catalyzing students and residents to lead for health...
TRANSCRIPT
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Catalyzing Students and Residents to Lead for Health Equity
IHI Summit on Improving Patient Care in
the Office Practice and Community
The presenters have
nothing to disclose
Saturday, April 22, 2017Session C8
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Introductions
Kate Hilton, JD, MTS
Lead Faculty, IHI
Open School Change
Agent Network
Becka DeSmidt
Community
Manager, IHI
Open School
Noé Chávez, PhD
Postdoctoral
Fellow, City of
Hope
Emileigh Canales, MPH
Quality Specialist &
Practice Coach,
FamilyCare Health
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Session Objectives
Describe community organizing approaches to
improving health in your community
Develop intervention ideas for improving the
health of vulnerable populations in your setting
Identify local IHI Open School learners to
engage in your organization’s initiatives
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Agenda
Background on the IHI Open School and
the Change Agent Network (I-CAN)
Six steps to leading a campaign effort of
your own to address health equity,
illustrated by student leaders
Questions, wrap up & next steps
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Overview of the IHI Open School
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IHI Open School Mission
“Advance health care improvement and patient
safety competencies in the next generation of
health professionals worldwide.”
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IHI Open School Strategy
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IHI Open School by the Numbers
32 online courses
More than 3 million courses completed
More than 95,000 learners have earned the
Basic Certificate Quality & Safety
Close to 1,000 universities and organizations
use the courses for training or curriculum
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500,000+
students and
residents
registered
Over 850
Chapters in 85
countries
Allied Health Professions Business
Dentistry
Engineering
Health Science &
Administration
LawMedicine
Nursing
Occupational & Physical Therapy
Other
Pharmacy
Physician Assistant
Social Work
IHI Open School by the Numbers
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IHI Open School Change Agent Network (I-CAN)
is our community of change agents who are actively
applying the skills they’re learning in quality
improvement, patient safety, community organizing,
leadership, and more to improve health and health
care and lead change on their campuses, in clinical
settings, and in their communities.
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Leadership & Community Organizing Training
10-week semi-synchronous online course
Each week includes:
– 30-45 minutes of video lectures
– 60-minute coaching call
– 1-3 hours application
Change
Improvement Science
Organizing & Leadership
Training
Subject Matter
Knowledge
Participants learn
and apply leadership
practices in field-
based projects to
improve health
www.ihi.org/ICAN
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People:
Recruiting and developing leadership
Power:
Building a community around that leadership to
create power
Change:
Using this power to address the challenge the
constituency is called to face
Organizing Theory of Change
… people acting together
to change the status quo
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‘Leadership is accepting responsibility for
enabling others to achieve shared
purpose in the face of uncertainty.’
• A practice, not a position
• Authority is earned, not bestowed
• Focus is on developing others,
not just yourself
What is Leadership?
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Building a Movement – Engaging 35K in
Actions to Improve Health
Pledge: >35,000 individuals made
commitments to improve population
health
Learn: >3,000 individuals mobilized by
project teams on campuses and in
communities
Between September 2014 and
December 2015:
Lead: >400 learners took the
course and led a local health
improvement project
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Impact of the Program
Over 1,000 students,
residents, faculty, and
professionals have engaged
with the course
Learners who complete the
program have higher
confidence in their ability to
leverage community
organizing and leadership
skills in their day-to-day work
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Six Steps to Lead Your Campaign
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Six Steps to Lead Your Campaign
1. Share a story about why you care
2. Build “power with”
3. Secure mutual commitments
4. Take an asset-based approach
5. Distribute leadership
6. Develop a learning community
* Steps developed with Alexandra Nicholas (Ko Awatea), Kate Hilton (ReThink
Health), Jackie Lynton (NHS Change Day), and Jessica Perlo (IHI Open School)
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My Story and Motivation18
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What is Public Narrative?
A leadership skill to motivate others to
join us in action
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Elements of Public Narrative
Why me? Why now?
WHY US?
CALL TO
ACTION
Why us?
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My Current Work
• Organizing Latino parents to partner with
researchers at City of Hope Cancer Center
• Developing a community engagement plan
to guide work to develop, implement, and
evaluate science education programs
• Aim of developing community- and
culturally- responsive programming for
underrepresented youth
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Youth Empowerment via Coalition22
Youth
Community
Center
School District
Parks and
Rec
Cancer
Center
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Outcomes to Improve Healthy Behavior
Apply a Peer Education Model: train-the-trainers
Implement intervention from one context to
another
Youth survey assessment of community assets
Youth “Photovoice” project
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Challenge to Achieve Power With24
Cancer Center
Youth Community
Center
School
District
Parks and Rec
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Lessons Learned from Coalition Work
Sensitivity to history and current context
Evidence-based AND grassroots perspective
Institutional AND community resources
Cultural humility is key for better collaboration!
– Be aware of power imbalances that already exist to
be mindful around how to build an equal status
contract
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What is Power?
The ability to achieve purpose
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POWER WITH POWER OVER
What is Power?
The ability to achieve purpose
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INTERESTS INTERESTS
ASSETS ASSETS
Commitment
Commitment1. What change do we
want? (What is our
interest?)
2. Who has the
assets to create that
change?
3. What do they want?
Power with: What is
their interest?
Power over: What is
their vulnerability?
4. What assets do
we have that they
want?
OURSELVES OUR PEOPLE
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One-to-One Meetings
Met with three Latina health professionals
– Two community health interventionists
– One neurosurgery fellow
Shared background
– Our families and communities experienced similar
challenges
Shared values and goals
– Work with the community on health equity
– Empower youth
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5. Commitment
4. Exchange
3. Exploration
2. Purpose
1. Selection & attention
One-to-One Meetings
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Six Steps to Lead Your Campaign
1. Share a story about why you care
2. Build “power with”
3. Secure mutual commitments
4. Take an asset-based approach
5. Distribute leadership
6. Develop a learning community
* Steps developed with Alexandra Nicholas (Ko Awatea), Kate Hilton (ReThink
Health), Jackie Lynton (NHS Change Day), and Jessica Perlo (IHI Open School)
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Bridges Collaborative Care Clinic
Students:
– Identified need for an
interprofessional student-
run clinic
– Recruited interprofessional
faculty advisors
– Partnered with community
partner serving homelessBud Clark Commons
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Kick Off: January 2016
Actors: 36 students and faculty representing 7
programs and 2 community partners
Value and asset mapping
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Why Map Stakeholders and Assets?
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(1) Who are our People?
(2) What Change do they want?
(3) How can they get the Power they
need to achieve that change?
Organizing = People, Power & Change
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Strategy is turning
the ASSETS we have into
the POWER we need to get the
CHANGE we want
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Our People
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Brighter Futures Together
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• Recognize people as our greatest asset• Reframe relationship among traditionally-siloed
stakeholders as partners in health equity• Build power ‘with’ – instead of doing ‘to’ or ‘for’• Develop our strategy ‘from within’• Promote reciprocity, mutual respect & trust• Generate collective power to co-produce equity
Why Map Actors & Assets?
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Clinic Leadership Model
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Clinic Leadership Model: Continued
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‘Leadership is accepting responsibility for
enabling others to achieve shared
purpose in the face of uncertainty.’
• A practice, not a position
• Authority is earned, not
bestowed
• Focus is on developing
others, not just yourself
What is Leadership?
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Distributed Leadership
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Builds an equal status contract around a
shared purpose
Is commitment-driven, not compliance-based– Cultivating people’s agency to act increases joy
and improves health
Builds capacity that serves as an ongoing
asset for addressing other problems
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Distributed Leadership
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Leadership in Action
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Learning Organizing
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IHI Open School Learning Community
Leadership &
Organizing for
Change course
Working in project-
based setting across
health disciplines
Community action
events
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Six Steps to Lead Your Campaign
1. Share a story about why you care
2. Build “power with”
3. Secure mutual commitments
4. Take an asset-based approach
5. Distribute leadership
6. Develop a learning community
* Steps developed with Alexandra Nicholas (Ko Awatea), Kate Hilton (ReThink
Health), Jackie Lynton (NHS Change Day), and Jessica Perlo (IHI Open School)
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Next Steps & Questions
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Now, Your Turn:
Turn to a partner and pair share:
– What is a project you are involved with
that you can invite students and
residents to join?
– Which students will you reach out to?
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www.ihi.org/OpenSchool
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Connect with a Local Chapter with the
Click of a Button
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The next offering of
the 10-week semi-
synchronous online
course begins in
September
Contact
to learn more
Take a Deeper
Dive into the
Concepts we
Shared Today:
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Mission: 100 million people living healthier lives by 2020
Vision: to fundamentally transform the way the world
thinks and acts to improve health, well-being and equity
to get to breakthrough results
Visit 100mlives.org to learn more
The IHI Open School Change Agent
Network is a Proud Partner of:
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Did We Achieve Our Objectives?
After this session, can you:– Describe community organizing approaches to
improving the health of your local community?
– Develop intervention ideas for improving the health of
vulnerable populations in your local setting?
– Identify local IHI Open School learners to engage in
your organization’s initiatives?
Any questions?
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