High Impact Leadership in

the Real World

Kevin Rooney, MBChB, FRCA,

FFICM, FRCP

Q8

Declaration of Conflict of Interest

We have no financial conflict of interest in presenting this topic.

Session Objectives

• Identify their organization’s leadership mental models and behaviors

• Develop new individual and organizational leadership skills and behaviors consistent with achieving Triple Aim results

Housekeeping

Please put mobile phones on silent.

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If you hear a fire alarm, please follow staff to the muster point.

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Blue Shirts – here to help

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Aims

• By the end of this Quick Course you will have a better understanding of how to:

– Identify your organisation’s leadership mental models and behaviours

– Develop new individual and organisational leadership skills and behaviors consistent with achieving Triple Aim results

Agenda

Time Topic

08:30 – 08:40 am Introduction

08:40 – 10:00 am Person-Centredness

10:00 – 10:30 am Morning Break

10:30 – 12:00 pm Frontline Engagement

12:00 – 1:00 pm Lunch

1:00 – 2:30 pm Relentless Focus & Transparency

2:30 – 3:00 pm Afternoon Break

3:00 – 4:00 pm Boundarylessness & Close of Meeting

Icebreaker

• Introduce yourself to your table

• Who are you?

• Where do you come from?

• Professional background?

• What do you hope to learn from this Quick Course?

Brain Teaser

• It is time to elect a new world leader, and only your vote counts. Here are the facts about the three leading candidates.– Candidate A - Associates with crooked politicians, and consults

with astrologists. He's had two Mistresses. He also chain smokes and drinks 8 to 10 martinis a day.

– Candidate B - He was kicked out of office twice, sleeps until noon, used opium in college and drinks a quart of whiskey every evening.

– Candidate C - He is a decorated war hero. He's a vegetarian, doesn't smoke, drinks an occasional beer and never cheated on his wife.

Brain Teaser

• It is time to elect a new world leader, and only your vote counts. Here are the facts about the three leading candidates.– Candidate A - Associates with crooked politicians, and consults

with astrologists. He's had two Mistresses. He also chain smokes and drinks 8 to 10 martinis a day. Franklin D Roosevelt

– Candidate B - He was kicked out of office twice, sleeps until noon, used opium in college and drinks a quart of whisky every evening. Winston Churchill

– Candidate C - He is a decorated war hero. He's a vegetarian, doesn't smoke, drinks an occasional beer and never cheated on his wife. Adolph Hitler

Person Centred

A useful lens

Ask yourself a Question.

From… “What’s the matter?”

to“What matters to you?”

“Has a gift for rocking babies to sleep”

“Drinks Diet IrnBru for

Scotland”

“Plumber”

“Makes the best French Toast”

“Very good at art”

Shared Decision Making

What matters to me?

Preferred Place of Death

Table Exercise (5

mins)

Fill out individually and share with your neighbour

What Matters to Me?

Your name

How might you use WMTY to understand better what your patients need?

Table Exercise (5 mins)

Person-Centeredness

Report Out

• What did you already know?

• What surprised you?

• What are you going to do by next Tuesday?

Frontline Engagement

Hospital Safety Huddles Across Scotland in 2015

Continuously improve quality and safety every day

Improve staff engagement and empowerment

Improve patient and family experiences

Hospital Huddle started 7th Jan 2013

Royal Hospital for Sick Children, Yorkhill, PICU Total Delayed Discharges (+ 4 hrs)

I always felt supported in my role – the huddle

has made it better

Gives me an overview of the whole hospital -who needs help Feels like we are

one team working together

Gives me real time information that is

being acted on

What Matters to Them?

Joy in the Workplace

….over 1,700 leadership walkrounds have been conducted in Scotland.

Since 2008…….

Frontline Engagement

Report Out

• What did you already know?

• What surprised you?

• What are you going to do by next Tuesday?

Relentless Focus and Transparency

2020 Vision for Health & Social

Care: A Scotland where everyone lives

longer, healthier lives

at home or in a homely setting.

A useful lens

The Door of my ICU

% 30 day Mortality of ICD 10 A40/A41

Total Cardiac ArrestRate for 13 hospitals

Patient Stories

Source: Care Opinion November 2017

9,496 stories told

291 stories have led to changes

1,041 staff listening

Per capita cost

Chief Exec Annual Report 2016/17

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Baseline Period

NHSScotland Hospital Standardised Mortality Ratio

January 2011 – June 2017

Alcohol related deaths registered in Scotland (1979-2016)

Source: National Records of Scotland 2017

Relentless Focus

Transparency

Report Out

• What did you already know?

• What surprised you?

• What are you going to do by next Tuesday?

Boundarylessness

General Medical Services

Pharmacy

Community Nursing

Dentistry

Scottish Stillbirth Rate (per 1000 births) 2000 - 2015

‘My neonatal colleagues in Edinburgh tell me that they notice more small babies in the cots now - they would previously not have made it to the unit of course…’

Dr Catherine Calderwood, Chief Medical Officer for Scotland

“I talk about my feelings using the emotion bags. It helps me to feel

much better and calmer.”

“When I feel frustrated I can talk to my friends and teachers about it and it makes me feel happier”

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Number of targets achieved by childrenOur Lady of Peace Primary School, Renfrewshire

Christmas Holidays

Easter Holidays

Started timing sessions

Plannng tool introduced

Emotion Bags introduced

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Number of children represented by a parent at drop in session

Our Lady of Peace Primary School, Renfrewshire

Invite given at parents night

Emotion bags used

Children make the invitations

“Sam’s behaviour has improved in class. He is able to talk about his feelings and regulate his

emotions. He is developing friendships and relationships with others”

Sam’s Teacher

Boundarylessness

Report Out

• What did you already know?

• What surprised you?

• What are you going to do by next Tuesday?

Any Questions?

Thank You