is non-negotiable?What must I know?
What will I be held to account for?How often does it change?
How will I keep up?
How much is up to me?How much is up to outside
conditions?What am I accountable for?
When will I keep up?
Keep going, and don't look over your
shoulder. . .
Something may be Something may be gaining on you!!!gaining on you!!!
High-performance Accountability
I am responsible, self-empowered and accountable for understanding the role, the task, the final deliverable, and the due dates. It is up to me to be clear and successful in my role. If obstacles or conflicting priorities arise, it is still up to me to gain focus and create greater effectiveness. (Mindset)
No fault, no blame, no guilt.No fault, no blame, no guilt.
Personal Responsibility
A “before the factbefore the fact” mindset of personal ownership and commitment to a result.
Thought / Before
100/0 80/20 50/50 ?
Self-empowerment
To take action and risk to ensure the achievement of the result.
Action / During
Empowerment Requires Risk
Empowerment is Not AuthorityEmpowerment is Not Authority
Control Stifles Empowerment
Negotiable
Non-negotiable
Personal Accountability
A personal willingness “after the fact” to answer for outcomes produced.
Evaluate / After
No fault, no blame, no guilt.
The List
Talk TOTO Not ABOUTABOUT
1 = Poor 5 = Excellent
_____ Talk to, not about_____ No meeting-after-the-meeting_____ Use Clear Agreements_____ Meeting Agenda clarity_____ Clear roles and authority_____ Leadership sets and agrees on priorities
(alignment, communication and trust)_____ Accountability is a learning tool; looking
back to go forward (worksheet)
_____ Definition of success is clear along with what the goal is
_____ No “rescue, fix, and save”_____ Hold self and others accountable_____ Conflict competent_____ Cultural competence and mutual
respect_____ Transparent
CLEAR AGREEMENTS
Imaging Shows Relevant Information
http://neuroinformatics.mitre.org/images/front_image.jpg
What we believe, the way we think, leads to the decisions we make. Those decisions in turn lead to actions and those actions then produce our outcomes.
BelieveThoughts Decisions Behaviors
Actions Outcomes
“Individuals carry their success or failure with them; it does not depend on outside conditions.”
—Ralph Waldo Trine
If you had 0-100% on a scale, how how much is up to you much is up to you and how much is and how much is outside conditionsoutside conditions? 0% 100%
85/15
50/5075/25
60/40
100/055/45
70/30
I’m afraid of this surgeon.
Those financials were sure scary. I’ve got to get volumes up!
My feet hurt.
I’m keeping count. We’reon it.
I feel a lot more confident now
that I know what this surgeon
expects.
This is where I want to be - great skills everyone!
Important Points
My role:What is expected of me?How I am accountable for the expectations?Feedback
Looking Back to Go Forward
What went wrong?
What I learned:
What I had to do to fix the problem:
What I will do differently next time:
BABYSITTER UNIVERSITY
NO!NO!