Patti Adelman, EdD, MSEd, MSW

Vice President,

Center for Learning and Innovation

November 14, 2018

The largest provider of health care in the New York Metro area and first integrated health system in New York

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Educational ResearchPopulation

HealthClinical Care

Delivery

Northwell Health….. We see healthcare differently

Community Health

True North

- GME/CME

- School of

Medicine

- Elmezzi Graduate

School

- Graduate School

of Nursing &

Physician

Assistants

- Center for

Learning &

Innovation

- Patient Safety

Institute

- Bioskills

Education Center

- Feinstein

Institute

- Bio-Electronic

Medicine

- Clinical Research

Mgmt

- Cold Spring

Harbor

Laboratory

- Karolinska

Institute

- Health Services/

Outcomes

Research

- Accountable

Care Analytics

- Real Time

Identification

- Point of Care

Engagement

- Transitional Care

Mgmt

- Complex Care

Mgmt

- Advanced Illness

Mgmt

- 24/7 Clinical Call

Center

- Community Para-

medicine

- Inpatient

Facilities

- Ambulatory

Outpatient

- Long Term/

Home Care

- Hospice

- Medical Group

- Clinical Joint

Ventures

- Medical

Transport

- Community Benefit

- Access & Education Programs

- Veterans’ Programs

- Children’s Programs

- New Businesses

- Pharma Venture

- Consulting

- Partnerships

Shared services: Corporate services Clinical services Business services

Partnerships

How do we prepare healthcare leaders to work in value-based collaborative work environments?

Invest in and Develop a Cadre of Leaders at all Levels of the Organization

• Prepare the Health System’s next generation of leaders considered to be high potentials

• Target individuals ready to grow in scope & responsibility

• Calibrate experiences to enable the growth strategy of the organization

• Customize and personalize development to drive accelerated performance

A Deeper Dive into Learning…

LEADERSHIP DEVELOPMENT

Beginnings Corporate

Orientation

Beginnings Corporate

Orientation

PATIENT SAFETY INSTITUTE

PHYSICIAN LEADERSHIP INSTITUTE

SCHOLAR PIPELINEEMERGENCY

MEDICAL INSTITUTEBIOSKILLS

EDUCATION CENTERCLINICAL

TRANSFORMATION

CENTER FOR LEARNING AND INNOVATION

Administrative Fellowship

Programs

In Role Leadership Development (Leadership Essentials, LeadNEXT)

Physician Leadership

Development Program

Administrative / Clinical High

Potential Program

Educational Research

Clinical Skills Education

Interprofessional Team Education

Simulation Based Education

Clinical Education at Patient Safety

Institute

Department Team Building

Department Specific Education

Leadership Development

Physician Beginnings Corporate

Orientation

Domestic and International Internships

IS 59 Partnership

Institute for Health Professions

New Yorkers for Children Program

Medical Scholars Pipeline Program

Clinical Skills Education

LEAN/Six Sigma Program

Attending and Resident Physician

Program

Evaluation and Assessment

Paramedic Program

Vendor Sponsored Programs

Hybrid SimulationClinical Simulation

Continuing Medical Education

Industrial Engineering

Clinical Collaborations

EHR Content Development

Program/Project Management

Emergency Medical

Technician Program

ACLS/BLS Certification

AEMT & EMT Recertification

Advanced EMT Program

Continuing Medical Education

For more information(516) 321-8118TThornton1@northwell.edu

“Tell me and I forget. Teach me and I remember. Involve

me and I learn.”

Benjamin Franklin

What the Brain Has Told Us About Learning

• Lecture/discussion activities are the least effective ways to enhance learning

• Teaching methods should match more closely with how learners learn

• Rather than bringing learners to classrooms, faculty can work directly with learners in simulated work environments

Deliberate Practice

Activities that are specifically designed to improve the current level of performance

Repeated application with use of knowledge over extended periods of time leads to remarkably good retention

However……….The lack of adequate feedback make efficient learning impossible. Mere repetition does not automatically improve performance

Core Principles

• Learning – active pedagogy

• Knowledge in action creating effective results

• Value learning over teaching

• Trust the learners to learn much of the factual knowledge outside of class

• Learners must be prepared and active learners everyday

• Knowledge in Action-not factual memorization (Science that sticks)

• Assessment that reflects Core Principles

• Critical thinking

Core Principles

Essential Elements:

• Collaboration

• Respectful communication

• Reflection

• Application of knowledge and skills

• Experience in interprofessional teams

Simulation: An Innovative Learning Strategy

Live simulation

Learner-centric environment

Experiential, emotionally engaging activity

Enhances self-discovery and learning through debriefing and reflection

Emphasizes learning outcomes

Stresses teamwork, communication, critical thinking and technical skills

Patient Safety Institute

Students in simulation during integrated pathophysiology and gerontology course

In-Situ Simulation

Bioskills Education Center

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Month Day, Year 20

High Potential/Leadership Development

Programs

Site Nomination

s

Service Line Nominations

Corporate Nomination

s

List Shared

with President

and CEO for

Approval

Site Executive

Review

Regional

Executive Review

Senior Executive Review

Nomination And Review Process

CLI and Talent

Management Review

Curriculum Based Experiences

• Pre-Post Assessments

• Executive Coaching

• Flipped Classroom Curriculum• Pre-work for each course

• Case Based Education

• Simulation

• Small Group Discussions

• Large Group Discussion

• Executive Forums

• Exposure to Senior Executives

• Executive Sponsor Involvement/Participation

• Leadership Application Project

Leadership Application Project

• Effective learning requires three components: education and training, coaching and mentoring, and on-the-job experiences and application

• Enable participants to apply the leadership knowledge and skills obtained from the program back at your site

• Leading or co-leading the effort

• Involves the support and collaboration of other people

• Questions post-course encourage applying knowledge learned to an individual participant’s specific project• Think about your Leadership Application Project and a situation in which there is a difference in

desired outcome between various parties (this could be between individuals who are on your team or between different functional areas). What strategies from this Conflict Management and Negotiation Strategies session could you use to create an opportunity for all parties to feel equally successful?

• Knowledge Exchange at the end of the program

Month Day, Year 25

Provided tools which helped guide day to day decision-making when faced with difficult decisions

I have found that I am more mindful of situations that require

advanced leadership skill sets and that I am becoming more

facile at navigating these circumstances in ways I had not

done previously.

I don't have to have all the answers and I

don't have to feel threatened by others who

do. I feel more comfortable in working with

others so that each person's strengths are

utilized to optimize the achievement of goals.

I am happy I was chosen to be part of this

program and I am constantly applying skills I

learned from the program. my view of the

overall Northwell organization is so much

enriched because of the program. I have a lot

of friends whom I can talk to anytime and seek

help and advice. I communicate with them in a

language we learned together in our class

which is a special relationship and that is

benefit of being part of the program.

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Fellowship Programs

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Administrative Fellowship

• Dedicated 100% to Administrative Rotations

• 3 Fellows/year

Physician Administrative Fellowship

• Dedicated 50% to Administrative Rotations

• Dedicated 50% to Clinical Services

• 2 Fellows/year

1

Rotation

Per

Quarter

Corporate

Offices

Hospital or Service Line

Insurance or Finance

Ambulatory

Observational vs. Experiential• All Fellows participate in actual Northwell projects

• Fellows participate in “high level” meetings

• Introduced to an “advocate” role – an administrative responsibility

• Defined “next steps”

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“We cannot solve our problems with the same thinking we used when we created them.”

~ Albert Einstein

“It is up to today and tomorrow’s leaders to create the environment (and experiences) by which our team members get

to solve them”Patti Adelman

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