12/10/2013 Personal Mastery for Transformational Leadership Neil Baker M.D. IHI 25th Annual National Forum December 10, 2013 objectives • Explain how to identify and respond effectively to reactions in oneself and others that may interfere with progress. • Identify key elements for facilitating creativity in order to change habits and patterns. • Define ways to exercise authority which also help to preserve positive engagement. NO DISCLOSURES nb 1 12/10/2013 Personal Mastery for Transformational Leadership 2 12/10/2013 nb 3 12/10/2013 • Introduction • Complexity + stress in organizations • Reactivity and creativity--case study • Reflect. Explore. • Explore: engagement and authority Introductions When there are problems with improvement initiatives, what percent of the time is the predominant cause of these problems on the people/organizational side of change? • < 20% of the time • 20 - 50% of the time • 51 – 80% of the time • > 80% of the time nb 4 12/10/2013 Despite extensive efforts by many institutions and individuals, recent studies show little improvement in the rate of prevenACtaAbDlEeM pICa tMieEnDtI CINE 2012;87:1-8 harm since the Institute of Medicine sounded the alarm 12 years ago. We believe, however, that the fundamental cause of our slow progress is not lack of know-how or resources but a dysfunctional culture that resists change. • Introduction • Complexity + stress in organizations • Reactivity and creativity--case study • Reflect. Explore. • Explore: engagement and authority nb 5 12/10/2013 100% 90% 80% 70% 60% 50% 40% 30% Jan-02 Jan-03 nb 6 12/10/2013 Systematic Audits & performance Feedback impmroovdeemlse nt Reminders Knowledge EdTurcaaintionng & distMceiupalmitni-sa ry Involvement Attitude Knowledge Behavior Acuity Sufficient External staff Structural Leadership: Environment Capacity Policies, Administration Procedures & Processes Lea Cdlienricsahli p: Safety Culture Used with permission, Radcliffe Publishing, Bate et al Organizing for Quality 2008 nb 7 12/10/2013 8 12/10/2013 Used with permission, Radcliffe Publishing, Bate et al Organizing for Quality 2008 9 12/10/2013 Goals of conversations Robert Crosby, Cultural Change in Organizations 2009 Mary Beth O’Neill Executive Coaching With Backbone and Heart 2007 Edward Deci and Richard Flaste Why We Do What We Do 1996 Ronald Heifetz, Alexander Grashow, Marty Linksy The Practice of Adaptive Leadership 2009 nb 10