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Relational Coordination in Healthcare - Suchman
The document discusses the concept of relational coordination in healthcare, emphasizing its importance in improving organizational performance, patient care, and worker outcomes. It highlights the role of effective communication, shared goals, and mutual respect in enhancing coordination among various healthcare professionals. The findings suggest that implementing relational coordination can lead to reduced burnout, increased job satisfaction, and improved surgical performance.
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Relational Coordination in Healthcare - Suchman
- 1. Relational Coordination inHealthcare Anthony Suchman, MD, MA Co-Creating Healthy, Innovative and Humane Organizations, Networks and Eco Systems: A Global Discovery Roundtable October 3, 2013 McArdle Ramerman Center
- 2. Flight departure process: Acoordination challenge Operations Agents Ramp Agents Baggage Agents Gate Agents Ticket Agents Cabin Cleaners Caterers Passengers Freight Agents Fuelers Flight Attendants 2 Mechanics Pilots © 2012 Relational Coordination Research Collaborative and McArdle Ramerman Center
- 3. Relational Coordination Frequent communication Sharedgoals Timely communication Shared knowledge Accurate communication Mutual respect Problem-solving communication c 2012 Jody Hoffer Gittell
- 4. Relational coordination andflight departure performance Efficiency Quality Gate time/ flight Staff time/ passenger Customer complaints Lost bags Late arrivals Relational coordination -.21*** -.42*** -.64*** -.31* -.50** Flights/day -.19**** -.37*** -.30*** .13 -.22+ Flight length, passengers, cargo .79*** .45*** .13 .12 -.54** Passenger connections .12** .19** .09 .13 .00 .94 .81 .69 .19 .20 R squared c 2012 Jody Hoffer Gittell
- 5. Quality/efficiency performance index Relationalcoordination and flight departure performance SWA1 CON2 SWA2 CON1 UNI1 AMR1 AMR2 UNI2 Relational coordination c 2012 Jody Hoffer Gittell UNI3
- 6. Patient care: A coordinationchallenge Case Managers Nurses Nursing Assistants Attending Physicians Physical Therapists Patients Social Workers Technicians Referring Physicians 6 Administrators © 2012 Relational Coordination Research Collaborative and McArdle Ramerman Center
- 7. Relational coordination andsurgical performance Length of stay Patient satisfaction Freedom from pain Mobility -.33*** .26*** .08* .06+ Patient age .02 .00 .01 .04 Comorbidities .09* .07 .01 .04 Pre-op status .03 .01 .20*** .28*** .11** .10* .06+ .03 .82 .63 .50 .22 Relational coordination Surgical volume R Squared Observations are patients (n=878) in hospitals (n=9). Model also included gender, marital status, psychological well-being and race. Standardized coefficients are shown. c 2012 Jody Hoffer Gittell
- 8. Quality/efficiency performance index Relationalcoordination and surgical performance Hosp6 Hosp4 Hosp8 Hosp9 Hosp3 Hosp7 Hosp1 Hosp2 Relational coordination c 2012 Jody Hoffer Gittell Hosp5
- 9. Relational coordination also improvesworker outcomes Reduces emotional exhaustion and burnout Increases professional efficacy Increases job satisfaction Increases career satisfaction Increases capacity to learn from failure c 2012 Jody Hoffer Gittell
- 10. Applications of RelationalCoordination Fostering group reflection to improve organizational, workgroup and individual performance Proactive team-building c 2012 Jody Hoffer Gittell
- 11. Results of FirstRelational Coordination Survey Dimension of Relational Coordination Average for All Work Groups Average for Physicians Individual Low Score Individual High Score Frequent Communication 4.47 4.31 3.74 4.72 Timely Communication 3.81 3.72 3.22 4.00 Accurate Communication 3.97 3.94 3.69 4.14 Problem-Solving Communication 3.63 3.40 2.76 3.89 Shared Goals 3.85 3.62 3.36 3.77 Shared Knowledge 3.53 3.52 3.31 3.62 Mutual Respect 3.60 3.32 2.97 3.65 Overall Relational Coordination 3.88 3.74 3.44 3.98 c 2012 Jody Hoffer Gittell and Anthony Suchman
- 12. Pre- and post-interventionsurvey scores Avg for all groups Phys avg Phys 1 Phys 2 Phys 3 Phys 4 Phys 5 T1 3.88 3.73 3.58 3.98 3.84 3.44 3.87 T2 4.08 4.10 4.19* 4.23 4.02 3.84 4.07 c 2012 Jody Hoffer Gittell and Anthony Suchman
- 13. Improving relational coordination Mutualrespect Communication skills Team-building Relational meeting practices Process reflection Leadership development Shared goals Assessing convergence Collaborative planning Dialog Shared knowledge “Conversations of interdependence” c 2012 Relational Coordination Research Collaborative and McArdle Ramerman Center
- 14. Bibliography Gittell JH. HighPerformance Healthcare. New York: McGraw Hill; 2009 Relational Coordination Research Collaborative http://rcrc.brandeis.edu Summary of research on the association of RC with various dimensions of organizational performance available at: http://MakeWorkingBetter.com/RC Suchman A, Sluyter D, Williamson P. Leading Change in Healthcare. London: Radcliffe, 2011