We know culture plays a key role in any organization. What role does it play in healthcare? Not speaking up and being safe is a significant issue for safe patient care. This presentation outlines why.
Favoring the Emergence through Agile ScaffoldingEmiliano Soldi
The frameworks for scaling Agile in organizations are certainly an excellent tool on which to leverage to develop strategic skills such as market adaptation, innovation and the reduction of product creation times; characteristics that, in all likelihood, will be able to significantly raise the level of general customer satisfaction.
Not a few times, alas, we found ourselves having to deal with practices suggested by those same frameworks that did not fit well with the circumstances and environment of reference. In those cases it is of little use to abandon one framework in favor of another as, in most cases, we would face new failures and a sense of frustration squared.
In business contexts where a minimum but sufficient Agile adoption maturity has been reached to be defined as practitioners, it is certainly worth experimenting with new approaches.
In this deck we will talk about how it is possible to encourage the emergence of emerging practices by teams in their native contexts, and which allow to scale Agile in a more organic and coordinated way, to achieve the above benefits, without the risk of rejection and decreasing to a minimum the inefficiencies due to lack of alignment, collaboration and communication.
We will use the example of "biological scaffolding" to explain how in a human body, in a completely natural way, it is possible to influence a system from the inside, cellular in that case, towards certain directions and behaviors, avoiding invasive, constricting interventions or structures or limiting.
We will use that concept as a metaphor to apply to Agile transformations.
Being a leader of any organization today is a very demanding exercise, sometimes prohibitive if not equipped with the right skills. More and more often we find ourselves moving in little-known, uncertain, ambiguous contexts, where risks and opportunities do not reveal themselves for what they are, until at the last useful moment.
There has never been a time like the one we are experiencing today in which, for those leaders, it is not mandatory to develop real superpowers that allow them to move with greater confidence, agility and sensitivity in those contexts, such as to increase their probability of success for their organizations.
In this talk we will understand how to develop those superpowers.
We will talk about how proceeding iteratively by trial and error equips us with an infrared view capable of making us see through the fog of complexity.
We will discuss how an approach oriented to continuous learning develops the latest generation of tactile sensors to help us orient ourselves with agility in uncertainty.
We will appreciate how understanding the different contexts in which we are immersed exponentially increases our ability to focus and analyze in making the right decisions.
Finally, we will evaluate how the definition of open and adaptive strategies provides organizations with the ability to flex and stretch within the markets in search of the best opportunities.
More technology often means for independent, asynchronous learning. That's great-- as long as the program is engaging. What is an engaging program? That's what this is about.
Favoring the Emergence through Agile ScaffoldingEmiliano Soldi
The frameworks for scaling Agile in organizations are certainly an excellent tool on which to leverage to develop strategic skills such as market adaptation, innovation and the reduction of product creation times; characteristics that, in all likelihood, will be able to significantly raise the level of general customer satisfaction.
Not a few times, alas, we found ourselves having to deal with practices suggested by those same frameworks that did not fit well with the circumstances and environment of reference. In those cases it is of little use to abandon one framework in favor of another as, in most cases, we would face new failures and a sense of frustration squared.
In business contexts where a minimum but sufficient Agile adoption maturity has been reached to be defined as practitioners, it is certainly worth experimenting with new approaches.
In this deck we will talk about how it is possible to encourage the emergence of emerging practices by teams in their native contexts, and which allow to scale Agile in a more organic and coordinated way, to achieve the above benefits, without the risk of rejection and decreasing to a minimum the inefficiencies due to lack of alignment, collaboration and communication.
We will use the example of "biological scaffolding" to explain how in a human body, in a completely natural way, it is possible to influence a system from the inside, cellular in that case, towards certain directions and behaviors, avoiding invasive, constricting interventions or structures or limiting.
We will use that concept as a metaphor to apply to Agile transformations.
Being a leader of any organization today is a very demanding exercise, sometimes prohibitive if not equipped with the right skills. More and more often we find ourselves moving in little-known, uncertain, ambiguous contexts, where risks and opportunities do not reveal themselves for what they are, until at the last useful moment.
There has never been a time like the one we are experiencing today in which, for those leaders, it is not mandatory to develop real superpowers that allow them to move with greater confidence, agility and sensitivity in those contexts, such as to increase their probability of success for their organizations.
In this talk we will understand how to develop those superpowers.
We will talk about how proceeding iteratively by trial and error equips us with an infrared view capable of making us see through the fog of complexity.
We will discuss how an approach oriented to continuous learning develops the latest generation of tactile sensors to help us orient ourselves with agility in uncertainty.
We will appreciate how understanding the different contexts in which we are immersed exponentially increases our ability to focus and analyze in making the right decisions.
Finally, we will evaluate how the definition of open and adaptive strategies provides organizations with the ability to flex and stretch within the markets in search of the best opportunities.
More technology often means for independent, asynchronous learning. That's great-- as long as the program is engaging. What is an engaging program? That's what this is about.
All Day DevOps - Practice Makes Perfect: Developing Expertise Through Chaos E...Tom Leaman
Our technical systems are getting more complicated by the day. Whether it’s due to intention or accident this complexity has the same effect on our ability to manage the applications our clients depend on: it gets a lot harder. When the system produces a ‘surprise’ and no longer performs according to assumption effective incident response is critical. Engineers involved must quickly align behind a common goal, communicate efficiently, and predictably coordinate actions to return system behavior to normal. The high level of cohesion necessary to act in this manner doesn’t happen overnight and relying on live-incidents to build this expertise can be painful and costly.
In this talk we’ll cover how teams can prepare themselves for the worst of incidents by covering:
* The critical building blocks of teamwork that are necessary to bring surprises to resolution;
* How to incorporate deliberate practice into the workday to build up incident response muscle memory; and
* The incorporation of Chaos engineering practices such as GameDays to realistically simulate how the team will react to a real surprise.
Key Note of the EHMA 2016 Annual Conference in Porto
In this key note, Rob Briner and Eric Barends from the Center for Evidence Based Management will discuss the basic principles of EBMgt and consider why while most people agree with the principles of EBMgt, few organisations are able to take advantage of its potential benefits. Utilising interactive social media tools
Rob and Eric will demonstrate how EBMgt can be used to separate the wheat from the chaff.
Every decision we make is one made on behalf of your user. How do we know the decisions we make are the right ones? It is time we initiate a conversation: About where we are and where we want to go, about how we define and measure goodness and rightness in the digital realm, about responsibility, about decisions and consequences, about building something bigger than our own apps. It is time we talk about the ethics of web design. This talk introduces a method for ethical decision making in web design and tech. Rather than a wet moralistic blanket covering the fires of creativity, ethics can be the hearth that makes our creative fires burn brighter without burning down the house.
Presented at WordCamp Europe 2018: https://2018.europe.wordcamp.org/session/the-ethics-of-web-design/
A History of Performance Appraisals, Letting Go - REVELNDeb Nystrom
This presentation provides a context for performance appraisals, ratings and reviews as very old ideas compared to organizational leadership pioneers and what's next. Performance management, defined in the 1970s, is rooted in scientific management. It is possible to acknowledge history, realize its impact on our business systems, and let go to embrace new strategies.
This presentation is additional context for my MISHRM 2013 presentation on "From Chaos to Creative: Performance Development in a VUCA World" in Grand Rapids, Michigan, October 8th, 2013 | 2:00 PM – 3:15 PM
Tweets: @RevelnConsults
The full context is in this article on the www.REVELN.com blog:
A History of Performance Appraisals: Letting Go to Power New Culture
* http://reveln.com/a-history-of-performance-appraisals-letting-go-to-power-new-culture/
As well as:
* Choices for High Performance Teams, Groups and Psuedo-Teams: Achievement Is How You Say It!
* 3 Success Factors for High Performance Teams, and What Gets In the Way
* Beyond Resilience: Givers, Takers, Matchers and Anti-Fragile Systems
http://reveln.com/blog/
These slides were presented at the start of a London Futurists open discussion event on Tuesday 15th March 2022. In these slides, David Wood, Chair of London Futurists, provides answers to five questions about the "Vital Syllabus" project: Why?, Who?, What?, How?, and What's next?
He also issued a call for collaboration and support of the project.
For a recording of this presentation, see https://www.youtube.com/watch?v=mea38ims1OQ
101 Business Insights is the first business networking site that rewards members for their time and input. As a member you get real, asset-backed rewards for commenting, posting or even simply hanging out at the site. It’s our way of thanking you for engaging with and growing the network, and for being part of the most vibrant business community on the net.
The new era of change and transformationHelen Bevan
The slides that Helen Bevan presented at #LIIPSforum2016 25th November 2016. The event is organised by the Leicestershire Improvement, Innovation and Patient Safety Unit of the University of Leicester
All Day DevOps - Practice Makes Perfect: Developing Expertise Through Chaos E...Tom Leaman
Our technical systems are getting more complicated by the day. Whether it’s due to intention or accident this complexity has the same effect on our ability to manage the applications our clients depend on: it gets a lot harder. When the system produces a ‘surprise’ and no longer performs according to assumption effective incident response is critical. Engineers involved must quickly align behind a common goal, communicate efficiently, and predictably coordinate actions to return system behavior to normal. The high level of cohesion necessary to act in this manner doesn’t happen overnight and relying on live-incidents to build this expertise can be painful and costly.
In this talk we’ll cover how teams can prepare themselves for the worst of incidents by covering:
* The critical building blocks of teamwork that are necessary to bring surprises to resolution;
* How to incorporate deliberate practice into the workday to build up incident response muscle memory; and
* The incorporation of Chaos engineering practices such as GameDays to realistically simulate how the team will react to a real surprise.
Key Note of the EHMA 2016 Annual Conference in Porto
In this key note, Rob Briner and Eric Barends from the Center for Evidence Based Management will discuss the basic principles of EBMgt and consider why while most people agree with the principles of EBMgt, few organisations are able to take advantage of its potential benefits. Utilising interactive social media tools
Rob and Eric will demonstrate how EBMgt can be used to separate the wheat from the chaff.
Every decision we make is one made on behalf of your user. How do we know the decisions we make are the right ones? It is time we initiate a conversation: About where we are and where we want to go, about how we define and measure goodness and rightness in the digital realm, about responsibility, about decisions and consequences, about building something bigger than our own apps. It is time we talk about the ethics of web design. This talk introduces a method for ethical decision making in web design and tech. Rather than a wet moralistic blanket covering the fires of creativity, ethics can be the hearth that makes our creative fires burn brighter without burning down the house.
Presented at WordCamp Europe 2018: https://2018.europe.wordcamp.org/session/the-ethics-of-web-design/
A History of Performance Appraisals, Letting Go - REVELNDeb Nystrom
This presentation provides a context for performance appraisals, ratings and reviews as very old ideas compared to organizational leadership pioneers and what's next. Performance management, defined in the 1970s, is rooted in scientific management. It is possible to acknowledge history, realize its impact on our business systems, and let go to embrace new strategies.
This presentation is additional context for my MISHRM 2013 presentation on "From Chaos to Creative: Performance Development in a VUCA World" in Grand Rapids, Michigan, October 8th, 2013 | 2:00 PM – 3:15 PM
Tweets: @RevelnConsults
The full context is in this article on the www.REVELN.com blog:
A History of Performance Appraisals: Letting Go to Power New Culture
* http://reveln.com/a-history-of-performance-appraisals-letting-go-to-power-new-culture/
As well as:
* Choices for High Performance Teams, Groups and Psuedo-Teams: Achievement Is How You Say It!
* 3 Success Factors for High Performance Teams, and What Gets In the Way
* Beyond Resilience: Givers, Takers, Matchers and Anti-Fragile Systems
http://reveln.com/blog/
These slides were presented at the start of a London Futurists open discussion event on Tuesday 15th March 2022. In these slides, David Wood, Chair of London Futurists, provides answers to five questions about the "Vital Syllabus" project: Why?, Who?, What?, How?, and What's next?
He also issued a call for collaboration and support of the project.
For a recording of this presentation, see https://www.youtube.com/watch?v=mea38ims1OQ
101 Business Insights is the first business networking site that rewards members for their time and input. As a member you get real, asset-backed rewards for commenting, posting or even simply hanging out at the site. It’s our way of thanking you for engaging with and growing the network, and for being part of the most vibrant business community on the net.
The new era of change and transformationHelen Bevan
The slides that Helen Bevan presented at #LIIPSforum2016 25th November 2016. The event is organised by the Leicestershire Improvement, Innovation and Patient Safety Unit of the University of Leicester
We've been researching and developing a standardised, evidence based approach to the spread and adoption of innovations in our region. We call this our 'spread and adoption model' – the model is constantly evolving, with a key output being a 'spread and adoption plan'. This presentation complements the webinars held in early March 2019 to introduce the first three components of our model and the spread and adoption planning template to colleagues from other AHSNs.
"Signed, Sealed Delivered": leading improvement in a new eraHelen Bevan
The slides from the workshop that Helen Bevan and Goran Henriks presented at the Clinical Microsystems Festival, Jonkoping, Sweden on 2nd March 2016. References and resources have been added at the end
Similar to Culture Change: Not as easy as it sounds (20)
Plenary talk at the Sim Summit National Conference hosted by the Royal College of Physicians and Surgeons. September 2018.
Redefining innovation for healthcare and what it takes to change to be ready for the future!
This presentation is for the Health Innovation School in the Netherlands. It gives an overview of what we have encountered as we implemented co-design efforts in relation to one of our core strategies: Patient First
This 90 min workshop talks about how you better lead or deal with change as a person. It reviews some tips and approaches that will help you sell your ideas in the workplace. It includes exercises and story telling/framing approaches.
A Culture of Innovation: What does it look like on the ground?Marlies van Dijk
How do you become more innovative yourself and how do you foster innovation in your team? It is not a mystery. This presentation highlights some of the key features and things to think about. Marlies @Design4AHS @tweetvandijk
Leading change is not as easy as it sounds. This slide pack gives an overview of a presentation I gave to a group of front line manager at a regional hospital in Red Deer Alberta. Enjoy! Marlies
Changing the prevailing mindset that maintains the status quo is one of the hardest things to do. Change in a system as complex as healthcare is even harder! If you believe that a mindset of opportunity and optimism is needed to move your team or system to the next stage of change; then this is the session for you.
Marlies has been facilitating change processes using liberating structures for the last eight years and has found them incredibly useful to start the conversation. There are many approaches in the suite of liberating structures but Marlies has found TRIZ the most versatile and easy to use. She will share with you three different ways that she has used it. Michael Auld, Shannon Hennig and Lindsay Meyer will join her to talk about their experiences with TRIZ.
Influential and Authentic Communication Workshop (2.5 hrs)Marlies van Dijk
This 2.5 hour workshop was designed for the Saskatchewan Medical Association Board members on Influential and Authentic Communication. It contains a number of exercises and links to resources.
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)blessyjannu21
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
Unlocking the Secrets to Safe Patient Handling.pdfLift Ability
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Culture Change: Not as easy as it sounds
1. Identify Culture
• Communication
• Behavior
• Rituals
• Tolerance
From Dr. Scott Ellner, St Francis Hospital & Medical Center, presented June 27, 2013
3. Improving Culture:
Not as easy as it sounds
• Culture: How is it relevant to better care?
• What is current state
• TRIZ: a way to get the front line engaged
• Power distance index
4. Why culture?
• Silence Kills Study
• 90% of JAHCO never events linked to
communication
• 17 years to implement best practice
• Reviews of academic literature conclude
correlation between culture & outcomes
1. Disease-Specific Care Certification – National Patient Safety Goals. Oak Brook
Terrace (IL): The Joint Commission; 2008. Available from: www.jointcommision.org.
9. Kind of
Challenge
Problem
Definition
Solution Locus of Work
Technical Clear Clear Authority
Technical and
adaptive
Clear Requires
Learning
Authority and
stakeholders
Adaptive Requires
Learning
Requires
Learning
Stakeholders
Ron Heifetz, The Practice of Adaptive Leadership
2009
Distinguishing technical problems
and adaptive challenges
10. Example
Implementing an
Electronic Health Record
Items Adaptive or Technical
Co-designing the fields Technical & Adaptive
Engaging staff and clinicians Adaptive
Building the frame and
programming
Technical
Communicating along the way
on progress
Adaptive
Implementing tools to
support quality of care
Adaptive
Evidence and guidelines from
other AHR initiatives
Technical
Leading this initiative:
The WHY? (framing)
Adaptive
11. Adaptive in leadership style
• Ask more questions rather than issuing more directives
• Build extra time into meeting agendas so that the adaptive
challenges do not get either bypassed in favor of more
immediate concerns or treated with short-term technical
fixes
• Expand the circle of individuals who need to be consulted in
exploring possible solutions to the problem
• Stay close to those who oppose your ideas; spend time with
them, ask for their input on your initiative, listen closely to
their reality (especially when it differs from yours), and take
their temperature.
Ron Heifetz, Practical Tools and Tips for Adaptive Leadership
17. When you are dealing with an adaptive
challenge that requires creativity, you have to
tolerate the pains of processes that increase
the odd that new ideas will lead to new
adaptive capacity.
Ron Heifetz
21. Why do we use TRIZ?
• Creative destruction
• Challenge the status quo & sacred cows
• Gives permission to discuss taboo subjects
• Builds trust
22. TRIZ – First Step
Be creative! Make yourself laugh! This is
SERIOUS FUN…..
Reflect in your small group, make a list of “to
do’s” in answer to:
23. How will we make the best ideas fail?
How will we stifle creativity in our staff?
How can we be sure that our staff morale is
rock bottom?
How do we ensure that our we harm
patients when they are here?
Pick one you like!
24. TRIZ – Second Step
Go down the list and ask:
Is there anything on this list that we currently
practice, even remotely?
Is there an element of truth in here?
Cross out the ones that you are not doing EVER.
25. TRIZ – Third Step
Look at your list…what items do you want to
commit to avoiding?
Pick your top two. What will you do to avoid
those items?
Do you need leadership or organizational help?
What needs to stop or change? Be as concrete
as you can.
29. “Power distance is the extent to which less
powerful members of organizations and
institutions accept and expect that power is
distributed unequally.”
A high power distance score accepts a
hierarchical order in which everyone has a
place that needs no further justification.
The higher the power distance in a culture,
the less likely those in subordinate roles will
question the actions or directions of
individuals in authority.
Geert Hofstede’s Power Distance Index
www.Clearlycultural.com
30. High Power Distance Index Cultures
• Authority and demonstrate rank.
• Subordinates expect clear guidance from above.
• Subordinates are expected to take the blame for
things going wrong (Collateral damage).
• The relationship between boss and subordinate
is rarely close or personal.
• Class divisions within society are accepted.
Slide courtesy of Ron Collins, 2014
35. • American culture is marked by
interdependence and value placed
on egalitarianism.
• Lack of overt status and/or class
distinctions in society.
• Hierarchy in organisations is
established for convenience.
• Superiors are always accessible and
managers rely on individual
employees and teams for their
expertise.
• Managers and staff members
consult one another and share
information freely.
• With respect to communication,
value a straightforward exchange of
information.
Power Distance Index
Score = 40
36. What do you see in a high power
distance index?
• Senior-level people get limited information
• Senior leaders perceive that everything is going
well
• Junior-level people do not bring ideas forward.
• Staff ask for permission every step along the
way.
It’s hard to innovate under these conditions.
Geert Hofstede
http://geert-hofstede.com
37. Questions to ask yourself?
• Are you aware of how others react to you?
• Do they start or stop talking when you enter
the room?
• Do you feel you can not talk to higher levels
in the organization without permission.
• Does your organization encourage the use of
titles and position.
38. “Top down is a
serious disease
but it can be
treated”
Celine Schillinger
@celineschill
Source of image:
Leadershipfreak.wordpress.com
40. Marlies van Dijk
Provincial Implementation Lead, Innovation
Quality and Healthcare Improvement
Alberta Health Services
marlies.vandijk@albertahealthservices.ca
@tweetvandijk
Culture is about
Traditions (first picture)
Attitudes (second picture)
Which manifest as behaviours (third picture)
Which turn into ways of being that are tolerated and accepted as “normal” (fourth picture)
Its folklore (stories that are important), its rituals (how new employees are welcomed into the company), its group norms (dress code), and its meeting protocols. All these cultural ingredients influence the organization’s adaptability.
The teamwork climate domain of the SAQ survey has proved to be an effective predictor of various adverse events and patient satisfaction at the unit level
We have data from >40 hospitals demonstrating this remarkable relationship
These diagnostic insights point to specific training opportunities that our TEM program systematically address
A very important correlations with HCAHPS which in the age of the ACO, has dramatic impact
Poll Everwhere questions
Adaptive challenges can only be addressed through changes in people’s priorities, beliefs, habits and loyalties
Technical versus Non-technical/Adaptive/Culture – give a definition of “Culture” and “Non-technical skills”
The culture side is the base of the iceberg
Adaptive challenges can only be addressed in changes in peoples priorities beliefs habits and loyalties. Going beyond authoratative expertise to mobilize discovery and shedding entrenched ways, tolerating losses and generating the new capacity to thrive.
Can you think of a project or initiative – where the strategy was clearly articulated and process improvement undertaken but noone talked about mind sets?
I have a perfect example: the surgical checklist. I have this hypothesis that if a good culture exists then the checklist is easy to implement – if it does not then it is virtually impossible. Or can you change culture using tools?
15 min
5 min
15 min
The reason why we are presenting this is in the hopes that there will be something you can take back and apply in your units. Try it… make it your own.
Could you see yourselves using these types of tools?
What’s inside?
1 What is culture?
8 How do we improve culture?
10 Ideas for changing culture
11 Tools
19 Tools Summary
42 Process Changes
48 Process Changes Summary
50 Generate Ideas Locally
52 Tips for Success
57 Acknowledgements
This dimension expresses the degree to which the less powerful members of a society accept and expect that power is distributed unequally. The fundamental issue here is how a society handles inequalities among people. People in societies exhibiting a large degree of power distance accept a hierarchical order in which everybody has a place and which needs no further justification. In societies with low power distance, people strive to equalise the distribution of power and demand justification for inequalities of power.
Hofstede’s Power distance Index measures the extent to which the less powerful members of organizations and institutions (like the family) accept and expect that power is distributed unequally. This represents inequality (more versus less), but defined from below, not from above. It suggests that a society’s level of inequality is endorsed by the followers as much as by the leaders.
For example, Germany has a 35 on the cultural scale of Hofstede’s analysis. Compared to Arab countries where the power distance is very high (80) and Austria where it very low (11), Germany is somewhat in the middle.
On residential unit the healthcare aid – residential care
Do healthcare aids feel comfortable speaking up in front of nurses. Do they feel empowered to challenge nurses?
Korean Airlines
Ferry off the coast of South Korea
“Senior-level people get no information, and believe that they have nothing to improve upon, and junior-level people do not bring ideas forward. It’s hard to innovate under these conditions.”
“Korean Air had more plane crashes than almost any other airline in the world for a period at the end of the 1990s. When we think of airline crashes, we think, ‘Oh, they must have had old planes.’ They must have had badly trained pilots. No. What they were struggling with was a cultural legacy, that Korean culture is hierarchical. You are obliged to be deferential toward your elders and superiors in a way that would be unimaginable in the U.S.
But Boeing and Airbus design modern, complex airplanes to be flown by two equals. That works beautifully in low-power-distance cultures [like the U.S., where hierarchies aren't as relevant]. But in cultures that have high power distance, it’s very difficult.”
What we are learning from aviation is that
Home care, residential, acute care, or surgery – there are
Highest power distance index is in Malaysia and Philippians
Sugar coating
Using the word doctor – Doug, our chair says that using the ‘doctor’ puts his patients at risk. It creates a barrier.
I never refer to physicians by doctor –