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12/11/2018
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Presented by: Angie Charlet, DBA, MHA, RN
SkillsLeadershipBuilding
Population Health: Leadership & Strategy Series
“Building Leadership Skills”Purpose of Today
Leadership & Strategy Series
Education today is intended for….C-Suite/organization leaders, Board Members, and Managers, Department Heads, and key stakeholders involved in Population Health management and strategy.
Discuss the creation of a culture of transparency to empower change and promote innovation within the organization.
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By the end of this presentation, you should be able to:• Describe how to enhance leadership skills in innovative thinking and new
models of care• Develop cross-organizational collaboration through vision frameworks that
foster innovation• Create scorecards and dashboards to promote current successes and
achievements as well as embracing any current dips in success and actions to improve
Learning Outcome Standard: Based upon AHRQ strategies of population health, and 2nd Ed Population Health Creating a Culture of Wellness.
“Building Leadership Skills”Learning Outcomes
Leadership & Strategy Series
Innovative Thinking &Leadership Skills
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ICE BREAKER
In the chat box:
Give an example of something you’ve done this month that you feel proud of…can be personal or work related.
Poll Question
How many of you have a ‘toy’ of sorts on your desk. Such as fidget spinner, character or animal figure, magnet mold, stress ball, putty/playdoh, etc.
• Yes• No
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Understanding Innovative Thinking
Innovation: The process of translating an idea or invention into a good or service that creates value or for which customers will pay… (business dictionary.com)
Innovative thinking: Ability to be open to other ideas, accumulate a large source of data from which to draw from; practical application of creative ideas
Creative thinking: An innate talent that you were born with and a set of skills that can be learned, developed, and utilized in daily problem solving
Leadership: A process by which a person influences others to accomplish an objective and directs that organization in a way that makes it more cohesive and coherent (www.nwlink.com)
Chat Pane:
• List the last creative change you made or were part of in your organization
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Innovation Leadership
Applying innovative thinking to leadership tasks
Innovation LeadershipTwo-Tiered Approach (Centers for Creative Leadership)
Leadership for Innovation
Leadership for innovation rather than management of innovation where others are applying innovative thinking
BUSINESS THINKING
• Traditional business thinking
• Logical
• Deductive/inductive reasoning
• Requires proof to proceed
• Looks for precedents
• Quick to decide
• There is right and wrong
• Uncomfortable with ambiguity
• Wants results
•
• Innovative thinking
• Intuitive
• Abductive reasoning
• Asks what if?
• Unconstrained by the past
• Holds multiple possibilities
• There is always a better way
• Relishes ambiguity
• Wants meaning
INNOVATIVE THINKING
Business Thinking vs. Innovative Thinking
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Poll Question
In your current role, are you more in line with business or innovative thinking?
• Business• Innovative• Neither• Blend of both
Innovative Thinking Skills
• Paying Attention• Personalizing• Imaging• Serious Play• Collaborative Inquiry• Crafting
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Poll Question
How do you create ‘fun’ in your team meetings? (Select all that apply)
• Ice breaker• Roundtable discussion• No current process• Toys at the table• Doodle pad
New Framework
• Reframe the challenge – re examining the situation with new eyes
• Customer experience• Rapid cycle change
Think outside the boxPlay
Various perspective/new eyesLet go of the emotionsAccept “its ok to fail”
Don’t accept ‘comfortable’Be bold, adventuresome
Allow yourself to be sillyLet your mind wanderQuestion everything
Try new thingsLet your inner child take over
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Another Look at Innovative Thinking
Scorecards & Dashboards
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Dashboards and Scorecards
Top 10 % Cottage Sample Size
National* Goal 2nd Qtr. 2010 3rd Qtr. 2010 4th Qtr. 2010 1st Qtr. 2011 2nd Qtr. 2011 n / d
SCIPSCIP # of patients 73 74 66 62 65
Beta blocker in periop period if applicable 100.0% 100.0% 95.0% 93.0% 100.0% 100.0% 100.0% 27/27
Prophylactic Antibiotics within 1 hour prior 100.0% 100.0% 98.0% 100.0% 100.0% 100.0% 100.0% 43/43
Prophylactic Antibiotics Discontinued within 24 hours 100.0% 100.0% 98.0% 98.0% 97.0% 97.0% 98.0% 42/43
Appropriate Antibiotic selection for surgical pt. 100.0% 100.0% 98.0% 100.0% 100.0% 100.0% 100.0% 43/43
Appropriate Hair Removal 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 65/65
Perioperative Temp. Management (this measure expanded from colon cases to all cases 4thQ2009) not available 100.0% 100.0% 100.0% 100.0% 100.0% 98.0% 64/65
Urinary cath removed post op day 1 or 2 not available 100.0% 98.0% 98.0% 94.0% 100.0% 100.0% 40/40
Recommended VTE prophylaxis ordered 100.0% 100.0% 97.0% 96.0% 89.0% 97.0% 98.0% 57/58
Received appropriate VTE prophylaxis within 24 hours pre or post op 100.0% 100.0% 97.0% 100.0% 84.0% 97.0% 93.0% 54/58
98.21% 98.63% 98.09% 99.07% 98.31% 699/711
Green equals measures at 100%Red equals measures below 100%
AGGREGATE SCORE **(based on indicators used for CHS rankings)** GOAL: 100%
Facility goals increased to 100% with 1st Qtr 2011
SCORECARD
• Measures and compares your performance against projections and goals
• KPI’s determined earlier in year to evaluate progress
• Provide more serious value to organization
• Strategic (long-term)
• Execution and planning identified
• Multiple report types
• Compare and contrast datasets
• May have scorecard in the dashboard
• More customizable
• Are quick glance at datasets
• Operational (short-term)
• High-level view
DASHBOARD
The Difference
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When to Use What….
Anticipated Outcome
Tracking Measure
Standard Target Level Pre-Values
12-Month Values
Increase days cash on hand
DCOH US Median for Rural is 76.26 days
Increase DCOH to above national medianHospital target level: _____
____days _____days
Reduce Readmissions
Total Readmission rates
CMS US Reported rate: 15.3%
Reduce total readmissions below national rate.
Hospital target level:____%
_____% ______%
Improve Transitions of Care HCAHPS Scores
HCAHPS composite score for transition of care as reported in Hospital Compare
National: 53% Increase HCAHPS score to above national average Hospital target level ____%
_____% _____%
Reduce ED Frequent Visitors
# visits/month by single patient
Internal Decrease patient visits by ____ visits/month
Increase Medicarepatient alignment with PCP
# patientsreceiving MWV annually
Internal Increase #patients receiving MWV by X % or target 35% of MC population annually
_____% _____%
Building a Scorecard
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Examples cont.
Poll Question
Which tool are you currently using to display your progress?
• Dashboard• Scorecard• Both• Do not currently have a good tool in place
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Toolkit & ResourcesPut Today’s Training into Action
ARHQ Health Care Innovations Exchange: https://innovations.ahrq.gov/
Now that we have completed this presentation, you should be able to:• Describe how to enhance leadership skills in innovative thinking and new
models of care• Develop cross-organizational collaboration through vision frameworks that
foster innovation• Create scorecards and dashboards to promote current successes and
achievements as well as embracing any current dips in success and actions to improve
“Building Leadership Skills”Learning Outcomes
Leadership & Strategy Series
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If you have questions about this education, please contact:
Angie CharletICAHN
Email: [email protected]: 815.875.2999
Or you can contact [email protected]
Questions?
Upcoming Events & Consortium Announcements
Jennie Price, Director of Business Development & Grant DirectorHomeTown Health, LLC
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Leadership & Strategy Series
Tuesday,
Mar 12, 2019
Part IV: The Keys to Building Community Engagement
This session will look at current community engagement strategies, community needs as identified in CHNA and in
planning with the local health dept. and identify needs not yet addresses or any community demographic changes that
need addresses. Further development in engaging community partners in the strategic vision of population health and
promotion of health and wellness within the community.
Angie and the HTC team welcome your hospital’s questions as well as requests for areas
you’d like addressed both before or after a training session.
Contact Angie at: Email: [email protected] | Phone: 815.875.2999
Other Population Health Events & Resources in Q3:
Webinar Date Training Title Intended Audience
12/11/2018 Leadership Series:
Building Leadership Skills
C‐Suite/organization leaders, Board Members, and Managers, Department Heads, and key stakeholders involved in
Population Health management and strategy
12/20/2018 Care Management Series:
Population Health and Medical Care Transitions Case Managers, Care Coordinators, Nurse Leaders, Discharge
Planners
1/8/2019Finance & Operations Series:
Creating Meaningful and Compliant Community Health Needs Assessments
Financial Executives, COOs, and other Financial Leaders
1/17/2019Physician Quality Series:
Providers & Patient Centered Medical HomesPhysicians, Practice Administrators, and RHC/Clinic staff
1/1/2019 Quarterly Compliance Officer Update – January 2019 Rural Hospital Compliance Officers, C‐Suite, Board Members
2/12/2019Wellness and Disease Management Series:
Chronic Disease Management Program for Staff
Wellness committee members, nurse leaders, care coordinators, nurse educators, discharge planners, RHC staff, HR,
Marketing, and leadership
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Upcoming Webinar:“CFOs: Getting Ready for 2019”
Agenda to include updates from:• Michele Madison, Partner, Morris, Manning & Martin, LLP• Bubba Joiner, Partner, Draffin & Tucker, LLP• Kerry Dunning, Consultant/Owner, Kerry Dunning, LLC• Dale Gibson, Consultant/Owner, Dale Gibson & Associates• Leanne Layne, Consultant, Dale Gibson & Associates• Jimmy Lewis, CEO, HomeTown Health, LLC• Sandy Sage, Revenue Cycle Analyst and Trainer, HomeTown Health, LLC
Thursday, December 13, 20189:30am - 10:30am Eastern / 8:30am- 9:30am Central
In this webinar, rural hospital CFOs will receive updates and tools tobe better prepared for what’s coming in 2019.
Register here: https://register.gotowebinar.com/register/567426460505975553
Financial Stability Program Events & Resources in Q3:
Webinar Date Training Title Intended Audience
12/12/2018 Monthly Medicare Reimbursement Update Webinar Medicare Billers, Business Office Managers and CFOʹs
12/19/2018 Quarterly RHC Billing and Compliance UpdateRural Health Clinic Managers/Administrators, Billers, and
Compliance
1/29/2019 Quarterly Coding Webinar: ICD‐10‐CM Annual UpdatesHIM, Coding, and other Hospital Financial Leaders (CFOs,
Revenue Cycle Directors, Business Office leaders)
1/9/2019 Monthly Medicare Reimbursement Update Webinar Medicare Billers, Business Office Managers and CFOʹs
1/22/2019 Iowa Medicaid Update + Anatomy of an Appeal Medicaid Billers, Business Office Managers and CFO’s
2/13/2019 Monthly Medicare Reimbursement Update Webinar Medicare Billers, Business Office Managers and CFOʹs
2/26/2019 Physician CDI Training: The Rules of Medical NecessityPhysicians, Hospital and Physician Office Coders, CDI
Specialists, and Revenue Cycle Directors
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Consortium Conference Sessions:Save the Date!
For: Date:
Iowa March 13-15, 2019at the Hilton Garden Inn in Johnston, IA
All Georgia/ Florida HTC SHIP Grant
April 24-26, 2019at the Riverfront Marriott in Savannah, GA
Consumer Wellness Advocate Training & Professional Coach Advocate Training
Date: Event:
March 13-14, 2019at the Hilton Garden Inn in Johnston, IA
Iowa 3rd Annual Small Hospital Conference
REGISTER HERE by Jan 1:https://www.surveygizmo.com/s3/4725930/Wellness-Coach-Training-Registration-Iowa
April 23-24, 2019at the Riverfront Marriott in Savannah, GA
Georgia/Florida at HTH 19th Annual Spring Conference
REGISTER HERE BY Jan 1: https://www.surveygizmo.com/s3/4736954/Wellness-Coach-Training-Registration-Georgia-Florida
Professional Coach Advocate Training Designed for clinicians or those working with wellness programs. It teaches coachability and is a great starting point for incorporating coaching tools within a wellness program. This is the next step in helping individuals set goals and considering the goals within their environment. This train-the-trainer class will be offered live at a conference during the grant period, and would benefit a hospital’s nurse educator, clinic manager, care coordinator, or a wellness committee member.Consumer Wellness Advocate (CWA) Training The CWA training is “CPR for wellness,” and designed to help caregivers focus on their own needs. Covering the 10 dimensions of health and wellness, this Train-the-Trainer content is a great segway into helping and teaching individuals in the community about taking care of themselves. Live training will be offered for those interested in wellness or taking programs out to the community. Participants will receive live training and materials during a live conference throughout the grant year.
For more information on the training, download the program Flyer here:http://hthu.net/site/wp-content/uploads/2018/05/cwa-and-pca-flyer.pdf
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CONSORTIUM RESOURCES
There are on-demand training and certification programs available in HTHU’s:• School of Revenue Cycle Management• PFS/BO Certifications• School of Coding & Documentation• School of Clinical & Staff Compliance• School of Physician Office Education• School of HIT & Transformation• Board & Governance Training• School of Behavioral Health
Questions? Contact Meghan Williams at [email protected]
CONSORTIUM DASHBOARD
Georgia/ Florida Hospitals:www.hthu.net/htc18Password Protected
Iowa Hospitals: www.hthu.net/iahtc18Password Protected
Email [email protected] or Jennie Price at [email protected] your password.
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