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A Development Path Toward an Interdependent Culture Kaiser Permanente
Benjamin K. Chu, MD President Scal Region
Vicki Enriquez Director, Executive Leadership Development
A Development Path Towards an Interdependent Leadership Culture
Benjamin Chu, MD, MPH Group President, Kaiser Permanente Southern California & Hawaii Vicki Enriquez, Ph.D. Managing Director, Organization Effectiveness Kaiser Permanente
Kaiser Permanente’s mission is to provide high-quality, affordable
health care services and to improve the health of our members and
the communities we serve.
3 © 2012 Kaiser Foundation Health Plan, Inc.
Kaiser Permanente Southern California
4 © 2012 Kaiser Foundation Health Plan, Inc.
14 KP owned hospitals 198 medical offices Multiple contracted hospitals Owned and contracted home health agencies 3.5 million members 5,726 physicians 19,449 nurses 1,730 pharmacists 60,493 employees
Our Vision is Total Health
The need for affordable health care is critical and growing. Current solutions are inadequate Underlying demographic and health trends will increase demand and heighten financial challenges Health care can be transformed through care re-engineering and technology The pace of industry change is accelerating Behavioral, social and environmental factors must be addressed to successfully improve health and control costs There is the opportunity for accelerated growth but it comes with risks
The World is Changing…
Our Vision is… To be a Leader in Total Health by Making Lives Better
External Presence We have the responsibility to…
Transforming care delivery Enabling performance through people Implementing infrastructure Improving cost structure Growing membership
Total Health is… clinical, behavioral, environmental and community strategies for improved health including equitable and affordable care
Internal Performance Our strategy is even more relevant…
Provide high quality, affordable care and coverage Advocate for continuous improvement in health and care Lead by example Advance the dialogue Shape the agenda
5 © 2012 Kaiser Foundation Health Plan, Inc.
Where are Leaders in Healthcare Now?
Stage Relationships Behavior Language 5 Team Innocent Wonderment “Life is great”
4 Partnership Tribal Pride “We are great”
3 Personal Lone Warrior “I’m great”
2 Separate Victim “My life stinks”
1 Alienated Despairing Hostility “Life stinks”
6 © 2012 Kaiser Foundation Health Plan, Inc.
From Tribal Leadership, Logan, King & Fischer-Wright, 2008, HarperCollins
The journey began with my team…
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And the journey continued with our next generation of leaders…
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Then we went big…
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What the Journey Looked Like
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A Sample of the Models we Used
© WolfCreek Partners 2003
© WolfCreek Partners 2003
A Grand Kick-off
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We Utilized Experiential Learning
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This Created Unique Opportunities for Learning
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A Reflection of the Journey
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Where We Have Gone Since Leadership 380
• Joint work with the Medical Group leadership
• Spreading organically at our medical centers and throughout our functional areas
• Conversations with our union leaders about engaging in this work
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Keys to Success
Modeling from the top – back at the workplace Leaders willing to make themselves vulnerable – share their
fears and how they moved past them Commitment from the all levels of leadership Time and organizational resources Sustainability over time – in good times and bad
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The Impact of Our work
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Leadership 380 helped create a culture of shared leadership and interdependence, which led to: Greater innovation Better able to solve complex problems Improved performance Continuing recognition of achievement
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2013 Kaiser Permanente Southern California Highest marks from California Office of the Patient Advocate for
overall quality of care, patient satisfaction (five years in a row) Medicare Health Plan Ranked No. 1 by the National Committee for
Quality Assurance California Medicare Health Plan Rated 5 out of 5 Stars from Centers
for Medicare & Medicaid Services (again) All 14 medical centers received “A” Safety Scores from The
Leapfrog Group The Joint Commission named 10 hospitals Top Performers in Key
Quality Measures JD Power and Associates Rated Highest in Member Satisfaction
among commercial health plans
© 2013 Kaiser Foundation Health Plan, Inc.
Questions?
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