Leading Highly Effective Teams
Tim Rutledge
September 2014
Leading Highly Effective Teams
Objectives
• Leadership
• Engagement
• Management
• Leadership in Family & Community Medicine
Leadership is important
Leadership is important
What is Leadership?
What is a Leader?
If your actions inspire others
to dream more, learn more,
do more and become more,
you are a leader.
John Quincy Adams
Followership
Defining feature of leadership
Importance of the Team
Commitment
➤ voluntary
➤ transcends self-interest
Lao Tzu
To lead people, walk beside
them.
When the best leader’s work
is done the people will say:
We did it ourselves.
What are the qualities of
great leaders?
Leadership Skills can be Learned
Knowledge & Skills
Characteristics
Honesty
Vision
Confidence
Communication
Commitment
Ability to Designate
Content Expertise
Coaching
Appreciative Inquiry
Change Management
Intuition
Optimism
Creativity
Teamwork Empathy
Initiative
Inspiring
John F. Kennedy
(1917-1963)
Leadership and learning
are indispensable to each other.
Start with Yourself!
Personal Mastery
Personal Vision
Current Reality
People with a high level of personal mastery
are able to consistently realize the results that
matter most to them. In effect, they approach
their life as an artist would approach a work of
art. They do that by becoming committed to
their own lifelong learning.
Peter Senge
SELF-AWARENESS
SOCIAL-AWARENESS
• emotional self-awareness
• empathy
• accurate self-assessment
• team awareness
• self confidence
• service
Emotional Intelligence
SELF-MANAGEMENT
• self-control
• initiative
• optimism
RELATIONSHIP
MANAGEMENT
• inspiration
• change catalyst
• teamwork
Accentuate the Positive!
Accentuate the Positive!
Negative Emotions
• Negative physiological effects
• Narrow our focus
Positive Emotions
• Positive physiological effects
• Broaden awareness, improve thinking
• Enhance creativity, performance
• Improve connections with others
• Build our resilience
Neg stronger than Pos
Negative events have greater impact than positive
events - more influential and longer lasting
Impact on our thinking and performance obeys a
tipping point . . .
P
N
> 3 high performance
< 1 poor performance or outcomes
One evening an old Cherokee told his grandson about a battle
that goes on inside people. He said, “My son, the battle is
between two wolves inside us all.
One is Evil. It is anger, envy, sorrow, regret, arrogance, self-pity,
guilt, resentment, lies and ego.
The other is Good. It is joy, peace, love, hope, serenity,
kindness, empathy, generosity, compassion and faith.”
The grandson thought about it for a minute and then asked
his grandfather: “Which wolf wins?”
The old Cherokee simply replied,
“The one you feed the most.”
Culture eats strategy
for breakfast.
Peter Drucker
(1909-2005)
The Magic of Great Teams
Leading Highly Effective Teams
Engaging
Learning
Managing
• Vision
• Individual
• Plan
• Values
• Mental Models
• Organize
• Inspiration
• Team Learning
• Control
• Recognition
• Integrity
> Commitment
• Sustain
Engaging
People become engaged when they have
had true involvement in defining their work.
Mission
Vision
Values
People commit to what they create.
Building Shared Vision
Unearthing shared pictures of the future
➤
Alignment
➤
Motivation
➤
Commitment
Physician Engagement:
Special Challenges
Not employees
Remunerated differently
Very busy
Value autonomy
➤
Personal responsibility for each patient
➤
System transformation a threat
Principles of Physician Engagement
Involve MDs early
Discover common purpose (WIFM)
Communicate candidly and often
➤
Choose messages & messengers carefully
➤
Clarify principles for decision making
Build trust with each initiative
Generate light, not heat with data
Make it easy to try new approaches
Recognition, celebrate successes
Mental Models
Mental Models
• Appreciative Inquiry
• Balancing Inquiry with Advocacy
• Generative Learning
Team Learning
• optimizing the “IQ” of the Team
• importance of trust and constructive conflict
• requires Dialogue
[“Dia-logos”]
• harnessing collective wisdom
. . . a skill that enables groups of people
to reliably develop insights and wisdom
that is greater than the sum of individual
members’ talents.
Peter Senge
When people talk, listen
completely. Most people
never listen.
Ernest Hemingway
Most people do not listen with
the intent to understand; they
listen with the intent to reply.
Stephen Covey
Leadership vs Management
Management is doing things right;
Leadership is doing the right things.
Management: coping with complexity
Leadership:
coping with change
A vision without a task is but a dream,
A task without a vision is drudgery,
A vision and a task is the hope of the world.
Inscription on a Church in Sussex, England, c. 1730
Management
Plan
•detail steps
•set targets - e.g. “SMART” goals
Organize
•structures, processes, accountabilities
Control
•monitor results
•identify deviations and correct
Sustain
Leadership in Health Care
Factors Driving Canadian Health Care Costs
Annual Increase 1975-2006
Population Growth
1.0%
Aging
0.8%
Inflation
2.5%
Enrichment
2%
➤
➤
➤
➤
Technology enabled care (e.g. hips/knees)
New technology - devices, tests
High price of new drugs
End-of-life treatments
Total annual increase: 6.3%
Source: Canadian Centre for Policy Alternatives – How Sustainable is Medicare, September 2007
Leadership in Health Care
Inpatient Hospitalizations per 10,000 Population
Ontario’s Health Care Environment 2014
Value = Quality / Safety
$
Focus on
Integration
Health
PATIENT
Accountability
Access
Patient-based
Funding
Mirror, Mirror on the Wall
Source: Commonwealth Fund Study
Leadership in Family & Community Medicine
• Change in role of hospitals and community providers
• Integration
• High needs patients, chronic disease management
• New delivery models
• Interprofessional care
• Measuring Quality in Primary Care
Leadership in Family & Community Medicine
Academic needs
•Efficacy vs Effectiveness
•Translational research – large gap between what we
know and what we do
•Evidence-based practice will require practice-based
evidence
•Social determinants of health
•Population-based research
Integrity: Walk the Talk
Example is not the main
thing in influencing others,
it is the only thing.
Albert Schweitzer
(1875-1965)
Summary
Leadership is a team sport
Leadership skills can be learned
Accentuate the positive!
Importance of Leadership + Management
Importance of Leadership in Family Medicine
Leading Highly Effective Teams
Thank You!
Tim Rutledge
September 2014
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