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Leadership Traits for Changing Times. Bernard J. Horak, Ph.D, FACHE Georgetown University Email: bjh28@georgetown.edu Ph: 202-489-7256 Maryland Healthcare Human Resources Association Spring Conference April 16, 2012. Agenda/Objectives. Leadership traits & skills
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Leadership Traits for Changing Times Bernard J. Horak, Ph.D, FACHE Georgetown University Email: bjh28@georgetown.edu Ph: 202-489-7256 Maryland Healthcare Human Resources Association Spring Conference April 16, 2012
Agenda/Objectives • Leadership traits & skills • Best practices in change management • Communication skills
Leadership Challenges • Constant change • Cost reduction • Patient experience • Patient safety & culture • Staff shortages & satisfaction
Workplace Issues • High workload & stress • Poor systems/processes • Lack of teamwork • Lack of accountability • Lack of communication
Needed Leadership Traits & Skills • Servant leadership • Stress/time management • Team building • Change management • Communication
Needed Leadership Traits & Skills • Focus & flexibility • Principled decision-making • Performance improvement • Learning 10. Emotional intelligence
A Servant Leader … • Is visible • Sets goals with staff • Provides capability • Removes obstacles • Asks questions • Shows appreciation • Follows up
Stress Management • Breathing • Meditation • Visualization • Muscle Relaxation • Office Yoga • Time Out • “Sharpen the saw”
Time Management Key Habits: 1. Be proactive 2. Put first things first 3. Begin with end in mind
Begin with the End in Mind • Mission • Vision • Goals • Values, principles
Time Management Tools & Approaches: • A – B – C method • 80-20 rule • To do list & focus • Set milestones • Swiss cheese approach • Watch time wasters
Team Building • Goals • Roles • Relationships • Group process/dynamics • Procedures/groundrules
Team Building:Goal Setting (SMART) • Specific • Measureable • Achievable • Results-based • Time-bound
Task Responsibility P: Primary Responsibility S: Support C: Coordination I: Information D: Decision Team Building:Roles/Responsibility Chart
Team Building: Relationships • Confrontation meetings • Feedback (e.g. “pet peeves”) • Perception exchange • Ideal team exercise • Effective/ineffective communication & behaviors
Team Building: Group Process/Dynamics • Hand-off analysis • Experiential exercises • Survey/interview feedback • Facilitation of meetings • Process observer • Group self-analysis
Group Process: Key Questions 1. What was effective? 2. What should be done differently next time? 3. What did we learn?
Address conflict in timely manner Have equal footing Use “I” statements Speak in calm, respectful terms Leave perceptions & past at the door Use 3rd party if necessary Believe healthy conflict is part of effective teams Team Building: Conflict Management Groundrules
1. Decisions by consensus 2. Begin & end on time, attendance required 3. Each values the Team as priority 4. One speaker at a time 6. Atmosphere of candor & openness 7. Confidentiality 8. Full participation 9. No electronic devices Teambuilding: Meeting Groundrules
TEAM Together Everyone Achieves More
Our only security is our ability to change. — John Lilly The world hates change, yet it is the only thing that has brought progress. — Charles Kettering
The rate of change is not going to slow down anytime soon. If anything, competition in most industries will probably speed up even more in the next decades. — John Kotter
Change Exercises • Thumbs Over • Folded Arms • Appearance Change 1. Pair-up 2. Look at person—head to toe 3. Go back-to-back 4. Change 3 things
A B Unfreezing Moving Refreezing A B Lewin’s Change Model Moving
Unfreezing • Create the “burning platform” • Provide a clear vision & focus • Show the benefits of the change • Assess the culture & group dynamics • Link message to values & beliefs • Allow concerns to be expressed, taking the time to truly listen
Moving to Action(Changing Behavior) • Plan as a group “Change is exciting when it is done by us, threatening when it is done to us.” Moss-Kanter “People support what they help create” • Set milestones & responsibilities • Use advocates/champions • “Walk-the-talk” • Deal with resistance
Dealing with Resistance • Coercion • Manipulation • Negotiation • Education • Facilitation/Support • Involvement
Refreezing • Reward (monetary & non-monetary) • Reinforce by role modeling • Celebrate success • Publish new procedures, “bury the old” • Set accountabilities & monitor • Continuously improve
Communication Keys • Keeping the staff informed • Listening & responding to concerns • Being aware of the entire communication process
“I forget – are you not speaking to me or just not listening to me?”
A Communications Model Environment FILTER S FILTERS Sender Receiver Medium
Environmental Barriers • Noise • Interruptions • Competing demands • Group size • Organizational complexity
Medium • Correspondence • Phone • E-mail • Face-to-face
Filter: Frame of Reference Assumptions: Values Attitudes Beliefs Feelings Perceptions
Exercise I X
Defensive Evaluative Controlling Making statements Acting parent-child Open Descriptive Supporting Asking questions Acting adult-adult Filter: Defensive Communication
Open Communication • Suspend judgment • Recognize feelings • Ask, listen & paraphrase • Deliver “I” messages
“I” Message I feel/felt ________ (emotion) when you do/did _________ (behavior) because/as a result __________ (consequence). Example: “I felt angry and embarrassed when you forgot to bring copies of the handouts. As a result, the participants had a difficult time in following my presentation.”
Total Communication Words: __________ % Voice: __________ % Non-verbal: _________ % (body language)
Quickly Define … • Burn ______________________ • Tall Man ______________________ • Large City ______________________ • Stew ______________________ • Home ______________________ • Love ______________________
“Unplain Language” OPTIMUM DISSEMINATE STRATEGIZE NOT WITHSTANDING ASCERTAIN
“Unplain” Example 7510-00-551-9818 TAPE PRESSURE SENSITIVE ADHENSIVE CELLOPHANE TRANSPARENT LT 900 TYPE 1 CLASS A 1 ROLL 3.4 IN. X 36 YD.
Non-Verbal Communication A E F G G
Non-Verbal Communication H P S S
Non-Verbal Communication S S T T