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Building a  Culture of Ownership Presented to the AHA Center for Healthcare Governance By Joe Tye, CEO of Values Coach Inc. Copyright © 2010, Values Coach Inc.
I don’t paddle – that’s not my job!
“A vast field of suffering and misery”
And we think WE have a healthcare crisis!
WWFD – Today?
The Hidden Healthcare Crisis “Nightingale’s enduring legacy is socially relevant because the profession of nursing shows signs of losing its soul; it is in crisis.” Barbara Montgomery Dossey et al:  Florence Nightingale Today:  Healing, Leadership, Global Action And it’s not just nursing!
“How do we empower caregivers to empower patients?” Patrick Charmel President & CEO Griffin Hospital
From Mere Accountability to a Culture of Ownership “Because it is so rare, an organization that is able to create this culture of ownership within its workforce has a high probability of creating a sustainable competitive advantage.” Al Stubblefield: The Baptist Health Care Journey To Excellence: Creating a Culture of WOWs!
Accountability Doing what you are supposed to do because someone else expects it of you.  Accountability springs from the extrinsic motivation of reward and punishment.
Nobody ever changes the oil in a rental car!
Ownership Doing what needs to be done because you expect it of yourself.  Ownership springs from the intrinsic motivation of pride and engagement.
“You can hold people accountable their job descriptions, but you can’t hold them accountable for being committed and engaged.   You can’t hold people accountable for caring.” From The Florence Prescription
40,676 – all 5 stars  7,392,629 views  As of 1-19-10, 9:10 pm
7,392,629 * * By 6:15 this morning another 9,208 people had viewed the United Breaks Guitars video.
Who Owns Left Field?
From the Information Age to the Conceptual Age  “The ability to encapsulate, contextualize, and emotionalize has become vastly more important in the Conceptual Age.” Daniel Pink: A Whole New Mind: Moving from the Information Age to the Conceptual Age
Management is a job description
Leadership is a life decision
And in today’s world we need leaders in every corner – not just in the corner office
Poet Bean Counter
Rules Values
Plans Inspires
Measured Seen
A Given A Choice
Inert Contagious
Process Attitude
Boring! Chaos!
Recruitingandretention is not one word.
Using “Invisible Architecture” to gain competitive advantage
Invisible architecture is to the soul of your organization what physical architecture is to its body.
Core Values are the Foundation
Built to Last
Core values define what you stand for and what you won’t stand for And if you don’t stand for something you’ll fall for anything!
“We know from our research that the people who are clearest about their [own personal] vision and values are significantly more committed to their organizations than are those who are not clear about their vision and values.” 		James Kouzes and Barry Posner:  A Leader's Legacy
Which value do direct caregivers feel is more important to your hospital’s leadership?
Compassion
Productivity
OR AND
The single most important thing I have learned in 15 years with Values Coach
ValuesareSkills
Don’t sell your people or your organization short… Because nobody learns everything they need to know in kindergarten!
We Call our Graduates “Spark Plugs”
Coming soon to every workplace near you (including yours)… Too many jobs Too few people
“Throughout the entire economy, the United States lacks adequate numbers of appropriately skilled workers to support high standards in personal or professional services, or properly maintain the physical and technological infrastructure upon which everyone relies and takes for granted.”   Edward E. Gordon:  The 2010 Meltdown:  Solving the Impending Jobs Crisis
Cost of turnover (hiring, training, and productivity loss) represents a loss of greater than 5 percent of the total annual operating budget. Waldman JD et al:  The shocking cost of turnover in health care, Health Care Management Review,  January 2004
Values and Employee Loyalty  Source: Roger Herman, et al: Impending Crisis: Too Many Jobs, Too Few People (page 139)
Soft really is hard!
Culture is to the organization what personality and character are to the individual.
“I came to see, in my decade at IBM, that culture isn't just one aspect of the game – it is the game.”
Culture Eats Strategy for Lunch!
Cultural Toughness Walt Disney Tom Watson Robert Wood Johnson William McKnight Mary Kay Ash Bill and Dave Ray Kroc Millard Fuller Wiley Business Books, July 2010
We need to have a different perspective on the challenges we face.   We need to see opportunities where others see barriers.   We need to be cheerleaders when others are moaning doom-and-gloom.   We need contrarian toughness – being thankful for problems because it’s in how we solve our problems that we differentiate ourselves from everyone else.   The Florence Prescription
Engaged –  Spark Plugs
Not Engaged –  Zombies
Disengaged –  Vampires
Shift Your Bell Curve
Emotional climate is defined by what you expect and by what you tolerate* *to permit is to promote
Spark Plug Pickle* Observers – the results are almost always the same *So-called because emotional vampires look like they have a dill pickle stuck in their mouths
1. Commitment
2. Engagement
3. Passion
4. Initiative
5. Stewardship
6. Belonging Fear excludes and creates enemies. Courage includes and creates friends. Joe Tye:  Never Fear, Never Quit: A Story of Courage and Perseverance
7. Fellowship
8. Pride
How do you answer the universal icebreaker question? What do you do?
Does your answer convey: I’m good at what I do. I love what I do. I’m proud of what I do. What I do is important.
What could be more boring than industrial ventilation systems?
Cultural transformation project for a busy urban emergency department
The Challenge Lack of trust between staff and management.
The Challenge Inadequate support from ancillary departments and ineffective advocacy for the department by the management team.
The Challenge Downward spiral of toxic emotional negativity reflected in chronic complaining, gossip, finger-pointing, and learned helplessness.
The Challenge Forward momentum prevented by excessive attachment to past grievances.
Intervention
Actions and Outcomes Focus group sessions broke the ice and surfaced serious failures of communication, understanding, and empathy.
Actions and Outcomes Distribution to all staff of a critical consultant report raised a very high bar of expectations for the management team.
Actions and Outcomes Quantum increase in leadership visibility established connection and credibility.
Actions and Outcomes Substantial increase in Security presence on unit with greatly enhanced communications and responsiveness.
Actions and Outcomes Recommitment of the department educator to training functions.
Actions and Outcomes Commitment to charitable activities built new bridges among staff and between staff and management.
Actions and Outcomes No more management by email and no tolerance for transferring monkeys from staff to manager shoulders.
Actions and Outcomes Proceed Until Apprehended approach to unit support achieved immediate results and got the attention of support departments.
Principles involved: Courage
Principles involved: Courage Transparency
Principles involved: Courage Transparency Visibility
Principles involved: Courage Transparency Visibility Mutuality
Principles involved: Courage Transparency Visibility Mutuality Commonality
Principles involved: Courage Transparency Visibility Mutuality Commonality Momentum
“The change in the atmosphere of the Emergency Department has been palpable.” Judy Rich, President & CEO Tucson Medical Center
Healthcare reform from the inside out
Step 1 Read the Book OR
These 8 are also essential qualities for a meaningful work experience!
Step 2Take The Pledge Who empowers the caregivers?
Monday:		  Responsibility Tuesday:		  Accountability Wednesday:	  Determination Thursday:	  Contribution Friday:		  Resilience Saturday:	  Perspective Sunday:		  Faith
If you’ve been waiting for someone else to empower you, you should know that…
No one can empower you but – YOU – and once you have empowered yourself… No one can take that power away.
Step 3 Make the Commitment Be a ringleader in the positivity conspiracy!
“That’s why we need this bottom-up conspiracy that Carol Jean talks about.  Because if enough people like you scream ‘Stop it!’ to the complainers and the finger-pointers and the gossips, you can clear the air of toxic emotional negativity.   You owe it to your patients.   You owe it to each other.  You owe it to yourselves and to your families.” The Florence Prescription
Refuse to participate in complaining, gossiping, and other forms of toxic emotional negativity.
Replace the words “Not my job” with “How can I help?” Not my job
Imagine! An organization where everyone has taken The Florence Challenge.
The Patient Wins
The Hospital Wins
The Caregiver Wins
Building A Culture Of Ownership, Presented To The Aha Center For Healthcare Governance By Joe Tye

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Building A Culture Of Ownership, Presented To The Aha Center For Healthcare Governance By Joe Tye

  • 1. Building a Culture of Ownership Presented to the AHA Center for Healthcare Governance By Joe Tye, CEO of Values Coach Inc. Copyright © 2010, Values Coach Inc.
  • 2.
  • 3. I don’t paddle – that’s not my job!
  • 4.
  • 5.
  • 6. “A vast field of suffering and misery”
  • 7. And we think WE have a healthcare crisis!
  • 9. The Hidden Healthcare Crisis “Nightingale’s enduring legacy is socially relevant because the profession of nursing shows signs of losing its soul; it is in crisis.” Barbara Montgomery Dossey et al: Florence Nightingale Today: Healing, Leadership, Global Action And it’s not just nursing!
  • 10. “How do we empower caregivers to empower patients?” Patrick Charmel President & CEO Griffin Hospital
  • 11. From Mere Accountability to a Culture of Ownership “Because it is so rare, an organization that is able to create this culture of ownership within its workforce has a high probability of creating a sustainable competitive advantage.” Al Stubblefield: The Baptist Health Care Journey To Excellence: Creating a Culture of WOWs!
  • 12. Accountability Doing what you are supposed to do because someone else expects it of you. Accountability springs from the extrinsic motivation of reward and punishment.
  • 13.
  • 14. Nobody ever changes the oil in a rental car!
  • 15. Ownership Doing what needs to be done because you expect it of yourself. Ownership springs from the intrinsic motivation of pride and engagement.
  • 16.
  • 17.
  • 18. “You can hold people accountable their job descriptions, but you can’t hold them accountable for being committed and engaged. You can’t hold people accountable for caring.” From The Florence Prescription
  • 19. 40,676 – all 5 stars 7,392,629 views As of 1-19-10, 9:10 pm
  • 20. 7,392,629 * * By 6:15 this morning another 9,208 people had viewed the United Breaks Guitars video.
  • 21.
  • 22. Who Owns Left Field?
  • 23. From the Information Age to the Conceptual Age “The ability to encapsulate, contextualize, and emotionalize has become vastly more important in the Conceptual Age.” Daniel Pink: A Whole New Mind: Moving from the Information Age to the Conceptual Age
  • 24. Management is a job description
  • 25. Leadership is a life decision
  • 26. And in today’s world we need leaders in every corner – not just in the corner office
  • 31. A Given A Choice
  • 35.
  • 36.
  • 38.
  • 39. Using “Invisible Architecture” to gain competitive advantage
  • 40.
  • 41. Invisible architecture is to the soul of your organization what physical architecture is to its body.
  • 42. Core Values are the Foundation
  • 44. Core values define what you stand for and what you won’t stand for And if you don’t stand for something you’ll fall for anything!
  • 45.
  • 46. “We know from our research that the people who are clearest about their [own personal] vision and values are significantly more committed to their organizations than are those who are not clear about their vision and values.” James Kouzes and Barry Posner: A Leader's Legacy
  • 47. Which value do direct caregivers feel is more important to your hospital’s leadership?
  • 51. The single most important thing I have learned in 15 years with Values Coach
  • 53. Don’t sell your people or your organization short… Because nobody learns everything they need to know in kindergarten!
  • 54.
  • 55. We Call our Graduates “Spark Plugs”
  • 56.
  • 57. Coming soon to every workplace near you (including yours)… Too many jobs Too few people
  • 58. “Throughout the entire economy, the United States lacks adequate numbers of appropriately skilled workers to support high standards in personal or professional services, or properly maintain the physical and technological infrastructure upon which everyone relies and takes for granted.” Edward E. Gordon: The 2010 Meltdown: Solving the Impending Jobs Crisis
  • 59. Cost of turnover (hiring, training, and productivity loss) represents a loss of greater than 5 percent of the total annual operating budget. Waldman JD et al: The shocking cost of turnover in health care, Health Care Management Review, January 2004
  • 60. Values and Employee Loyalty Source: Roger Herman, et al: Impending Crisis: Too Many Jobs, Too Few People (page 139)
  • 61. Soft really is hard!
  • 62.
  • 63. Culture is to the organization what personality and character are to the individual.
  • 64. “I came to see, in my decade at IBM, that culture isn't just one aspect of the game – it is the game.”
  • 65. Culture Eats Strategy for Lunch!
  • 66. Cultural Toughness Walt Disney Tom Watson Robert Wood Johnson William McKnight Mary Kay Ash Bill and Dave Ray Kroc Millard Fuller Wiley Business Books, July 2010
  • 67. We need to have a different perspective on the challenges we face. We need to see opportunities where others see barriers. We need to be cheerleaders when others are moaning doom-and-gloom. We need contrarian toughness – being thankful for problems because it’s in how we solve our problems that we differentiate ourselves from everyone else. The Florence Prescription
  • 68.
  • 69.
  • 70. Engaged – Spark Plugs
  • 71. Not Engaged – Zombies
  • 72. Disengaged – Vampires
  • 73.
  • 74.
  • 76. Emotional climate is defined by what you expect and by what you tolerate* *to permit is to promote
  • 77.
  • 78.
  • 79.
  • 80. Spark Plug Pickle* Observers – the results are almost always the same *So-called because emotional vampires look like they have a dill pickle stuck in their mouths
  • 81.
  • 87. 6. Belonging Fear excludes and creates enemies. Courage includes and creates friends. Joe Tye: Never Fear, Never Quit: A Story of Courage and Perseverance
  • 90. How do you answer the universal icebreaker question? What do you do?
  • 91. Does your answer convey: I’m good at what I do. I love what I do. I’m proud of what I do. What I do is important.
  • 92. What could be more boring than industrial ventilation systems?
  • 93.
  • 94. Cultural transformation project for a busy urban emergency department
  • 95. The Challenge Lack of trust between staff and management.
  • 96. The Challenge Inadequate support from ancillary departments and ineffective advocacy for the department by the management team.
  • 97. The Challenge Downward spiral of toxic emotional negativity reflected in chronic complaining, gossip, finger-pointing, and learned helplessness.
  • 98. The Challenge Forward momentum prevented by excessive attachment to past grievances.
  • 100. Actions and Outcomes Focus group sessions broke the ice and surfaced serious failures of communication, understanding, and empathy.
  • 101. Actions and Outcomes Distribution to all staff of a critical consultant report raised a very high bar of expectations for the management team.
  • 102. Actions and Outcomes Quantum increase in leadership visibility established connection and credibility.
  • 103. Actions and Outcomes Substantial increase in Security presence on unit with greatly enhanced communications and responsiveness.
  • 104. Actions and Outcomes Recommitment of the department educator to training functions.
  • 105. Actions and Outcomes Commitment to charitable activities built new bridges among staff and between staff and management.
  • 106. Actions and Outcomes No more management by email and no tolerance for transferring monkeys from staff to manager shoulders.
  • 107. Actions and Outcomes Proceed Until Apprehended approach to unit support achieved immediate results and got the attention of support departments.
  • 108.
  • 111. Principles involved: Courage Transparency Visibility
  • 112. Principles involved: Courage Transparency Visibility Mutuality
  • 113. Principles involved: Courage Transparency Visibility Mutuality Commonality
  • 114. Principles involved: Courage Transparency Visibility Mutuality Commonality Momentum
  • 115. “The change in the atmosphere of the Emergency Department has been palpable.” Judy Rich, President & CEO Tucson Medical Center
  • 116.
  • 117. Healthcare reform from the inside out
  • 118. Step 1 Read the Book OR
  • 119. These 8 are also essential qualities for a meaningful work experience!
  • 120. Step 2Take The Pledge Who empowers the caregivers?
  • 121. Monday: Responsibility Tuesday: Accountability Wednesday: Determination Thursday: Contribution Friday: Resilience Saturday: Perspective Sunday: Faith
  • 122. If you’ve been waiting for someone else to empower you, you should know that…
  • 123. No one can empower you but – YOU – and once you have empowered yourself… No one can take that power away.
  • 124. Step 3 Make the Commitment Be a ringleader in the positivity conspiracy!
  • 125. “That’s why we need this bottom-up conspiracy that Carol Jean talks about. Because if enough people like you scream ‘Stop it!’ to the complainers and the finger-pointers and the gossips, you can clear the air of toxic emotional negativity. You owe it to your patients. You owe it to each other. You owe it to yourselves and to your families.” The Florence Prescription
  • 126. Refuse to participate in complaining, gossiping, and other forms of toxic emotional negativity.
  • 127. Replace the words “Not my job” with “How can I help?” Not my job
  • 128. Imagine! An organization where everyone has taken The Florence Challenge.

Notas del editor

  1. When FN walked into the Scutari Barrack Hospital: There was no clean water, the floors were filthy and the air was foul, rats ran wild and the place was infested with vermin.Soldiers were bedded on blood-soiled straw, most still wearing what they wore on the battlefield.There was no nutritious food and virtually no medicines or supplies, and no money to get any.Orderlies cared only for officers, refused to empty chamber pots, and spent more time chasing nurses than caring for patients.Amputations were performed out in the open in full view of other patients. Surgeons refused to wash their hands and most of their victims died of infection.The first thing the medical director said to her was that he wanted nothing to do with Florence and her do-gooder ladies.He relented only when several boatloads of casualties appeared on the horizon and the hospital was already beyond a state of crisis.
  2. Laura Fraser plays the role of FN in a BBC made-for-TV movie
  3. Laura Fraser plays the role of FN in a BBC made-for-TV movie
  4. FN got to the root of the problem. And today, she would tell us that the root of the problem is not with the things that WE look at to define such things as quality, service and patient satisfaction.