1. High Impact Leadership
Session D3 & E3
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High Impact Leadership
Basic Slide Set

2. IHI Triple AIM: Success is Leadership Dependent
Population
Health
Experience
of Care
Per Capita
Cost

3. A useful definition…
Leadership is a process of social influence, which maximizes the efforts of others, towards the achievement of a goal
Kevin Kruse
Kevin Kruse Forbes.com What is Leadership April 9, 2013

4. High-Impact Leadership: Improve Care, Improve the Health of Populations, and Reduce Costs
Swensen S, Pugh M, McMullan C, Kabcenell A. High-Impact Leadership: Improve Care, Improve the Health of Populations, and Reduce Costs. Cambridge, MA: Institute for Healthcare Improvement; Available on

5. IHI High-Impact Leadership Framework Where Leaders Focus Efforts
Swensen S, Pugh M, McMullan C, Kabcenell A. High-Impact Leadership: Improve Care, Improve the Health of Populations, and Reduce Costs. Cambridge, MA: Institute for Healthcare Improvement; Available on

6. High-Impact Leadership Behaviors What leaders do to make a difference
Swensen, Pugh, McMullan, Kabcenell. High-Impact Leadership: Improve Care, Improve the Health of Populations & Reduce Costs. Institute for Healthcare Improvement; Available:

7. New Mental Models Reshape Improvement Efforts
Client Satisfaction driven by being nice
Improvement projects are in addition to the daily work
Manage to my budget/funding
Common Thinking
Client satisfaction driven by engagement of clients and families
Improvement is part of daily work of everyone
Seek to continuously reduce per unit operating costs
New Mental Models

8. Changing the Way We Think About Patients and Families
What’s the Matter?
What matters to you?

9. IHI High-Impact Leadership Framework
Swensen S, Pugh M, McMullan C, Kabcenell A. High-Impact Leadership: Improve Care, Improve the Health of Populations, and Reduce Costs. Cambridge, MA: Institute for Healthcare Improvement; Available on

10. Driver Diagrams: Useful Leadership Planning Tools
Board adopted Aims, Measures and Vision
Transparent Cascading Scorecards of Linked measures
Systematic Leadership review of Results and efforts
Role model patient and family engagement in rounds
Create Vision & Build Will
Leadership Engagement and Attention
Engaging with staff on removing barriers and improving process
Give the data a human face
Promote Transparency
Bring patients and families into all improvement meetings
Posting of patient harm results on units

11. AIM/Project:________________________________ Focus for Leaders
What will you do to ensure that people and the community are at the center—both engaged and well-served?
What will you say and do to convey the vision and increase the desire for change?
What leadership and improvement capabilities must be devoted and applied to make this effort an success?
How will you assure that the effort drives to results, with a sound plan and the right leaders, coordination, and tracking?
How would you describe the desired organizational culture and what are the leadership behaviors and actions required to support this effort
What engagement and cooperation across boundaries might be required to assure success? How will you lead this?