tag:blogger.com,1999:blog-4446032772204242582024-03-05T19:11:28.228-07:00HealthCareRebels Central
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.comBlogger54125tag:blogger.com,1999:blog-444603277220424258.post-62655454367448139342018-01-03T11:50:00.002-07:002018-01-03T11:50:42.044-07:00Looking to the Future <div class="MsoNormal">
<span lang="EN-CA"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-CA"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-CA">Patience
was never my strong suit and as a chronic patient, I deserve care that works
for me now, not ten years from now. So I
have often been deeply dissatisfied, but also amused by how my care is managed.
The lack of communication, gaps in the continuity of care, the condescending
tone I frequently get as well as the reactive approach to my care, made me
weary and apprehensive. And recent
experiences further exasperated my frustrations with the system. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I had
enough, and I decided to look elsewhere. As I was scrolling on my twitter feed
one evening, a tweet caught my attention, and it led me to WELLO. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">WELLO in
brief is a nurse practitioner led, innovative, personalized healthcare company
based out of Calgary. It delivers care that is tailored to each patient and they
encompass a holistic approach to care rather than the disease mentality no one wants
or deserves. They allow clients to be partners by giving full access to their
medical file through a patient portal, and meets clients at their convenience,
via phone, video and home visits instead of in acute settings. As I was reading
what they provided, I was checking off everything that I saw was vital to having
a truly transparent and person-centred healthcare system; patient portal, texting
patients, video calls, customized care plans and other features. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I was
intrigued, and paid the $35 monthly fee as I had nothing to lose. Within
seventy-two hours I had a meet and greet with one of the nurse practitioners
over video call, in the comfort of my home. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">From the onset,
I felt that I had just won the jackpot with care that I have been advocating so
long. The nurse was charismatic, empathic, knowledgeable and got my humor and
therefore got me. She thoroughly combed through my lengthy medical history,
asked very specific questions, and jotted down anything that I wanted to add or
was missing. She really wanted to get to know me, as Maya the person and not
Maya, the condition. Being asked what I
enjoyed doing, my hobbies & interests, what I take in university, what I do
in Alberta Health Services made me feel seen, truly seen. Something that I
haven’t experienced in years.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I felt that
with this provider I could be transparent, open and share some of my deepest
personal health struggles that only a few people know about. Something the checkbox
filled forms and superficial five-minute disease focused conversations with
other providers could never accomplish. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I know that
it is ultimately up to me to have and maintain a healthy life, not only from a
disease perspective but as a whole as well. But it really is beneficial when I
have a provider who knows me from a holistic lens, collaboratively discussing
ideas and together tailors a personalized treatment plan and exercise regime.
Someone who is easily accessible by different means, someone who I feel is
working in my best interests, is there for me and is ultimately my safety net
in the system. This nurse expected that I was a partner in my care, that I was
in the expert, and that together we work to ensure that I was the healthiest
version of myself, something that I missed from the pediatric days. I knew that
this nurse would be there for me, to provide guidance in a respectful way with
a listening ear, something I didn’t feel I had in the clinics I am a part of. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I now have an
essential group of healthcare providers, working to ensure that they provide
compassionate care that molds to my needs, wants, goals and desires, not me having
to fit and adhere to the structure of healthcare. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">But I also
know that I am extremely fortunate to have networks, connections and people who
know the system well to help me get access to comprehensive care which is truly
tailored to patient priorities and delivered in a convenient way. I want others to experience care that I am now
feeling; but how do we make it happen? <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I think at
the end of the day, it is about creating and forming that relationship between
the providers and the people on the receiving end of care. It is the trust that
is often overlooked and assumed it is a given, but rather, it is an essential
component. It’s about using today’s technology to deliver care that meets
patients in the community, but always adapting to stay current to provide the
best patient experience. It’s about seeing the whole person, and not the disease.
It’s about letting go of your biases, your own agenda, your own control, your
own ideas and instead listening to patients, to get to their level. To empathize
and understand their fears and concerns, and co-create together a shared care
plan.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I never
asked to be a patient, let alone a chronic patient. But as I am in the system
for the long run, I deserve care that works with me, not against me. Let’s make this the year where we take that
necessary risk, that leap of faith and ask the ‘why not's’ to improve the
patient experience! It’s what healthcare is about; people connecting and
providing care that is quality driven but also person centered. That should be
our aim in 2018, healthcare’s New Year’s resolution. Because if not now, then
when? <o:p></o:p></span></div>
<div class="MsoNormal">
<span lang="EN-CA"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-CA">@mayapajevic</span></div>
<div class="MsoNormal">
<br /></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-6263297477143459062017-12-19T09:11:00.000-07:002017-12-19T09:11:25.434-07:00Finding my new Quarterback in the Adult Healthcare system<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Throughout
the majority of my time as a pediatric patient I had a quarterback. A
quarterback in the form of a neurologist, who was not only compassionate and
humble, but he could coordinate my care adequately, communicate with other
disciplines on how to best advance my care plans while always involving me in discussions from
beginning to end. He was the individual that ensured my care was seamless and
effortless as much as possible.</div>
<div class="MsoNormal" style="text-indent: .5in;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">Then, I
transitioned to the adult healthcare system and wasn’t prepared for what I was
being thrown into. I could still email the neurologist for medical advice but
he could no longer be my quarterback, and navigating the complexity and bureaucracy
of the healthcare system with a complex medical history is a daunting task. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">Recently I
attended a Primary Care conference in Calgary and had the pleasure of listening
to André Picard, a prominent health columnist for the Globe and Mail and an
accomplished author. His talk about the underused resource of primary care,
made me realize that I needed a strong and stable “front door” to my healthcare
journey moving forward, and that it would be in the form of a primary care
doctor. I had a family physician, but he
wasn’t a key player in my care as he often lagged behind in knowing my recent
records and we didn’t see eye to eye on many things. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">So, I did
my research and made an appointment with a primary care doctor in a clinic in
downtown Calgary. I had an open mind,
but was ready to argue my case for care that fits with my life schedule. If
this doctor could do half as good a quarterbacking job as my pediatric
neurologist, I would be satisfied. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I was in
awe therefore when the doctor walked in, introduced herself by her first name, asked
me what she should know about me besides my medical file, and what mattered
most to me in regards to my care. After asking some general questions about my
medical family history, what she asked next was pleasantly surprising and made
me realize that she would become my new quarterback <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<i><span lang="EN-CA">“How would you like to be contacted regarding
your lab results? I can send you an unencrypted email, can call you when it’s
most convenient for you, text you or you can book an in-person appointment and
we can discuss face to face. Also, do you use social media regularly? If so,
once I figure out how to use Twitter in a professional manner, I can send you
messages as well. Would you like that? And
would it be ok if I circulate my findings and interactions with yourself to
others in your healthcare team?”<o:p></o:p></span></i></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I honestly
couldn’t believe what the doctor was saying. I felt I had just won the fight I
have been in since I first entered adult healthcare! I was shocked and amazed to
have found a clinic that provided such user centred care. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">I left
feeling empowered and inspired about the endless possibilities that I had following
that simple, yet profound encounter with my new doctor. It showed to me that
there are innovative, cost cutting ways to provide patient focused care that is
based in the community. In those 10 minutes, interacting with this passionate
physician, she was able to build and foster a trusting and transparent
relationship in a way that not many healthcare providers have been able to do. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-CA">My
healthcare journey is going to be a long one but at least I now have a
quarterback partnering and working alongside me.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
<span lang="EN-CA">@mayapajevic<o:p></o:p></span></div>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-13442383521152650762017-04-17T10:25:00.001-06:002017-04-17T10:25:46.417-06:00The Nurse Practitioner Can See You Now<h2>
<div class="WordSection1">
<h2 style="line-height: 115%; text-align: left;">
<b><span style="font-size: 16.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">The Nurse Practitioner Can See You Now</span></b></h2>
<div style="border-bottom: solid windowtext 1.0pt; border: none; mso-border-bottom-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 0cm 0cm 1.0pt 0cm;">
<h3 style="border: none; line-height: 115%; padding: 0cm; text-align: left;">
<span style="font-size: 14.0pt; line-height: 115%; mso-bidi-font-size: 11.0pt;">Dr. Alison
Ross tackles resistance and leaps hurdles to bring virtual healthcare to remote
northern communities.</span></h3>
</div>
</div>
<span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: auto;" />
</span>
<div class="WordSection2">
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4O-4ANoEwvX2nSETySiYEN30J1EEhYBRWtP18W2TKwbukxa8BftsiyObVAwMJOOq1h03irFR57vBCZ4MT6grxV5RSU4c8zbrTk-tpjaSraMf_XoyuKm2p9W1lITokaOBOR3w36Huuq0c/s1600/AlisonRoss2.jpeg" imageanchor="1" style="clear: right; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="475" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh4O-4ANoEwvX2nSETySiYEN30J1EEhYBRWtP18W2TKwbukxa8BftsiyObVAwMJOOq1h03irFR57vBCZ4MT6grxV5RSU4c8zbrTk-tpjaSraMf_XoyuKm2p9W1lITokaOBOR3w36Huuq0c/s640/AlisonRoss2.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Dr. Alison Ross, nurse practitioner at Slave Lake Family Care Clinic</td></tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">So many parents
face the same dilemma: trying to determine whether their child is so ill that
they should see a physician. In most cases, it’s an issue of missing a few
hours of work or school for something that might be as minor as a cough or
cold.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">But what if the
nearest medical clinic was over 3 hours away, and along mainly gravel roads? What
if taking your child to the doctor meant missing a whole day’s work – for
something that might be minor?<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">As a nurse
practitioner at Slave Lake Family Care Clinic, Dr. Alison Ross frequently saw
these kinds of scenarios: patients from remote communities either travelling
long distances for minor issues or putting off seeking medical attention for
serious conditions because of the 6 hour round trip. Having used Telehealth for
10 years while working in the High Arctic, Alison knew that virtual
appointments could possibly help some of her clinic’s patients.<o:p></o:p></span></div>
<h4 style="line-height: 115%; text-align: left;">
<i><span style="line-height: 115%;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;">What have
we got to lose?</span></span></i></h4>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">Alison knew that
patients needed better a better option than travelling hours for what could be
a 10 minute appointment. With support – but not direct involvement – from her
manager, Alison developed a 3-month pilot program as part of her doctoral
thesis that would offer telehealth services to the communities of Peerless Lake
and Trout Lake. Patients could attend Peerless Trout Health Centre and Alison
would connect with them virtually from Slave Lake.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGTz79a8RmmsyIXBTeMBN_JbW7p-6wDdLwxrM2fyYBGumC9VxUYE_FspLpMyX4ZcB7ubDJMPd_504m9KS9nK539gVGjO1ciaoufJ4pK8uuFsZ3XM8VXvVasnoW8U-otVnvWecSK1VPONw/s1600/AlisonRoss1.jpeg" imageanchor="1"><img border="0" height="395" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjGTz79a8RmmsyIXBTeMBN_JbW7p-6wDdLwxrM2fyYBGumC9VxUYE_FspLpMyX4ZcB7ubDJMPd_504m9KS9nK539gVGjO1ciaoufJ4pK8uuFsZ3XM8VXvVasnoW8U-otVnvWecSK1VPONw/s640/AlisonRoss1.jpeg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: xx-small;">Alison Ross in the Telehealth Room at Slave Lake</span></td></tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">It seemed easy
enough on paper – much of the necessary telehealth equipment was already in
place, there was space available, and Peerless Trout Health Centre was located
conveniently for both communities. However, the toughest challenge proved to be
getting all the stakeholders to agree on funding.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">In addition to requiring
the support of the Kee Tas Kee Now Tribal Council and Alberta Health Services, federal
involvement from the First Nations and Inuit Health Branch (FNIHB) complicated
questions of funding and accountability. But Alison kept pushing the envelope,
continually challenging each of the stakeholders to consider the potential of
increased patient interaction and reduced spending on transporting patients to
and from Slave Lake.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">Alison also
fielded concerns from many colleagues who weren’t sold on the idea of virtual
healthcare, believing medical care should be ‘hands on’. Again and again,
Alison won over opponents by pointing out that there was nothing to lose by
trying a small pilot, but a lot to gain. Finally, FNIHB and AHS reached a
funding agreement; additional equipment was loaned, the communities were
engaged, the staff trained. The pilot program was a go.<o:p></o:p></span></div>
<h4 style="line-height: 115%; text-align: left;">
<i><span style="line-height: 115%;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: small;">Patients
want this service</span></span></i></h4>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">From September
to December in 2015, Alison virtually attended to 75 patients. Patient response
was positive and immediate, with many patients participating through
recommendations from friends and family. </span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">Feedback gathered at the end of the
pilot upheld the necessity for telehealth services in </span></div>
<div style="text-align: right;">
</div>
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">remote communities, with
one patient commenting that the program was “very needed” in the community and
they hoped the service would continue at the health center. Patients agreed
that the convenience of not having to travel was complimented by the continuity
of care that came from always seeing the same health care provider – Alison –
for all appointments during the pilot.</span><br />
<h4 style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small;"><i><span style="line-height: 115%;">Telehealth
is a healthcare option</span></i></span></h4>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">After the launch
of the pilot, more patients opted to use the telehealth service and fewer
patients made the trip to Slave Lake. Deemed a success by all parties, the
program has continued with a nurse practitioner regularly travelling to the
communities for face-to-face contact with patients but also available virtually
when in Slave Lake.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgz9gL9KXrS7xqbHCsx2YBpWD90hlrc4-wGGTxoISr6aD1Th6zYNr8IC93RyhZQ1kV4jgfAgeM74N68to5PjRux4fIpRvonTpqKOEcNF5Q9KfHzQY1DBgbmJG815hjZlO4Jwb1KBjGRKS8/s1600/AlisonRoss3.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="419" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgz9gL9KXrS7xqbHCsx2YBpWD90hlrc4-wGGTxoISr6aD1Th6zYNr8IC93RyhZQ1kV4jgfAgeM74N68to5PjRux4fIpRvonTpqKOEcNF5Q9KfHzQY1DBgbmJG815hjZlO4Jwb1KBjGRKS8/s640/AlisonRoss3.jpg" width="640" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: Arial, Helvetica, sans-serif; font-size: xx-small;">Alison with Johan van der Nest, manager of the Slave Lake FCC</span></td></tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">After her
accomplishments in Slave Lake, Alison introduced telehealth services in two
other settings: for clients at the Kapown Addiction Rehabilitation Centre in Grouard,
and for the approximately 300 patients of the Grand Prairie Bariatric Clinic
who have been without a physician since 2015.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">Alison will
consider her project a success when she sees providers acknowledging Telehealth
as a viable healthcare option – and she encourages colleagues in other
communities to do so. “<i>It can be
difficult to get something like this going when it is such a large departure
from usual care</i>”, she admits, “<i>but
just give it a try – you’ve really got nothing to lose</i>!”<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%; text-align: left;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%; margin-right: -18.0pt;">
<span style="font-family: Arial, Helvetica, sans-serif; font-size: small; font-weight: normal;">You can find the
article Alison wrote and published about the pilot <a href="http://www.longwoods.com/content/24863" target="_blank">here</a>.<o:p></o:p></span></div>
</div>
<span style="font-family: "Calibri",sans-serif; font-size: 11.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
</h2>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com14tag:blogger.com,1999:blog-444603277220424258.post-38915331125849644292017-03-17T15:58:00.001-06:002017-03-17T15:58:57.926-06:00<div class="MsoNormal">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhv_CIo4xZar-0OiACwomArEj9yL-qCaeo36ZLlQ9UsdIUUy4JDMX4sxL9ZI-OMAfCdQIimrllm8t5Hc-nLrHd5vLSHR0vcgdL4K6qkh3MWLlHYiUdMJFy6e0YWIaHr5PQ9f9HsQ8M1fj8/s1600/maya_snow.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="400" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhv_CIo4xZar-0OiACwomArEj9yL-qCaeo36ZLlQ9UsdIUUy4JDMX4sxL9ZI-OMAfCdQIimrllm8t5Hc-nLrHd5vLSHR0vcgdL4K6qkh3MWLlHYiUdMJFy6e0YWIaHr5PQ9f9HsQ8M1fj8/s400/maya_snow.jpg" width="200" /></a><b><span lang="EN-CA">My A1c Story </span></b></div>
<div class="MsoNormal">
<b><span lang="EN-CA"><br /></span></b></div>
<div class="MsoNormal">
<span lang="EN-CA">This is a
story in which I really had to fight to get a healthcare system to wake up and
realize that my care was not person centred. <b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">I have been living with type 1 Diabetes since August 2002. So I know a
thing or two about how to live and function despite having a chronic condition
such as diabetes. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">When I was a patient in the pediatric setting, more often than not the
diabetes team would call my mom to tell her my latest A1c results. That way my
mom didn’t have to leave work early and travel halfway around the city to
simply know this result. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">When I transitioned to adult services a few years ago, I though this
approach of having a nurse call me and tell me my blood results over the phone
was common practice and would just continue. I realized very early on that
wasn’t the case. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">Every 3 months I had travel by bus, 45-minutes each way, to simply find
out that my A1c results are in normal range. One day though, I asked myself why
and why not? To me I saw no value in going to clinic and spending less than 5
minutes to know that everything is working the way it should be. Something that
a phone call can easily eliminate. So I asked the nurse the last time I saw her
if there was something that I could sign, to allow her to release my blood
results over the phone, as I said it’s a challenge for me to move my schedule
around to get to clinic. The nurse understood my issues, but said that
unfortunately there was nothing that she could do. That if I had a phone call
to discuss my blood results it would then become a legal issue, a policy issue,
a privacy issue, a pump protocol issue and that she could lose her job because
of it. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">But me being me, I decided not to give up just because it wasn’t the
answer I was looking for. So I used my resources as a patient advisor and I
emailed her manager, in hopes of finding a way, together, to improve the
delivery of care in that clinic and make it more person centred. The manager
and I spoke and she said that technology would be great but unfortunately there
was nothing that she could do. She basically said “it’s the systems fault and
not her fault”. Near the end of the phone call, she mentioned that as a patient
advisor I should email people that have higher titles to see what they could
do. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">So I did just that. I emailed two people who I knew would do something.
These people emailed me back saying that they would investigate and see what
they could do. They also connected me with the pump coordinator, to see what
she could do for me. This individual and
I talked and I felt like it was the first time someone in the adult side of
diabetes services actually listened to me and thought my concerns could be used
to improve the way the clinic worked. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">She said that she would investigate my concerns as soon as possible, but
also mentioned that she saw no reason why the nurse can’t tell me my A1c results
over the phone as long as I’m ok with it.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">The conclusion of this story is that the nurse did tell me my A1c result
by phone a few weeks ago. Now I only
have to go to clinic once a year for an annual checkup, if that. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">Success? Perhaps. I just wonder why it took someone like myself to
question, challenge and fight the status quo to see an improvement and not
simply take no for an answer. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">Why did I have to use the resources and connections I have gained as a
patient advisor to nudge the healthcare system to be more person centred and
accommodating to the realities of my life?<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">My measurement of success is that other patients will not have to fight
as much as I did. To have a healthcare system that, instead of putting up barriers
for patients, empowers staff to look into ways of making the system more person
centred. It’s a small victory in the
moment, but it won’t last very long if only a select few receive their care
that’s most convenient for them. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">It takes one person to speak up, question and challenge the status quo
but many to make lasting and important changes. Let’s all stand up and speak up
to improve healthcare for every individual. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA"><br /></span></div>
<div class="MsoNormal" style="line-height: 115%;">
<span lang="EN-CA">@mayapajevic</span></div>
<div class="MsoNormal">
<br /></div>
<br />
<div class="MsoNormal">
<br /></div>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-68299435108404048502017-02-04T13:57:00.001-07:002017-02-04T13:57:53.584-07:00Making MaYAS Dream a Reality<table cellpadding="0" cellspacing="0" class="tr-caption-container" style="float: left; margin-right: 1em; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9X-Uuwpx9ww4ozX7h9YJkER0rGs_DFxb619D0C1ZlJCID-SSax1coNNv-4kZyvPxTKpwfZWjD6DKcZ-Q_YaNKr_i-uGlFxLYTcUTqzhF3IfgB9KPTED0WsFfYIVmAHjkqL1ho_6FhnfY/s1600/maya.jpg.png" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="190" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh9X-Uuwpx9ww4ozX7h9YJkER0rGs_DFxb619D0C1ZlJCID-SSax1coNNv-4kZyvPxTKpwfZWjD6DKcZ-Q_YaNKr_i-uGlFxLYTcUTqzhF3IfgB9KPTED0WsFfYIVmAHjkqL1ho_6FhnfY/s320/maya.jpg.png" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Maya celebrating her medical anniversary...skydiving!</td></tr>
</tbody></table>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: Verdana, sans-serif;">If
you ask me whether I have experienced any positive Patient and Family Centred Care
moments during my frequent contacts with the current healthcare system, two examples come to my mind right away:</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="font-family: Verdana, sans-serif; text-align: justify;"><br /></span></div>
<div class="MsoNormal" style="text-align: left;">
<span style="text-align: justify;"><span style="font-family: Verdana, sans-serif;">One is with my paediatric neurologist who treats me as the only person that matters in that moment. He would spend plenty
of time explaining and sometimes re-explaining the latest brain scans or what
the upcoming stroke trail would entail, in a language I understand. Or how he
always leaves time for questions and actively listens to my fears and
concerns. (on a side note, he is also good looking ;).</span></span></div>
<div class="MsoNormal" style="text-align: left;">
<span style="font-family: Verdana, sans-serif; text-align: justify;"><br /></span></div>
<div class="MsoNormal" style="text-align: left;">
<span style="font-family: Verdana, sans-serif; text-align: justify;">Also, my occupational therapists who always start the session with "What’s new in your life?" to find common ground and talk about things we both can relate to - such as my love of animals, my future travel adventures, my risk
taking, my latte dependency, amongst other things.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">However,
I think we can do better. When I talk in front of medical professionals, I like to role play so that everyone can understand my current reality, my norm in how I access and receive care. The hospital where my medical journey began had (and still has) clinics that simply don’t
see and value patients as true members in their care and don’t see them as
people, but as defined by their medical file. This hospital can be renamed, rebranded, painted new colours but when I come here for monthly clinic
visits I am reminded of my feelings of being dehumanized and treated like
a nameless and faceless patient. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">If a healthcare organization would be truly patient centered, this is what I envision. I dream of a health
system that looks and feels like this: </span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">I <b style="mso-bidi-font-weight: normal;">DREAM
</b>that visitation hours will be abolished completely, to allow family members
and even pets to come visit and interact with their loved ones whenever they
want, not when its convenient for the health system.<span style="mso-spacerun: yes;"> </span>I would love for my healthcare providers to
know that I am more than what it says in my medical file and whether they agree
with my actions or not they need to respect me, and not judge me.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">I <b style="mso-bidi-font-weight: normal;">DREAM</b> of a health care team who tries to
walk in my shoes, to understand where I am coming from and what my unique
challenges are. A team who responds to my emails and phone calls in a timely fashion,
not 3 months from now. I want to be able to open that email from the nurse on my
phone saying that "the time and day" works, not receive encrypted private emails that
I need to open on my laptop.</span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><b style="mso-bidi-font-weight: normal;">I DREAM OF A FUTURE</b> where patients will
finally be able to access their medical records with ease, with commonly
ordered tests present, with exact word by word documentation from the doctor’s
office. <b style="mso-bidi-font-weight: normal;">I WOULD LOVE</b> to use
telehealth as way to contact my providers so I don't have to travel to connect
with my team, because to me, going to a clinic to simply know my common blood
results is pointless, and a complete waste of my time and energy. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">To me
showing empathy, a genuine interest in getting to know me and my way of living
outside of my medical file is just as important as treating my diabetes or
treating the consequences of my stroke. Because anyone can treat my illness and
show me the required stretches and exercises, but it’s passion and building
trust which is the difference between seeing me as a person first and then as a
patient.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><b style="mso-bidi-font-weight: normal;">TO ME PATIENT AND FAMILY
CENTERED CARE </b>is
not a weeklong celebration. It’s a new mindset about how we see patients as
true partners in their care, it’s a culture shift that we need to <b style="mso-bidi-font-weight: normal;">ACT ON NOW</b>.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">I <b style="mso-bidi-font-weight: normal;">DREAM</b>
of a system where healthcare providers - regardless of their location and their job description - are
all doing something to change the care and services they provide for the better. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">Will you help me make this dream a reality? Then let's start! Today!</span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">I
think it’s about time we #GSD! <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">Maya</span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">@mayapajevic</span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-59924487086508111982016-12-30T09:35:00.002-07:002016-12-30T09:38:22.793-07:00New Territories: Our 2016 in Review<div id="readingpack" style="border: 0px; bottom: 10px; height: 30px; position: fixed; right: 15px; width: 100px; z-index: 10000;">
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<i><br /></i>
<i><br /></i><br />
<i>"Nothing is permanent.</i><br />
<i>Everything is subject to change.</i><br />
<i>Being is always becoming."</i><br />
<i>(Buddhist belief)</i><br />
<br />
Change is one thing we are not afraid of. From our experience, we know that good things come with change. Sometimes, the outcomes take time to emerge, and they are hard to see at first. Nevertheless, change always happens and has served us well throughout 2016.<br />
<br />
Our community has continued to grow, with new contributors willing to post their thoughts on our small blog. We encourage everyone to "work out loud" and believe that visibility and vulnerability humanizes our work and healthcare.<br />
<br />
<br />
Here are our 2016 highlights:<br />
<br />
<h4>
Most read blog post:</h4>
- <a href="http://hcrcentral.blogspot.ca/2016/01/shared-purpose-how-can-you-build.html" target="_blank">Shared Purpose: How can you build outstanding healthcare?</a><br />
This is the second post in a series of 3 blogs based on IDEO's strategies for innovation. It's exciting to see that this topic has spoken to the majority of our readers. Michael (@teamquality123) is one of our strongest contributors and his dedication and passion for improving our healthcare deserves acknowledgement!<br />
<br />
<h4>
Most circulated tweet from @HCRCentral:</h4>
- Our sketch note '5 Steps to Change Mindsets' received <a href="https://twitter.com/helenbevan/status/751450504409059328" target="_blank">293 retweets and 317 likes</a>! Thank you <a class="g-profile" href="https://plus.google.com/101472087115365200638" target="_blank">+Helen Bevan</a> for your mentions throughout 2016!<br />
<div class="separator" style="clear: both; text-align: center;">
</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgg_0G67VoXHaemP1WLONZWGayciIjWUcc82kIMRGlug7cK75SYrBgSRpnXWiL9u2o8SvS142uIBBrJb5It4GGYZ5r1WGSLBHO2AZgBC-08LAPOjc4aoj8YFhe29p2jEC7ynNgxqaugUbU/s1600/5steps.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgg_0G67VoXHaemP1WLONZWGayciIjWUcc82kIMRGlug7cK75SYrBgSRpnXWiL9u2o8SvS142uIBBrJb5It4GGYZ5r1WGSLBHO2AZgBC-08LAPOjc4aoj8YFhe29p2jEC7ynNgxqaugUbU/s320/5steps.png" width="320" /></a></div>
<h4>
Most notable achievement:</h4>
The one thing that we are most proud of in 2016 is the evolution of the HCRCentral into <a href="http://design4ahs.wixsite.com/designlab" target="_blank">Design4AHS</a>, the first 'innovation lab' inside a provincial health organization in Canada. We are still learning and we are constantly 'becoming'. Everything is changing in healthcare and the world; it's said that in order to stay relevant, you need to constantly adapt. But we believe that you also need courage to look beyond the existing and the expected, and that is what we did.<br />
<br />
We thank all of our contributors, readers, supporters and critics for shaping who we are,<br />
and we are wishing you a<br />
<br />
Happy New Year!<br />
<br />
Stay connected!<br />
<br />
<br />
<br />
<h1 class="title entry-title" itemprop="name" style="color: #ad3a2b; display: table-cell; font-family: 'Helvetica Neue Light', HelveticaNeue-Light, 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 20px; font-weight: normal; margin: 0px; padding: 0px 40px 0px 0px; position: relative; text-align: center; vertical-align: middle; width: 670px;">
</h1>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-77784773203294904352016-11-20T16:07:00.000-07:002016-11-20T16:07:11.566-07:00Anatomy of a Healthcare Rebel
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlWdj0RBq0-FfcZwSDXn2nzfiNtHwKQbGAwl_o6xnxgpkgeknZDaPiBGqBWEbSrKMCpLbApFTQtjIndb9ynAMj2B0JmYaILqM0L7cs1s7T3BFidMTQLV6e2qCl0zbc4_9alMvI46PwejA/s1600/Untitled.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="217" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjlWdj0RBq0-FfcZwSDXn2nzfiNtHwKQbGAwl_o6xnxgpkgeknZDaPiBGqBWEbSrKMCpLbApFTQtjIndb9ynAMj2B0JmYaILqM0L7cs1s7T3BFidMTQLV6e2qCl0zbc4_9alMvI46PwejA/s320/Untitled.png" width="320" /></a></div>
<div class="MsoNormal">
Feet - Change doesn’t happen from a desk. Go to where the work
happens. Boots on the ground.<o:p></o:p></div>
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<br /></div>
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Hands - Reaching out a hand….lending a hand.<o:p></o:p></div>
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Arms - for heavy lifting.<o:p></o:p></div>
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<br /></div>
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Thick skin - This is tough work. We might hear “no” a lot, or
“that won’t work”, perhaps even get laughed at. It isn’t personal.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal">
Heart - Build relationships, be appreciative of people and the
work. It is an honor to be in this work. <o:p></o:p></div>
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<br /></div>
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Mind - Make a plan, set goals, stay focused.<o:p></o:p></div>
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Eyes - an ability to see things from a different lens.<o:p></o:p></div>
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Ears - Listening for others’ point of view and for what isn’t
being said.<o:p></o:p></div>
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<br /></div>
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Mouth - Communication is key. Words of encouragement.<o:p></o:p></div>
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<br /></div>
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Neck - We take risks, we are vulnerable. We stick our neck
out. <o:p></o:p></div>
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@Sylvanem</div>
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<!--EndFragment-->Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-50089178527163676552016-11-06T08:33:00.002-07:002016-11-06T08:38:15.670-07:00#QS16 Taking Off to New Horizons<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdeAYvtg7rBd24SUtYVfXlXJxFWp5MITGiPfdsT3U6eJvJNbbR0f9GCs38oMfnbviOjFEn5j91WrL2tOUycS6uPU6Kn4oJQZv5Wd-7khLR00qKsBOH0icXPnlXEbNGDUIBCLHkJHYDWRo/s1600/qs1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="207" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgdeAYvtg7rBd24SUtYVfXlXJxFWp5MITGiPfdsT3U6eJvJNbbR0f9GCs38oMfnbviOjFEn5j91WrL2tOUycS6uPU6Kn4oJQZv5Wd-7khLR00qKsBOH0icXPnlXEbNGDUIBCLHkJHYDWRo/s320/qs1.jpg" width="320" /></a></div>
<span style="font-family: "verdana" , sans-serif;">This year's Quality Summit took place on Oct 24/25, in Calgary.</span><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span style="font-family: "verdana" , sans-serif;">We are still reeling after 2 intense days of learning, connecting, and challenging our beliefs. Our thanks go to everyone who made this event happening: our speakers, organizers, attendees, and sponsors. We were overwhelmed by the positive response and the participation in this year's sessions.</span><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span style="font-family: "verdana" , sans-serif;">But words are cheap - let's revisit this event through the eyes of the participants, captured in <a href="https://storify.com/HcrCentral/ahs-quality-summit-2016-ignite" target="_blank">our summary</a> and photos below:</span><br />
<br />
<div class="storify">
<iframe allowtransparency="true" frameborder="no" height="750" src="//storify.com/HcrCentral/ahs-quality-summit-2016-ignite/embed?header=false&border=false" width="100%"></iframe><script src="//storify.com/HcrCentral/ahs-quality-summit-2016-ignite.js?header=false&border=false"></script><noscript>[<a href="//storify.com/HcrCentral/ahs-quality-summit-2016-ignite" target="_blank">View the story "AHS Quality Summit 2016 " on Storify</a>]</noscript></div>
<br />
<br />
Our event photographer captured excellent shots - check out <a href="https://flic.kr/s/aHskKCEYJv" target="_blank">these photos</a>!<br />
<br />
<a data-flickr-embed="true" href="https://www.flickr.com/photos/146189584@N08/albums/72157674539097681" title="Quality Summit 2016"><img alt="Quality Summit 2016" height="1365" src="https://c7.staticflickr.com/6/5692/30587139406_0f23352db7_k.jpg" width="2048" /></a><script async="" charset="utf-8" src="//embedr.flickr.com/assets/client-code.js"></script><br />
<br />
<br />Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-46563088655971006072016-10-10T12:06:00.000-06:002016-10-10T12:06:12.360-06:00Confessions of an Accidental Designer<span style="font-family: Verdana, sans-serif;"><br /></span><div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6GMexkcOQg9OJyS6bPAIQ_mP1ETBNeDT3WeHvGqhh_Z1fzbfQNL4v4RLopJPlbAfvVINxgyIUAXpj9tx971aZu5A6CUaWY5E3jnaatWM8_6N2aFCnVYdsWOMpNO_xLC1pMnSKRSy7QDU/s1600/187494109.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg6GMexkcOQg9OJyS6bPAIQ_mP1ETBNeDT3WeHvGqhh_Z1fzbfQNL4v4RLopJPlbAfvVINxgyIUAXpj9tx971aZu5A6CUaWY5E3jnaatWM8_6N2aFCnVYdsWOMpNO_xLC1pMnSKRSy7QDU/s320/187494109.jpg" width="320" /></a></div>
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<span style="font-family: Verdana, sans-serif;">I had the chance to join <a href="http://design4ahs.wixsite.com/designlab" target="_blank">Design4AHS</a> last week at their
inaugural kickoff workshop.<span style="mso-spacerun: yes;"> </span>It felt like
a safe haven for those unconventional types that like to ask deep questions and
aren’t satisfied with how business is done as usual because, well, our business
isn’t really working all that well.<span style="mso-spacerun: yes;"> </span>It’s
no secret that Alberta’s health care system needs to be turned on its head and
energies focused on addressing systemic issues that have plagued it for
decades.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;">But the question always is,
“how do we do it?”<span style="mso-spacerun: yes;"> </span>How do we approach a
massive, complex system made up of even more systems within systems that like
to remain comfortably within their silos?<span style="mso-spacerun: yes;">
</span>The answer continues to remain elusive, but design thinking and the
<a href="http://media.wix.com/ugd/c3d826_601e33ea624941f7938fe035ea6a97df.pdf" target="_blank">Design4AHS manifesto</a> seem like the right direction.<span style="mso-spacerun: yes;"> </span>Why?<span style="mso-spacerun: yes;"> </span>Because
the focus is on people; connection, communication and humanity.<span style="mso-spacerun: yes;"> </span>Let me explain.<o:p></o:p></span></div>
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<span style="font-family: Verdana, sans-serif;">I’m a bit of an odd duck in the health care world because I
don’t have a clinical background.<span style="mso-spacerun: yes;"> </span>I
toyed with social work for a while and gained some valuable experience working
with Calgary’s homeless population, but eventually settled on studying
communication and sociology during my undergrad.<span style="mso-spacerun: yes;"> </span>After finding my way into the health care system
quite by accident, I discovered a passion for people and their wellbeing that has
yet to be matched.<span style="mso-spacerun: yes;"> </span>Instead of doing
something health focused for graduate school, I chose to pursue Integrated
Studies; an evolving area of scholarship based on lots of social theory, but
purposefully and thoughtfully designed to teach you how to bring together
multiple paradigms, methods and perspectives to develop more comprehensive
solutions to complex problems.<span style="mso-spacerun: yes;"> </span>Its goal
is to get you to see systems and their pieces as parts of larger systems and to
acknowledge that no one discipline has all the answers.<span style="mso-spacerun: yes;"> </span>And that the qualitative, experiential data that
reflects human experience is just as valid and important as quantitative
measures.<span style="mso-spacerun: yes;"> </span>For those of you familiar with
design thinking, this probably all sounds pretty familiar.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><br /></span></div>
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<span style="font-family: Verdana, sans-serif;">Here’s the catch.<span style="mso-spacerun: yes;"> </span>I’ve
been using bits and pieces of <a href="http://www.forbes.com/sites/sap/2015/05/10/what-is-design-thinking/#762384613c18" target="_blank">design thinking</a> in my everyday work and had no
idea that my perspective and approach is what some call “disruptive
innovation”.<span style="mso-spacerun: yes;"> </span>I’m trained to look for
connection and meaning between pieces of information, and have been happily
doing so while pushing for more engagement with patients and staff, championing
anything to do with patient and family-centered care, and challenging the
status quo within our operational portfolio.<span style="mso-spacerun: yes;"> </span></span></div>
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<span style="font-family: Verdana, sans-serif;"><br /></span></div>
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<span style="font-family: Verdana, sans-serif;">While I work with a great team, most of my colleagues are the same age
as my parents, and I fear that my perspective sometimes can get lost or be
taken as youthful exuberance yet to be hardened by years of experience.<span style="mso-spacerun: yes;"> </span>Design4AHS made me feel at home and though I
have lots to learn, I now know that I’m not alone in the values and perspective
I bring with me to work every day.<span style="mso-spacerun: yes;"> </span>And
that my focus on building relationships and connecting people and their lived
experience to the care that we provide is valuable.<span style="mso-spacerun: yes;"> </span>It’s actually beyond valuable; it’s essential
if we ever want to turn the tide on costs, outcomes and quality. </span></div>
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<span style="font-family: Verdana, sans-serif;"><span style="mso-spacerun: yes;"><br /></span></span></div>
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<span style="font-family: Verdana, sans-serif;">I’m no longer an accidental design thinker,
instead I’m committed, purposeful and deliberate – and look forward to see what
impact design based approaches will have on our health care system.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><span style="mso-spacerun: yes;"><br /></span></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><span style="mso-spacerun: yes;"><br /></span></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><span style="mso-spacerun: yes;">Shannon</span></span></div>
<div class="MsoNormal">
<span style="font-family: Verdana, sans-serif;"><span style="mso-spacerun: yes;">@shanie_jeanie</span></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com2tag:blogger.com,1999:blog-444603277220424258.post-44180453293383198252016-09-04T09:04:00.003-06:002016-09-06T08:00:33.339-06:00Opinion Bites Post #GHIA2016<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2Ojh8RsfsvwFTblMOWksNbrtL8Yb4Q5dyMwKnEx3v6Tm0vnqJQcK_ffoE4x5h7T7sB94-fPfxLZ_U3WWgiVXd75-YCt0DchOkCjghyzahJIU-Wo28lJ63qYIgoSlvJn5SQLEh5tPybqI/s1600/photo-1465805466987-1a52c4976a92.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2Ojh8RsfsvwFTblMOWksNbrtL8Yb4Q5dyMwKnEx3v6Tm0vnqJQcK_ffoE4x5h7T7sB94-fPfxLZ_U3WWgiVXd75-YCt0DchOkCjghyzahJIU-Wo28lJ63qYIgoSlvJn5SQLEh5tPybqI/s320/photo-1465805466987-1a52c4976a92.jpeg" width="320" /></span></a></div>
<div class="MsoNormal" style="line-height: 150%; mso-layout-grid-align: none; mso-pagination: none; text-autospace: none;">
<span style="font-family: "verdana" , sans-serif;"><span style="color: #1a1a1a;">"</span>Why would you hire smart, talented people and then tell them
what to do and how to do it?" </span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana";">That was a question posed by <a href="https://twitter.com/IAmSuzanneWest" target="_blank">Suzanne West</a>, CEO of
</span><a href="http://imagineaenergy.com/" style="font-family: Verdana;" target="_blank">Imaginea Energy </a><span style="font-family: "verdana";">in her keynote speech
at the Global Health Innovation Academy (GHIA). </span><span style="font-family: "verdana";">Her point was that
organizations need to get rid of middle management and give staff the space and
freedom to find their own ways to work and be creative.</span></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;">This need to foster creativity, instead of stifling it, was
demonstrated throughout GHIA. Presenters from across the world described how
their jurisdictions have established centers and systems to encourage and
support innovation in healthcare.<span style="mso-spacerun: yes;"> The main focus of the event was a contest where </span>14
competitors pitched the scientific and business benefits of their inventions. Each was the </span><span style="font-family: verdana, sans-serif; line-height: 150%;">result of looking at a medical problem and using a different lens to find a
solution.</span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;">When you look at the <a href="http://www.ghiaevent.com/" target="_blank">winning innovations</a>, you get the feeling that their creators are fortunate to work
in organizations that Suzanne West would approve of, where individuality and
initiative are valued and encouraged.</span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;">If only that was the case everywhere...<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;"><a href="https://twitter.com/Flips1959" target="_blank">Richard</a></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana" , sans-serif;">_______________________</span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">As a nurse I was not sure how a
scientific and business pitch competition would contribute to my career however
as an individual always looking for new ideas I was
intrigued.<o:p></o:p></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">It was an invaluable experience. The innovators showed how inspiring people are looking for ways to improve care for patients and their
families. The keynote speakers' messages resonated
on both a personal and professional level:<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">• Go for the NO! Without rejection and failure we cannot grow and improve<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">• We need to collaborate and work together because internal competition is poison
for a company. <o:p></o:p></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">• The formula for changing the world is simple, first you <b>have to</b> <b>want
to</b>, and secondly you <b>have to try</b>. <o:p></o:p></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">Reaching our goals and
dreams does not happen overnight, it may take days (years) of hard work to reap
the benefits. </span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;"><br /></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">The important thing is to not give up!!<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;"><br /></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;"><a href="https://twitter.com/VanessaMoorgen" target="_blank">Vanessa</a></span></div>
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<span style="color: #1a1a1a; font-family: "verdana" , sans-serif;">________________________________</span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">What if we could reframe
the way we look at healthcare? For example, would you be able to look at radiology as a technology start-up, in the business of "selling diagnoses"? <a href="https://twitter.com/paulnatland" target="_blank">Paul Natland</a> commented that radiology is very technical specialty, based on a specific need: it relies on digital imaging and on electronic systems of scheduling and assessing patients. So: is there a
rulebook that says we need to conform, when a different perspective on how to improve the "business" might bring increased benefits for the patient? <o:p></o:p></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">My takeaway from this event is that we need to find ways to make big healthcare organizations think more like small
companies and startups. <a href="https://hbr.org/2011/01/can-a-big-company-innovate-lik.html" target="_blank">Skunk-works groups </a>such as the newly carved <a href="http://design4ahs.wixsite.com/designlab" target="_blank">D4AHS design lab</a>
might not make a big organization <b>act</b> like a start-up; but can definitely
influence mindsets, while being innovative and fast moving. To cite <a href="https://twitter.com/nicoleverkindt" target="_blank">Nicole Verkindt</a>: "Intrapreneurship IS possible in big bureaucracies!"<o:p></o:p></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;">I believe it. And it's happening. Are you in?</span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;"><br /></span></div>
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<span lang="EN-US" style="color: #1a1a1a; font-family: "verdana" , sans-serif; mso-bidi-font-family: Calibri;"><a href="https://twitter.com/SimonaQHI" target="_blank">Simona</a></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-57661041836530222532016-07-26T19:44:00.000-06:002016-07-27T08:32:09.591-06:005 Days With An Innovation Lab<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWFWh1VGtdTkzFxQsidoI6Lk3zr0H4HxMGbiG_94W41dif81PFYpJXu1IHchf26N4reotGShOca2D1-jNcMgIs3x-2fq18iuTPZzd44ngZpqm44TdhaamDm7mM_AcPjVubzWsYqXsIOEk/s1600/20160719_110553.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" height="360" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiWFWh1VGtdTkzFxQsidoI6Lk3zr0H4HxMGbiG_94W41dif81PFYpJXu1IHchf26N4reotGShOca2D1-jNcMgIs3x-2fq18iuTPZzd44ngZpqm44TdhaamDm7mM_AcPjVubzWsYqXsIOEk/s640/20160719_110553.jpg" width="640" /></span></a></div>
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<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">5 days, 25 people, one shared space. Immersion in systemic design. This</span> was an intense week of exploration, punctuated with moments of "A-Ha!", plenty "WTFs?" and probing "What ifs".</span></span><br />
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<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">In the spirit of the week, I am sharing my personal reflection on this experience, and (some of) the lessons I have learnt:</span></span></span><br />
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<span style="font-family: "verdana" , sans-serif;">1. <b>Challenge (the) question</b>. It is confusing and frustrating to start a journey on unfamiliar territory with a broad, fuzzy challenge question. It's like: add an extra dash of confusion to an already stunned audience. But what I have learnt is that fuzziness can be a great impetus for creativity, exploration and subversion (oh, yes!). So, embrace fuzziness. Do not make up your mind!</span></span><br />
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<span style="font-family: "verdana" , sans-serif;">2. <b>Reflection time.</b> Anonymously posting your opinion at the end of the workshop day can trigger interesting conversations for the next day. Note to self (if facilitating discussion): asking the person who wrote the note to 'elaborate' does not encourage group conversation (and makes a person act defensively). But asking others to elaborate will make conversations more dynamic and inclusive. Making an affinity map of the responses also provides real time feedback on the direction the group is taking. </span></span><br />
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<span style="font-family: "verdana" , sans-serif;">3. <b>Polish the sharp horns</b> (of the dilemma). Contrasting negatives with positives comes easy. The challenge is to think of a 'negative that is worth keeping'. Remember that the difference between - and + is just a |. </span></span><span style="font-family: "verdana" , sans-serif;">Think beyond absolute values and look for that precious difference that could balance a tension.</span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJEjlne0I54HYcqfxn60vQHWu7_gANrRA4PYzRYvBNO-e6-iJ-yyCusPfYhA6_hCzd23Qf1C09RVScQmLv3I9MM16yDO-qzio6eQNKQRUgyUX6KW0CBA06AEMNLZ2t_YjhrHzl23AYvcU/s1600/IMG_2136.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJEjlne0I54HYcqfxn60vQHWu7_gANrRA4PYzRYvBNO-e6-iJ-yyCusPfYhA6_hCzd23Qf1C09RVScQmLv3I9MM16yDO-qzio6eQNKQRUgyUX6KW0CBA06AEMNLZ2t_YjhrHzl23AYvcU/s320/IMG_2136.JPG" width="320" /></span></a></div>
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<span style="font-family: "verdana" , sans-serif;">4. <b>Iceberg alert</b>. Going into deeper levels and exploring mental models is terra incognita for most of us. We tend to gravitate and swim in shallow waters (events, patterns, structures) that are easier to conceptualize. While this might make us look like sharks, it directs our attention to surface, material issues. If you want leverage and impact: Dive deep, with an open mind.</span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiuOiysCvFR4PI8b1NuGUuKdLeRg-eOgx6RxCnb03RzLBBlPiMsflacjabClVGIk5-neKmjQPfiKKEVbOjlX5eM29R8JXTBQ9G3W9IUkLPvGVumWPhf-caRqhsTgw6FbNPk78etuhQc5g/s1600/20160726_150346.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" height="261" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgiuOiysCvFR4PI8b1NuGUuKdLeRg-eOgx6RxCnb03RzLBBlPiMsflacjabClVGIk5-neKmjQPfiKKEVbOjlX5eM29R8JXTBQ9G3W9IUkLPvGVumWPhf-caRqhsTgw6FbNPk78etuhQc5g/s320/20160726_150346.jpg" width="320" /></span></a></div>
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<span style="font-family: "verdana" , sans-serif;">5. <b>Humour helps</b>. Having a poster on the wall that says "Engage elephants in the room" is like a green light! You can point to the poster while you make your observation, and still receive the look of a shocked audience. Don't be fooled. There is never a good time or place to talk about the elephant. So next time you are faced with the beast, just let it out (with a smile).</span></span></span><br />
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<span style="font-family: "verdana" , sans-serif;">My A-HA moment: humans are incontestably, hugely creative. Gather them together, pose them with a challenge and watch how they come together for a grand finale. It's inspiring. And emotional. It's true.</span></span><br />
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<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">What if...we reframe our WTFs into A-HAs, and then into reality? </span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgO5tP3IRkpu-9Ie0spqhpyuLpQjrYiDnP_c6-htIRhEArUgPPjXOQncFVe8EdBaYkdO93UGodCyLQV-AoEmzPkwQGND5F22-Yal9dZsaRApzyjl91Q6zCMN_Y1FRY4DqEvjmogyk8ZnUQ/s1600/20160722_095226.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" height="180" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgO5tP3IRkpu-9Ie0spqhpyuLpQjrYiDnP_c6-htIRhEArUgPPjXOQncFVe8EdBaYkdO93UGodCyLQV-AoEmzPkwQGND5F22-Yal9dZsaRApzyjl91Q6zCMN_Y1FRY4DqEvjmogyk8ZnUQ/s320/20160722_095226.jpg" width="320" /></span></a></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span><span style="font-family: "verdana" , sans-serif;">This experience was made possible by the designer minds behind <a href="https://medium.com/the-overlap/the-alberta-colab-story-2d409ecf747c#.pz76zcajn" target="_blank">Alberta CoLab</a>: </span></span></span><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">Alex Ryan, Keren Perla, Roya Damabi, Brent Wellsch. </span></span></span></span><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">You are purposefully swimming at the bottom of the ocean, luring us into deeper levels with your visionary thinking. </span></span><span style="font-family: "verdana" , sans-serif;">Thank you for the generosity in sharing your </span><span style="font-family: "verdana" , sans-serif;">knowledge and for showing us </span><span style="font-family: "verdana" , sans-serif;">that we can drive innovation in the public sector!</span><br />
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<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">@simonaQHI</span></span></span></span><br />
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-585055002695797632016-07-09T09:20:00.002-06:002016-07-10T21:34:17.751-06:00#SketchAway This Summer!<span style="font-family: "verdana" , sans-serif;">Ahhh...summer is here! It's the perfect time to slow down and recharge. </span><br />
<span style="font-family: "verdana" , sans-serif;">Grab a book, find some shade and why not, a pen!?</span><br />
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<span style="font-family: "verdana" , sans-serif;">We are in LOVE with the recent #sketchnotes that are flying around social media! It's a creative, visual way to capture information. Check out <a href="https://twitter.com/tnvora" target="_blank">@tnvora</a> <a href="https://twitter.com/gapingvoid" target="_blank">@gapingvoid</a> and decide for yourself! We have already tested the internet waters with <a href="https://twitter.com/HcrCentral/status/751796932117311492" target="_blank">our own first sketch note</a>, and the response was amazing! </span><br />
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<span style="font-family: "verdana" , sans-serif;">So we were thinking: why not starting a #SketchAway trend? Here is why:</span><br />
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<span style="font-family: "verdana" , sans-serif;">1. We read a lot! So many inspiring books, so little time! And why not share these readings? We could draw a sketch of our books and just let it out on the world wide web!</span><br />
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<span style="font-family: "verdana" , sans-serif;">2. We might not be expert graphic designers, but we are not afraid of pushing our own limits and raise some eyebrows! We believe that everyone can draw. We could all draw when we were kids, right? What changed? (our mindsets, for sure).</span><br />
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<span style="font-family: "verdana" , sans-serif;">There are no rules. No mandatory colours. Even better: you DO NOT need to draw within the lines! </span><br />
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<span style="font-family: "verdana" , sans-serif;">No ideas? How about a book that inspired you? A podcast you listened to? A conversation you had?</span><br />
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<span style="font-family: "verdana" , sans-serif;">Just draw your version, and let it out either on twitter, tagging it with #SketchAway, or if you are shy, reply to this post with your drawing! </span><br />
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<span style="font-family: "verdana" , sans-serif;">We can't wait to see your creations! Go on, DARE!</span><br />
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<span style="font-family: "verdana" , sans-serif;">Here is our sketch note to kickstart this summer of creativity. </span><br />
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<span style="font-family: "verdana" , sans-serif;">It's based on the book <a href="https://www.amazon.ca/dp/B00DPM7YE0/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1" target="_blank">"Moments of Impact"</a>. </span><br />
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<span style="font-family: "verdana" , sans-serif;">Happy Sketching!</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOTzTNAVBf-JAJ6Qb3kq4V_X3NyRh5srZAfsY635AchFGU5pTt3ZJU7wM2FhtD8lJrfkIcNUg6y_OJxcKkd4S9hUgUyKX61k6CM1olE78E8N1PL10_JNRMIKwrmD3AbngE-nf4h2i7HN8/s1600/20160708_191458.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgOTzTNAVBf-JAJ6Qb3kq4V_X3NyRh5srZAfsY635AchFGU5pTt3ZJU7wM2FhtD8lJrfkIcNUg6y_OJxcKkd4S9hUgUyKX61k6CM1olE78E8N1PL10_JNRMIKwrmD3AbngE-nf4h2i7HN8/s640/20160708_191458.jpg" width="422" /></a></div>
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<br />Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com1tag:blogger.com,1999:blog-444603277220424258.post-84848782454317484872016-07-05T07:39:00.001-06:002016-07-05T07:40:15.652-06:005 Steps to Change Mindsets: Our #sketchnote!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgVsW509Z9bnIfXRRbsuBIYIDcAl0-TgnpDDDLNqSPWorwEfXNKPGuZV4A8dNUTyBPxtWI3uPYckOguGsJwNuTUPxNPJVZIV2GikN3XE-Cp-ISadVGOtbhIKh7e_zTlW7AGhaIIdfs-6rY/s1600/5steps.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="640" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgVsW509Z9bnIfXRRbsuBIYIDcAl0-TgnpDDDLNqSPWorwEfXNKPGuZV4A8dNUTyBPxtWI3uPYckOguGsJwNuTUPxNPJVZIV2GikN3XE-Cp-ISadVGOtbhIKh7e_zTlW7AGhaIIdfs-6rY/s640/5steps.png" width="640" /></a></div>
<br />Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-80847595107822586612016-06-06T16:02:00.001-06:002016-06-24T22:07:45.169-06:00Infinite Potential: The Power of Design Thinking (Interview)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUgZgcwXStyXJpfq4n41tYxfTNoroTFQ2q817RdR1GuSDUm4vWaAQCkZZdUcNeLDsV96u4j3Kk3VK-SIt92Z4604b69lRs6WoNfZPYDwQsywZQx-yUlGbWQJltboP8NTVDVaNRqF1GH3M/s1600/Robert_Kelly.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUgZgcwXStyXJpfq4n41tYxfTNoroTFQ2q817RdR1GuSDUm4vWaAQCkZZdUcNeLDsV96u4j3Kk3VK-SIt92Z4604b69lRs6WoNfZPYDwQsywZQx-yUlGbWQJltboP8NTVDVaNRqF1GH3M/s1600/Robert_Kelly.jpg" /></span></a></div>
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<span lang="EN-US" style="color: #313131;"><span style="font-family: "verdana" , sans-serif;">“Creativity ignites our imagination and inspires us to
think in new ways” <o:p></o:p></span></span></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Last month, the
Taylor Institute at University of Calgary organized <a href="http://www.ucalgary.ca/taylorinstitute/conference/" target="_blank">a conference on postsecondary learning and teaching</a> on the theme: Exploring creativity. <o:p></o:p></span></span></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">It is
refreshing and encouraging to see that our educators are very serious about
bringing innovation to their work. </span></span></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">The sessions delved into timely topics such
as integrating design thinking in postsecondary teaching, innovative strategies
to encourage development of professional knowledge and skills, technology
approaches, design thinking across disciplines, and facilitating social
innovation and creativity through stories, gaming and design thinking. <o:p></o:p></span></span></div>
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<span style="font-family: "verdana" , sans-serif;"><span lang="EN-US">Education
shares many of the challenges we encounter in healthcare. That is why we felt
compelled to discuss about how we can apply design thinking to healthcare while
learning from the experience of Dr. Robert Kelly. </span><span lang="EN-US" style="color: #260026;">He teaches creativity theory
and practice, creative development, design thinking, social
innovation, and curriculum theory and design at the University of Calgary,
and is an accomplished educator, </span><span lang="EN-US">author, artist and keynote speaker. Robert is a partner advisor for the design lab in the Quality and Healthcare Improvement department of AHS. <o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">HCR Central: Dr. Kelly, in
your work you are talking about transforming educational environments by “learning
to create”. Do you think that in the educational – and working environment - we
are waiting for permission to create? How do we move past that?<o:p></o:p></span></span></b></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Robert Kelly: From an individual perspective, my experience has been
that most individuals are waiting for permission. Our socialization, like the
school system and how we are trained for industry isn’t around giving people
permission to create or to innovate. It’s really fundamentally around acquiescing
to dominant structures. So I think it’s more build around cooperation and
compliance. On an individual basis, I think a lot of people had that permission
taken away and they define themselves by deficits…I think they have been
socialized to consume, to consume data, and have that data measured […];. I
think there are a lot of individuals walking around out there having no idea
what they are capable of […]; this is why, one of the three foundational
principles of collaborative culture is that of infinite potentials. <o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">HCR: Creativity might come from the edge, in what is called “bottom
up innovation”. For example, </span></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"></span></span></b></div>
<a name='more'></a><b style="mso-bidi-font-weight: normal;"><span style="font-family: "verdana" , sans-serif;">hospital frontline staff may have solutions to
problems they encounter but these ideas might never surface. Where would you
start to encourage building on this existing creativity? How do we influence
leaders when we have ideas at the frontline?<o:p></o:p></span></b><br />
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">RK: Ideas are only half of the creativity equation, because then
they have to go to form, to manifest themselves into action. [Frontline staff]
do not come up with ideas to make their job harder, to give the patient
discomfort or make their experience worse. Teachers are not out there to invalidate
students, however, the inherent institutions they are in sometimes do this, and
it’s counterintuitive to their own culture, their own beliefs. That is how we
get dissociation in the public service. Teachers go ‘I should be doing much
better but the system won’t allow me and my hands are tied’. So, the key with
ideation is this: every idea should be accepted and banked. If you’re in a
culture where the ideas are judged right away and rejected right away, no one
will volunteer ideas. There has to be a system that allows the ‘shop floor’ to
make suggestions where they are validated. What then is the worse that happen
to a good idea – is that it gets banked. They become relevant later, when there
is more funding etc., or let’s say it’s a great idea, so let’s operationalize
it now. But if the culture is one of instant judgment, [ideas] stay buried on
the ‘shop floor’. <o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">HCR: You hope to inspire people who don’t necessarily think of
themselves as creative. In healthcare, especially in highly standardized areas
(such as the operating room for example), creativity might be seen as a risky
attribute, even harmful potentially. What techniques can we employ to think and
do (experiment) as a design thinker? <o:p></o:p></span></span></b></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">RK: There are always
new technologies and people experimenting with new techniques. That is done in
controlled settings, where people’s lives are not put in danger. We know that,
there is a standardized way in scientifical research; innovation can apply
there. [On the frontlines] innovation also applies in how people communicate in
a team, in how the team functions, team roles. There is all kind of places you
can wedge in creativity or how it can happen. It can happen outside the
surgical theatre, when you’re in a scrum with all of your team; it is about how
I relate to my team, how we empower everybody and how we accept new ideas. The
other question is ‘Do we all have the capacity to be creative?’ – Absolutely! <o:p></o:p></span></span></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">HCR: Healthcare
organizations talk a lot about collaboration, with other professionals, with
patients and families. We also have a system designed to measure and report
based on compliance. In your opinion, why do you think it is important to
differentiate between a cooperative, compliant culture and a collaborative
culture?<o:p></o:p></span></span></b></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">RK: Collaborative culture enables an innovative response; a
compliant culture has a much lower potential. If you have a compliant culture –
like ‘you do your job, I do my job’ – it’s cooperative culture, assembly line,
we all do it well, the job gets done, but don’t expect much innovation from
that, it’s not designed around innovation. It’s designed around
standardization. So if you really want a culture that breeds innovation you
have to have a collaborative culture. Why? Because one of the fundamental
requirements for creativity is ideation. The potential for innovative outcomes
goes up exponentially with the number of ideas fed into the system. So if you
only have one person, and if you have a compliant, top-down culture not built
on interaction and ideation, there is a low creative potential. The question
that comes up is ‘Can you have standardized machine bureaucracy live side by
side with a collaborative, inventive bureaucracy? The answer is yes; they are
not mutually exclusive. The problem is – the question is <i style="mso-bidi-font-style: normal;">how</i>. It’s a design problem. For example, an innovation lab can
create two cultures that live symbiotically. <o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">HCR: “Design transcends disciplines” is also true for healthcare. Innovation
labs are emerging everywhere, with physicians, engineers, designers working in
teams to find solutions; we are seeing a so-called freelance or Gig-economy.
Paradoxically, although it’s consumerism, we are moving towards a more creative
environment. What do you think will be the biggest challenge in creating a
culture of collaborative creativity?<o:p></o:p></span></span></b></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">RK: When you put diverse teams together, you have to come together
on some basis. If each participant understands the fundamentals of the design
process, now they have a shared language. That’s the key, it’s actually trans-disciplinary.
Education on the disposition of design and understanding design practice will
become a shared language that will enable true interdisciplinary teams to
function with some commonality. People need to see to why they have to. ‘Why do
I need this for? I already have enough work to do already in my job, I’m
exhausted, why do you want me to learn this thing, I don’t see the immediate
advantage to what I do in my job’ – you hear this a million times. […] So you
spend your time with the early adaptors, demonstrate success – success breeds
success – the trick is to create a micro culture. And out of that will come
innovation. It’s not only about coming up with ideas. There is a bigger play here;
there are the tactics and strategies for transforming culture. The ideas will
come when the culture is there. <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">HCR: What do you think it’s most important for people to know about
creativity?<o:p></o:p></span></span></b></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">RK: That it’s within everybody’s grasp! Easy. It’s way closer than
anybody ever imagines and way more useful. You can wake up every morning to a
limited set of possibilities, or you can wake up to unlimited possibilities.
It’s the principle of infinite potential and interrelatedness; true
collaboration will allow it. There is a need to constantly regenerate and
innovate and reinvent. <o:p></o:p></span></span></div>
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<span style="font-family: "verdana" , sans-serif;"><span style="mso-ansi-language: EN-CA;">Dr.
Kelly, thank you so much for your time and for sharing your passion for design
thinking! We are looking forward to collaborate with you in our design lab!</span></span></div>
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<span style="font-family: "verdana" , sans-serif;"><span style="mso-ansi-language: EN-CA;"><br /></span></span></div>
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<div class="MsoNoteLevel1CxSpMiddle" style="mso-list: none; tab-stops: 36.0pt;">
<span style="font-family: "verdana" , sans-serif;">Visit <a href="http://www.robertkelly.ca/" target="_blank">Dr. Kelly’s website</a></span></div>
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<div class="MsoNoteLevel1CxSpMiddle" style="mso-list: none; tab-stops: 36.0pt;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Dr. Kelly’s latest book can be ordered <a href="https://www.amazon.ca/gp/product/1550596683/ref=oh_aui_detailpage_o04_s00?ie=UTF8&psc=1" target="_blank">here</a><o:p></o:p></span></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-63822376912535129442016-05-28T09:54:00.002-06:002016-05-28T09:57:38.994-06:004 Things Healthcare Can Learn From Orchestras<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJFvDGaBEOWUv57W0BGj-D6jjpOx3Tzzj-kUetBelT3W71ggPv6s-0AqGcsqmIvNn4zEg-CbSB2W6PYgRJfB50GkNrk0pyXna6ap3tHOwT2QG0xkTZR_QU-D-DJJBdRytYL8_3rTudVUk/s1600/photo-1450088323702-8bce64113310.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJFvDGaBEOWUv57W0BGj-D6jjpOx3Tzzj-kUetBelT3W71ggPv6s-0AqGcsqmIvNn4zEg-CbSB2W6PYgRJfB50GkNrk0pyXna6ap3tHOwT2QG0xkTZR_QU-D-DJJBdRytYL8_3rTudVUk/s320/photo-1450088323702-8bce64113310.jpeg" width="320" /></a></div>
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<span lang="EN-US" style="font-family: "verdana";">As I was
listening to 3 accomplished orchestra musicians discuss their art, I was compelled
to draw parallels to the healthcare culture and how we draw our
inspiration for improvement. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "verdana";">Lessons from
high-risk industries such as aviation have been applied to healthcare (for
example <a href="http://www.nytimes.com/2010/01/24/books/review/Jauhar-t.html?_r=0" target="_blank">the safe surgical checklist</a>). The Toyota Production System has
given us <a href="http://www.toyota-global.com/company/vision_philosophy/toyota_production_system/" target="_blank">Lean</a>, while tech start-ups are challenging us to become more <a href="https://hbr.org/2013/05/why-the-lean-start-up-changes-everything" target="_blank">Agile</a>. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "verdana";">What can the world of music teach us?<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "verdana";">Here are 4
things healthcare can learn from an orchestra:<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
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<span style="font-family: "verdana"; text-indent: -18pt;">1. Look/ listen up when hiring: Auditions
to become a member of an orchestra are challenging and intense. Consistency, technique and experience of musicians is important. But in many instances, the
final choice will not be necessarily the most consistent virtuoso, but the
artist who stands out creatively, who sparks innovation and raises the roof (figuratively
and acoustically). And even though musicians must follow to the conductor’s
lead, the goal is not to hire sheep but rather elusive unicorns.</span></div>
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<span style="font-family: "verdana"; text-indent: -18pt;"><br /></span></div>
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<span style="font-family: "verdana"; text-indent: -18pt;">2. Step away from your instrument and seek
the opinions of antagonists: As a musician, you spend the majority of your
formative years in the company of those playing the same instrument. Conformity is easy to creep in, as musicians playing the same instrument tend to have a
common perspective and a musical ear trained in a similar method. But those
looking to excel are very often seeking advice from peers playing other
instruments, and even attend auditions with other orchestras. Actively
requesting opposing opinions leads to creative growth. Groupthink and musical silos
equal to artistic suicide.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-indent: 0px;">
<span style="font-family: "verdana"; text-indent: -18pt;"><br /></span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-indent: 0px;">
<span style="font-family: "verdana"; text-indent: -18pt;">3. Lead like a conductor: Convincing an
entire orchestra to play according to your tune requires incredible persuasion
skills, mutual respect and most importantly vision. Musicians admire conductors
who have a clear vision transmitted seamlessly to the entire musician team.
Above all, musicians are incredibly attuned with the conductor’s body language.
There are no inspirational speeches. Attention is captured by vision. If your
vision is not ignited in each team member, you are not conducting.</span></div>
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<span style="font-family: "verdana"; text-indent: -18pt;"><br /></span></div>
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<span style="font-family: "verdana"; text-indent: -18pt;">4. Do your job! (As if you’re the soloist).
Orchestra musicians are highly aware of their individual role. For example, a
timpanist placed to the back of the orchestra is keenly aware of the sound
projection and timing of his strike, and needs to account the distance the
sound will take to reach the front of the orchestra. A violinist’s <a href="https://en.wikipedia.org/wiki/Pizzicato" target="_blank">pizzicato</a>
needs to be timed perfectly, and even milliseconds can make or break a play
(not counting the embarrassment). For a musician, ‘getting it right’ is a life
or death scenario. It is only by individual responsibility and accountability
that great orchestras are born.</span></div>
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<span lang="EN-US" style="font-family: "verdana";">The philharmonic
orchestra is a fascinating environment, and is not very different than healthcare.
Both deal with human anatomy and emotions, need accountable individuals and visionary leadership.</span></div>
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<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana";">Perhaps one key to instilling
creativity in healthcare lies in learning from music. </span></div>
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<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana";">When we listen, patients
are happier, teams are stronger and we all become...simply better. </span></div>
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<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana";">How well do you listen, and how fine is your play?</span></div>
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<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
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<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">@simonaQHI</span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-74595652663465703912016-05-20T14:18:00.000-06:002016-05-21T11:21:50.851-06:00THE F-WORD<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBIzqNPaJHOgHoFO3LhMQKMhN_NWxzq0Wh_zPAkElAIMD73N63JlxjnMdYrKYPtEue8C-24qbAlXJv4yK1Mu4_7ilP5Feh0CMqeTvs_2wEYafM_IhF2XrYAX2piO7LLi7y0RdQCpGRP9U/s1600/8443032580_002964159f_n.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="195" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBIzqNPaJHOgHoFO3LhMQKMhN_NWxzq0Wh_zPAkElAIMD73N63JlxjnMdYrKYPtEue8C-24qbAlXJv4yK1Mu4_7ilP5Feh0CMqeTvs_2wEYafM_IhF2XrYAX2piO7LLi7y0RdQCpGRP9U/s320/8443032580_002964159f_n.jpg" width="320" /></a><span style="font-family: "verdana" , sans-serif;"><b>Fear, </b>the belief that someone or
something is dangerous, likely to cause pain, or a threat, is a powerful
emotion. It not only impacts how you feel but how you behave, particularly in
new or unfamiliar situations. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">While fear is
something we normally associate with individuals, it can also be seen in
organizations where, in business-speak, it is known as ‘risk aversion’. A<a href="https://newsroom.accenture.com/news/accenture-study-innovation-efforts-falling-short-despite-increased-investment.htm?sf12733148=1" target="_blank"> study </a>across 12 industries found it to be a growing issue with 46% of
executives reporting that their company had become more risk averse when
considering new ideas. This very common pathology has<a href="http://www.imaworldwide.com/blog/bid/199208/Can-Transformational-Change-Overcome-a-Risk-Averse-Culture" target="_blank"> “slowed down decision-making and progress to a virtual crawl”</a> in many
organizations.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">In my
experience, this is particularly true in healthcare where the slightest scent
of risk can be enough to create inaction or procrastination. Decisions (usually
not to do something) frequently seem to be based on a worst case scenario of
what might happen. There is concern that an action will result in a bad outcome;
often without any real evidence to support that hypothesis. This leads to
people working from a place of fear because they are afraid of any potential
negative consequences or how their leaders will view them.</span><br />
<a name='more'></a><span style="font-family: "verdana" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span style="font-family: "verdana" , sans-serif;">As a result,
teams which should serve to support and enable the work of other parts of the
organization, actually become obstacles to overcome or work around. This is
particularly the case when you are attempting to be innovative and are told
‘you can’t do that because there’s a chance, even if it’s a very slim one, X
might happen’. Instead of working on the basis that ‘X probably won’t happen
but if it does, we will deal with it then’, such teams become resistant to
anything new and afraid of their own shadow. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">It is telling
that <a href="http://www.healthycanadians.gc.ca/publications/health-system-systeme-sante/report-healthcare-innovation-rapport-soins/index-eng.php" target="_blank">The Naylor Report</a> cited risk aversion as one of the main barriers to healthcare
innovation in Canada, noting it is “<span lang="EN">contributing to stasis and impeding the spread of innovation”. Clearly
there is a need to tackle the problem.</span><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><span lang="EN"><br /></span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">A psychological
approach to treating pathological fear in individuals is to use systematic
desensitization therapy. It entails
being taught relaxation techniques and then ranking your fears in order of
severity. Finally you confront each of your fears, from least to most
frightening, while using the relaxation methods to reduce anxiety and distress.
<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">The same method
can be used in organizations by senior leaders creating an environment, through
role-modelling and messaging, in which staff feel more relaxed, confident and comfortable
in their roles. Staff then need to be given permission and encouragement to
start trying out new things without overthinking every possible adverse
outcome. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">One approach is to <a href="https://hbr.org/2013/01/to-increase-innovation-take-th" target="_blank">reward smart failures in addition to successes</a> which is what Proct<span style="font-family: "verdana" , sans-serif;">e</span>r & Gamble has done
with its <a href="file:///C:/Documents%20and%20Settings/marliesvandijk/Local%20Settings/Temporary%20Internet%20Files/Content.Outlook/J0U0PIKD/an%20Indian%20multinational%20conglomerate">Heroic Failure Award</a>. When
Tata, an Indian multinational conglomerate, introduced its <a href="http://www.tata.com/article/inside/xqkFEPUqPbE=/TLYVr3YPkMU=" target="_blank">Dare to Try Award </a>in 2007, only 12 teams took part. By 2011 87
teams participated, having gained the confidence to do so through watching
colleagues be congratulated, on stage, by their CEO for thoughtful and well
executed failures.</span></div>
<br />
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span style="font-family: "verdana" , sans-serif;">If we can bring
similar approaches into healthcare, innovation will eventually be something to
be embraced rather than feared.</span><o:p></o:p><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span style="font-family: "verdana" , sans-serif;">@flips1959</span></div>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-44376429822983451652016-04-25T20:19:00.000-06:002017-03-20T13:25:15.323-06:00Humility in the Age of Heroic Leadership<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZH5XswKDZKSGlk89iMFMBOLfrzWqCFAuL6BC7P31vczgquGYdjexpFlaqGOUpDlSyTAOw85JPASOLef4rf4cwD_rF7PGUFku71kRCXhJqrj6DSFj0vgvKnLKm6_1qS1KgaSZLJzeCnBQ/s1600/photo-1421526053088-51b69c8a8d59.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span style="font-family: "verdana" , sans-serif;"><img border="0" height="214" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjZH5XswKDZKSGlk89iMFMBOLfrzWqCFAuL6BC7P31vczgquGYdjexpFlaqGOUpDlSyTAOw85JPASOLef4rf4cwD_rF7PGUFku71kRCXhJqrj6DSFj0vgvKnLKm6_1qS1KgaSZLJzeCnBQ/s320/photo-1421526053088-51b69c8a8d59.jpeg" width="320" /></span></a></div>
<div class="MsoNoteLevel1CxSpFirst" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpFirst" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">There are many
stories of successful hospital CEOs who turned their organizations around.
These stories are used as case studies in postgrad education, and honestly are
quite inspirational. Everyone loves the story of the "underdog" CEO who took charge of an underperforming hospital, battled mergers and uncooperative
staff only to achieve blazing success. </span></span></div>
<div class="MsoNoteLevel1CxSpFirst" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpFirst" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpFirst" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">Humans</span> love <span style="font-family: "verdana" , sans-serif;">goo<span style="font-family: "verdana" , sans-serif;">d stories, and we are wired <span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">to</span> hop<span style="font-family: "verdana" , sans-serif;">e even <span style="font-family: "verdana" , sans-serif;">under the worst</span> circumstances. In</span> healthcare, many are also hoping and dreaming of the CEO hero who resuscitates an ailing system. </span></span></span></span></span></span></span><o:p></o:p></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<br /></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">There is a belief
that a strong CEO equates to a strong organization. But what if the
organizational structure that permits CEOs actually leads to sub-optimization of
the organization? What if it’s not heroic leadership we are needing, but
anti-heroism and - forgive me - humility? <o:p></o:p></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Ludicrous? <a href="http://mentalfloss.com/article/33583/morals-mammaries-and-invention-stethoscope" target="_blank">So was the stethoscope when it was first invented</a>. </span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"></span></span></div>
<a name='more'></a><span style="font-family: "verdana" , sans-serif;"><br /></span>
<br />
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><span style="text-indent: 0cm;">Here is a real-life example that shows
it’s possible - even desirable - to scrap this position from healthcare
administration. Since the 1990s, Jonkoping County in Sweden attests that improving
quality of healthcare is possible without a CEO. The county’s system is divided
into councils and lead by specialty section chiefs. To quote the leaders
from the Swedish i<span style="font-family: "verdana" , sans-serif;">nnovation centre</span> </span><a href="http://plus.rjl.se/index.jsf?nodeId=43080&nodeType=13" style="text-indent: 0cm;" target="_blank">Qulturum</a><span style="text-indent: 0cm;">, having no CEO makes the hospital "a common resource", where
everyone is motivated to improve and make changes. Their vision? None other
than "Pursuing Perfection". They strongly believe that "In order to be the best, we need
to improve the most". Their strategy? "Our people". Their successes? </span><a href="http://www.ihi.org/resources/pages/improvementstories/chartingthewaytogreatersuccesspursuingperfectioninsweden.aspx" style="text-indent: 0cm;" target="_blank">Too many to mention</a><span style="text-indent: 0cm;">.</span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">What happens when
people are told they matter? You probably know the answer from a common scenario: </span></span><span style="text-indent: 0cm;">you are calling a number and
you are asked to hold for 30 minutes while being repeatedly told that "your
call is important to us". </span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">What happens though when people are shown, given the
opportunity, invited to contribute? Here is <a href="http://theedge.nhsiq.nhs.uk/sessions/what-can-we-learn-about-introducing-seven-day-services-from-another-system-across-the-globe/" target="_blank">Australia’s Eastern Health 7 days services initiative.</a> They pulled staff off the unit for a rapid improvement event, and
they developed a composite model that everyone agreed to. They created the
change everyone needed, at no extra cost, and the result was fantastic! Check out the
<a href="http://www.slideshare.net/JaneEvans10/eastern-health-achieving-a-7-day-service" target="_blank">data here</a> if you are a number person. Other benefits as a result:
increased junior staff empowerment, improvement of patient experience,
optimized training. <o:p></o:p></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">In Australia, the
message sent out is that everyone is responsible for 1. doing their job and 2. improving their job. In the <a href="http://internationalforum.bmj.com/gothenburg/" target="_blank">recent International Forum for Quality and Safety in Healthcare</a> in Sweden, another recurrent message sent by the hosting leaders was: "There
is no time for heroes. We need humility". And humility is one <a href="https://issuu.com/osca_agency/docs/anti_hero" target="_blank">attribute of the anti-heroes</a>, those who are sensitive to others and are aware of limitations
of their own knowledge and skills. </span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Anti-heroes are also the new power, and new power
is distributed, it’s everywhere. <o:p></o:p></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">So while we passively await for the story of the next successful CEOs, we need to ask:<span style="font-family: "verdana" , sans-serif;"> Are we measuring success the wrong way?</span></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US" style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><a href="http://sethgodin.typepad.com/seths_blog/2016/04/numbers-and-the-magic-of-measuring-the-right-thing.html" target="_blank">"Is the bestseller list also the best book list"?</a> </span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">There are many more stories
happening every day in hospitals, but they are not bound in a glitzy hardcover. Stories that housekeeping staff shared with a lonely patient; stories of unit managers
who sincerely apologized for the mistakes of others; the story of a nurse who thinks of the patient before thinking about herself. To someone, such a story changed their day, their week or even their life. And these people could make magic happen if we would only tap into this incredible resource.<o:p></o:p></span></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">So then, the question
remaining is: Do we need another hero? </span></span></div>
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<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNoteLevel1CxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: 0cm;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">The r</span>eal heroes are simply everywhere, but they
are overlooked. The storyline has to follow a script;<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"> and this script emphasizes individual<span style="font-family: "verdana" , sans-serif;">ism<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">, when <span style="font-family: "verdana" , sans-serif;">in <span style="font-family: "verdana" , sans-serif;">fact</span></span> s<span style="font-family: "verdana" , sans-serif;">u</span>ccessful chang<span style="font-family: "verdana" , sans-serif;">e often needs m<span style="font-family: "verdana" , sans-serif;">ore than one person</span></span>. </span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">Let'<span style="font-family: "verdana" , sans-serif;">s change this script<span style="font-family: "verdana" , sans-serif;">.</span> <span style="font-family: "verdana" , sans-serif;">N</span>o, let's rip this page off and start anew! <span style="font-family: "verdana" , sans-serif;"> </span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">St<span style="font-family: "verdana" , sans-serif;">art looking at others <span style="font-family: "verdana" , sans-serif;">and see their <span style="font-family: "verdana" , sans-serif;">strengths. <span style="font-family: "verdana" , sans-serif;">S</span>tart</span></span> building coalition<span style="font-family: "verdana" , sans-serif;">s and <span style="font-family: "verdana" , sans-serif;">you will se<span style="font-family: "verdana" , sans-serif;">e how <span style="font-family: "verdana" , sans-serif;">this changes the perspective of<span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"> hier<span style="font-family: "verdana" , sans-serif;">archies and <span style="font-family: "verdana" , sans-serif;">job descriptions.</span></span> </span> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span>
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;"><span style="font-family: "verdana" , sans-serif;">Be humble. But be <span style="font-family: "verdana" , sans-serif;">an inventor. <span style="font-family: "verdana" , sans-serif;">Just be<span style="font-family: "verdana" , sans-serif;">.</span></span></span> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span style="font-family: "verdana" , sans-serif;">@simonaMSC</span></div>
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<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com1tag:blogger.com,1999:blog-444603277220424258.post-7507896094436787902016-04-07T20:52:00.000-06:002016-04-12T14:29:32.896-06:00Calling for Bottom Up Innovation (4)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgm4f0kX81WHwYs03g_pxYUqhss4uu0GRsn7GYREj9pk8OOXk6WuXv3NP1lXQ7rjNcF4LZmkU6BTQGOCzHz95HFjYwbMBXyydVjjI7oiw8D7XAMj6uTkOjcl7Rd22O2CVrQv1wB-fECpyo/s1600/photo-1433769778268-24b797c4fc9a.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgm4f0kX81WHwYs03g_pxYUqhss4uu0GRsn7GYREj9pk8OOXk6WuXv3NP1lXQ7rjNcF4LZmkU6BTQGOCzHz95HFjYwbMBXyydVjjI7oiw8D7XAMj6uTkOjcl7Rd22O2CVrQv1wB-fECpyo/s320/photo-1433769778268-24b797c4fc9a.jpeg" width="320" /></a></div>
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<span style="font-family: "verdana";">HealthCareRebels
Central has been posting blogs on how we could apply some of the ideas of the
Silicon Valley company, IDEO, in order to be more innovative. Of the four </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://hbr.org/2015/12/ideos-employee-engagement-formula?utm_source=twitter&utm_medium=social&utm_campaign=harvardbiz" target="_blank"><span lang="EN-US"><span lang="EN-US">elements</span></span></a></span><span style="font-family: "verdana";"> of IDEO’s success at
innovation, "bottom-up innovation" is the last and might be the most difficult
to understand.</span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Bottom-up
innovation is very important in health care. No one person is smart enough to
fix our whole system, and we need to put everyone’s good ideas to work. So here
is the puzzle. Do we need to make sure there is space for everyone to bring
forward his or her good idea, no matter what it is, to help improve our system?
Or instead, do we just need to focus on a few priorities of the organization
and do a good job on those? The frustrating answer to both questions is "yes".<o:p></o:p></span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">One
key to understanding this puzzle lies with Dr. Ralph Stacey, a Professor of
Management from The University of Hertfordshire in the UK. He has proposed the </span><span lang="EN-US" style="font-family: "verdana";"><a href="http://www.gp-training.net/training/communication_skills/consultation/equipoise/complexity/stacey.htm" target="_blank"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">Stacey M<span lang="EN-US">atrix</span></span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;"> as a basis for understanding complexity. The matrix
has been used in many settings to understand health systems. Here is how it
works. </span></div>
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<a name='more'></a><br />
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">There are times that the solutions to problems become very simple, when
certainty is high, and most stakeholders are in agreement. All that is required
is to focus on the goal and finish the work. Accountability is key here. On the
other hand, sometimes either certainty or agreement are lacking. This creates a
complicated situation. Complicated situations are a lot of work to sort out,
but eventually a solution can be found. Sometimes there is neither certainty
nor agreement. This leads to complexity. The problem with complexity is that
hard work and focus are not enough to lead to a solution. But there is a
solution somewhere, and that is where bottom-up innovation comes in.<o:p></o:p></span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">How
does this work in real life in health care? Opportunities for bottom-up
innovation are everywhere, but one specific example is access to surgery and
surgical waitlists. Every day many different schedules of health workers are
brought together to make the most of precious Operating Room time so people in
Alberta can have access to surgery. Even though many people need to keep their
eye on schedule accuracy, this is a relatively simple task. </span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Now consider the
fact that quantity of surgery alone is not good enough. People come for surgery
in order to be well, to be whole again. For that to happen, we all want to
avoid hospital acquired infections, medication errors and any other unwanted
events. Quality of surgery is just as important as quantity. Achieving this is
possible but more complicated. </span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Finally, there is a need for bottom-up
innovation. Even doing our best, we struggle to meet waiting time targets with
the resources we have. This is not a pitch for more funding. There are too many
needs and too many priorities for that. We need to make the most of what we do
have. However, the solutions to this problem are neither simple nor
complicated. They are truly complex. The solutions will come from bottom-up
innovation. "We" do have a solution. The question is who are "we"?<o:p></o:p></span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">"We" are the whole village. What if patients and families, providers who care for
them, people who keep the system going, academics, and experts from across our
communities and business world all collaborated to find solutions?<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">On
May 6, 2016 we will be having a </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://www.eventbrite.com/e/surgery-wait-times-transformathon-tickets-22922664306" target="_blank"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">Surgical Wait Times Transformathon</span></span></a></span><span class="MsoHyperlink"><span style="font-family: "verdana"; mso-ansi-language: EN-CA;"> </span></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">in Edmonton on the topic of
surgical access. Everyone is invited. Please bring your great ideas and your
energy. The next brilliant solution might be yours. </span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Surgical Wait Times are not
your thing? As we recognize the importance of bottom-up innovation, more events
like this on many varied topics are sure to happen. If no event is planned,
start one! Bottom-up innovation starts with individuals.<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Bottom
up innovation may not be simple, but it only waits for your participation.<o:p></o:p></span></div>
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal">
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<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">@TeamQuality134</span></div>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-65447964889009941392016-04-03T17:32:00.001-06:002016-04-07T20:48:08.004-06:0004/04 Change Day AB: There Is No Finish Line!<div class="MsoNormal" style="text-align: left;">
<span style="font-family: "verdana" , sans-serif;"><br /></span></div>
<div class="separator" style="clear: both; text-align: center;">
<span style="font-family: "verdana" , sans-serif;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKS0s6zWy0bsXSAha_neeLc5OUK9xO1ri-zyuwnRVKF5m8VyDBbDsbZyvXZ4KgFuUmxFQdkUOMFsL6JhD5p6xsZ3djPYD4JwfQjRL6t5IIMWHhx9mzNzPCbCfAymDLu8wVXglOH8c5OqM/s1600/startfinish.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="194" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiKS0s6zWy0bsXSAha_neeLc5OUK9xO1ri-zyuwnRVKF5m8VyDBbDsbZyvXZ4KgFuUmxFQdkUOMFsL6JhD5p6xsZ3djPYD4JwfQjRL6t5IIMWHhx9mzNzPCbCfAymDLu8wVXglOH8c5OqM/s320/startfinish.jpg" width="320" /></a></span></div>
<span style="font-family: "verdana" , sans-serif;">Today is the day when we count our
pledges and celebrate our successes. </span><br />
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">It’s time to thank our Change Day
Heroes, those who passionately believe that every small change makes an impact. </span></span></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">They relentlessly pursued their own goals, created their own campaigns and found ingenious ways to persuade others to make a pledge.<o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Over the last months we have seen
this social movement become stronger and stronger. Here are some of the
highlights of the first Change Day in Alberta, a global social movement that
empowers everyone to improve healthcare:<o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"></span></span><br />
<a name='more'></a><span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">- Change Day AB was announced on October 26, 2015 at #QS2015, with Helen Bevan's inspiring support.</span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- <a href="http://www.changedayab.ca/" target="_blank">The website</a> goes live 5
months ago and pledges start trickling in.</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- The
first campaign designed by patients and family members, #familypresence joins
the movement. Next to follow: AIM Alberta with #PatientsMedicalHome, and
Glenrose with #LifelongLearning. A fun contest was captured in #PicAPledge, a
campaign with prizes for the most creative Instagram photos related to Change
Day AB.</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- First media appearance on Global TV Calgary,
followed by Edmonton TV, news media coverage and numerous articles and discussions on social media.</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- 3 Change Day AB webinars attracted much attention
with over 100 online participants, hosting international guests such as Damian
Roland (NHS Change Day) and Mary Freer (Change Day Australia).</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- Public personalities who joined the movement:
Mayor Naheed Nenshi, Ministers Sarah Hoffman and Marlin Schmidt, Paul Brandt
have shown their support while pledging for the causes close to their heart.</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- First video goes live and it’s a hit! A trend
starts and people are doing their own video for Change Day. Check <a href="http://www.changedayab.ca/news-updates/" target="_blank">all videos here</a>.</span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;"><br /></span></div>
<div class="MsoNormal" style="text-align: left; text-indent: 0px;">
<span style="font-family: "verdana" , sans-serif; text-indent: -18pt;">- Pledge numbers grow fast: from few hundreds
to over 4000! Individuals who pledged are patients, families and friends,
physicians, nurses, pharmacists, chiropractors, social workers, EMS staff, firefighters, youth groups, students.</span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">And what better way to celebrate
this special day than with cake?! Across Alberta, cake parties are happening as
we speak/ eat, with people gathering to celebrate perhaps a small but significant
success. <o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">We want to thank everyone who
joined us and followed us on social media. Don’t go anywhere yet! Follow
#EatCake on Twitter for live pictures from the cake parties across the
province, and don’t forget to say thank you to your colleagues who stepped in. <o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Together, we did start a ripple
and made a change! <o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">All we can say now is: "It’s not good bye. It’s see you
later!"<o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;"><br /></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<span lang="EN-US"><span style="font-family: "verdana" , sans-serif;">Your ChangeDayAB design team<o:p></o:p></span></span></div>
<div class="MsoNormal" style="text-align: left;">
<br /></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-38009096528106975522016-03-21T21:27:00.002-06:002016-04-07T20:48:50.015-06:00Interview With a Change Agent<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_cy5fdEwoMJMZASX7CwfT2pOOauClDIDiTJ02B_Vyx-UX0K5aYsRIg_ePo5hYMKvYAPTCuCPlFPcjwVkuooh9BJFY9wnlMTLAsoWq5QihqPo6XYrjH6-tM_frfTlfVWe61bU6BG-hB38/s1600/watch-2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="223" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh_cy5fdEwoMJMZASX7CwfT2pOOauClDIDiTJ02B_Vyx-UX0K5aYsRIg_ePo5hYMKvYAPTCuCPlFPcjwVkuooh9BJFY9wnlMTLAsoWq5QihqPo6XYrjH6-tM_frfTlfVWe61bU6BG-hB38/s400/watch-2.jpg" width="400" /></a></div>
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<span style="color: #1f497d;"><span style="font-family: "verdana" , sans-serif;"><b>HCR Central: You have recently joined the <a href="http://www.changedayab.ca/" target="_blank">Change Day AB social movement</a> and took it a step further. You made 3 pledges for healthy body,
spirit and mind AND created your <a href="https://www.youtube.com/watch?v=o55ndsMGWvw" target="_blank">own video</a>. What was the motivation behind your
decision to put yourself out there? </b><i><o:p></o:p></i></span></span></div>
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<span style="font-family: "verdana" , sans-serif;">Mark: I really like this initiative!<span style="mso-spacerun: yes;"> </span>I even have posters in my cubicle promoting
better posture, with matching pictures of suggested stretches and reminders to
take breaks.<span style="mso-spacerun: yes;"> </span>I also really like to draw;
so when I saw the sharpies and stacks of colorful paper I had to draw out my
pledge.<span style="mso-spacerun: yes;"> </span>I chose to do yoga, because of
the benefits of yoga.<span style="mso-spacerun: yes;"> </span>I’ve always had
issues with my shoulders, neck and back and yoga seems to keep all those issues
at bay.<span style="mso-spacerun: yes;"> </span>If I skip too many yoga classes,
I find myself needing painkillers, therapeutic massages, or physiotherapy, or a
combination.<span style="mso-spacerun: yes;"> </span>By pledging to do yoga
twice a week, I’m holding myself accountable for my own health and well-being.<span style="mso-spacerun: yes;"> </span>I totally see the benefits of this pledge and
hope others can too.<o:p></o:p></span></div>
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<span style="color: #1f497d;"><span style="font-family: "verdana" , sans-serif;"><b>HCR: Making yourself visible and improving yourself and others
are 2 elements of <a href="https://www.702010forum.com/Posts/view/john-stepper-explains-the-concept-of-working-out-loud" target="_blank">Working Out Loud</a>, a more open and connected way of work. Did
you contemplate the idea of the video for a while, or was it a spontaneous
decision?</b><i><o:p></o:p></i></span></span><br />
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<span style="font-family: "verdana" , sans-serif;">M: I made my initial pledge and posted it on my cubicle wall,
and I got a few comments from this exposure.<span style="mso-spacerun: yes;">
</span>Some people have mentioned that it encourages them to do the same.<span style="mso-spacerun: yes;"> </span>The reason I decided to create my video came
from watching the <a href="https://vimeo.com/158408639" target="_blank">“Stocky Balboa” Rocky Parody</a>.<span style="mso-spacerun: yes;">
</span>Since I love creating videos and story-telling so much, I decided to
create a short video to promo the Change Day AB.<o:p></o:p></span></div>
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<b style="color: #1f497d; font-family: Verdana, sans-serif;">HCR: “Things don’t have to change the world to be important”
said Steve Jobs. You made a small change that definitely had an impact. What is
your theory on how change agents (like you) can impact others and the world?</b></div>
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<span style="font-family: "verdana" , sans-serif;">M: I think making a declaration and writing something down on
paper affirms and rewires your brain to make change.<span style="mso-spacerun: yes;"> </span>This is the reason we are told to “write” out
our goals/dreams.<span style="mso-spacerun: yes;"> </span>By writing my pledge
and posting it does two things: it affirms my goal on paper and declares my
goal to other who see my posted pledge which makes me more accountable.<o:p></o:p></span></div>
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<b style="color: #1f497d; font-family: Verdana, sans-serif;">HCR: Some people are ‘lurkers’ and might be afraid to show
their true self in videos, blogs or social media. What suggestion would you
give them to help them move past this?</b></div>
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<span style="font-family: verdana, sans-serif;">M: I know the internet and sharing is scary for a lot of people
for a few reasons.</span><span style="font-family: verdana, sans-serif;"> </span><span style="font-family: verdana, sans-serif;">There is very little
privacy on the internet, and people often feel self-conscious about sharing or worry
about the quality of what they are posting.</span><span style="font-family: verdana, sans-serif;">
</span><span style="font-family: verdana, sans-serif;">I would encourage people to feel proud to share while taking care of
what personal information they are sharing.</span><span style="font-family: verdana, sans-serif;">
</span><span style="font-family: verdana, sans-serif;">Once videos, blogs or social media are posted they are there for the
whole world to see.</span><span style="font-family: verdana, sans-serif;"> </span><span style="font-family: verdana, sans-serif;">But by being brave,
posting and letting the greater world and internet into your life through a
post or video, you have a chance to personalize a message to the masses and
influence people at personal level.</span><span style="font-family: verdana, sans-serif;"> </span><span style="font-family: verdana, sans-serif;">If
my video encourages just 1 person to try yoga, to take 1 more flight of stairs,
or to play 1 more hour with their kid it’s well worth it and I have inspired
and changed the world for good.</span><br />
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<b style="color: #1f497d; font-family: Verdana, sans-serif;">HCR: To us, you are a rebel and a change agent. According to
yourself, you are…?</b></div>
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<span style="font-family: "verdana" , sans-serif;">M: I’m not sure I would call myself a rebel.<span style="mso-spacerun: yes;"> </span>But I am very creative and I don’t fit into a
box.<span style="mso-spacerun: yes;"> </span>I don’t mind structure and routine,
I work in IT as a report developer so I need to remain very structured to work
as a program developer, but I find outlets to be creative and ways to look at
things in a new way.<span style="mso-spacerun: yes;"> </span>I suppose looking
for new ways of looking at things and creating change might sort of make me a
rebel.<span style="mso-spacerun: yes;"> </span>Making videos is a creative
outlet for me to tell stories.<span style="mso-spacerun: yes;"> </span>It’s always
great to humor people and make them chuckle.</span></div>
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<span style="color: #1f497d;"><span style="font-family: "verdana" , sans-serif;"><b>HCR: A short bio?</b><i><o:p></o:p></i></span></span></div>
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<span style="font-family: "verdana" , sans-serif;">M: I work at AHS as a Business Intelligence Developer in
IT.<span style="mso-spacerun: yes;"> </span>I create grid-style reports and
colorful dashboards that go out to various users at AHS to help them make
better decisions about patient care.<span style="mso-spacerun: yes;"> </span>Our
primary focus has been on radiation therapy wait times, and timeliness of care.
Outside of AHS, I work as an associate pastor for Grace Christian Fellowship
here in Edmonton. <o:p></o:p></span></div>
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<span style="color: #1f497d;"><span style="font-family: "verdana" , sans-serif;"><b>HCR: Last question: If you could only use one word, what would
that be to best describe this experience and responses you received?</b><i><o:p></o:p></i></span></span></div>
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<span style="font-family: "verdana" , sans-serif;">M: #Cool<o:p></o:p></span></div>
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<o:p><span style="font-family: "verdana" , sans-serif;">Thank you, Mark!</span></o:p></div>
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<o:p><span style="font-family: "verdana" , sans-serif;">Follow Mark @berskygmail</span></o:p></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-13342117919541655752016-03-12T08:58:00.000-07:002016-03-12T09:02:52.430-07:00Social Contract: Engage in Healthcare Conversations (3)<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeiKb7voKhTf-qinQcLMdbpdlblnZgTRGxb0lp2uuLO5955-rArTl8s1nf_sGRUxaDo4-CX-mEXi23GUrwRMhCVzVsiUalGSN-0WvFhnSek2FsMFiU6ev-xr6T8LIFI0Rx4Jq2KzF-XXg/s1600/photo-1416453072034-c8dbfa2856b5.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeiKb7voKhTf-qinQcLMdbpdlblnZgTRGxb0lp2uuLO5955-rArTl8s1nf_sGRUxaDo4-CX-mEXi23GUrwRMhCVzVsiUalGSN-0WvFhnSek2FsMFiU6ev-xr6T8LIFI0Rx4Jq2KzF-XXg/s320/photo-1416453072034-c8dbfa2856b5.jpeg" width="320" /></a></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">The
Silicon Valley innovation company, IDEO, has four different </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://hbr.org/2015/12/ideos-employee-engagement-formula?utm_source=twitter&utm_medium=social&utm_campaign=harvardbiz"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">elements</span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;"> that support innovation
and employee engagement. HCR Central has posted in the past on two of these, "<a href="http://hcrcentral.blogspot.ca/2016/01/permission-to-play-ideo-idea.html" target="_blank">Permission to play</a>" and "<a href="http://hcrcentral.blogspot.ca/2016/01/shared-purpose-how-can-you-build.html" target="_blank">Shared purpose</a>". </span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Another element of IDEO’s success is
a "social contract". What does that mean? </span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Simply, people in a community make
commitments to each other and have expectations of each other. We may or may
not talk about those commitments and expectations. Sometimes we write them down.
What matters most is that we have a shared understanding. And that requires
dialogue.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">In
the case of IDEO, senior people in the company have written </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://www.ideo.com/lboi/"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">The <span lang="EN-US">Little Book of IDEO</span></span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">. This book is for new IDEO
employees, those thinking of working for IDEO, and long time employees who want
to refresh their understanding of their relationship to the company. That
shared understanding is very important to IDEO, because the company does not
have any formal organizational structure. The book highlights the seven values
of IDEO which include: be optimistic, collaborate, take ownership, and make
others successful; to name a few.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"></span></div>
<a name='more'></a><br />
<br />
<div class="MsoNormal">
<span style="font-family: "verdana";">So
what does that have to do with health and health care? Here is a question that
is hard to answer. How do we include our patients and the communities we serve in
a conversation on mutual commitments and expectations? Providers, and people who
lead the system can have the conversation with each other, but is it meaningful
if it doesn’t include patients and families? Can others only assume what
patients and families want our system to be?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">Something
big is happening here in Alberta with those conversations. Each day we have
those conversations with each other in our communities. <a href="https://twitter.com/ChangeDayAB" target="_blank">Change Day Alberta</a> </span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">is an example of an
opportunity to post a realistic and timely commitment that you are willing to make
for health or our health system. The Alberta conversation can be found on
Twitter through <a href="https://twitter.com/HealthArrows" target="_blank">HealthArrows</a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">, </span><span lang="EN-US" style="font-family: "verdana";"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US"><a href="https://twitter.com/Pts4Chg" target="_blank">Patients 4 Change</a></span></span></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">, <a href="https://twitter.com/ceztransform" target="_blank">S</a></span><span lang="EN-US" style="font-family: "verdana";"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US"><a href="https://twitter.com/ceztransform" target="_blank">ystem Transformer</a></span></span></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">, <a href="https://twitter.com/HcrCentral" target="_blank">HCR Central</a>, </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://twitter.com/EHLyeg" target="_blank"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">EHL Edmonton</span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">, </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://twitter.com/EHLCalgary" target="_blank"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">EHL Calgary Node</span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">, </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://twitter.com/aircalgary" target="_blank"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">AirCalgary</span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">, and all the other people
and organizations too many to name. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">In
exploring the many different ways to have a conversation that includes
providers, patients, and families, it might be good to borrow some principles
from </span><span lang="EN-US" style="font-family: "verdana";"><a href="https://www.ideo.com/lboi/" target="_blank"><span lang="EN-US" style="mso-ansi-language: EN-CA;"><span lang="EN-US">The Li<span lang="EN-US">ttle Book of IDEO</span></span></span></a></span><span style="font-family: "verdana"; mso-ansi-language: EN-CA;">:<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal" style="text-indent: 0px;">
<span style="font-family: "verdana"; text-indent: -18pt;">1. Have conversations about
mutual commitments and expectations.</span></div>
<div class="MsoNormal" style="text-indent: 0px;">
<span style="font-family: "verdana"; text-indent: -18pt;">2. Make sure values are part
of the conversation.</span></div>
<div class="MsoNormal" style="text-indent: 0px;">
<span style="font-family: "verdana"; text-indent: -18pt;">3. Use a story to connect to
the questions and curiosity of those who are new.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">What
happens when we engage each other in this way? </span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana"; mso-ansi-language: EN-CA;">I</span><span style="font-family: "verdana";">t can be the beginning of
“bottom up innovation” which we will explore in our fourth and final posting on
borrowing the </span><span lang="EN-US" style="font-family: "verdana";"><span lang="EN-US"><span lang="EN-US">elements</span></span></span><span style="font-family: "verdana";"> of innovation from IDEO.</span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">@TeamQuality134</span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-83067966970312141082016-03-11T09:10:00.002-07:002016-03-11T20:07:33.269-07:00Imagination Unlimited Event: We want your opinion!<div class="separator" style="clear: both; text-align: center;">
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<![endif]--><span style="font-family: "verdana" , "sans-serif";">Helping
others is at the core of healthcare.<span style="mso-spacerun: yes;"> </span>In
order to help others, all staff, medical staff, leaders, and volunteers need to
be supported by their organization (and the system they work in) to be at their
best every day, for every patient, every time.<span style="mso-spacerun: yes;">
</span> </span><br />
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span style="font-family: "verdana" , "sans-serif";">Creating opportunities for Quality & Patient Safety capability
development is an important part of this support.<span style="mso-spacerun: yes;"> </span>That’s what the Imagination Unlimited event is
all about.<span style="mso-spacerun: yes;"> </span>Transforming healthcare!</span></div>
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<br /></div>
<span style="font-family: "verdana" , "sans-serif";">Transformation
is a journey; no two are alike.<span style="mso-spacerun: yes;"> </span>In order
for the journey to be as epic as possible, we want to embrace the golden rule
and care for others as deeply as we would like them to care for us.<span style="mso-spacerun: yes;"> </span>Our best possible future is all about staff,
medical staff and leaders working together, supporting each other and including
our patients, families, and communities as partners in quality & patient
safety.</span><br />
<span style="font-family: "verdana" , "sans-serif";"></span><br />
<a name='more'></a><span style="font-family: "verdana" , "sans-serif";"><br /></span><br />
<span style="font-family: verdana, sans-serif;">On
Imagination Unlimited Day we will collectively develop a Quality & Patient Safety capability development
plan that meets the needs of our rural frontline teams and leaders. A plan delivered
in a way that our service providers can effectively support continuous quality
improvement, patient safety, and patient & family centered care
capabilities.</span><br />
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<span style="font-family: "verdana" , "sans-serif"; font-size: 11.0pt;">You are a rebel and a
trailblazer! We would like to tap into your collective wisdom and learn from
you to build our Quality <span style="font-family: "verdana" , "sans-serif";">& Patient Safety </span>capability plan roadmap. If you have frontline experience, please
take a few minutes to complete <a href="https://survey.albertahealthservices.ca/TakeSurvey.aspx?PageNumber=1&SurveyID=m24M8842&Preview=true#" target="_blank">this 2 question survey prior to March 22</a>,
2016.<span style="mso-spacerun: yes;"> </span>Your perspective will help to
inform our plan.</span><br />
<br />
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<span style="font-family: "verdana" , "sans-serif";">If
you are someone with frontline experience from a rural setting and would like
to know more about Imagination Unlimited Day or if you would like to join us at
Imagination Unlimited please contact us at @ceztransform </span></div>
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<![endif]--><b><span style="color: #1f497d; font-family: "verdana" , "sans-serif"; font-size: 11.0pt;"></span></b> </span>Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-12951206704590037402016-03-03T07:00:00.000-07:002016-03-03T07:22:56.378-07:00Inspiration for Health: Andria's Post<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgx7F9EIxDMHMXOnVzMMua0Q-e8sXpgt8vl-L6QbjzpEr3xkH74tkeBOEPA-yGhmz8TWl3hnnwl_EBwKT-J1XYNdmdT2zDVtb2qWIS23rgdf427PbBd5DTHySLQZCxpCo3T5RFm-fWY15c/s1600/photo-1456613820599-bfe244172af5.jpeg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgx7F9EIxDMHMXOnVzMMua0Q-e8sXpgt8vl-L6QbjzpEr3xkH74tkeBOEPA-yGhmz8TWl3hnnwl_EBwKT-J1XYNdmdT2zDVtb2qWIS23rgdf427PbBd5DTHySLQZCxpCo3T5RFm-fWY15c/s320/photo-1456613820599-bfe244172af5.jpeg" width="320" /></a></div>
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<span style="color: #10131a; font-family: "verdana";">Today I am at a Healthcare Conference - '<a href="http://www.cvent.com/events/recognizing-healthcare-superheroes/custom-17-504a611a90dc4948b9ca3dd5e8a6a29b.aspx" target="_blank">Recognizing Health Care Superheroes'</a>.</span></div>
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<br /></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;"><br /></span></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">There is a lot of talk of the importance of building
patients’ and healthcare practitioners’ capacity and capabilities to lead to
together towards health. <o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;"><o:p><br /></o:p></span></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;"><o:p><br /></o:p></span></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">The concept of building capacity and empowering others
and the self really resonated with me. One of our keynote speakers really
talked about the power of networks as a bridge to health, support, and
continued knowledge.<o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">Want to reach for the stars?</span><span style="color: #10131a; font-family: "verdana";"> </span></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">Don't ever think you have to do it alone. <o:p></o:p></span></div>
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<br /></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;"><br /></span></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">CONNECT with others to help you in your health
journey. <o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">THE POWER OF MANY IS DEFINITELY REAL! <o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">Stay healthy today!<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="color: #10131a; font-family: "verdana"; mso-bidi-font-family: Helvetica;">@andrianurse<o:p></o:p></span></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-82503271685412088822016-03-01T18:56:00.002-07:002016-03-01T18:57:05.246-07:00Let's Talk Numbers: Data Reality Check<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">In a recent
interview, <a href="http://www.healthleadersmedia.com/quality/donald-berwick-better-care-route-financial-success#sthash.rk1DCqNm.dpbs" target="_blank">Don Berwick states</a> that hospitals need a break from the "measure
mania" that is more burdensome than helpful. In the latest IHI Forum, he
challenged hospital administrators to reduce their quality measurement by half.
<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">After attending
a regular leadership meeting, I realized that more than half of the meeting was spent
talking about data. Or new initiatives that will add more data. And reminders of older projects that produced data reports (followed by offers to make them available to
the interested parties). </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"></span><br />
<span lang="EN-US" style="font-family: "verdana";"></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">Where is this fascination with data coming from, and
have we overshot?</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: left;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEila3Ee2RS-793hv0sd0glwu-3R5l6WighcoI1B85ddvmQW5T6skuUIGW2aAqRzdQ8zgRuj353Ksl2Dnd-t1XiO7ALpfYfO8gkx_BJtHsnSf2qccFSmyQsHtZx261vAohjdLknML6lUhQ8/s1600/11551619-what-why-and-how-data-reality-check.jpg" imageanchor="1" style="clear: left; margin-bottom: 1em; margin-left: auto; margin-right: auto;"><img border="0" height="182" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEila3Ee2RS-793hv0sd0glwu-3R5l6WighcoI1B85ddvmQW5T6skuUIGW2aAqRzdQ8zgRuj353Ksl2Dnd-t1XiO7ALpfYfO8gkx_BJtHsnSf2qccFSmyQsHtZx261vAohjdLknML6lUhQ8/s400/11551619-what-why-and-how-data-reality-check.jpg" width="400" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;"><span style="font-family: "verdana";">For the full Pikto, click </span><a href="https://magic.piktochart.com/editor/piktochart/11551619" style="font-family: Verdana;" target="_blank">here</a></td></tr>
</tbody></table>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"></span><br />
<span lang="EN-US" style="font-family: "verdana";"></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"><o:p></o:p></span></div>
<a name='more'></a><br />
<div class="MsoNormal">
<span style="font-family: "verdana";">Back to Don Berwick, who believes so. The amount of data produced in healthcare is mind-boggling, and
exceeds the ability of any reasonable human being to consume usefully. He calls
for more harmonization and alignment of measures, and a focus on patient-centered
measures (PROMs and PREMs). At the end, it is those measures that will survive
the scrutiny best. The point is, if you want to understand why things happen
the way they do, you’re going to need more than statistical correlations.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">Still, the
future is bright. There is a shift in power, and we are asking our patients
more about what they really want and what they really need. We are tuning in
more to their needs instead of our habits. We are starting to form a more
informative, rounder picture by adding qualitative information with the help of
<a href="https://www.linkedin.com/pulse/myths-realities-bigdata-pramod-jajoo?trk=hp-feed-article-title-channel-add" target="_blank">ML</a>, <a href="http://searchhealthit.techtarget.com/news/2240183624/Five-areas-in-which-healthcare-big-data-NLP-will-affect-patients" target="_blank">NLP software</a> and by <a href="http://www.sciedu.ca/journal/index.php/jha/article/view/8051" target="_blank">capturing patients’ experiences</a>.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">And still, at
times it is easier to answer "What happened?" kind of questions. <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">Perhaps next time you
face data, you can ask yourself: <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">"Are these
results used by anyone?" <o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">"Why did this
happen?"</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">"Does this make
a difference for my patient?"<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">What is your relationship with data? Any tips? Leave a comment!<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "verdana";">@simonaQHI<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
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Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0tag:blogger.com,1999:blog-444603277220424258.post-75858844751154557022016-02-20T07:47:00.001-07:002016-03-11T20:09:10.532-07:00The Art of Reframing: My story From the Front Lines<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhba-5bdvONLn9gUK-SZcmZv2dBXiPP5wfdKOugOzFQyDFAAukMlaXJW63bEu_GwhPrSc47198mir7JFyHGPORoyEe0quCtUAdwotlewmQmagDp7tWaBL5myk5gfRQQuNLBgSnse_OrJ_U/s1600/pers.png" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="277" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhba-5bdvONLn9gUK-SZcmZv2dBXiPP5wfdKOugOzFQyDFAAukMlaXJW63bEu_GwhPrSc47198mir7JFyHGPORoyEe0quCtUAdwotlewmQmagDp7tWaBL5myk5gfRQQuNLBgSnse_OrJ_U/s320/pers.png" width="320" /></a></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">No, I’m not referring to what
we would do with a photograph or painting, but rather the art of helping others
to see things in a different way. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">Here is my story.</span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">I was assigned to work
with a unit to implement Bedside Shift Report. For those of you that may not
know, shift report to nurses is sacred. It is a deeply cherished process that
has been deeply ingrained in their culture for decades. </span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">The
idea of trying report in a different way for most is stepping way over the edge
of change. <span style="mso-spacerun: yes;"> "</span>Shift report" is where the
nursing team hands over information about patient care to the nursing team on a
new shift.<span style="mso-spacerun: yes;"> </span>Usually "shift report" is
either taped (on a tape recorder) or is delivered as a group report.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span><br />
<span style="font-family: "verdana";"><span style="mso-spacerun: yes;"></span></span><br />
<a name='more'></a><span style="font-family: "verdana";"><span style="mso-spacerun: yes;"><br /></span></span></div>
<div class="MsoNormal">
<span style="font-family: verdana;">Taped report had not been
happening for about a year prior to my assignment and now it was time to move
from verbal report in one room, to moving the report to the patient’s bedside. I had an amazing group of people to work with
on this (a supportive unit manager, RNs, LPNs and a unit clerk). Not once did I
think this would be an easy task but at our first meeting, about 1 hour in, my
gut was telling me something wasn’t right. We were making plans on how to
implement this but I had to stop the conversation and just double check that the
whole team believed in this.</span><span style="font-family: verdana;"> </span><span style="font-family: verdana;">I got a
sense there was doubt and uncertainty.</span><span style="font-family: verdana;"> </span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">Well, my intuition was right. <o:p></o:p></span><br />
<span style="font-family: "verdana";"></span><br /></div>
<div class="MsoNormal">
<span style="font-family: verdana;">What happened next was
both exhausting and extremely rewarding. Not one person at the table really
felt like champions. Their feelings ranged from a little hesitant to flat out
not believing in it themselves. We spent the next hour digging deeper into
their thoughts and feelings. Giving everyone a chance to feel safe to express
their concerns. </span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">This is where the reframing comes in. I asked "So what is
bedside shift report"? and "What are the potential benefits to this over the
current report process?".<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>With a little bit of awkward silence, some
brainstorming started to happen.<span style="mso-spacerun: yes;"> </span>We had
our list of benefits and lots of reasons to make the change, but "Bedside
Shift Report" was still not resonating with everyone. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">I then had a "magical reframing
moment". I threw out there "What if we
don’t call it bedside shift report? Would that help?" I knew instantly that I had struck on
something.<span style="mso-spacerun: yes;"> </span>We all agreed that Bedside
Shift Report is about handing patient care over to our colleagues at the
bedside. The conversation shifted; and it became less about the traditional
report and more about the safe handover of patient care. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">Before I knew it, there
was some laughter and excitement around the table and we had renamed "Bedside
Shift Report" to "Patient Handover at Bedside" (aka PHAB). The creativity started to flow with our new
Acronym, PHAB. It was PHABulous! <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">After this reframe, the
project was off to the races.<span style="mso-spacerun: yes;"> </span>This team
of champions were able to engage other team mates with the goal to have safe
patient handover at the bedside.<span style="mso-spacerun: yes;"> </span>Through
a lot of planning, support, and 5 "baby steps" to implementation, the team was
able to successfully implement patient handover at the bedside on their unit.<o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";">The importance of that time,
to really check in, reinforced for me the significance of being able to look at
things with a different perspective. <o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "verdana";"><br /></span></div>
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<span style="background: white; color: #181818; font-family: "verdana";"><a href="https://www.goodreads.com/author/show/2195377.Brian_McGreevy" target="_blank">"If a problem can't be solved within the frame it was conceived, the solution lies in reframing the problem".</a></span></div>
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<span style="background: white; color: #181818; font-family: "verdana";"><span class="apple-converted-space"> </span></span><span style="color: #181818; font-family: "verdana";"><br /></span></div>
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<span style="background-color: white; color: #181818; font-family: "verdana";">Emma</span></div>
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<span style="background-color: white; color: #181818; font-family: "verdana";">@Sylvanem</span></div>
Rebelshttp://www.blogger.com/profile/17419331118633976303noreply@blogger.com0