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How does a system think and act as one?. Leading Large Scale Change Susan Shaw Chiquita Hansen April 10 2014. @drsusanshaw @hansenchiquita. Conflicts of Interest. #d2. None to declare. @drsusanshaw. Why are you here?. #d2. Patients deserve safe, harm-free care that meets their needs
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How does a system think and act as one? • Leading Large Scale Change • Susan Shaw • Chiquita Hansen • April 10 2014 @drsusanshaw @hansenchiquita
Conflicts of Interest #d2 • None to declare @drsusanshaw
Why are you here? #d2 • Patients deserve safe, harm-free care that meets their needs • System needs to be sustainable: • Value: the relationship between quality and cost @drsusanshaw
Why are we here? #d2 • Chiquita: RN from New Zealand with a focus on primary care transformation • Susan: ICU doctor from Canada who works to generate system change @drsusanshaw
Shared purpose #d2 @drsusanshaw
Leading large scale change @drsusanshaw
Engagement for Mobilization #d2 • Energy for Change @drsusanshaw
Energy for Change #d2 @drsusanshaw
Leadership #d2 • Transformational leaders • a different way of working requires a different set of skills, behaviours and attitudes @drsusanshaw
Leadership • - Clinical governance • - Clinical networks • - Productives • - Collaborative clinical pathways • - Transformational Leadership Programme The Bridge of Aspiration @drsusanshaw
Transformational Leadership Programme (For Us By Us) #d2 • - 11 programmes over 4 years • - 220 participants across sector/levels/professions • - 3 two-day modules (You/Teams/Improvement) • - Adaptive challenge • - 4 coaching sessions • - Participant satisfaction • 95% content • 98% working in groups @drsusanshaw
Success! #d2 6 months ago 6 months ago @drsusanshaw
Success! • Here is a referral from Dr xx which I think should have been dealt with in primary care. I have now arranged for the poor pt with suspected DVT to be scanned at Broadway this afternoon. Dr xx is a repeat offender with this. I have tried to phone and speak to her but they are closed for lunch (!!!!!) nice lifePlease can you pass on the message? • The community pathway is sooooooooooooooooooooooooooo much better for the patient than coming to ED it should be a no-brainerED Director and ConsultantMidCentral HealthPalmerston North @drsusanshaw
Success! #d2 @drsusanshaw
The Why and The How #d2 • Ki mai ki ahau, he aha te mea nui o tenei ao • Maaku e ki atu • He tangata, he tangata, he tangata • If you ask me what is the most important thing in the world, my reply is this, • It is people, it is people, it is people.