Minnesota Department of Health Learning Days · Jacobi, Tonjaand Schweers, Dylan, Justice,...
Transcript of Minnesota Department of Health Learning Days · Jacobi, Tonjaand Schweers, Dylan, Justice,...
Minnesota Department of Health
Learning DaysApril 3-4, 2018
St. Paul, MN
Leverage Your Team’s Leadership Skills to ImpactYour Quality Measures
PRESENTED BY:
S A N D Y Z U T Z - W I C Z E K , M B A
C H I E F O P E R AT I N G O F F I C E R
F I R S T L I G H T H E A LT H S Y S T E M
Learning Objectives1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
— Milton Glaser, 1976
MACRA Overview
1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
Sustaining MACRA requires a Unique Approach
MACRA* is here Bipartisan-supported law Vote Breakdown
Senate: 92-8 House: 392-37
Outlined by Congress, program rules written and adjusted annually by HHS/CMS
*Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015
MACRA Final Rule
MACRA Category Weights2018
Quality50%
Advancing Care Information
25%
Improvement Activities
15%
Cost10%
2019
Quality30%
Advancing Care Information
25%
Improvement Activities
15%
Cost30%
Leadership Impact on Quality
1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
Six Essential Leadership Skills to Impact Your Quality Measures Communication
Connection
Clarity
Challenging
Consistency
Coaching
Communication
“95% of a company’s employees are unaware of, or do not understand,
its strategy.”
— Harvard Business Review, October 2005
Communication Cascade Organizational Goals
Align Goals with Your Team(s)
Align Goals with Employee Roles
Communication
CommunicationThe LESS you communicate…
the MORE you will have to manage.
Visual Learners Reading/Writing
Hands-onExperiential
Auditory
Connection
Distance Probability of Collaboration
Same corridor 10.3%
Same floor 1.9%
Different floor 0.3%
Different building 0.4%
Study by Bell Labs & University of Arizona, 1988
The 50-Foot Rule
ConnectionA participant-centered approach engages your team
Clarity What did you accomplish since last meeting? What is in your way? What are you working on until the next meeting?
Challenging
How? Why?
Ask: What would happen if we do this…? Ask: What are we missing? Ask: What else?
Consistency
“We are what we repeatedly do. Excellence, then, is not an act,
but a habit.”— Aristotle
Male Supreme Court justices interrupt female justices three times as often as they interrupt each other.
Jacobi, Tonja and Schweers, Dylan, Justice, Interrupted: The Effect of Gender, Ideology and Seniority at Supreme Court Oral Arguments (October 24, 2017). 103 Virginia Law Review 1379 (2017); Northwestern Law & Econ Research Paper No. 17-03. Available at SSRN: https://ssrn.com/abstract=2933016
Coaching
“Coaching is one of the leadership styles that has a ‘markedly positive’
impact on culture, performance and the bottom line.”
— Daniel Golman, “Leadership that gets results”
Coaching doesn’t work if its… Too complicated Too boring Doesn’t align with the reality
of work
Coaching works when you… Ask more Tell less Connect frequently
Building Your Quality Forum
1. MACRA Overview
2. Leadership Impact on Quality
3. Building Your Quality Forum
2015 Quality Goals
Definition of a Forum
Build an Effective ForumYou must create SAFE ENVIRONMENT to: Ask questions Express frustration Share processes Practice Plan
Who? Providers Nurses Social workers Care coordination Pharmacy Rehabilitation
Where? At each clinic location
When?Scheduled in Outlook at all locations on same day every month 12 times per year 12:15—12:45pm END in 30 minutes
How? 12:15—12:25
Last month’s resultsWhat did you accomplish since last meeting?
12:25—12:40ExerciseWhat is in your way?
12:40—12:45Wrap-upWhat are you working on until the next meeting?
Participant-Centered Approach
Participant-Centered Approach
“Answers are closed rooms;and questions are open doors
that invite us in.”— Nancy Willard