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Leadership Traits for Changing Times Bernard J. Horak, Ph.D, FACHE Georgetown University Email: [email protected] Ph: 202-489-7256 Maryland Healthcare Human Resources Association Spring Conference April 16, 2012 Agenda/Objectives 1. Leadership traits & skills 2. Best practices in change management 3. Communication skills Leadership Leadership Challenges 1. 2. 3. 4. 5. Constant change Cost reduction Patient experience Patient safety & culture Staff shortages & satisfaction Workplace Issues • • • • • High workload & stress Poor systems/processes Lack of teamwork Lack of accountability Lack of communication Needed Leadership Traits & Skills 1. Servant leadership 2. Stress/time management 3. Team building 4. Change management 5. Communication Needed Leadership Traits & Skills 6. Focus & flexibility 7. Principled decision-making 8. Performance improvement 9. Learning 10. Emotional intelligence A Servant Leader … • • • • • • • Is visible Sets goals with staff Provides capability Removes obstacles Asks questions Shows appreciation Follows up Stress/Time Management: “Spinning the Plates” Stress Management 1. 2. 3. 4. 5. 6. 7. Breathing Meditation Visualization Muscle Relaxation Office Yoga Time Out “Sharpen the saw” Time Management Key Habits: 1. Be proactive 2. Put first things first 3. Begin with end in mind Begin with the End in Mind • Mission • Vision • Goals • Values, principles Time Management Tools & Approaches: A – B – C method 80-20 rule To do list & focus Set milestones Swiss cheese approach Watch time wasters Team Building 1. 2. 3. 4. 5. Goals Roles Relationships Group process/dynamics Procedures/groundrules Team Building: Goal Setting (SMART) • • • • • Specific Measureable Achievable Results-based Time-bound Team Building: Roles/Responsibility Chart Task Responsibility P: S: C: I: D: Primary Responsibility Support Coordination Information Decision Team Building: Relationships Confrontation meetings Feedback (e.g. “pet peeves”) Perception exchange Ideal team exercise Effective/ineffective communication & behaviors Team Building: Group Process/Dynamics Hand-off analysis Experiential exercises Survey/interview feedback Facilitation of meetings Process observer Group self-analysis Group Process: Key Questions 1. What was effective? 2. What should be done differently next time? 3. What did we learn? Team Building: Conflict Management Groundrules Address conflict in timely manner Have equal footing Use “I” statements Speak in calm, respectful terms Leave perceptions & past at the door Use 3rd party if necessary Believe healthy conflict is part of effective teams Teambuilding: Meeting Groundrules 1. 2. 3. 4. 6. 7. 8. 9. Decisions by consensus Begin & end on time, attendance required Each values the Team as priority One speaker at a time Atmosphere of candor & openness Confidentiality Full participation No electronic devices TEAM Together Everyone Achieves More Change Management Our only security is our ability to change. — John Lilly The world hates change, yet it is the only thing that has brought progress. — Charles Kettering The rate of change is not going to slow down anytime soon. If anything, competition in most industries will probably speed up even more in the next decades. — John Kotter Change Exercises Thumbs Over Folded Arms Appearance Change 1. Pair-up 2. Look at person—head to toe 3. Go back-to-back 4. Change 3 things 26 Lewin’s Change Model Moving A B Unfreezing A Moving Refreezing B 27 Unfreezing Create the “burning platform” Provide a clear vision & focus Show the benefits of the change Assess the culture & group dynamics Link message to values & beliefs Allow concerns to be expressed, taking the time to truly listen 28 Moving to Action (Changing Behavior) Plan as a group “Change is exciting when it is done by us, threatening when it is done to us.” Moss-Kanter “People support what they help create” Set milestones & responsibilities Use advocates/champions “Walk-the-talk” Deal with resistance 29 Dealing with Resistance 1. Coercion 2. Manipulation 3. Negotiation 4. Education 5. Facilitation/Support 6. Involvement 30 Refreezing Reward (monetary & non-monetary) Reinforce by role modeling Celebrate success Publish new procedures, “bury the old” Set accountabilities & monitor Continuously improve 31 Communication Communication Keys 1. Keeping the staff informed 2. Listening & responding to concerns 3. Being aware of the entire communication process “I forget – are you not speaking to me or just not listening to me?” A Communications Model Sender F I L T E R S Environment F I L T E R Medium S Receiver Environmental Barriers • Noise • Interruptions • Competing demands • Group size • Organizational complexity Medium • Correspondence • Phone • E-mail • Face-to-face Filter: Frame of Reference Assumptions: Values Attitudes Beliefs Feelings Perceptions Exercise IX SIX Filter: Defensive Communication Defensive Open Evaluative Descriptive Controlling Supporting Making statements Asking questions Acting parent-child Acting adult-adult Open Communication • Suspend judgment • Recognize feelings • Ask, listen & paraphrase • Deliver “I” messages “I” Message I feel/felt ________ (emotion) when you do/did _________ (behavior) because/as a result __________ (consequence). Example: “I felt angry and embarrassed when you forgot to bring copies of the handouts. As a result, the participants had a difficult time in following my presentation.” Total Communication Words: __________ % Voice: __________ % Non-verbal: _________ % (body language) Quickly Define … Burn Tall Man Large City Stew Home Love ______________________ ______________________ ______________________ ______________________ ______________________ ______________________ “Unplain Language” OPTIMUM DISSEMINATE STRATEGIZE NOT WITHSTANDING ASCERTAIN “Unplain” Example 7510-00-551-9818 TAPE PRESSURE SENSITIVE ADHENSIVE CELLOPHANE TRANSPARENT LT 900 TYPE 1 CLASS A 1 ROLL 3.4 IN. X 36 YD. Non-Verbal Communication A E F G G Non-Verbal Communication H P S S Non-Verbal Communication S S T T Constructive Feedback • Be specific & descriptive • Provide support & suggestions • Check feedback with the person • Focus only on those things that can be changed • Use “I” messages Communication Summary Eye Contact Body Language Consistency of Message Paraphrasing Watch Filters & Barriers Simple & Focused Enough Time Right Medium Teamwork Rainbow OR Jelly beans Effectiveness Model Communication Teamwork Leadership Effectiveness Questions?? Comments