minnesota department of health learning days · jacobi, tonjaand schweers, dylan, justice,...
TRANSCRIPT
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Minnesota Department of Health
Learning DaysApril 3-4, 2018
St. Paul, MN
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Leverage Your Team’s Leadership Skills to ImpactYour Quality Measures
PRESENTED BY:
S A N D Y Z U T Z - W I C Z E K , M B A
C H I E F O P E R AT I N G O F F I C E R
F I R S T L I G H T H E A LT H S Y S T E M
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Learning Objectives1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
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— Milton Glaser, 1976
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MACRA Overview
1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
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Sustaining MACRA requires a Unique Approach
MACRA* is here Bipartisan-supported law Vote Breakdown
Senate: 92-8 House: 392-37
Outlined by Congress, program rules written and adjusted annually by HHS/CMS
*Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015
MACRA Final Rule
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MACRA Category Weights2018
Quality50%
Advancing Care Information
25%
Improvement Activities
15%
Cost10%
2019
Quality30%
Advancing Care Information
25%
Improvement Activities
15%
Cost30%
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Leadership Impact on Quality
1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
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Six Essential Leadership Skills to Impact Your Quality Measures Communication
Connection
Clarity
Challenging
Consistency
Coaching
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Communication
“95% of a company’s employees are unaware of, or do not understand,
its strategy.”
— Harvard Business Review, October 2005
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Communication Cascade Organizational Goals
Align Goals with Your Team(s)
Align Goals with Employee Roles
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Communication
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CommunicationThe LESS you communicate…
the MORE you will have to manage.
Visual Learners Reading/Writing
Hands-onExperiential
Auditory
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Connection
Distance Probability of Collaboration
Same corridor 10.3%
Same floor 1.9%
Different floor 0.3%
Different building 0.4%
Study by Bell Labs & University of Arizona, 1988
The 50-Foot Rule
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ConnectionA participant-centered approach engages your team
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Clarity What did you accomplish since last meeting? What is in your way? What are you working on until the next meeting?
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Challenging
How? Why?
Ask: What would happen if we do this…? Ask: What are we missing? Ask: What else?
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Consistency
“We are what we repeatedly do. Excellence, then, is not an act,
but a habit.”— Aristotle
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Male Supreme Court justices interrupt female justices three times as often as they interrupt each other.
Jacobi, Tonja and Schweers, Dylan, Justice, Interrupted: The Effect of Gender, Ideology and Seniority at Supreme Court Oral Arguments (October 24, 2017). 103 Virginia Law Review 1379 (2017); Northwestern Law & Econ Research Paper No. 17-03. Available at SSRN: https://ssrn.com/abstract=2933016
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Coaching
“Coaching is one of the leadership styles that has a ‘markedly positive’
impact on culture, performance and the bottom line.”
— Daniel Golman, “Leadership that gets results”
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Coaching doesn’t work if its… Too complicated Too boring Doesn’t align with the reality
of work
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Coaching works when you… Ask more Tell less Connect frequently
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Building Your Quality Forum
1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
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2015 Quality Goals
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Definition of a Forum
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Build an Effective ForumYou must create SAFE ENVIRONMENT to: Ask questions Express frustration Share processes Practice Plan
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Who? Providers Nurses Social workers Care coordination Pharmacy Rehabilitation
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Where? At each clinic location
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When?Scheduled in Outlook at all locations on same day every month 12 times per year 12:15—12:45pm END in 30 minutes
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How? 12:15—12:25
Last month’s resultsWhat did you accomplish since last meeting?
12:25—12:40ExerciseWhat is in your way?
12:40—12:45Wrap-upWhat are you working on until the next meeting?
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Participant-Centered Approach
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Participant-Centered Approach
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“Answers are closed rooms;and questions are open doors
that invite us in.”— Nancy Willard