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GTA REHAB NETWORK

Transformational Leadership, Design and Practice: How to Build a Culture of High Performance

Shawn Brady Director Interprofessional Practice

Anna Marie Sneath PPL, Physiotherapy and Manager Ambulatory Services

Kelly Tough Manager Patient Flow

Friday May 3, 2019

What does a culture of

High Performance

look like?

QUESTION

Transformational Leadership

Transformational Design

Transformational Practice

High Performing Teams

https://www.youtube.com/watch?v=fiJwc8D4JAI

7

LEAN

• Lean quality training and certification

• Application in project

‘Transformation by Design’

• Managers

• Specialists

• Directors

• Practice Leaders

• Practice Consultants

• Frontline staff

8

Leadership Program

• In-house leadership development program

• Individual coaching (external)

• Managers

• Specialists

• Coordinators

• Directors

• Practice Leaders

• Practice Consultants

• Senior Leaders

• Frontline staff

10

What is COACHING?

Leadership/Business Coaching

Focused conversations

to facilitate

performance, change and learning

relevant to the leader in their

organizational/business context

Melinda Sinclair & Dorothy Greenaway The Leadership Coach’s Advantage, 2013

11

COACH ≠ EXPERT

COACH = COLLABORATOR

12

Coaching

Asking the right question

in the right way

has very powerful effects

13

YOU cannot change another person.....

THE PERSON changes themselves!

14

Coaching Foundations

STRENGTHS &

VALUES

• Self-reflection

• Inner truth

• Standardized tests

(Tom Rath)

POSITIVE PSYCHOLOGY

& BRAIN SCIENCE

• Happiness (Shawn Achor)

• Flow (Mihaly Csikszentmihalyi)

• Neuroscience of Coaching (Brian Boyatzis)

15

Coaching Belief

RESOURCEFUL

CREATIVE

WHOLE

16

Coaching Skills

17

Coach Approach

• DRIVE BY

• PROJECTS

• MEETINGS

• STUDENTS

• PERFORMANCE MANAGEMENT

• CLINICAL WORK

→Motivational Interviewing

→ Appreciative Inquiry

→ CO OP Approach

→ GOAL setting

18

COACH-LIKE NOT COACH-LIKE

Agenda driven by leader

Leader talks more

Closed questions

Leader directs more

Lack of presence

Listens superficially

Agenda driven by staff

Leader talks less

Open questions

Leader partners more

Presence intentionally set

Listens deeply

19

Myth or Fact ?

Coaching is only

for you if

you have a problem.

20

Paradigm Shift

21

↑PERFORMANCE

TARGETED INVESTMENTS OF TIME AND DOLLARS

TO DEVELOP OUR PEOPLE

COACHING

LEADERSHIP DEVELOPMENT

LEAN TRAINING

‘EVERYONE IS A LEADER’

SAFETY TO CHALLENGE; CREATIVITY

PARADIGM SHIFT

C-SHIFT

CULTURE

22

Take Aways

1. Where are your opportunities to invest in

your people and grow leadership?

2.How can you be more coach-like?

3. How could you connect investments in

people to performance?

23

Transformational Design

Build Relationships

Challenge the

Process

Facilitate Readiness

24

Activity – Creative Thinking

TASK: Create a process

One process = 8 rounds of passing the ball,

in the correct sequence

If you drop the ball, you must start the

sequence again.

25

Activity – The Ball Game

Rules

1.Create a process for giving and receiving the ball in your

group. (8 passes)

2.You cannot pass the ball to the person next to you

3.The ball must return to the person who started with it

4.The ball must travel through the air

5.The ball cannot be rolled across surfaces e.g. floors,

walls, tables and chairs

26

Discussion

• How did that feel?

• What facilitated your readiness?

• What were some of the challenges?

• What relationships did you need?

27

Key Design

• Get the process right

“once”, together

• “All in” towards achieving

goal

• Takes a village

Acute

Care

Equipment

Outpatient

Specialty

Services

Primary

Care

Home &

Community Care

Providence

Outpatient

Team

Providence

Community Health

Navigators

Housing

Transportation

Family &

Friends

Emergency

Department

TEAM

Community

Programs

Beyond Our Walls

PRACTICE PROGRAM

OPS

DECISION

SUPPORT FINANCE

QUALITY/

SAFETY HUMAN

RESOURCES

Traditional Approach

Performance Culture

From silos working

independently

handing off work to

each other.

Cross-functional

teams working

collaboratively to

deliver on a

common target.

To

EXPERIENCE ACCESSI-

BILITY

SAFETY

STAFF

WELLNESS

FINANCIAL

HEALTH/FLOW

POST-D/C

OUTCOMES

EQUITY

Performance Culture

Performance Councils

Transformational Practice Model

36

Now What?

Transformational Leadership

Transformational Design

Transformational Practice

High Performing Teams

QUESTIONS?

• The Leadership Coach’s Advantage-A Guide for Practice—Melinda Sinclair &

Dorothy Greenaway, 2013

• Boyatzis, R. E., & Jack, A. I. (2018). The neuroscience of coaching. Consulting

Psychology Journal: Practice and Research, 70(1), 11-27.

• Strategic Intelligence—Conceptual Tools for Leading Change, Michael Maccoby,

2015

• Building Professionals Through Coaching at Providence Healthcare

Interview with Anna Marie Sneath

https://www.linkedin.com/pulse/building-professionals-through-coaching-providence-maggie/

• Horwitz, T. & Walsh, J. (2013). Building sector-wide bridges to improve patient

flow and care. Healthcare Quarterly, 16(2), 31-5

RESOURCES

3276 St. Clair Avenue East

Toronto, Ontario M1L 1W1

www.providence.on.ca

Providence Healthcare

For more information::

Shawn Brady

Email: sbrady@providence.on.ca

Phone: 416-285-3666 x 4256