TGCAHQ 2016 Fall Conference Tackling Ever Changing Challenges in Healthcare Quality and Patient Safety: How to be Your Team s Quarterback! The United Way of Greater Houston In Houston, TX November 4, 2016
Organizational Effectiveness Building Dynasty Teams Facilitated by Christopher Sanderson, LEAN Six Sigma Black Belt Healthcare Practitioner
Learning Objective Develop critical and reflective thinking on the key factors of Organization Effectiveness Demonstrate a commitment to Organizational Effectiveness Demonstrate an understanding of effective teamwork and key roles and responsibilities Assess our understanding of Operational Effectiveness
Question? Who within your hospital/clinic typically gets involved in changing or improving procedures? 1. Administrators 2. Doctors 3. Nurses 4. Staff
What are your top 3 opportunities of improvement? Communication Room / Bed Availability Readmissions Lab Test Errors Patient Transfer / Transport Care Administrative Payroll Recruiting/hiring process Claims Medical Records Physician Credentialing Patient Flow OB/GYN Emergency Imaging Surgery Flow Productivity / Efficiency Medication Errors
What would Coach do? Their Defense is better than the Steel Curtain and Houston Texans JJ Watt Quarterback Has an Concussion! Back Up QB Was 3rd Round Draft Pick 1st Quarter 12:00 Mins Left 17ofPoints Leadership is adown matter Don Shula Bill Belichick On a team, it s not the strength of the individual players, but it is the strength of the unit and how they all function together. Bill Belichick, having people look at you and gain confidence If you re in control, they re in control. Tom Landry What would Coach People who work together do?: will win, whether it be Vince Lombardi against complex Tom Landryfootball defenses, the problems Joe or Gibbs of modern John society. Madden Lombardi Bill Parcells Vince
NFL Football Dynasties Teams How many different Football Dynasties teams can you name?
1990-1994 Buffalo Bills Owner Ralph Wilson Coach Mark Levy Quarterback - Jim Kelly HOF Running Back - Thurman Thomas HOF Defensive End - Bruce Smith HOF Wide Receiver Andre Reed HOF Challenges/Opportunities Super Bowls Won: 0 (4 Appearances) Nickname Boy I Love Using Super Bowls Fans know Buffalo Bills are not moving.
1969 1970s Minnesota Vikings Owners Bill Boyer & Max Winters Coach Bud Grant Quarterback - Joe Kapp/Fran Tarkenton HOF Running Back Dave Osborn Defensive - Alan Page HOF Wide Receiver Gene Washington Challenges/Opportunities Super Bowls Won: 0 (4 Appearances). Nickname Purple People Eaters
1976-1983 Oakland Raiders Owners Al Davis Coach Tom Flores/Jon Madden HOF Quarterback Ken Stabler HOF Running Back Marcus Allen HOF Wide Receiver Tim Brown HOF Challenges/Opportunities Super Bowls Won: 3 (5 Appearances). Nickname Legion of Dome Fans Raider Nation
1946-1955 Cleveland Browns Owners Jimmy Haslam & Dee Haslam Coach Paul Brown Quarterback Otto Graham HOF Running Back Jim Brown HOF Tight End Ozzie Newsome HOF Line Backer - Clay Matthews Challenges/Opportunities Super Bowls Won: 0 (0 Appearances) Supporters Dog Pound
2001 - (2001Present) New England Patriots Owners Robert Craft Coach Bill Belichick Quarterback Tom Brady Running Back Sam Cunningham Tight End Stephen Gostkowski Challenges/Opportunities Super Bowls Won: 4 (8 Appearances) Fan Loyalty, Team Leadership, Ownership Passion
Operational Effective Teams How many Operational Effective teams can you name
Operational Effectiveness Teams United States Navy
Operational Effectiveness Teams United States Army
Operational Effectiveness Teams United States Air Force
Operational Effectiveness Teams United States Coast Guard
Best Hospitals What were the top hospitals for 2016-2017?
US News & World Report Best Hospitals 1. Mayo Clinic, Rochester, Minn. 2. Cleveland Clinic 3. Massachusetts General Hospital, Boston 4. Johns Hopkins Hospital, Baltimore 5. UCLA Medical Center 6. New York-Presbyterian University Hospital of Columbia and Cornell 7. UCSF Medical Center, San Francisco 8. Northwestern Memorial Hospital, Chicago 9. Hospitals of the University of Pennsylvania-Penn Presbyterian, 10. NYU Langone Medical Center
US News & World Report Best Hospitals 11. Barnes-Jewish Hospital/Washington University, St. Louis 12. UPMC Presbyterian Shadyside, Pittsburgh 13. Brigham and Women's Hospital, Boston 14. Stanford Health Care-Stanford Hospital, Stanford, Calif. 15. Mount Sinai Hospital, New York 16. Duke University Hospital, Durham, N.C. 17. Cedars-Sinai Medical Center, Los Angeles 18. University of Michigan Hospitals and Health Centers, Ann Arbor 19. Houston Methodist Hospital 20. University of Colorado Hospital, Aurora
US News & World Report Best Hospitals The Best Hospitals methodologies include objective measures such as patient survival, number of patients, infection, adequacy of nurse staffing and more. Methodology updates made for 2016-17 include: U.S. News evaluated hospitals in four new areas: abdominal aortic aneurysm repair, aortic valve surgery, colon cancer surgery and lung cancer surgery. Read more. U.S. News made further adjustments to account for the socioeconomic mix of patients treated at hospitals. As a result, a hospital will not be negatively impacted if it sees large numbers of low-income patients. Read more. U.S. News credited hospitals that voluntarily make key data public in cardiology & heart surgery. The change reduced the weight reputation has in the specialty.
NFL Football Dynasties Teams What are the key components of Football Dynasties
NFL Football Dynasties Teams Ownership Coaching Administration Players Commitment Fans Goal (Super Bowl)
Operational Effective Teams What are the key components of Dynasty teams
Operational Effective Teams Leadership Vision / Mission Administration Employees Commitment Management Customers
Building Dynasty Teams What are the key components of building Dynasty Teams
Building Dynasty Teams Ownership Coaching Administration Players Commitment Fans Goal Leadership Vision / Mission Administration Employees Commitment Management Customers
Wikipedia - Operational Effectiveness Operational is the application of operationalization used in defining the terms of a process (or set of validation tests) needed to determine the nature of an item or phenomenon (e.g. a variable, term, or object) and its properties such as duration, quantity, extension in space, chemical composition, etc. [1][2] Since the degree of operationalization can vary itself, it can result in a more or less operational definition. Effectiveness is the capability of producing a desired result. When something is deemed effective, it means it has an intended or expected outcome, or produces a deep, vivid impression.
Personal Definition of Operational Effectiveness What is your Definition of Operational Effectiveness?
Management Quality Tools Group Dynamics DiSC D = Dominant (Active DISC Style, Task-Oriented) I = Influential (Active DISC Style, People-Oriented) S = Steady (Passive DISC Style, People-Oriented) C = Conscientious (Passive DISC Style, Task-Oriented) Deming's 14 Points of Management Stakeholder Analysis Change Acceleration Process (CAP) SIPOC Value Steam Mapping
Team Quality Tools Stages of Teams (Forming, Storming, Norming, Performing) Deming's 14 Points of Management Stakeholder Analysis Operations Leadership Finance Manager HR Resources IT Resources Brainstorming 5 Whys
Vision/Mission/Commitment Tools Accountability ASQ Code of Ethics Hippocratic Oath - Deming 14 Points Management Hippocratic Oath Doctors/Nurses Policy & Procedures Governing Federal & State Laws HIPPA Requirements
Operational Effectiveness Practitioner Decision Making - Finding ways in which people make decisions, enabling them real time to make good decisions, improving quality of decisions by leveraging and replicating relevant experiments, creating new ones and implementing their results to make organizations effective. Change & Learning Finding ways in which people learn, change, adopt and align themselves. Group Effectiveness Fining ways in which people work well together, especially in bringing new ideas and innovation. Self-Organizing & Adaptive Teams Fining ways in which self-organizing teams are working, learning and finding tangible ways in which they can work more effective.
Texas Gulf Coast Association of Healthcare Quality What were 3 things you learned from this conference?
Operational Effectiveness Building Dynasty Teams What are your key components of a Dynasty team?
Famous Football Coaches Quotes Perfection is not attainable. But if we chase perfection, we can catch excellence. -- Vince Lombardi, Head Coach Green Bay Packers (1959-67) Leadership is a matter of having people look at you and gain confidence If you re in control, they re in control. -- Tom Landry, Head Coach Dallas Cowboys (1960-88) On a team, it s not the strength of the individual players, but it is the strength of the unit and how they all function together. -- Belichick, Head Coach New England Patriots (2000-Present), New York Jets (1999), Cleveland Browns (1991-95) If you want to win, do the ordinary things better than anyone else does them day in and day out. - - Chuck Noll, Head Coach Pittsburg Steelers (1969-91) Leaders are made, they are not born. They are made by hard effort, which is the price which all of us must pay to achieve any goal that is worthwhile. -- Vince Lombardi, Head Coach Green Bay Packers (1959-67) Try not to do too many things at once. Know what you want, the number one thing today and tomorrow. Persevere and get it done. - George Allen, Head Coach Los Angeles Rams (1957, 1966-70), Chicago Bears (1958-65), Washington Redskins (1971-77) You fail all the time, but you aren t a failure until you start blaming someone else. -- Bum Phillips Head Coach, Houston Oilers (1975-80), New Orleans Saints (1981-85) Success demands singleness of purpose. -- Vince Lombardi, Head Coach Green Bay Packers (1959-67)