1. Presented by: Eleanor Rivoire Date: XXX Keynote Address by: Eleanor Rivoire, Independent Healthcare Advisor Former Executive Vice President & Chief Nursing Executive October 2015

2. WINNING CONDITIONS FOR HEALTHCARE TRANSFORMATION – PERSPECTIVE OF A CANADIAN NURSE LEADER

3. LeadershipPartnership

4. Leading with … Partnering with … Patients and Families

5. Patient and Family Centred Care Respect and dignity Information Sharing Participation Collaboration Institute for Patient- and Family-Centered Care

6. Patient and Family Centred Care “the experience (to the extent the informed, individual patient desires it) of transparency, individualization, recognition, respect, dignity and choice in all matters, without exception, related to one’s person, circumstances and relationships in health care.” Don Berwick, 2009

7. Patient and Family Centred Care “an approach to care that guides all aspects of planning, delivering and evaluating services, with the foundation being mutually beneficial partnerships between patients and families and services providers.” Adapted from IPFCC, 2008 Saskatchewan Ministry of Health, 2011

8. Key Leadership Trait Adaptability – with awareness of context and changing context

9. Current Healthcare Landscape Climate of: Economic Challenge Political and positional uncertainties Turbulence with health system redesign Consumer/customer mindset – patient rights; self-advocacy and greater involvement Far reaching and immediate access to information

10. Context “Unleashing Innovation – Excellent Healthcare for Canada” – July 2015

11. Patient Engagement and empowerment Health system integration with workforce modernization Technological transformation via digital health & precision medicine Better value from procurement, reimbursement and regulation Industry as an economic driver & innovative catalyst

12. Context Accreditation Canada Canadian Patient Safety Institute Patients for Patient Safety Canadian Foundation for Healthcare Improvement HealthCareCAN Patients Canada Professional Organizations

13. Experience at Kingston General Hospital The Winning Conditions for Meaningful Patient Engagement

14. Winning Conditions 1.Strategy - Annual Plans/Tactics Transform the patient experience through a relentless focus on quality, safety, and service

15. Winning Conditions 1.Strategy - Annual Plans/Tactics Patient Advisory Council launched 15 patient advisors are integrated into KGH Committees Patient led forums are conducted within programs Overall patient satisfaction is at or better than the provincial teaching hospital average The five standards: name tags, whiteboards, hourly rounding, patient led forums, and communications (care providers introducing themselves and their role to the patient)

16. Winning Conditions 1.Strategy with Annual Plans 2. Leadership Support

17. Winning Conditions 1.Strategy with Annual Plans 2.Leadership Support 3.Organizational Champions

18. Winning Conditions 1.Strategy with Annual Plans 2.Leadership Support 3.Organizational Champions 4.Partners

19. Winning Conditions 1.Strategy with Annual Plans 2.Leadership Support 3.Organizational Champions 4.Partners 5.Performance Improvement Mind Continuous Improvement Change Management Performance Management

20. Winning Conditions 1.Strategy with Annual Plans 2.Leadership Support 3.Organizational Champions 4.Partners 5.Performance Improvement Mindset 6.Infrastructure Position DescriptionsTerms of ReferencePoliciesSpace for AdvisorsSignageIdentification BadgesDecision-making Processes

21. Winning Conditions 1.Strategy with Annual Plans 2.Leadership Support 3.Organizational Champions 4.Partners 5.Performance Improvement Mindset 6.Infrastructure 7.Sustainability

22. Winning Conditions 1.Strategy with Annual Plans 2.Leadership Support 3.Organizational Champions 4.Partners 5.Performance Improvement Mindset 6.Infrastructure 7.Sustainability 8.Patient Centred Leadership...every person …every day AssessingIncludingSharingLearning

24. Knowledge – Experience – Instincts Culture – Processes – Outcomes Should we – Can we – Will we

25. Three Maxims “the needs of the patient come first” “nothing about me, without me” “every patient is the only patient”

26. Knowing the Way … Showing the Way … Going the Way ! Noli timere Seamus Heaney