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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

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

  • 5

    Transformational Leadership Story

    http://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwiS8-auyd_hAhVRvJ4KHcDTCjkQjRx6BAgBEAU&url=http://worldartsme.com/free-question-mark-sign-clipart.html&psig=AOvVaw1m8JUej8EaswNBfbiBMoEu&ust=1555880679972009 http://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwiS8-auyd_hAhVRvJ4KHcDTCjkQjRx6BAgBEAU&url=http://worldartsme.com/free-question-mark-sign-clipart.html&psig=AOvVaw1m8JUej8EaswNBfbiBMoEu&ust=1555880679972009

  • 6

    Answer

    DEVELOP OUR ASSETS

    PEOPLE

    https://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwjS8sHay9_hAhXSl54KHSOABDsQjRx6BAgBEAU&url=https://rfclipart.com/happy-kids-join-hands-in-simple-cartoon-style-28189-vector-clipart.html&psig=AOvVaw1deAs5Gwo63LnGc9k3ZUP-&ust=1555881313421134

  • 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

  • 9

    Coaching

    1. Leader as Coach Course

    2. ICF Coach Training

    3. ICF Coach Certification

    • Managers

    • Specialists

    • Directors

    • Coordinators

    • Practice Leaders

    • Practice Consultants

    • Frontline staff

    https://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwiav8PQi_bhAhVStlkKHe8aAH0QjRx6BAgBEAU&url=https://www.youtube.com/watch?v%3De0dJWfQHF8Y&psig=AOvVaw0RCJzlkQKv2BIJYPsRpnCq&ust=1556654384571675 https://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwjSxLiyjPbhAhUOmuAKHS8bDCEQjRx6BAgBEAU&url=https://en.wikipedia.org/wiki/File:CR_Plat_25.png&psig=AOvVaw2aZjYIYWnHdftrLYn7FDiM&ust=1556654583785177

  • 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

    https://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwia5byOw_bhAhXRl-AKHTNMDSYQjRx6BAgBEAU&url=https://www.ratp.fr/en/plans-lignes/metro/12&psig=AOvVaw37EApGsz5fbDH_OTNtf7AO&ust=1556669280311942

  • 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

  • 29

    PEOPLE

    OUR ASSETS

    https://www.google.ca/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&ved=2ahUKEwjS8sHay9_hAhXSl54KHSOABDsQjRx6BAgBEAU&url=https://rfclipart.com/happy-kids-join-hands-in-simple-cartoon-style-28189-vector-clipart.html&psig=AOvVaw1deAs5Gwo63LnGc9k3ZUP-&ust=1555881313421134

  • TRANSFORMATIONAL PRACTICE

    Clinical Practice Culture

    https://www.youtube.com/watch?v=RdYxaKhbI4w

    https://www.youtube.com/watch?v=RdYxaKhbI4w https://www.youtube.com/watch?v=RdYxaKhbI4w https://www.youtube.com/watch?v=RdYxaKhbI4w https://www.youtube.com/watch?v=RdYxaKhbI4w

  • 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 Leade