3/12/2016 Disclosures Leadership in the Safety Net: Lessons from the field We have nothing to disclose! Jeff Critchfield, MD Chief Medical Experience Officer Medical Director Risk Management, Zuckerberg San Francisco General Professor, UCSF Department of Medicine Claire Horton, MD MPH Medical Director, Richard H. Fine People’s Clinic Zuckerberg San Francisco General Associate Professor, UCSF Department of Medicine Introductions… Case � 34 yo physician � 3 years out of residency – in first job � Leadership position opens up � Now part of clinic’s management team � No training in hiring, managing, balancing budgets, running meetings, strategic thinking… � Can this leader be trained??? 1
3/12/2016 Are leaders… born? Or made? Leading in a safety�net setting – is there Lessons from the Field a difference? We surveyed colleagues of diverse backgrounds in � various roles across the safety net. Responses to the following questions: � � Lessons from the field � Framework for leadership training � What did you wish you knew then? � Biggest support for your career path? � Leadership pair-share and ask-and- � Resources you would recommend? answer � What surprised you about this path? 2
3/12/2016 What did you wish you What did you wish you knew then? knew then? David Woods, � Pharmacy Director, SFDPH � � There are very few natural leaders. You can improve your skills over time. “Leaders don’t need all the answers. A � Leaders don’t have to have all the answers. good team can accomplish great � Teams and coalitions are the answer. things.” � Focus on patients and staff. What did you wish you What did you wish you knew then? knew then? Tangerine Brigham, Anna Roth � � Director, Office of Managed CEO � � “Leadership is Care , Contra Costa Medical Center � fundamentally about Los Angeles County DPH “I think there are many � working with people, distractions along the helping them see you way . . . tempting to are invested in them and chase the interesting their work so that they many. Focus on the want to perform at the vital few and remember highest level.” health is work of the heart.” 3
3/12/2016 What was the biggest help on What was the biggest help on your career path? your career path? Sue Currin, � Former CEO of ZSFG � � Commitment to life-long learning. “It is important to be a � Establishing strong relationships with life-long learner who mentors and coaches. promotes learning and the success of others.” � Cultivating my sense of purpose. � Trust your instincts, the power of integrity. What was the biggest help on What was the biggest help on your career path? your career path? Susan Ehrlich, Hal Yee, CMO, � � Incoming CEO of ZSFG LA County DPH � � “A clear sense of April 2016 � purpose, trusting my instincts, seeking out “Speaking truth, mentors, pursuing following instinct, education of all types, focusing on doing including education right by and for about being a leader.” others.” 4
3/12/2016 What resources would you What resources would you recommend? recommend? Mitch Katz, Director � Several key books recurred � Los Angeles County DPH � � Leadership on the Line “For changing the world, � Getting to Yes nothing compares with real experience. Choose Leadership programs an issue that you are � passionate about � CHCF establish a coalition of � HealthForce people, disarm your opposition and persist None – Get your hands dirty!! � until you succeed.” What surprised you about this What surprised you about this path? path? Susan Ehrlich, Roland Pickens, Director � � Incoming CEO of ZSFG San Francisco Health Network � � n “That there are people April 2016 � in the mainstream “Recognition that as a who care deeply about leader it really isn’t the underserved and about what you say. Its they are willing to about what you do and support the safety net how you act.” with their money and advocacy.” 5
3/12/2016 Leadership training – the What surprised you about this path? nuts and bolts Hal Yee, CMO, � 360 degree assessment � LA County DPH � Managing vs. leading n “The realization that � Communicating vision with a bit of courage, � resourcefulness and Running effective meetings � common sense there Understanding healthcare as a financial system � are really amazing Hiring, managing, and mentoring � opportunities to make Managing time; efficiency, delegating � a difference in the Experiential education: Project-based learning � world.” Conflict management � Strategic thinking / organizational know-how � Decision-making strategies � Additional Resources Books: Trainings: Leadership on the Line HealthForce (UCSF) � � The Leadership Moment Coursera � � WHO Coros at UCSF � � Getting to Yes LEAN – ThedaCare � � 5 Dysfunctions of a Team Other: � � Death by Meeting � TED talks � Getting Things Done � Coaching � Crucial Conversations � IHI � On Managing Yourself � Quality Culture Series � (HBR) (SFHN, Redwood) 6
3/12/2016 Greatest Resource: Leadership in the Safety Net: Peers! More challenging …or more rewarding ? Pair-share exercise: � Lower- � Pair up and share ONE leadership resourced Staff turnover dilemma you’ve encountered or settings resource you’ve found helpful � 3 minutes for each partner � Report out at ask-and-answer at the Patient Uninsured or end vulnerabilities Underinsured patients Leadership in the Safety Net: What resources would you recommend? More challenging …or more Barbara Garcia, Director � rewarding ? San Francisco Department of � Public Health Mission- “The power of the driven Multi- people that we serve colleagues disciplinary teams and their ability for their own transformation.” Patient Gratification diversity of worthwhile work 7
3/12/2016 In service with others Questions? Additions? When we help, we become aware of Revelations? our own strength. But when we serve, we don’t serve with our strength; we serve with ourselves, and we draw from all of our experiences. Our Thank you! limitations serve; our wounds serve; even our darkness can serve. Rachel Remen, MD Professor, Family and Community Medicine UCSF 8
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