1. Join the conversation! Our Twitter hashtag is #CPI2011. Fostering Shared Leadership in the Patient-centered Medical Home: From Taking Orders to Driving Innovation Aaron Gale, MD Medical Director Exempla/Saint Joseph Family Medicine Residency

2. Thank You! For being involved in Family Medicine For taking care of patients For improving the work life of staff For teaching the future leaders in Family Medicine For teaching the leaders of medical innovation in the U.S. and beyond

3. Introduction Aaron Gale, MD Family Doc! Medical Director, St. Joseph Family Medicine Residency Clinic

4. My Vision Bruner Family Medicine Must Always Be Becoming: –A great place to be cared for as a patient –A fun and fulfilling place to work –An effective learning environment for everyone, from the patient to the program director

5. Introduction: Sister Joanna Bruner Family Medicine Center -7,500 patients in our panel -40% are uninsured -We have a high level of cultural and language diversity -We are a low resource clinic with a “Do more with less” ethos

6. Bruner Family Medicine 4 medical receptionists 2 full time phone receptionists 9 MAs (3 per team) 1 administrative MA 1 referral coordinator 0.2 FTE of a Social Worker 0.2 Data Manager 24 residents, 1 OB fellow 7 Full time faculty, a few part time faculty 1 office manager

7. Join the conversation! Our Twitter hashtag is #CPI2011. What Is The Hook? Why are we here talking about shared leadership?

8. What Is The Hook? My journey to improve our clinic has led me to this simple conclusion: I can not do this on my own!!! The model of the “heroic leader” does not apply to our process of transforming into a PCMH. Has anyone else had that experience?

9. Learning Objectives: Describe shared leadership Describe the benefits and limitations of shared leadership Discuss three strategies to foster shared leadership Formulate new site specific strategies to foster shared leadership Develop one plan to foster shared leadership in your own clinic

10. Wassily Kandinsky, Composition VII, 1913

11. Questions about Shared Leadership Why do you want to think about or learn about shared leadership? Why do you want to foster shared leadership in your clinic? What does shared leadership mean to you? What are the necessary ingredients?

12. Define Shared Leadership

13. “a relational, collaborative leadership process or phenomenon involving teams or groups that mutually influence one another and collectively share duties and responsibilities otherwise relegated to a single, central leader.” –Kocolowski, Shared Leadership: Is it Time for a Change? Emerging Leadership Journeys, Vol. 3 Iss. 1, 2010, pp. 22-32.

14. Define shared leadership: Kandinsky, The Blue Rider 1903

15. The Necessary Ingredients: Team environment of: –Shared purpose or goal / Ownership –Social/emotional support for participants –Voice given to all team members/equity –Joint completion of tasks/partnership –Mutual skill development –Responsibility and Accountability Kocolowski, Shared Leadership: Is it Time for a Change? Emerging Leadership Journeys, Vol. 3 Iss. 1, 2010, pp. 22-32.