1. Leading and Facilitating Change PCMH Learning Collaborative May 20, 2015

2. Objectives By the end of this discussion, participants will be able to: 1.Distinguish between leading change and facilitating change 2.Identify at least two characteristics for facilitating change 3.Describe the fourth element of the quadruple aim

3. Definitions Lead:Facilitate: - Make decisions- Make easier - Guide- Enable - Spearhead- Assist - Set a vision- Smooth the progress of

4. Leadership Skills Provide a vision for the organization (the “why”) Inspire and motivate Find resources and remove barriers Use authority to decide who is “on the bus”

5. Facilitation Skills

6. Plan ahead, anticipate needs Provide tools/resources Organize Observe, listen Communicate frequently Help with teamwork Coordinate

7. Facilitation Skills Good facilitators: examples of role models?

8. Commonalities of Leading and Facilitating Creating engagement

9. Commonalities of Leading and Facilitating For practice transformation and performance improvement, both roles are essential: Leader Creates vision (the “why”) Engages faculty, residents, staff Holds others accountable Facilitator Makes change easier (the “how”) Assists, organizes, supports

10. Facilitation Skills (continued) Evidence: “Relational Coordination” Studies: Southwest Airlines, health care systems Coordination is both a technical process and a relational process “Relational coordination” leads to improved quality and efficiency Three elements of relational coordination: Team/clinic members have: –Shared goals –Shared knowledge –Mutual respect

11. Sustaining Change Measure and report outcomes Communicate frequently –Not only “what” and “how”, but also “why” Celebrate/recognize success Address resistance –Listen and understand –Provide resources –Involve in process

12. Sustaining Yourself Triple Aim : 1.Improving patient experience of care 2.Improving health of populations 3.Reducing the per capita cost of health care

13. Sustaining Yourself Quadruple Aim : 1.Improving patient experience of care 2.Improving health of populations 3.Reducing the per capita cost of health care 4.Providing enjoyment and balance in the lives of health care providers

14. Sustaining Yourself Staying healthy and energized as a change facilitator Challenges: Lack of time Added to other role(s) Responsibility without authority Lack of resources

15. Sustaining Yourself Staying healthy and energized as a change leader or facilitator: Practice self-care Manage stress Use a support network Advocate for resources Build positive working relationship with leader

16. Sustaining Yourself Staying healthy and energized as a change leader or facilitator: Personal/professional development Seek development opportunities –Build knowledge about performance improvement –Assertiveness –Managing own emotions –Mindfulness, relaxation, breathing, etc.

17. WWW.COFMR.ORG