Disclosures Leadership in the Safety Net: Lessons from the field - - PowerPoint PPT Presentation

3/12/2016 1

Leadership in the Safety Net: Lessons from the field

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

Disclosures

We have nothing to disclose!

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???

3/12/2016 2

Are leaders… born? Or made?

Leading in a safetynet setting – is there a difference?

Lessons from the field Framework for leadership training Leadership pair-share and ask-and-

answer

Lessons from the Field

• We surveyed colleagues of diverse backgrounds in

various roles across the safety net.

• Responses to the following questions:

What did you wish you knew then? Biggest support for your career path? Resources you would recommend? What surprised you about this path?

3/12/2016 3 What did you wish you knew then?

There are very few natural leaders. You can

improve your skills over time.

Leaders don’t have to have all the answers. Teams and coalitions are the answer. Focus on patients and staff.

What did you wish you knew then?

“Leaders don’t need all the answers. A good team can accomplish great things.”

• David Woods,
• Pharmacy Director, SFDPH

What did you wish you knew then?

“Leadership is fundamentally about working with people, helping them see you are invested in them and their work so that they want to perform at the highest level.”

• Tangerine Brigham,
• Director, Office of Managed

Care,

• Los Angeles County DPH

What did you wish you knew then?

“I think there are many distractions along the way . . . tempting to chase the interesting

• many. Focus on the

vital few and remember health is work of the heart.”

• Anna Roth
• CEO
• Contra Costa Medical Center

3/12/2016 4 What was the biggest help on your career path?

Commitment to life-long learning. Establishing strong relationships with

mentors and coaches.

Cultivating my sense of purpose. Trust your instincts, the power of integrity.

What was the biggest help on your career path?

“It is important to be a life-long learner who promotes learning and the success of others.”

• Sue Currin,
• Former CEO of ZSFG

What was the biggest help on your career path?

“A clear sense of purpose, trusting my instincts, seeking out mentors, pursuing education of all types, including education about being a leader.”

• Susan Ehrlich,
• Incoming CEO of ZSFG
• April 2016

What was the biggest help on your career path?

“Speaking truth, following instinct, focusing on doing right by and for

• thers.”
• Hal Yee, CMO,
• LA County DPH

3/12/2016 5 What resources would you recommend?

• Several key books recurred

Leadership on the Line Getting to Yes

• Leadership programs

CHCF HealthForce

• None – Get your hands dirty!!

What resources would you recommend?

“For changing the world, nothing compares with real experience. Choose an issue that you are passionate about establish a coalition of people, disarm your

• pposition and persist

until you succeed.”

• Mitch Katz, Director
• Los Angeles County DPH

What surprised you about this path?

“Recognition that as a leader it really isn’t about what you say. Its about what you do and how you act.”

• Susan Ehrlich,
• Incoming CEO of ZSFG
• April 2016

What surprised you about this path?

n

“That there are people in the mainstream who care deeply about the underserved and they are willing to support the safety net with their money and advocacy.”

• Roland Pickens, Director
• San Francisco Health Network

3/12/2016 6

What surprised you about this path?

n

“The realization that with a bit of courage, resourcefulness and common sense there are really amazing

• pportunities to make

a difference in the world.”

• Hal Yee, CMO,
• LA County DPH

Leadership training – the nuts and bolts

• 360 degree assessment
• Managing vs. leading
• Communicating vision
• Running effective meetings
• Understanding healthcare as a financial system
• Hiring, managing, and mentoring
• Managing time; efficiency, delegating
• Experiential education: Project-based learning
• Conflict management
• Strategic thinking / organizational know-how
• Decision-making strategies

Additional Resources

Books:

• Leadership on the Line
• The Leadership Moment
• WHO
• Getting to Yes
• 5 Dysfunctions of a Team
• Death by Meeting
• Getting Things Done
• Crucial Conversations
• On Managing Yourself

(HBR)

Trainings:

• HealthForce (UCSF)
• Coursera
• Coros at UCSF
• LEAN – ThedaCare
• Other:
• TED talks
• Coaching
• IHI
• Quality Culture Series

(SFHN, Redwood)

3/12/2016 7

Greatest Resource: Peers!

• Pair-share exercise:

Pair up and share ONE leadership

dilemma you’ve encountered or resource you’ve found helpful

3 minutes for each partner Report out at ask-and-answer at the

end

Leadership in the Safety Net: More challenging …or more rewarding?

Patient vulnerabilities Uninsured or Underinsured patients Staff turnover Lower- resourced settings

Leadership in the Safety Net: More challenging …or more rewarding?

Patient diversity Gratification

• f worthwhile

work Multi- disciplinary teams Mission- driven colleagues

What resources would you recommend?

“The power of the people that we serve and their ability for their own transformation.”

• Barbara Garcia, Director
• San Francisco Department of

Public Health

3/12/2016 8

In service with others

When we help, we become aware of

• ur 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 limitations serve; our wounds serve; even our darkness can serve.

Rachel Remen, MD

Professor, Family and Community Medicine UCSF

Questions? Additions? Revelations? Thank you!