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© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 The Center For Resilience, LLC. All rights reserved.
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© 2014 Leo F. Flanagan, Jr. and The Center For Resilience
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“We are very good at preparing to live, but not very
good at living.
We know how to sacrifice ten years for a diploma,
and we are willing to work very hard to get a job, a
car, a house, and so on.
But we have difficulty remembering that we are
alive in the present moment, the only moment there
is for us to be alive.”
Thich Nhat Hanh
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2016 CFR Advisory, LLC. All rights reserved.2
Leo F. Flanagan, Jr., PhDCo-Managing [email protected]
The Center For Resiliencewww.CenterForResilience.com
Thomas L. BiancoCo-Managing Partner
[email protected] 655-5017
Powering Professional Performance
CFR Advisory
Building Lifelong Resilience
For
Health And Human Services Executives
2
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory TO D AY, I I N V I T E Y O U TO . . .
• Think about work and life as we know them
• Consider the research on the impact of our world as we know it on our efficiency, productivity, quality of work, and well-being
• Assess your own ability to multi-task
• Understand
•The sources of resilience
•How building your resilience improves your performance and well-being
• Learn core skills that build your resilience
3
Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
What The Research Says About Work As We Know It . . .
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience
5
Rehashing Rehearsing
2047%Copyright©2014LeoF.Flanagan,Jr.,PhD
BeingPresent
4/11/17
©2014LeoF.Flanagan,Jr.andTheCenterForResilience
11.5 Minutes Before
Being Distracted
Daily Personal
Efficiency
32%
On average you check
your “Smart” phone
every
5 minutes
144 times in a 12 hour
day.
41%
Never Return To The
Priority After Being
Distracted
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory T H E E P I D E M I C O F B U R N O U T
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Shanafelt TD, et al. (2015) Changes in Burnout and Satisfaction With Work-LifeBalance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clinic Proceedings. 90(12):1600-13
Stress Is The
“Health Epidemic Of The 21st Century”
World Health Organization
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory B U R N O U T M AT T E R S
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Mayo Clin Proc. Jan 2017;92:129-146.
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory C H AN G E O U T PA C I N G H U M A N AD A P TA B I L I T Y
8
Graphic from Thank You For Being Late by Thomas L. Friedman, 2016
Resilience
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory THE QUADRUPLE AIM
9
Improved Clinician
&Staff
Experience
Improved
Patient
Experience
Lower
Cost
Better
Outcomes
Ann Fam Med. Jan 2014;12:573-76.
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
The Multi-tasking Challenge!
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience11
Multitasking Challenge 1
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience12
Multitasking Challenge 2
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory PRODUCTIVITY DECLINE AS A RESULT OF MULTI -TASKING
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
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Pro
du
ctiv
ity
Task Changes
Powering Professional Performance
Perry-Smith, B.J. and. Bachrach, D. G. [2010] The Perception
Of Difficulty In Project-work Planning And Its Impact On Resource Sharing. Journal Of Operations Management
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory W H Y C O G N I T I V E AS S E S S M E N T S AR E N ’ T P R E D I C T I V E . . .
• The median duration of focus is about 40 seconds1
• You switch focus up to 400 times a day
• You double or triple your error rate2
• Your effective IQ drops 15 points
1Mark, G., Iqbal T. A., Czerwinski M., Johns P., Sano. A.,"Neurotics Can't Focus: An in situ Study of Online Multitasking in the Workplace,"Proceeding of the thirty-fourth annual SIGCHI conference on Human factors in computing systems (CHI’16), 2016.2 Momentary interruptions can derail the train of thought.
By Altmann, Erik M.; Trafton, J. Gregory; Hambrick, David Z.
Journal of Experimental Psychology: General, Vol 143(1), Feb 2014, 215-226
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Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
Share specifically:
What are the implications of what
we’ve covered for you?
Time for a “buzz group” . . .
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
Resilience:
“psychological & biological strengths necessary to master change …
a strength that most of us can develop with thought and practice”
Frederic Flach, M.D. Resilience: Discovering A New Strength at Times of Stress
16Copyright © 2014 Leo F. Flanagan, Jr., PhD
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR AdvisoryW H AT AR E T H E B E N E F I T S O F B U I L D I N G Y O U R R E S I L I E N C E AN D T H AT O F Y O U R O R G AN I Z AT I O N ?
• 17% increase in productivity
• 29% increase in positive emotions
• 26.5% increase in self-awareness
• 25% decrease in reactivity
• 13% increase in confidence
• Greater optimism
• Stronger Relationships
• 32% increase in physical well-being
• 15 -20% greater financial performance [team resilience]
• 26% increase in information processing
• 26% increase in perception
• Increased working memory
• Increased ability to solve complex problems
• Increased critical-thinking
• Better decision-making
• 60% increase in identifying potential compliance issues
Copyright © 2014 Leo F. Flanagan, Jr., PhD
Overall Improved Performance & Ability To Thrive
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory O U R M E TA - M O D E L O F R E S I L I E N C E
The Ten Factors That Define Resilience
GritPerseverance and passion for long-term goals
Courage in managing fear of failure
Working tirelessly
Driving through setbacks
Pragmatic OptimismBelieves that the future will be better and they will have a role in
making it so
Sees set backs as time limited, narrow in focus and overcome with
personal talents and motivations
Self-reflectionAbility to objectively review past behaviors, attitudes, perspectives and
results
Changes behavior based on learning from past experience
Engaging Others In A Higher
PurposePaints a compelling picture of serving a higher purpose[s] than
financial success
Enables each team member to see themselves playing a role in
serving a higher purpose
Self-controlMakes conscious choices under pressure
Controls expression of emotions to maintain relationships and personal
performance
Fact Based Decision-MakingGathers facts being considered by others to inform decisions
Grounds assumptions, conclusions, decisions and actions on facts
FocusMaintains attention to the matters and people at hand
Minimizes distractions
Cultivating SupportSets positive tone for team
Attributes other success to commitment
Attributes others failures to insufficient practice
Balanced Goal SettingPursues measurable goals in four life arenas: work; family/personal;
health/spiritual; and community
Ability To PivotBefore tackling any problem develops 3 or more potential solutions
When first solution is blocked quickly executes next solution
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Helping People Perform Under PressureImproving Professional PerformancePowering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 The Center For Resilience, LLC. All rights reserved.
Pragmatic Optimism
Believes that the future will be better and they will have a role in making it so
Sees set backs as time limited, narrow in focus and overcome with personal talents and motivations
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© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
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PESSIMISM VS. OPTIMISM
Pessimistic Perceptions Optimistic Perceptions
Set Backs
Set-backs are permanent Set-backs are temporary
Set-backs are pervasive –
they are a sign of an overall
weakness
Set-backs are limited to a
particular set of
circumstances.
Set-backs are my fault Set-backs are overcome by
my talents and motivation
Wins
Success doesn’t last Success encourages me
Success doesn’t change
everything
Success builds on itself
I got lucky I set myself up for success
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory OPTIMISM IS A SKILL THAT BUILDS MOTIVATION
You build optimism with behaviors
What Went Well
Accepting
Practicing Optimism
Gathering And Managing Social Support
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR AdvisoryT H E F I V E T H I N G S W E C AN N O T C H AN G E & T H E H AP P I N E S S W E F I N D B Y E M B R A C I N G T H E M
1. Everything changes and ends
2. Things do not always go according to
plan
3. Life is not always fair
4. Pain is part of life
5. People are not loving & loyal all the time
By: David Richo
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© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
You build resilience with behaviors
What Went Well: Tactic
• At the end of each day write three to five things that
went well and why
• Review every two weeks
• Please do this each night, beginning tonight, until I
return
Copyright © 2014 Leo F. Flanagan, Jr., PhD
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Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory PRACTICING OPTIMISM
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• When you experience a set-back, ask yourself the
following three questions:
– Is this really a permanent set back? Won’t it’s
importance fade with time?
– Does this really impact everything that is important to
me? Or is it limited to one area of my life or career?
– Can I apply my skills and focus my motivation on
moving forward?
• Next, connect with someone you trust.
• Be vulnerable, share the set-back
• Ask them to share their perspective on the above three
questions
Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 The Center For Resilience, LLC. All rights reserved.
Balanced Goal Setting
Pursues measurable goals in four life arenas: work; family/personal; health/spiritual; and community
25
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
8/30/2017© Leo F. Flanagan, Jr., PhD & H.E.A.R.T. 9/11 2014
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T H E I M P O R TA N C E O F A BA L A N C E D P O R T F O L I O
In Investing . . .
Work100%
Commitments
In Life . . .
Investments
Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
8/30/2017© Leo F. Flanagan, Jr., PhD & H.E.A.R.T. 9/11 2014
27
In Investing . . .
Work25%
Community25%
Relationship25%
Health/ Spirituality
25%
Commitments
In Life . . .Investments
T H E I M P O R TA N C E O F A BA L A N C E D P O R T F O L I OPowering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR AdvisoryTHE FOUR MOST POWERFUL QUESTIONS
1.What do you want?
2.What are you doing to achieve it?
3.How is that working?
4.What is your plan?
Copyright © 2014 Leo F. Flanagan, Jr., PhD
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Answering these four questions motivates me to adapt, without triggering my resistance while neutralizing decision biases.
Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
Copyright © 2014 Leo F. Flanagan, Jr., PhD29
The Four Most Powerful Questions
Answering and reflecting on your answers to these four questions is one of the most powerful ways of focusing and motivating
yourself to achieve fulfillment. In the chart below, begin by listing 3 – 4 things you want in the first column. Be specific. Next answer
the questions in columns 2 – 4 in regard to each of the things you want.
Step 1: What do I want? Step 2: What am I doing to
achieve this objective?
Step 3: On a scale of 1 [not at all] to
5 [extremely well], how is that
working?
Step 4: What is my plan?
Professionally:
Family/Home:
Socially/Community:
Health/Spirit:
The Four Most Powerful Questions Tool
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 The Center For Resilience, LLC. All rights reserved.
Ability To Pivot
Before tackling any problem develops 3 or more potential solutions
When first solution is blocked quickly executes next solution
30
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
For you:60 hours per week X 14% = 8.4
hours personally saved
For the enterprise:?
31
Option Evaluation Grid
Objective:
Criteria
Options
Criteria 1 Criteria 2 Criteria 3 Criteria 4 Criteria 5 Criteria 6
Fulfills
Does not fulfill
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1. On the chart below, write in the objective you want to focus on achieving.2. Next write in 4 – 6 criteria that must be met for you to feel you were successful in achieving
your objective.3. Brainstorm 6 – 8 options for achieving your objective.4. Now evaluate each of your options against all of the criteria.5. Select your best option.
8/30/2017
Aligning Your Options
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 The Center For Resilience, LLC. All rights reserved.
Focus
Maintains attention to the matters and people at hand
Minimizes distractions
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© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
Mindfulness is the awareness that emerges through paying attention, on purpose, in the present moment,and nonjudgmentally, to things as they are.
—Williams, Teasdale, Segal, and Kabat-Zinn (2007)
S R
Between the stimulus and the response there is a space. In that space is our power to choose our response. In our response lies our growth and freedom.
- Victor Frankel
S A R
Copyright © 2014 Leo F. Flanagan, Jr., PhD8/30/2017 © 2014 Leo F. Flanagan, Jr. and
The Center For Resilience
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Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
After 8 weeks of meditation, brain imaging shows significant changes in brain density in areas related to:• Working memory• Perception• Decision-making• Social interaction• Emotional controlBritta K. Hölzel, James Carmody, Mark Vangel, Christina Congleton, Sita M. Yerramsetti, Tim Gard, and Sara W. Lazar. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res. Jan 30, 2011; 191(1): 36–43.
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Powering Professional Performance
© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.
Powering Professional Performance
CFR Advisory
May you be safe
May you be healthy
May you be happy
May you live with purpose
May you live with ease
Many thanks!
35Copyright © 2014 Leo F. Flanagan, Jr., PhD