The Leadership Challenge
and ROI
Brooks Rehabilitation
Brooks Facts
• 143 bed rehab hospital
• 25 outpatient clinics
• Home health services
• 68 bed skilled nursing
facility
• Post acute – It’s what
we do, It’s all we do!
Our Challenge
• High growth
• No leadership or
management
development
• New business lines
• Culture shift
Our Need
• Grow leadership
talent
• Find a simple and
elegant solution that
was sustainable and
flexible
• Transcend the
organization hierarchy
The solution would be
research and evidenced
based
Our Solution
Our Hypothesis
Demonstrating the 5
practices and associated 30
behaviors would increase
our bottom line and return
on investment (ROI) .
Our Measurement
Each participant completes the
LPI 360 before participating in
class and again 12 – 18 months
after finishing the course
Our LPI Results
54.0
52.0
50.0
48.0
46.0
44.0
42.0
40.0
Past
Model
Inspire
Challenge
Enable
Encourage
Current
The Course Structure
• 12 week program
–2.5 hrs/wk of
classroom time
–2-5 hrs/wk of
homework
• LPI
–Before class
–12-18 months
post
• Voluntary
• Individual
development plan
• Action learning
assignments
The Course Structure
• Conceptual learning
• Align visions and change projects
• Initially:
– Director Level and Above
• Now:
– Open to entire employee population
Action Learning
Theoretical
Actual
Conceptual
Relevant Action Learning
• Establish strong executive sponsorship
• Select business challenges and scope them
appropriately
• Invest in participants with high leadership
potential
• Challenge your action learning teams
• Communicate broadly about your program
Course Detail
Apply
Lab Class
Homework
Conceptual
Class
Apply
Lab Class
Homework
Conceptual
Class
Conceptual
Class
Review LPI data
Discuss
important
concepts
Learning
activities
Apply
Lab Class
Homework
Homework
Conceptual
Class
Meet with
next level
leader
Dialogue
about
assignment
Prepare
to share
in class
Apply
Lab Class
Homework
Lab Class
Conceptual
Class
Share
action learning
assignment
Provide and
receive
feedback
Practice before
sharing with
constituents
Apply
Lab Class
Homework
Apply
Conceptual
Class
Incorporate
class feedback
Dialogue and
share with
constituents
Dialogue with
next level
leader
How does this translate to ROI?
• Solves real business problems
• “Better, Faster, Cheaper”
• Culture is shifting
Action Learning Examples
• Online Scholarly Resource Center
• eStubView
• Reducing patient cancellation rates
• Center for Sports Therapy referrals from CIU
• New Performance Planning Tool
Project # 1: Easy to access
evidenced based clinical research
Project #2: eStubView
Electronic Payroll Communication
Project #3: Simple idea to
decrease cancellation rates
Q2 ‘09
• “On the floor, out the
door”
• Corrected process
problems
21.95%
Q2 ‘10
17.92%
Q3 ‘10
15.55%
Project #4: Center for Sports
Therapy Referrals from CIU
Project # 5: OP Performance Appraisal
Project #5 OP Performance Appraisal
% of Clinics with
SS Payout
Increase
28%
December ‘09
46%
December ‘07
18%
Other Outcomes
Outcomes
Open New Spine and Neck Clinic
Promoted manager of smaller center who
had completed Leadership Challenge, the
Residency Program, and who had
designed the Scholarly Resource Center as
his Change Project during class
Reorganize Outpatient Division into
Regions as Growth Continued
3 of 4 regional managers promoted from
within after taking Leadership Challenge;
previously, organization looked outside
for this kind of talent
Continued Growth in Orlando Area
Promoted clinic manager to oversee 3
clinics; again, previously, organization
looked externally for this kind of
leadership talent
Grow Women’s Health Business Line
Director of business line has asked that all
clinicians with this specialty come through
as a group this Fall
In Summary
We have proved our hypothesis!
Increasing the frequency of the
30 behaviors associated with
the 5 practices positively impacted the
organization’s bottom line and return
on investment.
Our Success
Improved speaking skills
Improved feedback skills
Increased employee engagement
Building a pool of leaders at all levels
Changed the lexicon
Employees are asking, “How can I make a
difference?”