6 21 San Diego

Leading Change in Health Care : Leading Change in Health Care Edward O’Neil, Ph.D. Professor Family and Community Medicine and Dental Public Health Director of the Center for the Health Professions, University of California, San Francisco For more information, please contact: HTTP://WWW.futurehealth.ucsf.edu eoneil@itsa.ucsf.edu


Slide2 : Uncertain Changeable Mixed interest Uncontrollable Unknowable Diffuse Predictable Static Shared interests Controllable Known Centralized


Why Leadership? : Why Leadership? “…leadership has always been to provide coherence, structure and, ultimately, meaning in times of great change and dislocation.”


Model for Leadership : Model for Leadership


Vision: : Vision:


Vision: : Vision: Provides the heart to go against the status quo Explains the world differently Combines emotion and reason Tied to values, past successes and future dreams Both brief and direct and deep and symbolic


Vision: : Vision: “Unexpected travel plans are dancing lessons from God” Kurt Vonnegut, Cats Cradle


Communication : Communication Clear, simple messages consistently expressed Internally to align purpose and work Externally to align common purpose and gain Remember the key to alignment is listening Make sure actions follows words Communicate, communicate, communicate Just when you are ready to give up, don’t


Creativity : Creativity We can’t get there from here Creativity comes by education and focused work Radical ideas arrive in a way they can be adapted not dismissed Be creative but allow time for acceptance and development


Add These Numbers in Unison : Add These Numbers in Unison


Add These Numbers in Unison : Add These Numbers in Unison 1000


Add These Numbers : Add These Numbers 1000 40


Add These Numbers : Add These Numbers 1000 40 1000


Add These Numbers : Add These Numbers 1000 40 1000 30


Add These Numbers : Add These Numbers 1000 40 1000 30 1000


Add These Numbers : Add These Numbers 1000 40 1000 30 1000 20


Add These Numbers : Add These Numbers 1000 40 1000 30 1000 20 1000


Add These Numbers : Add These Numbers 1000 40 1000 30 1000 20 1000 10


Add These Numbers : Add These Numbers 1000 40 1000 30 1000 20 1000 10 = 4100


Creativity: Scamper : Creativity: Scamper A simple check-list to help you spur creativity, if in a systematic manner. Substitute? Combine? Adapt? Modify? Magnify? Put to other uses? Eliminate? Reverse? Rearrange?


Power : Power Getting it Using it Coping with complexity


Getting it : Getting it Clarity of vision Currency of information Access to decision making Good working relationships Good track record and reputation Integrity Capacity to align their needs and yours Resources or access to them Problem solving Awareness of others


Power and Complexity : Power and Complexity Diversity Low High Interdependency Low High Solo Professional Practice Multi-Specialty Group PHO Integrated Health System Hospital Plan Collaborative Practice


Relationships : Relationships Working through others Knowing your emotional intelligence Building networks Rewarding and celebrating Life balance


Relationships-Networks : Relationships-Networks Internal Securing and developing others Owning the work Motivation External Aligned with your vision and work Supports their desires and ambitions Shares the success and rewards


Virtue : Virtue Heart – Have the emotional issues been addressed? Head – Do you and they understand what is important? Hands – Do you and they have the skills to stay the course?


Slide27 : The Myth of Sisyphus We tend to think of Sisyphus as a tragic hero, condemned by the gods to shoulder his rock sweatily up the mountain, and again up the mountain. The truth is that Sisyphus is in love with the rock. He cherishes every roughness and every ounce of it. He talks to it, sings to it. It has become the mysterious Other. He even dreams of it as he sleepwalks upward. Life is unimaginable without it, looming always above him like a huge gray moon.


Slide28 : The Myth of Sisyphus He doesn’t realize that at any moment is permitted to step aside, let the rock hurtle to the bottom, and go home. Tragedy is the inertial force of the mind. Stephen Mitchell, Parables and Portraits


Slide29 : Center for the Health Professions University of California, San Francisco For more information, please contact: UCSF Center for the Health Professions 3333 California Street, Suite 410, San Francisco, CA 94118 Phone: 415/476-8181 HTTP://FUTUREHEALTH.UCSF.EDU