Team Leadership Behaviors. Michael A. Rosen, PhD Assistant Professor, Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine. Objectives. Define key leadership functions and behaviors. - PowerPoint PPT Presentation
Building your Leadership Skills
Team Leadership BehaviorsMichael A. Rosen, PhDAssistant Professor, Armstrong Institute for Patient Safety and Quality, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine The Johns Hopkins University and The Johns Hopkins Health System Corporation, 2011ObjectivesDefine key leadership functions and behaviors.Explain the concept of shared leadership and its relationship to role-based or formal leadership.Identify key leadership strategies for patient care teams, change management / project teams, and more broadly leading organizational change. AgendaRapid Fire Ideas: The best and worst leaders
What is leadership for patient safety?From frontline to improvement teams and beyond
Leading patient care teamsExploring leadership in frontline teams
Leading change / improvement teamsDeveloping a team charterRapid Fire Ideas: The best and worst leadersThink about teams youve been on.
Who was the best leader (no names)?
Who was the worst leader (please, no names)?
What made them excel / less than excel?Armstrong Institute for Patient Safety and Quality4The Armstrong Institute Model to Improve CareComprehensive Unit based Safety Program (CUSP) Educate staff on science of safety
Assign executive to adopt unit
Learn from one defect per quarter
Implement teamwork tools Translating Evidence Into Practice(TRiP)
Summarize the evidence in a checklist
Identify local barriers to implementation
Ensure all patients get the evidenceEngageEducateExecuteEvaluate
Reducing Surgical Site InfectionsEmerging Evidence
Local Opportunities to Improve
Collaborative learningTechnical Work
Adaptive WorkTechnical challengesIssues for which there is knowledge to implement a solutionAdaptive challengesCan only be addressed through changes in peoples priorities, beliefs, habits, and loyaltiesHeifetz, Grashow, & Linsky, 2009
5What is Team Leadership?The [team leaders] main job is to do, or get done, whatever is not being adequately handled for group needs.1
Four main functions of leadership:2Information searchProblem solvingManaging material resourcesManaging personnel resources1McGrath, 19622Fleischman et al., 19916Team Leadership and Team PerformanceThe quality of a teams leadership is one of the strongest predictors of a teams success.1
1Burke et al., 200610% of team performance25% of team learningTeam Leadership alone accounts for ~ 10% of team performance (productivity, effectiveness, member satisfaction, viability).And, ~ 25% of team learning (improvement in knowledge and skill that better equips the team to succeed in the future).
7Leading Teams in Different ContextsLeading teams in practice Delivering patient careLeading teams in quality and safety improvementInternal CUSP or other QI team leadership Leading change in organizationsExternal (to CUSP or QI team) leadership
8What is shared leadership?Is leadership a trait or characteristic?Is it the responsibility or role of one person?Is it a set of functions shared among people?Armstrong Institute for Patient Safety and Quality9Denis et al., 2012
SharedPooledSpreadingLeading patient care teamsArmstrong Institute for Patient Safety and Quality10Phases of Team PerformanceArmstrong Institute for Patient Safety and Quality11Marks et al., 2001Exploring leadership in patient care teamsFind and review the Mapping and Defining Leadership in Your Team(s) worksheet.Where are your strengths?Where are your weaknesses?
Armstrong Institute for Patient Safety and Quality12Transition phase leadership functionsSelect team membersDefine visionEstablish expectations and goalsStructure and plan work Train and develop team membersFacilitate sensemakingProvide feedback
Armstrong Institute for Patient Safety and Quality13Morgeson et al., 2009Action phase leadership functionsMonitor the teamManage team boundariesChallenge the teamPerform the taskSolve problemsProvide resourcesEncourage team self-managementSupport a healthy social climate
Armstrong Institute for Patient Safety and Quality14Leading quality and safety improvement teamsArmstrong Institute for Patient Safety and Quality15Five Conditions Leaders can Put in Place to Facilitate TeamworkEnsure the team is a real teamCompelling directionEnabling structureSupportive organizational contextExpert coachingHackman, 2002Developing a Team CharterFind and review the Building Your CUSP Team: Tips from the Science of Teams worksheetWhat are your key team leadership strengths?What are your key areas in need of improvement?Armstrong Institute for Patient Safety and Quality17ReferencesBurke, C.S., Stagl, K.C., Klein, C., Goodwin, G.F., Salas, E., & Halpin, S.M. (2006). What type of leadership behaviors are functional in teams?: A meta-analysis. The Leadership Quarterly, 17: 288-307.Fleishman, E.A., Mumford, M.D., Zaccaro, S.J., Levin, K.Y., et al. (1991). Taxonomic efforts in the description of leader behavior: A synthesis and functional interpretation. Leadership Quarterly, 4: 245-87.Hackman, J.R. (2002). Leading teams: Setting the stage for great performances. Boston, MA: HBS Press.Heifetz, R., Grashow, A., & Linsky, M. The theory behind the practice. The practice of adaptive leadership, Boston, MA: Harvard Business Press, 2009: 19.Pronovost, P.J. (2011). Navigating adaptive challenges in quality improvement. BMJ Qual Saf 20(7), 560-3.