1. Summit Education Session March 21, 2006

2. INVOCATION

3. Agenda WelcomeWelcome Progress on Learning PlansProgress on Learning Plans Highlights from an Action Learning Project TeamHighlights from an Action Learning Project Team Crucial ConversationsCrucial Conversations Advocate’s Culture of Safety InitiativeAdvocate’s Culture of Safety Initiative Closing RemarksClosing Remarks

4. Learning Plan Update* The overwhelming majority of you indicated that the 360 provided you with valuable insight. 97% Submitted learning plans based on the 360 feedback you received 95% Met with your One Up’s to get their input into your learning plans *Based on internal tracking and survey information

5. A Couple Questions for You…. What percentage of your learning plan have you executed? What are you going to do to ensure that you finish as strongly as you started?

6. What it Takes to Finish Strong… What it Takes to Finish Strong…

7. Nancy Durbin Summit Leader and Director of Parish Nurse Ministry Action Learning Projects (ALPs)

8. Action Learning Projects (ALPs) – Sponsored by and provide exposure to Executive Leadership – Allow Summit Leaders to participate in real time, strategic level projects – Provide opportunities to impact the system while working on critical leadership skills

9. First Action Learning Project Team Do Not Resuscitate (DNR) – Multi-discipline group that crossed sites, levels, clinical and non-clinical The Team’s Work Included: – A review of the DNR Policies at all sites – A comprehensive literature review – Benchmarking against best practices

10. DNR Project Outcomes: Explored the feasibility of a system wide DNR PolicyExplored the feasibility of a system wide DNR Policy Drafted a potential system wide policyDrafted a potential system wide policy Presented their proposal directly to Lee SacksPresented their proposal directly to Lee Sacks Made recommendations on how to implementMade recommendations on how to implement Wrote a white paper and submitted it for publication in Advocate’s eJournalWrote a white paper and submitted it for publication in Advocate’s eJournal

11. Action Learning Projects (ALPs) Do Not Resuscitate (DNR) Project Members: Susan Gullickson, D. Min. Supervisor, Mission & Spiritual Care William D. Rhoades, DO Division Chief Geriatrics

12. Consider Applying For an Alps Project Team... …

13. Crucial Conversations Todd King Vital Smarts

14. Crucial Conversations Todd King Vital Smarts

15. Donna Willeumier, Administrator Safety and Regulatory Compliance How Crucial Conversations Supports Advocate’s Culture of Safety Initiative

16. Culture: The shared values and beliefs of individuals in a group or organization Culture Shared Values & Beliefs Shared Values & Beliefs Our Behaviors Outcomes =

17. CSI Diagnostic Assessment: What It Told Us About Our Culture Interviews, survey comments, common cause analysis – Opportunities for crucial conversations Comfort level of asking questionsComfort level of asking questions AccountabilityAccountability TeamworkTeamwork – Crucial conversations do occur

18. Enhancing CSI Tools with Crucial Conversations Clarifying QuestionsClarifying Questions (ARCC) A sk, R equest, Voice a C oncern,(ARCC) A sk, R equest, Voice a C oncern, C hain of Command C hain of Command Peer Coaching & Peer CheckingPeer Coaching & Peer Checking Real time feedback 5:1 ratio Real time feedback 5:1 ratio

19. “Stop” for the Safety of: The Communication The Patient

20. Patient Safety Crucial Conversations Common Goals: Achieving Results – Becoming a: High ReliabilityHigh Reliability High Performing OrganizationHigh Performing Organization

21. Closing Comments Bill Santulli Executive Vice President Chief Operating Officer

22. Action Learning Projects (ALPs) Available on Alex 1.System Strategy Alignment 2.Preparation of Imaging Center Plan for Capital Review 3.Feasibility Plan for South Sub Day Surgery 4.EICU Strategy

23. Action Learning Projects (ALPs) Available on Alex 5. Graduate Medical Education Strategic Plan 6. System Strategy for Diagnostic Testing 7. Update the Tinley Park Strategic Plan

24. Action Learning Projects (ALPs) For additional information including: Project descriptionsProject descriptions Project requirements andProject requirements and Application instructionsApplication instructions Go to: The Alex Home Page The Alex Home Page Look for the Summit Leadership Link Look for the Summit Leadership Link Click on the ALPs tab Click on the ALPs tab

25. Crucial Conversations: Next Steps The content we heard today is not rocket science.

26. Crucial Conversations: Next Steps Question: What are the issues that we need to have crucial conversations about in order to make the shift to a high- reliability, high-performing organization?

27. Crucial Conversations: Next Steps Here is what I think it will take to make the shift… We will need to have the courage to honestly confront the reality of our current performance.

28. Crucial Conversations Take Away: Over the next two weeks, engage in Over the next two weeks, engage in one crucial conversation of your own one crucial conversation of your own Be prepared to share the outcome of Be prepared to share the outcome of that conversation on the next quarterly that conversation on the next quarterly Summit survey Summit survey

29. Closing Prayer