NOT ENOUGH Jonathon Gray Director of Improvement & Innovation - - PowerPoint PPT Presentation
KNOWING IS NOT ENOUGH Jonathon Gray Director of Improvement & Innovation Ko Awatea, Counties Manukau DHB Chair Innovation and Improvement Victoria University, Wellington @Graymattrs Personal Story 1 Personal Story 2 What could we do
@Graymattrs
Jonathon Gray
Director of Improvement & Innovation Ko Awatea, Counties Manukau DHB Chair Innovation and Improvement Victoria University, Wellington
Personal Story 1 The Challenge we Face Together What could we do
Challenge & Opportunity What will we do
Personal Story 2
Personal Story 1
“… knowledge is continuing to grow. But having discovered so much, we have hit a new problem—how to actually deliver on all that has been learned.” Atul
Personal Story 1
“There was a time when what was known, you could know we built it around a culture and set of values that said what you were good at was being daring, at being courageous, at being independent and self-sufficient. Autonomy was our highest value.” Atul
Personal Story 1
“We have trained, hired and rewarded people to be cowboys. But it's pit crews that we need, pit crews for patients.” Atul
Personal Story 1
Personal Story 1
Personal Story 1 Personal Story 2
Systems & Group Success
Personal Story 2
“We can’t know it all, we can’t do it all by ourselves.” Atul
Personal Story 2
Knowledge & our Values around it
The Challenge we Face Together Personal Story 2
Systems & group success We can’t do it all by ourselves
The Challenge we Face Together
The last 60 years have been fantastic, particularly the investment, science and good management of the last 40
The Challenge we Face Together
The Challenge we Face Together
The story of now
Need to improve faster than we can alone Variation in our system Capability is limited Smaller DHBs not have infrastructure “Where to start…” Different IT systems Different levels of investment in different areas Different management and
“I almost think there is no area where there is not variation!”
The Challenge we Face Together
“Toxicity of some traditional leadership approaches” “We remain victims of myths that poison
“Intellectual impoverished theories” Old theory- that somehow out of competition and fragments will come the perfect and reliable patient centred simple system
“Leadership that needs to get out
The Challenge we Face Together
“In most places myths are in charge and stalling progress”
“To have winners need losers” “That collaboration is naïve” “That competition builds better bridges”
Truths
in market based environments
The Challenge we Face Together
Forces of destruction – People & Organisations Incentive pay Numerical goals without method Competition instead of collaboration
The Challenge we Face Together What could we do
Archipelagos and half bridges Systems & group success We can’t do it all by ourselves
What could we do
5 solutions
action
people to execute change
improvement and leadership.
What could we do
By connecting By being brave By joining up the bright spots By importing ideas from afar
What could we do
What will we do Connect up the bright spots Archipelagos and half bridges Systems & group success We can’t do it all by ourselves
What will we do
Knowing is not enough, we must apply. Willing is not enough, we must do.” ― Bruce Lee An Agenda for New Zealand? The best health system in the world at improving!
Challenge & Opportunity What will we do Connect up the bright spots Archipelagos and half bridges Systems & group success We can’t do it all by ourselves Network to improve as a system
Impact network for NZ
Invite interested DHBs: Common dashboard; Leadership sharing & learning; Improvement visits; Collaboratives each year
An Agenda for New Zealand?
The best health system in the world at improving! 1. Establish knowledge exchange, and increase peer-to-peer learning. 2. Cease competition. Get past the tall poppy syndrome and share 3. Stop competing - Substitute science - Create and join collaboratives to pursue shared aims. 4. Convene regularly like this to share, reflect, review, learn and celebrate – appreciative enquiry 5. Awards ceremony and a repository of great practice 6. Build and support a national system to remove the variation in delivery of best practice. 7. National Learning, national improvement
Challenge & Opportunity
Ignorance is like cholera; it cannot be controlled by the individual alone it requires the organised efforts of society ― Professor Sir Muir Gray
@Graymattrs
Jonathon Gray
Director of Improvement & Innovation Ko Awatea, Counties Manukau DHB Chair Innovation and Improvement Victoria University, Wellington