compelling physician engagement, resilience and leadership · 2 ©2016 language of caring, llc 5...
TRANSCRIPT
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o Language of Caring for Staff o Language of Caring for Physicians
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Compelling Physician Engagement,Resilience and Leadership
Jeremy Blanchard, M.D., M.M.M., C.P.EChief Medical Officer; St. James Healthcare
Sisters of Charity of Leavenworth Health
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©2016 Language of Caring, LLC
Moderator: Jill Golde Partner Language of Caring
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Impact
Patient Experience
Staff Engagement
CAHPS Scores
Physician Fulfillment
Patient-Centered
Care
Collaboration & Teamwork
Compassion & Empathy
PATIENT EXPERIENCE SOLUTIONS
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NEXT WEBINAR HTTP://LANGUAGEOFCARING.COM/WEBINARS/UPCOMING-WEBINARS/
Coach Me to a 5!: How to Foster a Feedback-Rich Culture for Continuous Improvement
Language of Caring Presenters: • Dorothy Sisneros, MS, MBA; Partner • Philippa Kennealy, MD.; Senior Physician Coach• Janice Ganann, MEd, PCC; Senior Coach
Imagine an organization where open, thoughtful and helpful performance coaching conversations happen every day. Learn strategies, success factors, and tools that foster a feedback-rich culture that produces improvements in performance, productivity, jobsatisfaction and the patient/family experience.
Wednesday May 25, 2016 • 1pm – 2pm EDT
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COMPELLING PHYSICIAN ENGAGEMENT, RESILIENCE AND LEADERSHIP
Jeremy Blanchard, M.D., M.M.M., C.P.E. Chief Medical Officer; St. James Healthcare Sisters of Charity of Leavenworth Health
©2016 Language of Caring, LLC
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WEBINAR OBJECTIVES
• Identify the Laws of Performance key to engaging andmobilizing physician energy and change
• Demonstrate the power of adopting a Leadership Model todrive physician engagement initiatives
• Identify and investigate the need for resilience in theseopportunities
• Challenge you to adopt a Leadership Model as a framework for your physician engagement initiatives
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OUTLINE
• 3 Laws of Performance• Tribal Leadership• Kadlec Hospitalist Program • Default Future• Applications • Homework
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THE 3 LAWS OF PERFORMANCE
1. How you perceive a situation determines your actions. 2. One’s perceptions are reflected in the language they
choose. 3. Futuristic language changes how someone perceives a
situation.
Paraphrased from Zaffron and Logan, The Three Laws of Performance: Rewriting the Future of Your Organization and Your Life. 2008; Jossey Bass.
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THE 3 LAWS OF PERFORMANCE
1. How you perceive a situation determines your actions. 2. One’s perceptions are reflected in the language they
choose. 3. Futuristic language changes how someone perceives a
situation.
Paraphrased from Zaffron and Logan, The Three Laws of Performance: Rewriting the Future of Your Organization and Your Life. 2008; Jossey Bass.
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WHAT IS YOUR LEADERSHIP MODEL? APPLYING A STRATEGY TO ENGAGE.
Question of Impact: have you ever consciously applied a defined leadership model?
• Introduction to Tribal Leadership• Birds flock, fish school, people “tribe.”
• People naturally form tribes. • Tribes are the basic building block of any large human
effort • Smaller groups are teams.
• Tribes always have more power than the leader. • What makes some tribes more successful than others—culture. • Tribes emerge from the language people use to describe themselves,
their jobs and others. 10
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Stage Language Behavior Relationship to people
5 “Life is great” Innocent Wonderment Team
4 “We’re great” Tribal Pride Stable Partnership
3 “I’m great” Lone Warrior Personal Domination
2 “My life sucks” Apathetic Victim Separate
1 “Life Sucks” Undermining Alienated
THE FIVE STAGES OF TRIBAL LEADERSHIP
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QUINTESSENTIAL STAGE 3: AN EXAMPLE
Three Physicians in the Elevator From Logan, Tribal Leadership
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KADLEC REGIONAL MEDICAL CENTER HOSPITALIST PROGRAM: A STORY OF RESILIENCE
• Started 2004, Cogent • Breach of contract 2005, loss of 1st medical director • Kadlec Hospitalist program, 3 permanent directors
• 2008 hired an interim director • 22 FTE’s, 11 permanent and 11 locum positions • 2010 asked for the 5th time to take over the program • After assuming the program:
• 9 permanent and 13 locum staffed by 50 locum physicians • Poor quality scores, increased denials of transfers, poor patient
experience scores • Language:
• “We are good, everybody else is difficult.” • “It is tough being a hospitalist, you need to walk in my shoes.”
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THE 3 LAWS OF PERFORMANCE
1. How you perceive a situation determines your actions. 2. One’s perceptions are reflected in the language they
choose. 3. Futuristic language changes how someone perceives
a situation.
Paraphrased from Zaffron and Logan, The Three Laws of Performance: Rewriting the Future of Your Organization and Your Life. 2008; Jossey Bass.
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DEFAULT FUTURE, THE “HELL NO” MOMENT
• Default future• If no change then…. • The click down
• “Hell no” moment • Acceptance or defiance
Question of impact: what does leadership resilience look like to you?
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A STORY OF APPLICATION: KADLEC’S HOSPITALIST PROGRAM
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• There are five sequential stages that people (and tribes) can move in and out of.
• Tribal Leaders upgrade the tribal culture (by focusing on the language and behavior of the tribe).
• Change the language of the tribe, and you have changed the tribe itself.
Listen
Reflect on language-supported
perceptions
Assign the predominant stage to your
tribe
What is your tribe’s default future?
Apply futuristic language (Heck-No-Moment) Core
Values
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EXAMPLES OF LEADERSHIP MODELS
• Myers Briggs • Strength Finders 2.0• Leadership on the Line• Multipliers • Little Bets • The Power of Servant Leadership• Leading Change
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APPLYING A LEADERSHIP MODEL
• Find a model you can implement. • Make sure it intuitively makes sense to you. • Acquire examples of where it worked. • Develop metrics, outcomes and expectations. • Sell the model vertically as well as horizontally.
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EXAMPLES OF THE APPLICATION OF TRIBAL LEADERSHIP AND THE 3 LAWS OF PERFORMANCE
• Kadlec Intensivist Program • Kadlec Hospitalist Program • Language of Caring for Physicians • Choosing Wisely • St James Hospitalist Program • Life Cycle of a Root Cause Analysis • Risk Discernment • Road to “High Reliability” • Physician Sustainment
Question of Impact: where could you apply Tribal Leadership and 3 Laws of Performance?
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A BRIEF SYNOPSIS OF A TRIBAL LEADERSHIP APPLICATION FOR DISCUSSION • Language of Caring for Physicians
• Strategies o Hospitalist strategy o Tying to contracts
• Applying the model – identifying value, future vision• Life Cycle of the Root Cause Analysis
• Identify needed structure• Create value• Create your tribe• Apply the model - common language and futuristic language
• Physician Sustainment • Strategies
o Counter cultureo Bonding and trust
• Apply the model – common language and futuristic language
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EXAMPLE: A JOURNEY TO STAGE 4
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Intensivist Story
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OPPORTUNITY FOR YOU: PREPARE A LETTER TO YOURSELF
• On the worksheet provided• Identify the tribe you see yourself involved with (OR group?
Administrative team?) • If you belong to more than one, pick the one you want to influence
most. • Record the stage of that tribe from your perspective. • Identify two things you can and will do to elevate that tribe.
• Address the envelope to yourself and put it in your drawer and open it up in 6 weeks.
• When you open the letter to yourself, check your progress and any change in your group’s tribal stage.
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CLOSING THOUGHT: DR. DEBAKEY AND THE JANITOR
When shadowing Dr. Michael DeBakey, a reporter witnessed an exchange between the renowned surgeon and an elderly janitor who was sweeping the floor. Dr. DeBakey asked about the man’s wife and children. He told the older man, obviously not for the first time, that the hospital couldn’t function without the janitor because germs would spread, increasing the chances of infection. Later, the reporter tracked down the janitor and asked him, “What exactly do you do? Tell me about your job.” With pride, the janitor replied: “Dr. DeBakey and I? We save lives together.”
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Questions/Comments?
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Achieving an unparalleled patient experience and a culture of caring through exceptional communication.
Learn about our two powerful, web-based skill-building programs: • Language of Caring for Staff • Language of Caring for Physicians
For information? Contact:
Jill Golde, Partner 314-571-9607; [email protected]
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languageofcaring.com
Phased Learning: Ten ModulesDeveloped by Wendy Leebov, Ed.D., best-selling author and patient experience expert1. Introducing The Language of Caring2. Heart-Head-Heart Communication3. The Practice of Presence4. Acknowledging Feelings5. Showing Caring Nonverbally6. Explaining Positive Intent7. The Blameless Apology8. The Gift of Appreciation9. Say It Again with HEART10. The Language of Caring: From Good to GREAT
Features z Managers lead! z One skill at a time z Short team sessions – under 30 minutes z Compelling videos shot on location at Banner Health z Built-in feedback and habit-building z CEU-ready z Web access to all resources on the Language of
Caring Client Portal
Help everyone in your organization speak the Language of Caring, so patients, families and coworkers feel their caring and become more trusting, less anxious, and engaged.
The Results: An energized, gratified workforce, a stellar patient experience, improved safety, higher CAHPS scores, and better outcomes
Typical Implementation Process
Groundwork and Customization
Leadership Kickoff
Facilitator Training
Employee Jumpstart Workshops
Learning Modules and Habit-Building in Work Teams
Language of Caring for Staff®
the skill-building solution that drives the patient and family experience to a breakthrough level
Achieving an unparalleled patient experience and a culture of caring through exceptional communication!
languageofcaring.com
Spoken from the Heart“We’re seeing that our associates are engaging patients. They’re thinking about what they’re doing and saying. They’re practicing the skills over and over. Our scores? We’ve seen steady
incremental improvement month after month since we started the Language of Caring.”Rob Gould, CEO Banner Desert Medical Center; Mesa, AZ
“Language of Caring is a game-changer. The Language of Caring has helped PeaceHealth ensure that our organizational vision — ‘Every person receives safe, compassionate care;
every time, every touch’ — is an intention and a reality.”Mary Lockhart, PhD, System Program Manager for Patient Experience PeaceHealth
Connect with us!Jill Golde, Partner314-571-9607 [email protected]
Dorothy Sisneros, Partner602-615-1192 [email protected]
Watch the introductory video and learn more by visiting: http://languageofcaring.com/programs/language-of-caring-for-staff/
The Language of Caring for Staff®
z Creates alignment by developing a common language and skill set for caring communication
z Mobilizes employees as engaged contributors who together create a community of caring
z Makes other initiatives, like rounding, pain management and reducing readmissions, more effective
z Encourages empathic communication, engagement and partnership—the keys to patient and family-centered care
z Leads to improved safety, better outcomes and higher CAHPS scores
Among Language of Caring Clients
Hospitals and Health Systems z Banner Health – multiple states z Fox Chase Cancer Center, PA z Humility of Mary Health Partners, OH z Johns Hopkins Medicine; MD z MD Anderson Cancer Center, TX z Memorial Hermann Health System, TX z Providence Health and Services – multiple states z St. Joseph Regional Medical Center, ID z St. Mary’s Hospital and Regional Medical Center, CO z WellSpan Health, PA
Medical Groups z Harvard University Health Services z Children’s Hospital of Philadelphia Care Network z New England Quality Care Alliance z Mount Auburn Cambridge Independent Providers
Association z PeaceHealth St. John Medical Center Physicians z Safety Net Institute - 15 Clinics, CA
Powerful Physician Engagement and Skill-Building ProgramCreated by Wendy Leebov, EdD & Carla Rotering, MD; grounded in evidence-based best practices
Eight Modules1. The Communication Solution2. Mindful Practice3. Collaboration and Teamwork4. Effective Openings and Closings5. Engaging Patients and Families as Partners6. Communicating with Empathy7. Effective Explanations8. Hard ConversationsFeaturesz Effective within extreme time constraints; CME-ready z Blended learning with short team sessions, videos, skill reference cards, and web-based toolsz Compelling videos filmed at MD Anderson with vivid
examples for inpatient, outpatient and medical office settings
z Certified coaches to guide implementation and provide ongoing support
z Mobile; easy access via secure client portal
Language of Caring for PhysiCians®
Strengthen the #1 source of physician satisfaction—the patient-physician relationship.Engage and revitalize physician energy and commitment.
Realities for Physicians1. Less autonomy, endless paperwork, the strain of defensive
medicine, crushing job stress and time pressure2. Anxiety about CAHPS scores and penalties for static
scores3. Consumer scrutiny and the social media grapevine4. The loss of relationships5. The challenges of team-delivered care
Strengthen physician communicationand everyone benefits
A Stronger Patient-Physician Relationship
Effective Patient & Family Engagement
Better Scores and Higher Earnings
Reduced Stress
Care Team Harmony & Collaboration
Patient Retention and Loyalty
More Fulfilling Work
languageofcaring.com
Achieving an unparalleled patient experience and a culture of caring through exceptional communication!
languageofcaring.com
Spoken from the Heart
“Language of Caring for Physicians is helping my colleagues share that empathy and compassion that they felt when they took the oath in medical school. And delivering a
great experience to patients by its nature delivers a great experience to us.”Jeremy Blanchard, MD Intensivist and Chief Medical Officer St. James Healthcare
“The Language of Caring is like having my own personal guide teaching me the ‘art’ of medicine. My patients and even their family members are thanking me for the care and attention I have
provided them even though the amount of time I spend with them hasn’t changed. This should be made a mandatory course in every medical school curriculum.”Dr. Thomas Corson Emergency Physician Banner McKee Medical Center
Connect with us!Jill Golde, Partner314-571-9607 | [email protected]
Dorothy Sisneros, Partner602-615-1192 | [email protected]
Language of Caring for Physicians®
z Engages physicians and all providers as partners in providing the remarkable patient and family experience
z Creates a common language of caring communicationz Strengthens adherence to care plan and patient
outcomesz Heightens team communication, respect, and
collaborationz Reinforces skills transferable to all settingsz Improves physician quality-of-life
Watch what clients are saying about Language of Caring for Physicians®. http://languageofcaring.com/programs/language-of-caring-for-physicians/results/
Comprehensive Resources
Among Language of Caring Clients z Adelante Healthcare (AZ) z Banner Health (Multi-State) z Lone Star Circle of Care (TX) z Northwestern Medicine (IL) z PeaceHealth (Multi-State) z Sisters of Providence (MA) z Southeastern Regional Medical Center (NC) z St. James Healthcare (MT) z St. Mary’s Medical Center (CO) z Truman Medical Centers (MO) z Wentworth Health Partners (NH)
languageofcaring.com
Who is Language of Caring? Language of Caring is a healthcare consulting firm owned by partners Wendy Leebov, Jill Golde and Dorothy Sisneros. This powerhouse trio shares a passion for reshaping healthcare organizations to become communities of caring that ensure an exceptional patient, family and team experience. We’ve served as healthcare leaders, organization development professionals, instructional designers, strategists, and coaches. And, we’ve enlisted and certified a talented, committed team of physician and nurse leaders, trainers and team-builders who serve our clients as coaches, strategy partners and facilitators.
What We DoWe effectively engage physicians, nurses, and everyone on the healthcare team in mastering and using Language of Caring’s concrete communication skill set to achieve:
z Patient engagement and patient and family-centered care z Exemplary CAHPS scores and a reputation as provider of choice z Optimal reimbursement under Value-Based Purchasing z Greater alignment, inspiration, collaboration and engagement among the
entire healthcare team z And improved patient outcomes
We develop healthcare teams who speak the Language of Caring and deal effectively not only with patients’ medical needs, but also with their anxieties, fears, and concerns. We help organizations breathe new life into existing strategies and move performance to a breakthrough level.
Company overview: Language of Caring, LLC
Achieving an unparalleled patient experience and a culture of caring through exceptional communication!
“It has been an absolute pleasure to work with the Language of Caring team in two different healthcare
systems to create a differentiating culture of compassion. The training content is fabulous … simple to understand and extremely effective with patients and coworkers…. The Language of Caring team exemplifies service excellence by partnering with us to address our unique needs…. They have provided inspirational training and assistance as we work to create unsurpassed customer/employee-centered service.”Tracy Tannenbaum VP, Service Excellence
We engage hearts and minds, and the results are palpable.
languageofcaring.com
Achieving an unparalleled patient experience and a culture of caring through exceptional communication!
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