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Copyright © Institute for Healthcare Improvement
Coaching for Improvement
Copyright © Institute for Healthcare Improvement Slide 2
Role of Consultant
Consultant Mentor Coach
Consultant tells Mentor shows Coach asks
Looks back and forward
In the now Forward looking only
Client does work
Client observes, discusses. Process is developmental
Client acts and reflects. Coach holds client accountable
Copyright © Institute for Healthcare Improvement Slide 3
What Does it Take to Be A Coach?
High emotional intelligence
Honest curiosity
Drive to help and interest in self and other-discovery
Copyright © Institute for Healthcare Improvement Slide 4
An Effective Coach
Asks questions
Stimulates the imagination
Challenges ways of thinking
Validates and supports
Shows patience and compassion
Helps team or leader develop plans and put them into action
Copyright © Institute for Healthcare Improvement Slide 5
Shift
From
“How do I get this person, this team to do xyz?”
To
“How do I help this person or team discover the tools to do xyz?”
Support team in learning but mitigate failure
Support team in getting results
Copyright © Institute for Healthcare Improvement Slide 6
Exercise
Pair up
Person A: Select one problem you have with your project
Person B: Use questions in the card deck to gather information, explore feelings, develop strategies and take action.
Switch roles
Copyright © Institute for Healthcare Improvement Slide 7
Ground Rule
Cannot give advice. Monitor each other on this.
Copyright © Institute for Healthcare Improvement Slide 8
Debrief
What was it like listening to your partner’s issue and how they worked on it?
What did you connect with?
What, if any new insights did you get about your problem from listening to your partner?
How do you think your coach did? How could they improve?
Copyright © Institute for Healthcare Improvement Slide 9
Tips
Articulate: succinctly describe what is going on; share observations without judgment
Clarify: Here’s what I’m hearing. . . . Is that right?
Acknowledge: strengths Show curiosity: “I wonder . . .” leads to
discovery Help team gather information: What topics
will you include in the report? What data would help us understand more?
Help team develop accountability: What will you do? When will you do it? And, how will we know?
Copyright © Institute for Healthcare Improvement Slide 10
What can you do?
Coach helps the team or leader identify issues, barriers, struggles, areas to test and improve
Once identified - these issues are the focus of team meetings and follow up
Copyright © Institute for Healthcare Improvement Slide 11
How?
Listen first —don’t offer own valuable experience, when need to - ask permission
Ask penetrating questions
Use teach back and then ask, “is this the case?”
Avoid the temptation to
Share your story - unless you are asked
Give advice- unless you are advising
Copyright © Institute for Healthcare Improvement Slide 12
Dessert…as time allows!
Copyright © Institute for Healthcare Improvement Slide 13
Why this matters
50% of work satisfaction is determined by the relationship a worker has with… his/her boss.
EI is a prerequisite for effective leadership across disciplines. Requires a high level of self-mastery and
people skills; ability to put yourself into the positions of others.
Copyright © Institute for Healthcare Improvement Slide 14
EI and SI emerging as discipline
Goleman’s Categories • Self-Awareness - Emotional Self-
Awareness • Self-Regulation - Managing one’s own
emotions • Self-Motivation - Intrinsic motivation • Social Awareness - Empathy • Social Skills - Art of social relationships
Copyright © Institute for Healthcare Improvement Slide 15
IQ vs Social Intelligence
IQ - A weak predictor for Achievement; job
performance success
Overall success, wealth, & happiness
Accounts for about 20-25% of job success.
Better predictor
Ability to handle frustrations
Manage own emotions
Manage own social skills
Can you think of someone high in one column, low in the other?
Copyright © Institute for Healthcare Improvement Slide 16
Personal Competence
Self-Awareness; emotional awareness
accurate self assessment
self-confidence
Self-Regulation: self control
trustworthiness
conscientiousness
adaptability
innovation
Self-Motivation:achievement drive
commitment
initiative
optimism
Social Competence
Social Awareness: empathy; serviced; developing others: leveraging diversity
political awareness
Social Skills: influence; communication;leadership
change catalyst
conflict management
building bonds
collaboration and cooperation
team capabilities
Take a moment and reflect on your “Intellligence”
Copyright © Institute for Healthcare Improvement Slide 17
All or nothing thinking
Overgeneralization
Excessive worrying
Worrying as magical thinking
Disqualifying the position
Jumping to negative conclusions
“Should” statements
Labeling & mislabeling
Personalization
Stonewalling
Criticism; contempt
Reflect a moment
Signals of Lower EQ
Copyright © Institute for Healthcare Improvement Slide 18
Develop EI by
Take time for mindfulness
Recognize and name emotions
ID the causes of feelings
Differentiate having the emotion and doing something about it
Learn optimism to challenge distortion - Martin Seligman
Learn distraction techniques
Listen to voice of experience
Develop Listening skills
Copyright © Institute for Healthcare Improvement Slide 19
Resources
Immunity to Change. Robert Kegan, Lisa Lahey.
Emotional Intelligence. Daniel Goldman
Social Intelligence. Daniel Goldman
Learned Optimism. Martin Seligman
Co-active Coaching. Laura Whitworth, Karen Kimsey-House
Executive Coaching with Backbone & Heart. Mary Beth O’Neill
Robert Putnam’s disseration (Harvard)
Action Inquiry: The Secret of Timely and Transforming. William Torbert