The 4 Disciplines of ExecutionQuality Forum 2015
BC Patient Safety Quality Forum – Rapid Fire SessionFebruary 19, 2015
Michael McMillan, Chief Operating Officer, NI HSDASuzanne Campbell, Director Community Services, Prince George
Sherri Tillotson, Manager Surgical Inpatients, UHNBC
- The 4DX Approach -Improving Patient Flow
The 4 Disciplines of Execution
The 4 Disciplines of Execution
1. Focus on the Wildly Important
2. Act on Lead Measures3. Keep a Compelling
Scoreboard4. Create a Cadence of
Accountability
WIG Wisdoms: The WhirlwindAll the work that is required just to keep your
operation going on a day to day basis…
“The enemy of execution”
1. The Wildly Important Goal
If everything else remained status quo, what is the one area where change would make all the difference?
VERB, X to Y, by when?
2. Act on Lead Measures
Lead Lag
Predictive Retrospective
Influenceable Unchangeable
3. Keep a Compelling Scoreboard
4. Create a Cadence of Accountability
McChesney, C., Covey, S., & Huling, J. (2012) The 4 Disciplines of Execution. New York: Free Press
4DX Prince George
What Have We Learned - methodology
Strengths StrugglesBrings organizational
focusComplexity of
healthcare
Builds discipline & accountability
Success requires 20% of our time
Measuring activity Measuring quality
How are we doing?
“You have to decide what your highest priorities are and have the courage - pleasantly, smilingly, unapologetically - to say no to other things. And the way you do that is by having a bigger “YES” burning inside.”
Learnings and Benefits• One Wildly Important Goal is difficult to define • Discipline and focus is necessary for implementation• A ‘Cadence of Accountability’ is necessary• Other Projects
– Increased residential bed capacity – SAMI Programs– Rapid Home Support– High Acuity Beds– Master Planning