1. An overview of the Shared Governance structure at Lutheran “I AM Shared Governance”

2. Today we will answer: What is Shared Governance? How do my patients and I benefit from Shared Governance? What are Unit/Department Based Councils and Hospital-Wide Councils? How can I help Shared Governance work on my unit?

3. What is Shared Governance? Shared Governance is shared decision making based on the principles of partnership, equity, accountability and ownership at the point of service.

4. All Professions have Accountabilities Practice Quality Education/Competence Research Management of resources

5. Clinical Accountability Defining practice Managing quality Assuring competence

6. Management Accountability Fiscal Human Resources Material Resources Systems Support

7. Why did Lutheran start Shared Governance? Compliments current structure Safe, fair and just culture Staff ownership in clinical and operational outcomes

8. How do my patients and I benefit from Shared Governance? Avenue to make changes Decisions made by bedside clinicians Fosters healthy work environment Improves employee satisfaction, patient outcomes and employee turnover

9. Directors & Managers Clinical Decisions Implemented Here The Evolution of Clinical Decision Making Senior Leadership Decisions Made Here Clinical Mangers Frontline Clinical and Nursing Staff

10. The Evolution of Clinical Decision Making Decision Action Outcome Clinical Staff Involved Here

11. This is Shared Governance Decisions Made and Implemented Collaboratively Clinical Staff

12. What it is - What it isn’t Shared Leadership Model  Partnering Relationships  Service Line Leadership Council  Opportunity/Improvement  Leaders/ Strategic  Collective Collaboration  Effective and Efficient  Ownership & Commitment Traditional  Hierarchical Relationships  Bureaucratic Culture  Boss/Manager/Subordinate  Problem Focused/Urgency/Crisis  Competition/Silos  Entitlement  Compliance

13. Unit/Department Based Councils Made up of and led by frontline staff Clinical managers are mentors and guides

14. Unit/Department Based Councils Unit/Dept. Based Council Clinical Practice Recruitment & Retention Budgets & Management Participatory/Self-Staffing Quality and Improvements Professional Development

15. Service Line Councils Cardiac Neurology Perioperative Emergency Services Oncology Human Motion Institute (Ortho/Spine) Medical Imaging Behavioral Health Long Term Care Center for Women and Infants

16. Hospital-Wide Councils

17. Hospital Wide Councils Professional Nursing Practice Council Clinical Practice Council Education Council Advanced Practice Council Clinical Managers Council Service Line Coordinating Council Quality Improvement Council

18. Relationship with Medical Staff Critical to success Represented on Shared Governance Councils including Service Line Councils

19. How do my patients and I benefit from Shared Governance? Decision Rights Accountability Autonomy Authority

20. How Can I Contribute to My Unit/Dept. Based Council or other Committees? Clinical Staff Involved Here Decision Outcome Action

21. How can I help make Shared Governance work on my unit? Engage Commit Collaborate Deliver Encourage

22. FAQs Is this just one more “plan” that I can count on going away in 6 months? Will Clinical Managers go away? How do we know this will work?

23. Questions??? Contact Information