Health LEADS A customised leadership program

for South Australia Health

Cameron HoustonProgram Director – Public Sector

Business Environment

The SA health system is ripe for reform.

• Highest proportion of older people in Australia – projections show this trend continuing.

• Income levels are 9% below the national average and employment levels are lower than the national average – however, on a per capita basis, health expenditure is above the national average.

• More medical services, nursing staff and hospital beds per head than the national average.

• Outside of Adelaide the health of the population is poorer, particularly in rural agricultural areas.

• Indigenous death rates are more than 3 times those of the non-Indigenous population.

• Total health portfolio budget AUD$3.3b (USD$2.2b).

• Health sector accounts for 35% of the State’s budget today. This will grow to exceed 100% of the State’s budget by 2032 on current projections.

• Approx 33,000 staff – Doctors, Nurses, Allied Health Professionals, and career Public Servants.

• Hospitals– 83 public hospitals– 31 private hospitals– 22 free-standing day hospital facilities

Strategic Response

SA Health June 30th

SA Health July 1st

Target population

Our Discovery phase was comprehensive and cooperative.

• Researched international and Australian leadership frameworks including:– NHS– NHS Scotland– Pan Canadian– British Columbia– Kaiser Permanente USA

– McGill Desautels– WHO– QLD and WA Health– SAES– APS

• Face to face research and consultation has been conducted within SA Health – One to one meetings with key stakeholders.– Focus groups with all regions.– Attended existing meetings and forums.

• A program steering committee ensures final decisions make sense for SA Health.

Know, Do, Believe and Learn Best

Mt Eliza Executive Education will play a key role in the reform agenda

Leadership capability framework

70

20

10

Talent bench

Existing leadershipstock

Program metrics

Deep leadership talent pipeline

SA Health organisational objectives and strategic challenges

New leadership capability requirements

Deliverable 1

Deliverable 2

Deliverable 3

Know, Do, Believe and Learn Best

Deliverable 1: Health LEADS the SA Health Leadership Dimensions

5 leadership clusters provide a shared way of understanding and describing leadership across SA Health. These break down to 15 leadership dimensions.

Leading SelfSelf AwarenessManage and Develop Self Demonstrate Character

Engaging OthersBuild Effective Teams Create Healthy Organisations Engage Stakeholders and Influence the broader environment

Active CaringCommit to Quality Health Outcomes Commit to Improving the Health status of the community Demonstrate Respect

Delivering ResultsSet Directions and Drive for resultsBuild a Performance Culture Manage Organisational Resources

Shaping SystemsUnderstand the Health SystemChampion Organisational Alignment Lead Change with a Future Focus

Deliverable 2: Three leadership programs to support the implementation of Health LEADS.

• 3 Differentiated Programs– Executive LEADS– Clinical LEADS– Emerging LEADS

• Targeting 150 participants in Year 1– 50 executives– 50 clinicians and – 50 new leaders

• Participant numbers will be the same, or higher in Years 2 and 3

The leadership programs will build capability in the workforce by providing challenging development opportunities for its leaders which are specifically designed to equip them to improve performance, redesign services and take SA Health into the future.

The program design provides benefits on many levels for SA Health

• Program content/methodology strongly connected to Health LEADS framework and SA Health strategic agenda.

• Real and important project work as a “living laboratory” that supports the integration of SA Health.

• Heterogeneous cohorts (professional and geographical), to promote cultural change.

• Approximately 9 months duration.

Action learning projects

360 360

Action Learning Sets

Action Learning Coaches

Project Sponsors from SA Health Executive Team

Virtual Learning Resource Centre

Classroom Learning

Customised 360 Feedback

LEADS 360 is a fully customised multi-rater feedback tool

Web based input.

60 questions in total.

4 questions from each of the 15 dimensions in LEADS.

Language that resonates with health professionals.

Fully customised branding of input screens and output report.

Also includes demographic data for future evaluation of test/re-test application.

Health e-LEADS represents both a collaborative and tailored approach

The initial response to the program has been very good.

• The program was initially well received, with twice as many nominations as available places.• The first module for each program has been run.• Action learning projects are beginning to have impact in the organisation.• The Executive team is becoming more engaged with each cohort and the organisation is

developing an understanding of what it means to operate in genuine partnership.• The overarching program is forming links to the organisation’s embedded people management

systems.