March 19 2019 Dennis Wagner MPA Director Quality Improvement amp Innovation Group Centers for Medicare and Medicaid Services US Department of Health amp Human Services Thank You For your ID: 1040837
Download Presentation The PPT/PDF document "“Choosing to Lead”" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
1. “Choosing to Lead”March 19, 2019Dennis Wagner, MPA DirectorQuality Improvement & Innovation GroupCenters for Medicare and Medicaid Services U.S. Department of Health & Human Services
2. Thank YouFor your hard work & commitment to the patients and families we serveFor your leadership and contributions to organ donation and transplantationFor the strategic thinking & active teaming of everyone in the roomFor being part of the continued evolution and innovation of organ donation and transplantation
3. What We’ll Talk About TodayLeadership as a Self-AccountabilityUsing Bold Aims to Generate and Evolve Systems & ResultsCultivating a Powerful Shared Mindset through Leadership Speech Acts
4. CMS-Supported Quality Improvement and Innovation WorkHospital Improvement Innovation Networks4,042 HospitalsTransforming Clinical Practice Initiative Model Test140,000+ Clinicians in PracticesEnd Stage Renal Disease Networks7,000+ Dialysis FacilitiesBeneficiary and Family Centered Care (BFCC) Quality Improvement Organizations ~800,000 Reviews PerformedQuality Innovation Networks – Quality Improvement Organizations~350,000 Clinicians400 Communities12,000+ Nursing Homes3,800 Home Health Organizations300 Hospice1,700 PharmaciesHelp for Small, Underserved, Rural Clinicians to Participate in the MACRA Quality Payment Program Up to 200,000 Clinicians
5.
6. 6Increasing Organ Donation in USAJan 1999 – Apr 2007 (Monthly)Collaborative Start DateOrgan Donation Breakthrough Collaborative3 Years of Results
7. Major National Increases in NumberOf Organ Donors Per Year: 2003 to 2007
8. A Key Mindset: Leadership is a Self-AccountabilityYou can not delegate leadership or make some one a leader.People choose to lead from many different jobs and rolesLeaders align with emerging leadership voices to move on strategic efforts.Leadership is a choice a person makes.
9. A Powerful Model
10. Choice: The Most Powerful Model
11. Viktor E. Frankl Made Extraordinary ChoicesSeminal Book: Man’s Search for Meaning
12. Our Choices Matter ImmenselyWe Can Achieve Our Aims by first Choosing to Make Them Happen
13. Questions for Reflection & ActionWhat are some of the most important leadership choices you have made in your career and in your life?What are some of the leadership choices you are contemplating or are making at this particular juncture in your career and your life?
14. Aims & Results: a choice we make every day
15. A Leadership Choice – Breakthrough Aims
16. Emergent Strategy: Stand For Bold Aims, Enroll Others, Persist, Learn, Evolve...Fast
17. 17“I believe that this nation should commit itself to achieving the goal, before this decade is out, of landing a man on the moon and returning him safely to the earth.” --- President John F. Kennedy, Delivered in person before a joint session of Congress May 25, 1961 Bold Aims Create Systems; Systems Create Results
18. Source: Partnership for PatientsPartnership for Patients Model Test Committed to Two Breakthrough Aims in 2011Aims Create Systems---Systems Generate Results
19. A Bold Aim and Hard Work by Many Thousands of Clinicians Led to Major National Results 2010-2014Source: Agency for Healthcare Research & Quality. “Saving Lives and Saving Money: Hospital-Acquired Conditions Update. Interim Data From National Efforts To Make Care Safer, 2010-2014.” December 1, 2015. 39% Reduction in Preventable Harm87,000 lives saved$19.8B in cost savings2.1M fewer harms
20. Partnership for Patients Established 2 New Breakthrough Aims for 2015 through 201920%12%Reduction in All Patient HarmReduction in 30-Day Readmissions
21. National Patient Safety Results 2014 through 2017910,000 fewer harms 20,500 lives saved$7.7B in cost savings
22. A Clear Purpose: Get to Santiago de CompostelaSantiago de Compostela! St Jean Pied de Port in France to Santiago de Compostela in Spain: 799 kilometers -- 496.5 miles
23. Plan, Do, Study Act in Action on the Camino!My family discovered and implemented many opportunities for PDSA cycles!Blister PreventionBlister TreatmentHydrationBackpack AdjustingManaging & Minimizing Foot PainSpouse Collaboration
24.
25.
26. 26
27. Recipient, Donor Mom, Procurement Leader, Transplant SurgeonPhoto taken in April 2002
28. Donation After Circulatory DeathSusan McVeigh Dillon Speaks to Collaborative Learning Session 2 in January, 2004…and Hospitals Throughout the Nation47% Increase in DCD in 2004More Big Increases in 2005Today 21% of Deceased Donors Nationally are from DCD
29. Pause for ReflectionWhat are your experiences with using Bold Aims to build systems & drive results? What bold aims are you committing to now… in your work and in your life?
30. A Powerful Shared Mindset: Leadership Speech ActsAssertionsDeclarationsRequests & OffersAcknowledgements“Yes, and”Effective QuestionsLeadership Happens Through Language
31. Leadership Speech Acts Are Not:ComplaintsGossipWorries & FretsIneffective QuestionsExcusesBlameLeadership Happens Through Language
32. Questions for Reflection and ActionWhat are your reactions and insights about Leadership Speech Acts?How might you use one or more of these Leadership methods (Choice, Aims to Create Systems, Leadership Speech Acts) to drive progress and results on organ donation and transplantation in your work?
33. Choose to Make & Stand for Bold Aims on Important Priorities like Reducing Kidney Discards and Increasing DCDIntentionally Use Leadership Speech Acts to Drive Progress, Results and TeamworkUse Your Individual and Organizational Platforms to Make This HappenShare these Concepts of Choice, Using Aims to Create Systems & Results, and Leadership Speech Acts -- in the Next 24 Hours Together, we can achieve our bold Aims.My Requests to Each of You