Leadership Begins and Ends With You

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    Leadership Begins and Ends.With You

    CATCH-Healthy Tomorrows TrainingMeeting

    August 15-16, 2008

    Chicago, Illinois

    Gilbert C. Liu MD, MS

    The speaker in th is session has no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider ofcommercial services discussed in th is CME activity. The speaker will not discuss or demonstrate pharmaceuticals and/or medical devices that are notapproved by the FDA and/or medical or surgical procedures that involve an unapproved or "off-label" use of an approved device or pharmaceutical.

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    Why Leadership? Why Now? Health Care and Medicine at the Vortex of Change

    Citing a leadership void in health care-AMA,

    AHA, IHI, AAMSE..on and on Leadership is not position-Not just seats at the

    table or at the head of the table-Leadership isabout values, vision, behavior and results

    The burden is greater in pediatrics-The professionneeds strong leadership-But children need strongadult leaders more than ever-they have no voice

    ONE effective leader can make a HUGE

    difference

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    Why Leadership?

    The Physician Perspective

    When you learn it and apply it, you find leadershipreally DOES matter

    Accounts for at least one-third of results of anorganization

    Amazingly, leaders in health care are often chosenfor reasons having nothing to do with ability to

    lead Most of us have not thought of leadership as a

    skill we need-We are incomplete without it.

    You can grow your leadership skills

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    Exercise: A Leader You Know Think about a leader that has made a real

    impact on you and/or your life

    List the attributes and behaviors of this leader

    that made the deepest impression upon you, and

    which you try to emulate

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    Characteristics of Exemplary

    Leaders Commonly Reported Honest

    Consistent, principled, trustworthy

    Forward looking Clear purpose and direction

    Inspiring

    Sense of purpose and worth, committed

    Competent

    CREDIBLE

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    You Are Already a Leader Leadership occurs at all levels and in all

    positions within organizations

    Leadership is behavioral, and therefore,

    learnable

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    Can You Learn to Be a Better Leader?

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    Learning to Lead Observation of others (50%)

    Trial and errorFeedback (40%)

    Education (10%)

    Awareness and faith in your own abilities

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    Leadership-It May Begin and End

    With You-But It Is All About Others

    Bringing out the best in oneself and in

    others in an effort to make a difference

    Not a position but rather practices and

    behaviors that mobilize others

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    Avoid putting yourself before others and youcan become a leader among men.

    ---Lao Tzu

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    The Best Science of Leadership Golemans Emotional Intelligence

    Kouzes and Posners 5 Practices in The

    Leadership Challenge

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    Goleman:What Makes a Leader? IQ + EQ + Style(s)

    Intelligence Emotional Intelligence

    Repertory/Synergy of Leadership Styles

    Transformational vs. Transactional

    Servant Leadership

    Others

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    Golemans Emotional Intelligence:

    Summary

    Know thyself ( )

    Control thyself

    Optimism: a positive attitude

    Empathy: care about others and care for others

    Vision

    Develop others Celebrate: encourage the heart

    Master multiple styles

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    Leadership Styles Coercive: Do what I tell you

    Authoritative: Come with me

    Affiliative: People come first

    Democratic: What do you think?

    Pacesetting: Do as I do, now! Coaching: Try this

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    What Works.and What Doesnt

    Goleman D. Leadership that gets results. Harvard Business Review, March-April 2000

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    How Often Do You

    Look In the Mirror? Self Assessment

    Are you honest about strengths and weaknesses in

    behaving as a leader? Do you have a good feel for your strongest and weakest

    leadership styles?

    Do you see yourself as leading?

    Dialogue and Feedback From Others

    Are you open or closed to it?

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    [A] leader releases energy, unites

    energies, and all with the object not only of

    carrying out a purpose, but of creating

    further and larger purposes.

    Mary ParkerFollett

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    Why Kouzes and Posner? Data collection and validation over 15

    years-It works!

    Rigorous research standards

    Data collected in the field with real people

    360 review (above, at level, below) of

    leadership practices Practical-makes sense and easy to

    remember and implement

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    Leadership Is Behavioral

    Learnable

    Which behaviors lead to success?

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    5 Practices of Excellent Leaders:

    The Evidence Base Model the Way

    Inspire a Shared Vision

    Challenge the Process

    Enable Others to Act

    Encourage the Heart

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    MODEL THE WAY

    Farm Credit Services of America

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    Model the Way FIND YOUR VOICE

    Clarifying, communicating, and living your

    personal values is the soul of leadership

    Deeds are consistent with principles

    SET THE EXAMPLE

    Actions speak louder than words

    Produce small wins-get results

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    Find Your Voice Clarify and remain consistent with values and

    beliefs

    Pay attention to how team adheres to sharedvaluescreate dialogue

    Standards, sense of pride

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    Setting the Example Provide tangible evidence of your

    commitment-show results

    DWYSYWD

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    The Symbiosis of Leadership

    and Management Leadership

    What to accomplish

    Doing right things Ladder in right place

    Direction/navigation

    Destination

    Management

    How to accomplish

    Doing things right Efficient climbing

    Detail/operation

    Road Map

    R E S U L T S

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    Leaders Need Tools Pediatric Leadership Alliance Toolkit

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    Whatever your mind can conceive and

    believe, it can achieve.

    Barbara A. Robinson

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    Inspire a Shared Vision

    Stanford University

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    Inspire a Shared Vision ENVISION THE FUTURE

    Vision of what could be

    Invent the future

    ENLIST OTHERS IN YOUR VISION

    Inspire commitment

    Share enthusiasm

    Open a dialogue

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    Envisioning the Future Imagine the ideal

    Positive and engaging

    Standard of excellence, priorities, values

    Intuit the future

    New insights, focus energies in present

    Be Foresighted

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    Enlist Others Focus collective energy

    Discover a common purpose, passion

    Build commitment Communicate expressively, appeal to interests, dreamsof others

    Impart responsibility, personal stake Make it their own

    Demonstrate personal conviction Outline your strategy and plan, bridging vision

    with reality-Connect the dots for people

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    Exercise: Great Visions Articulating end results in one sentence

    What are the greatest visions you have

    ever heard leaders articulate?

    What do they have in common?

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    Challenge the Process SEARCH FOR OPPORTUNITIES

    Innovate

    Change Grow

    Challenge motivates and raises performance levels

    EXPERIMENT AND TAKE RISKS

    Take risks

    Support good ideas

    Learn from mistakes to do better the next time

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    Arousing Intrinsic Motivation

    Create opportunities for others to outdo

    themselves

    Know what others can do and what they find

    challengingpromote sense of self worth,

    renew the team, help others develop personalstake

    Remain open to others views

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    Fostering Risk Taking Change as a positive challenge

    Identify possibilities for development, take

    initiative Sense of control

    Challenging but within reach

    Commitment/interest Identify rewards, acknowledge fears, make itsafe to experimentand fail

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    LeadershipLeadership::Synonymous With Success inSynonymous With Success in

    Navigating ChangeNavigating Change

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    TheOrganizational

    Iceberg GoalsProductsStructure

    TechnologyFinancial Resources

    Policies & ProceduresRoles & ResponsibilitiesRewards & Recognition

    Structural

    Aspects

    HumanAspects

    Perceptions

    AttitudesValues

    FeelingsInformal Interactions

    Group Norms

    The Dual Nature Of ChangeThe Dual Nature Of Change

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    Individual Transition Process

    The Journey

    Endings Neutral

    Zone

    New

    Beginnings

    Productivity

    CHAOS

    Drake Beam Morin, Inc.

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    People must be nurturedPeople must be nurtured

    Change process must bemanaged

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    The Productivity Impact of Change

    Idea of Change Introduced

    (restructuring, merger, plant closing, etc.)

    Morale/

    Productivity/

    Commitment

    Managed

    Change

    Minimum

    AcceptableUnmanaged

    Change

    Time

    Drake Beam Morin, Inc.

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    The objectives of organizationalchange cannot be successfully

    achieved until a critical massof people have completed

    their own individual changeswhich changes the culture.

    Organizational ChangeOrganizational Change

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    Working Change Model

    for Working People

    Courtesy of PLA

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    Managing Complex Change

    Vision Skills Incentives Resources

    Action

    Plan Status Quo

    Case forChange

    Skills Incentives ResourcesActionPlan

    Confusion

    Case forChange

    Vision Incentives ResourcesActionPlan

    Anxiety

    Case forChange

    Vision Skills ResourcesActionPlan

    GradualChange

    Case forChange

    Vision Skills IncentivesActionPlan

    Frustration

    Case forChange

    Vision Skills Incentives Resources FalseStarts

    Shared Need Vision Skills IncentivesEnabling

    Systems

    Action

    PlanChange

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    Enable Others to Act

    ReGen Technologies

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    Enable Others to Act FOSTER COLLABORATION

    We mentality

    Build a team of strong, capable and committed

    members

    STRENGTHEN OTHERS

    Share the sense of ownership

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    Fostering Collaboration Improves performance

    Sustains future interaction, allows diverse

    inputs Builds trusting relationships

    Betters espirit de corps

    Need each other

    Breeds commitment

    Shared goals and responsibility

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    Strengthen Others

    Feeling powerful=feeling able

    Ensure self leadership

    Provide choices

    Develop competence-provide skills andknowledge

    Assign tasks, make connections

    Offer support

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    Achieve Small Wins

    Doable steps

    Keep momentum going

    Sustain commitment

    Accentuate intrinsic rewards

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    Encourage the Heart RECOGNIZE CONTRIBUTIONS

    Authentic Recognition

    Individual and group achievements

    CELEBRATE THE VALUES AND

    VICTORIES

    Spirit of Community

    Doing good and doing well

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    Recognize Contributions

    Build self confidence through

    expectations/feedback

    Stimulate and motivate internal drives

    Sense of accomplishment

    Connect performance and rewards

    BUT-if it is not authentic it can have the

    opposite impact of what is desired

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    Celebrate Accomplishments

    Honor team members

    Tell GREAT stories

    Share success

    Encourage others and their passion

    Link to core values

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    Exercise: Encouraging the Heart

    Discuss the most innovative and effective

    ways you have seen leaders and

    organizations recognize accomplishments,achievements, and efforts

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    Ten Commitments of

    Leadership 1. Find your voice-Clarify

    personal values

    2. Set the example-Align

    actions with values 3. Envision the future-

    ennobling and exciting

    4. Enlist others-Appeal toshared aspirations

    5. Search foropportunities-innovate,grow, change

    6. Experiment and TakeRisks-generate small wins

    7. Foster collaboration-

    Cooperative goals andtrust

    8. Strengthen others-Sharepower and discretion

    9. Recognizecontributions-Showauthentic appreciation

    10. Celebrate values and

    Victories-spirit of

    community

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    Leadership is not something that you learn

    once and for all. It is an ever-evolving

    pattern of skills, talents, and ideas that growand change as you do.

    SheilaMurray Bethel

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    LEAD!

    Your patients need you to lead

    Your Academy needs you to lead

    Your profession needs you to lead

    Make the practice of leadership a part of

    your everyday practice

    THANK YOU