command leadership
TRANSCRIPT
EMS Commander
Leadership Roles and Responsibilities
Vires acquirit eundo
Why? Command has become task-oriented No longer a leadership position Lack of leadership showing up in the field Lack of consistency And the biggie…
If we don’t define it, someone else will
Purpose Define role of Commander Redefine leadership position Set Commander priorities Retake the role of Clinical and Operational
Expert
Un-delegate the Leadership
Delegate the tasks
Process Multiple meetings Diverse attendees Cross section with Comm, Clinical, Field
and Rescue Review of Budget Office Key Indicators Brainstorming Passionate debate at every turn…
Department Mission, Vision, Values and
Goals
City Performance Measures
Key IndicatorsEmployee
performance
Employee’s attitude toward the
job
Success of the employee
Comm
ande
r
Step 1: Defining the Role
The Commander will enthusiastically motivate employees towards preserving
life, improving health and promoting safety while fulfilling the role of Community, Department and Public Safety agency
liaison.
Step 2: Command Mission Statement
Highest Impact Focused on Primary Delivery Relational Leadership Setting the Standard Moving from Management to Leadership
Step 3: Setting Priorities
The ResultsNo particular order…
Information
Timely Sought and Exchanged
ClarifiedCommander as
information source
System resourceCall response
System status awareness Echo response
On-scene expertise High acuityHigh profile Multi-agency
Public Information OfficerPrimary problem solver
Leadership
Employee development
Directing Coaching Supporting Mentoring Delegating Active in Professional
Development
Active in vision setting Establishing goals we
are all driving towards Active participants at the
table Department priorities
On-going relationship development
Vital leadership role Closing the gap
Clinical expertise Educators
Real time Quality Assurance / Quality Improvement
Front line clinical resource
Educators Needs to be un-delegated Commanders first to receive education and
new clinical information Primary educators for platoon-level training Active in Academy processes Active in Professional Development of Field
and Command Staff
Real-Time QA / QI Clinical Issues
POC for clinical issues Clinical investigative process
QI “Hot Button” (Code Stroke, STEMI, or other clinical focus) calls On-site education Real-time review
Frontline clinical resource
Primary contact for clinical questions and/or issues
Coordination point for complex questions and issues
Primary On scene and Online resource
Community Liaison Public Information Officers
On scene PIO during high acuity calls PIO for on-duty PR events
Customer Service representative Critical CS issues Time sensitive CS issues
Consistency Regularly scheduled Command meetings
Clinical review Clinical discussion/education Operational review and discussion Open forum Face to face to enhance communication and consistency Consistent review and application of standards
Weekly show up calls Regularly-scheduled shift-specific gatherings Team-based approach to decision making, even on the little
stuff
Professional decorum
Professional integrity Importance of perceptions
Personal and professional indiscretions Workforce morale
Every action magnified by the position we hold Respect is earned, not demanded Commander conduct Commanders will set the tone for professional
courtesy, respect and integrity Familiarity breeds contempt
Accountability Accountable to each other Police our own Command Review and Accountability Board
Staffed by randomly assigned Commanders Reviews Commander leadership outcomes Also reviews Command performance sentinel events
One slacker hurts the team
Next Steps – Logistics PROMOTE! Determine Command Shift Schedules Re-districting and Bid process Set Command Priorities Set Command-led monthly Professional
Development Re-engage with Medical Director Commanders as Medical Officers
Next Steps- Logistics (Continued)
Streamline information exchange (right after we solve world hunger)
PIO Training CAD configuring for
Command Response Redesign:
Customer Service intake Pony Express processes
Flesh out education and professional development
CRAB Redesign Command SSPR Seat at the Planning Table Command job satisfaction Dive into the Parking Lot Redesign Command
Process
DiscussionVires acquirit eundo