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