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Becoming the Change:
Leadership Behavior Strategies for
Continuous Improvement in Healthcare
Presented by
Host: Mark Graban
Senior Advisor, KaiNexus
Mark@KaiNexus.com
Presenter: John Toussaint, MD
Chairman, Catalysis
jtoussaint@createvalue.org
Presenter: Kim Barnas
CEO, Catalysis
kbarnas@createvalue.org
At Catalysis we represent the thinking of hundreds
of healthcare systems around the world and share
new knowledge that accelerates change.
Visit createvalue.org to lean more
“The challenge for executives
is to move from “knowing conceptually”
to “practicing personally”.”
–Karl Hoover
Knowledge Versus Understanding
Senior Leader Self-Assessment on
Fundamental Behaviors
1
2
3
4
5
Willingness
Humility
CuriosityPerseverance
Self-Discipline
Reflection
Go See,
Listen & Learn
Asking Questions
Effective Listening
A3 Thinking
Partner, Buddy System
Coach
Leader Standard Work
1
2
3
4
5
Willingness
Humility
CuriosityPerseverance
Self-Discipline
Reflection
Go See:
Listen & Learn
Asking Questions
Effective Listening
A3 Thinking
Partner, Buddy System
Coach
Leader Standard Work
Personal A3 and Self – Assessment
Senior Leader Self-Assessment on
Fundamental Behaviors
Personal Improvement A3
The Personal Development A3
The Personal Development A3 is a dynamic
document, which is focused on behavior at the
individual level
Multiple iterations over time are important for
thinking to change
As the leader learns new things about him/herself,
the document is revised to reflect those learnings
Title, date, and draft number of the
Personal A3:
The title is important so as to know what the purpose
of the document. Since this a living document it’s
important to date it and keep track of the draft
number.
In this COOs case the title is:
“My Personal Leadership Development Journey”
The document is dated and V3 means it’s the third
draft
Background:
Why should I improve myself to be a coach / leader
who creates an organization filled with problem
solvers? Why this, why now?
• Personal change is critical to changing culture
• The personal A3 is a self reflection mechanism
which enables leaders to change
• What’s the burning platform for change?
Background:
“Because the challenges facing our organization
(industry) demand transformation which requires
complete alignment up and down the organization,
my chief role is to be an effective coach for my
team so they can coach and develop problem
solvers. The only way to sustain change is to
engage everyone in the process.”
Current State:
What are the specific, personal habits or
actions, that are working to build a
culture of problem solvers or that are
getting in the way?
Current State:
Tend “to do” rather than coach others to do
The Opportunity Statement:
“My comfort with doing the improvement myself vs.
aligning and enabling others to do the improving is
resulting in little organizational change, uneven
results, and personal frustration and burnout.”
Goal/Target Condition:
What Does Good look Like?
“I need more focus on developing/coaching others
in the transformation journey to build a culture of
continuous improvement.”
But how much by when?
Analysis:
Why does the behavior exist in the first
place?
“Easier to just do it myself”
“I like the positive, personal feedback when I do
things well”
“There is lack of a standard, disciplined approach to
coaching others”
“The organization’s leaders are not having enough
of the difficult conversations”
Experiments:
What experiments will I try to become a
better coach / leader of problem solvers?
1.Develop & implement standard template for one
on one meetings to more effectively coach others in
the work.
2.Round in the Gemba (where the work is done)
with my direct reports – quarterly with each leader
3.Reflect – start a journal – weekly on activities and
progress on personal A3 – 15 min./session”
Plan:
What steps will I take and when? What is
my practice plan to develop new habits?
• Develop one on one template
• Implement one on one discussions – set expectation
• Schedule personal reflection time weekly with
assistant
• Work with assistant to schedule 1 on 1’s at the direct
reports’ location and plan rounding with them
Follow Up:
How will I know I’m improving? “Feedback from
reports”
How will I know if I’m off plan? “Reflection”
How will I make time to practice? “Schedule”
What is my process for ongoing reflection?
“Journaling”
Who else will I involve? "My boss and my coach”
Reach out to Catalysis directly to learn how we can help you develop
your Personal A3
info@createvalue.org
Phone: 920-659-7500
Questions
Learn more at
createvalue.org/becoming-the-change
COMING SOON!
Becoming the Change: Leadership Behavior Strategies for
Continuous Improvement in Healthcare
Stay Connected
@HCValue
@JohnToussaintMD
@kimbarnas
Catalysis, Inc.
Linkedin.com/in/johntoussaint
Linkedin.com/in/kimbarnas
createvalue.org
Announcements
(Then Q&A)
Future Webinars
• Training Team Office Hours
– August 27, 1 pm ET
– KaiNexus customers only
• Leading with Respect: Standard Work
for Frontline Leaders
– September 15, 1 pm ET
– Didier Rabino, Value Capture
– Jennifer Ashley, Sutter Valley Medical Foundation
– Open to everybody!
Register: www.KaiNexus.com/webinars
Other Resources
www.KaiNexus.com
Podcasts
• www.KaiNexus.com/podcasts
• Subscribe via:
– Apple Podcasts
– Google Play
– Stitcher
– Spotify
Q&A
• Web:
– www.kainexus.com
– blog.kainexus.com
– www.createvalue.org
• Webinars on Demand:
– www.kainexus.com/webinars
• Social Media:
– www.twitter.com/kainexus
– www.linkedin.com/company/kainexus
– www.facebook.com/kainexus
Mark Graban
Senior Advisor, KaiNexus
Mark@KaiNexus.com
Presenter: John Toussaint, MD
Chairman, Catalysis
jtoussaint@createvalue.org
Presenter: Kim Barnas
CEO, Catalysis
kbarnas@createvalue.org

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Becoming the Change: Leadership Behavior Strategies for Continuous Improvement in Healthcare

  • 1. Becoming the Change: Leadership Behavior Strategies for Continuous Improvement in Healthcare Presented by Host: Mark Graban Senior Advisor, KaiNexus Mark@KaiNexus.com Presenter: John Toussaint, MD Chairman, Catalysis jtoussaint@createvalue.org Presenter: Kim Barnas CEO, Catalysis kbarnas@createvalue.org
  • 2. At Catalysis we represent the thinking of hundreds of healthcare systems around the world and share new knowledge that accelerates change. Visit createvalue.org to lean more
  • 3. “The challenge for executives is to move from “knowing conceptually” to “practicing personally”.” –Karl Hoover Knowledge Versus Understanding
  • 4. Senior Leader Self-Assessment on Fundamental Behaviors 1 2 3 4 5 Willingness Humility CuriosityPerseverance Self-Discipline Reflection Go See, Listen & Learn Asking Questions Effective Listening A3 Thinking Partner, Buddy System Coach Leader Standard Work
  • 5. 1 2 3 4 5 Willingness Humility CuriosityPerseverance Self-Discipline Reflection Go See: Listen & Learn Asking Questions Effective Listening A3 Thinking Partner, Buddy System Coach Leader Standard Work Personal A3 and Self – Assessment Senior Leader Self-Assessment on Fundamental Behaviors
  • 7. The Personal Development A3 The Personal Development A3 is a dynamic document, which is focused on behavior at the individual level Multiple iterations over time are important for thinking to change As the leader learns new things about him/herself, the document is revised to reflect those learnings
  • 8.
  • 9.
  • 10. Title, date, and draft number of the Personal A3: The title is important so as to know what the purpose of the document. Since this a living document it’s important to date it and keep track of the draft number. In this COOs case the title is: “My Personal Leadership Development Journey” The document is dated and V3 means it’s the third draft
  • 11. Background: Why should I improve myself to be a coach / leader who creates an organization filled with problem solvers? Why this, why now? • Personal change is critical to changing culture • The personal A3 is a self reflection mechanism which enables leaders to change • What’s the burning platform for change?
  • 12. Background: “Because the challenges facing our organization (industry) demand transformation which requires complete alignment up and down the organization, my chief role is to be an effective coach for my team so they can coach and develop problem solvers. The only way to sustain change is to engage everyone in the process.”
  • 13. Current State: What are the specific, personal habits or actions, that are working to build a culture of problem solvers or that are getting in the way?
  • 14. Current State: Tend “to do” rather than coach others to do
  • 15. The Opportunity Statement: “My comfort with doing the improvement myself vs. aligning and enabling others to do the improving is resulting in little organizational change, uneven results, and personal frustration and burnout.”
  • 16. Goal/Target Condition: What Does Good look Like? “I need more focus on developing/coaching others in the transformation journey to build a culture of continuous improvement.” But how much by when?
  • 17. Analysis: Why does the behavior exist in the first place? “Easier to just do it myself” “I like the positive, personal feedback when I do things well” “There is lack of a standard, disciplined approach to coaching others” “The organization’s leaders are not having enough of the difficult conversations”
  • 18. Experiments: What experiments will I try to become a better coach / leader of problem solvers? 1.Develop & implement standard template for one on one meetings to more effectively coach others in the work. 2.Round in the Gemba (where the work is done) with my direct reports – quarterly with each leader 3.Reflect – start a journal – weekly on activities and progress on personal A3 – 15 min./session”
  • 19. Plan: What steps will I take and when? What is my practice plan to develop new habits? • Develop one on one template • Implement one on one discussions – set expectation • Schedule personal reflection time weekly with assistant • Work with assistant to schedule 1 on 1’s at the direct reports’ location and plan rounding with them
  • 20. Follow Up: How will I know I’m improving? “Feedback from reports” How will I know if I’m off plan? “Reflection” How will I make time to practice? “Schedule” What is my process for ongoing reflection? “Journaling” Who else will I involve? "My boss and my coach”
  • 21. Reach out to Catalysis directly to learn how we can help you develop your Personal A3 info@createvalue.org Phone: 920-659-7500 Questions
  • 22. Learn more at createvalue.org/becoming-the-change COMING SOON! Becoming the Change: Leadership Behavior Strategies for Continuous Improvement in Healthcare
  • 25. Future Webinars • Training Team Office Hours – August 27, 1 pm ET – KaiNexus customers only • Leading with Respect: Standard Work for Frontline Leaders – September 15, 1 pm ET – Didier Rabino, Value Capture – Jennifer Ashley, Sutter Valley Medical Foundation – Open to everybody! Register: www.KaiNexus.com/webinars
  • 27. Podcasts • www.KaiNexus.com/podcasts • Subscribe via: – Apple Podcasts – Google Play – Stitcher – Spotify
  • 28. Q&A • Web: – www.kainexus.com – blog.kainexus.com – www.createvalue.org • Webinars on Demand: – www.kainexus.com/webinars • Social Media: – www.twitter.com/kainexus – www.linkedin.com/company/kainexus – www.facebook.com/kainexus Mark Graban Senior Advisor, KaiNexus Mark@KaiNexus.com Presenter: John Toussaint, MD Chairman, Catalysis jtoussaint@createvalue.org Presenter: Kim Barnas CEO, Catalysis kbarnas@createvalue.org