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The Florence
Prescription for a
Culture of Ownership
OSU College of Nursing
August 20, 2015
Joe Tye, CEO and Head Coach
Values Coach Inc.
Copyright © 2015, Values Coach Inc.
leadership
From the Pulitzer Prize winning book
Leadership by James MacGregor Burns
In today’s complex,
turbulent, and uncertain
world we need leadership
in every corner, not just
in the corner office.
When Sally and I were in the
market for a second home in
Arizona our criteria were:
 Spectacular back yard
 Low to zero maintenance
 Affordable
And this is our primary
residence, the house where
we lived for the past 20 years
and raised our two children –
photo taken last April 20…
Lesson #1
Things aren’t
always what
they seem.
Lesson #2
What you really
want might be
closer than you
think.
Lesson #3
You must be
willing to jettison
old baggage to
move forward.
Lesson #4
There is almost
always a way to
create a win-win.
A word about the
assumptions we make.
What do you get when
you break the word
“assume” into its
constituent parts?
Question #1
When did the
healthcare crisis
begin?
Florence Nightingale firsts include:
• Medical records
• Laundry and housekeeping
• Infection control
• Nutrition service
• Pharmacy
• Materials management
• Patient library
• Medical triage
• Nursing uniforms
• Chaplain service
Two of the most
influential healthcare
books ever written
The first person ever to
calculate cost per patient
day in a hospital!
She understood the rule
no margin, no mission
We need to respark the
spirit that Florence first
sparked at the Scutari
Barrack Hospital!
Question #2
When will the
healthcare crisis
end?
Companies that study employee
engagement* consistently find:
~ 25% fully engaged
~ 60% not engaged
~ 15% aggressively disengaged
* e.g. Gallup, HR Solutions, Press Ganey
Engaged:
Spark Plugs
32
Not Engaged:
Zombies
34
Disengaged:
Vampires
aka Pickle Suckers
35
Disengaged people,
especially disengaged
managers, are a defect
But what’s more tragic...
It has a life-diminishing
impact on the disengaged.
“Disengagement [is] one
of the chief causes of
underachievement and
depression.”
Edward M. Hallowell, M.D. in HBR, 12-10
The journey from mere
Accountability
to a culture of
Ownership
Ac
count
able
Accountability
Doing what you are supposed
to do because someone else
expects it of you. It springs
from the extrinsic motivation
of reward and punishment.
You cannot hold people
“accountable” for the
things that really matter.
Nobody ever changes
the oil in a rental
car!
No one ever won a DAISY Award
by being held accountable!
Ownership
Doing what needs to be done
because you expect it of
yourself. Ownership springs
from the intrinsic motivation
of personal pride.
23,844,690 views
83,976– avg 5 stars
53
Who Owns Left Field?
What 117of you told me
about the culture of the
OSU College of Nursing
82%
80%
79%
76%
74%
72%
68%
67%
58%
50%
Out of 1,170 possibilities
(117 people x 10 questions)
there were 226 (19.3%)
“strongly agree” responses
Invisible
Architecture
“Invisible Architecture” is a
trademark of Values Coach Inc.
Invisible Architecture™
is more important than
bricks & mortar
The Blueprint
Behind the
Blueprint™
Invisible architecture
is to the soul of your
organization what
physical architecture
is to its body.
3 stages
TheFoundation
Core values define who you
are, what you stand for, and
what you won’t
stand for
Integrated DNA Technologies Inc. values (excerpt)
Be yourself,
Unless you’re a
jerk
77
From the Cypress Semiconductor values (excerpt):
CYPRESS IS ABOUT WINNING
We do not tolerate losing.
We thrive on competing against the world's best.
WE MAKE OUR NUMBERS
We make 20% profit.
We each set goals and achieve them.
We ship 100% on time and get zero returns.
Have you ever been to a
Texas Roadhouse?
Passion, Partnership, Integrity and Fun
A values statement
should be prominent
in recruiting…
Google “Zappos
Careers” and you’ll
see this >>>>>>>>>>
“Check out our 10 Core Values. They are
the heart and soul of our culture and
central to how we do business.”
Google “Southwest
Airlines Careers”
and you’ll see this
>>>>>>>>>>
“Our employees value the opportunity to
work hard, be creative, and have fun on
the job.”
86
“People who are clearest
about their personal vision
and values are significantly
more committed to their
organizations.”
James Kouzes and Barry Posner:
A Leader's Legacy
Nobody learns
everything they
need to know in
kindergarten!
TheSuperstructure
Culture is to the
organization what
personality and
character are to the
individual.
Which diner will
I choose?
Or…
This is not a trick
question…
It’s the reality of
competing today.
Same
business
Different
cultures
Same
business
Different
cultures
People pay to
shop at Costco…
People shop at Wal-Mart
because they don’t have
to dress up like they do
for the Dollar Store.
Same
business
Different
cultures
Nap
Rap
The Florence Challenge
Emotionally Positive
Self Empowered
Fully Engaged
Therapy pets
can even sign!
A Key Point!
You cannot allow
people to opt-out of
positive culture
change!
Culture doesn’t change
unless and until people
change
TheInterior
115
Emotional climate is
determined by what
you expect and what
you tolerate…
116
And over time, what
you tolerate will
dominate over what
you say you expect!
117
A positive workplace
culture begins with
intolerance for toxic
emotional negativity.
118
The bad news >>>>>>
The total cost
of employee
disengagement
$500,000,000,000
Have you defined your
ZTBs?
Do you have the
courage to enforce
them?
That hideous metaphor
Number of times the
word “bullying” has
appeared in nursing
journal article titles
over the past 5 years
J.K. Simmons as Terence Fletcher in Whiplash
Does your culture tolerate
mini-Donalds?
Bob Sutton has a rule
for that!
130
“One toxically negative
person can drag down
morale and productivity
of an entire work
unit.”
131
“It is a leadership
responsibility to create a
workplace environment
where toxic emotional
negativity is not
tolerated.”
Building a
culture of
ownership
Do you have to start with the
right people on the bus?
You can’t always
choose who you have
on the bus!
You can’t just throw
all the “wrong”
people off the bus!
You can create a bus that
everyone wants to ride
Essential qualities
for promoting a
culture of
ownership
Commitment
To the values, vision,
and mission of the
organization
Commitment is
most important
when the going
gets tough...
“We need to see opportunities
where others see barriers. We
need to be cheerleaders when
others are moaning doom-
and-gloom.”
“We need to face problems
with contrarian toughness
because it’s in how we solve
those problems that we
differentiate ourselves
from everyone else.”
“Brick walls are not
there to stop you, they
are there to make you
prove how much you
want something.”
Randy Pausch: The Last Lecture
Engagement
With patients,
coworkers, and with
the work itself
At Best Buy, a 0.1%
increase in employee
engagement generates
a $100,000 increase in
gross store revenue*
* Harvard Business Review, October 2010
Initiative
A “Proceed Until
Apprehended”
mindset
151
Can one person
who takes initiative
change your
organization?
154
Fellowship
Fostering a “support
group” culture of
respect and caring
158
Pride
In the organization,
in the profession, in
the work, and in you
yourself
Pride is reflected in the answer to
that universal icebreaker question:
What do
you do?
What do you do?
Thanks for asking!
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?
Passion
Enthusiasm, positive
attitude, and joy
reflected in everyday
actions
“If we each do our
part, we will change
our lives for the
better.”
169
“If we all do our parts,
we will change our
organizations for
the better.”
170
“And in changing our
organizations, we can
change our world for the
better.”
171
The Florence Prescription, Ohio State University College of Nursing, 8-20-15

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The Florence Prescription, Ohio State University College of Nursing, 8-20-15