Tài liệu Best Practives in Leadership Development & Organization Change 11 pdf

70 BEST PRACTICES IN LEADERSHIP DEVELOPMENT AND ORGANIZATION CHANGE 1 50 60 70 80 90 100 50 100 Anger (Time in seconds) Heart Rate (BPM) 150 200 1 50 60 70 80 90 100 50 100 Appreciation (Time in seconds) Heart Rate (BPM) 150 200 Exhibit 3.7. Heart Rhythms After HeartMath “Freeze Frame” Intervention Exhibit 3.6. Heart Rhythms Before HeartMath “Freeze Frame” Intervention cart_14399_ch03.qxd 10/19/04 12:00 PM Page 70 Best Of the Best I commend of Department, for the following reason(s): Your Name: Your Department: ٗ Patient ٗ Staff ٗ Visitor We would like to recognize those individuals who exceed your expectations. Leader: Please write in the level of recognition: Level of Gift Leader’s Inititals Please return this card to your Team Leader, Coordinator or Nursing Supervisor . Team Leader, etc.: Please send completed card to Maryann Russ, Information Systems Exhibit 3.8. Best of the Best (a.k.a. “BoB”) Award Form cart_14399_ch03.qxd 10/19/04 12:00 PM Page 71 50% 2001 % with positive morale % Vacancies 2002 74% 81% 55% 60% 65% 70% 75% 80% 85% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 13.2% 14.4% 10.8% 9.6% 3.6% 13.2% 12.0% 10.8% 12.0% 12.0% 12.0% 10.8% 12.0% 10.8% 14.4% 7.2% 26.4% 10.8% 13.2% 26.4% 10.8% 6% Sep 02 Oct 02 Nov 02 Sep 03 Aug 03 Jul 03 Jun 03 May 03 Apr 03 Mar 03 Feb 03 Jan 03 Dec 02 Employee Positive Morale Sperduto Annual Survey Employee Retention Monthly Annualized Turnover Rate 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 6.4% 6.9% 6.5% 8.7% 5.8% 8.9% 4.8% 8.0% 3.9% 4.6% 4.2% 5.7% 4.6% 6.7% 4.4% 7.8% 7% 7.7% 5.9% 8.7% 6.1% 8.4% 6.0% 7.9% 10.0% Sep 02 Oct 02 Nov 02 Sep 03 Aug 03 Jul 03 Jun 03 May 03 Apr 03 Mar 03 Feb 03 Jan 03 Dec 02 Employee Recruitment Vacancy Rate (open positions) Oct 03 Actual New results for 2002! Delnor had highest score in Sperduto data base this year. Meets Expectations >76% Exceeds Expectations >80% Total Annualized Turnover Meets Expectations <20% Exceeds Expectations <17% R.N. Annualized Turnover Total Vac. Rate MCHC Benchmark DCH Target Total Vac. <6% R.N. Vac. Rate 13.2% 18.0% 18.0% 22.8% 6.3% 7.7% 6.5% Exhibit 3.9. Hospital Employee Satisfaction Results cart_14399_ch03.qxd 10/19/04 12:00 PM Page 72 Patient satisfaction (Press-Ganey) Service People Quality Growth Financial Physician satisfaction (PRC Survey) Employee satisfaction (Sperduto Survey) Employee retention (turnover rate) Pressure ulcer incidence Surgical site infection index ER LOS for admitted patients Return to ER Medication report rate Falls Readmits Restraint usage Specimen occurrences Employee recruitment (vacancy rate) Patient volumes Market share Measures identified with a pillar are tied to performanc e evaluations and compensation for all staff. Consumer preference Operating margin Compensation ratio Days cash on hand Debt service coverage Exhibit 3.10. Dashboard of Indicators Note: Possible scores: At or better than target; Near or trending to ward target; Far from target; and Under development. cart_14399_ch03.qxd 10/19/04 12:00 PM Page 73 57.5 89 87.9 88.1 89.7 89.7 88.6 89 89.9 90.7 88.6 89.5 Patient Satisfaction Quarterly Percentile Ranking (Press Ganey avg of Inpatient, ER, SDS, Testing/T herapy) Start of New Press-Ganey Survey 60 0 Jan–Mar 02 Apr–June 02 Jul–Sep 02 60 31.9 57.5 61.5 10 20 30 40 50 60 70 70 80 81 85 92 93 95 87 89 86 94 90 100 Percentile Score Mean Score Q3 00 Q4 00 Q1 01 Q2 01 Q3 01 Q4 01 Q1 02 Q2 02 Q3 02 Q4 02 84 86 88 90 92 94 96 98 100 89 87.9 88.1 89.5 89.7 89.7 87.5 88.6 89 89.9 90.7 88.6 89.5 Se p FY02 Oct FY02 Nov FY02 Sep FY03 Aug FY03 Jul FY03 Jun FY03 May FY03 Apr FY03 Mar FY03 Fe b FY03 Jan FY03 Dec FY02 31.9 31.9 Physician Satisfaction — PRC Survey Rating of "DCH as a Place to Practice Medicine" Physician Satisfaction — PRC Survey Rating of "Overall Quality of Care" Patient Satisfaction Monthly Mean Score (Press Ganey avg of Inpatient, ER, SDS, Testing/T herapy) Actual DCH % Excellent PRC % Excellent Meets Expect >90th Exceeds Expect >95th - New score ranks us at 98th percentile! - 59 question telephone survey. - 30–40 physicians interviewed quar terly. - 177 hospitals in PRC database. 57.5 0 Jan–Mar 02 Apr–June 02 Jul–Sep 02 52.5 31.4 48.7 48.7 10 20 30 40 50 60 31.4 31.4 DCH % Excellent PRC % Excellent New score ranks us at 92nd percentile! 89 Exhibit 3.11. Patient and Physician Satisfaction Surveys cart_14399_ch03.qxd 10/19/04 12:00 PM Page 74 DELNOR HOSPITAL 75 B. TEAM PERFORMANCE. Team performance can be measured at various levels. For example, it can be measured at the center (division), team (department), or the work unit level. Below are four or more team-based performance objectives and measures that were established by your team in collaboration with the organization’s leader- ship. One of the measures has to be a financial measure of team success. Two or more teams within the same center may share a common measure and each team within the center may have one or more measures unique to their team. A check mark will indicate your team’s achievement on each measure. Your Team Is: Emergency Department ____________________________________ Best Service: Patient satisfaction as measured by average quarterly mean scores for ER. [] 3 ϭ mean score equal to or greater than 87.8 [] 2 ϭ mean score between 86.3–87.7 [] 1 ϭ mean score below 86.3 Best People: Management of turnover as measured by twelve-month average for ER (Current 5 6.1%). [] 3 ϭ less than 10.0% [] 2 ϭ between 10.0 and 12.0% [] 1 ϭ greater than 12.0% Best Quality: Bright Ideas implemented in ER Team. Ideas must be for improvements on the team. [] 3 ϭ One Bright Idea implemented per FTE on the team (у34) [] 2 ϭ 0.5 FTE Bright Idea implemented per FTE on the team (17–33) [] 1ϭ Less than 0.5 Bright Idea implemented per FTE on the team (Ͻ17) Best Quality: Skin Care as measured by time of admission documentation of skin condition for patients being admitted as inpatient. [] 3 ϭ 90% or greater documented [] 2 ϭ 80–89% documented [] 1 ϭ 79% or less documented Exhibit 3.12. Team Goals (Continued) cart_14399_ch03.qxd 10/19/04 12:00 PM Page 75 Best Financial: Management of team financial performance as measured by the Financial Accountability Scorecard (FAS) for ER. [ ] 3 ϭ Score of 90 or better [ ] 2 ϭ Score of 80–89 [ ] 1 ϭ Score of 79 or less Best Growth: Increase in volume as measured by number of patient visits. [ ] 3 ϭ 3% or greater above budget [ ] 2 ϭ 0–2% above budget [ ] 1 ϭ less than budget Comments and Goals (Optional): Average Score of Section B: _________ (Add each score in this section and divide by the number of measures.) 76 BEST PRACTICES IN LEADERSHIP DEVELOPMENT AND ORGANIZATION CHANGE Exhibit 3.12. Team Goals (Continued) Note: 3 (Exceptional), 2 (Achieves expectations), or 1 (Needs improvement). cart_14399_ch03.qxd 10/19/04 12:00 PM Page 76 % Priority Support/ Goal Action Steps Time* (1–3)* Direction (1–3)* 90 Day R esult Report Best People Best Service Quality Cost Growth 90 DAY WORK/ACTION PLAN FY2003 Quarter: Leader’s name: Dept: Exhibit 3.13. Ninety-Day Work/Action Plan Note: *% Time: Percentage of leader’s time to be spent on goal. Priority (1–3): 1 ϭ high; 2 ϭ medium; 3 ϭ low. Support/Direction (1–3): 1 ϭ supervisor approval needed; 2 ϭ supervisor input needed; 3 ϭ move forward on own. cart_14399_ch03.qxd 10/19/04 12:00 PM Page 77 78 BEST PRACTICES IN LEADERSHIP DEVELOPMENT AND ORGANIZATION CHANGE ABOUT THE CONTRIBUTORS Craig A. Livermore is president and chief executive officer for Delnor- Community Health System and Delnor-Community Hospital in Geneva, Illinois. He earned his B.S. degree in business from Eastern Illinois University and a Master of Hospital and Health Care Administration degree from Saint Louis University. He is past-chairman of the Metropolitan Chicago Healthcare Council Board of Directors and a member of the American College of Healthcare Exec- utives. He is also actively involved in numerous health care and community organizations. Prior to joining Delnor, Mr. Livermore was president and chief executive officer of Augustana Hospital and Health Care Center in Chicago. Thomas L. Wright is chief operating officer for Delnor-Community Health System and Delnor-Community Hospital in Geneva, Illinois. He also serves as chief financial officer of Delnor-Community Health Care Foundation and Delnor- Community Residential Living. He holds a B.S. degree in mathematics and an M.B.A. degree with a concentration in finance from Loyola University of Chicago. He is an advanced member of the Healthcare Financial Management Association, a member and past chairman of the Metropolitan Chicago Health- care Council Finance Committee, and a Diplomat of the American College of Healthcare Executives. Mr. Wright is also very active in supporting local health care and community organizations. Linda Deering is vice president and chief nursing officer for Delnor-Community Hospital in Geneva, Illinois. She holds a B.A. degree from Northern Illinois University, and an M.S. degree from Northern Illinois University. She is an active member of the American Organization of Nurse Executives, Illinois Organiza- tion of Nurse Leaders, and Illinois Coalition for Nursing Resources. In addition to her work at Delnor, she works with other hospitals across the nation to facilitate organizational excellence and culture transformation. cart_14399_ch03.qxd 10/19/04 12:00 PM Page 78 CHAPTER FOUR Emmis Communications A change management process is for creating and implementing a distinctive firm brand and fostering a unique employer-of-choice culture while driving performance, accountability and innovation to higher levels. Initiative leverages executive strategic planning and alignment, leadership-development programs, performance-management systems, employee-commitment strategies, targeted organizational communications, and special events and recognition. OVERVIEW 80 INTRODUCTION: RAPID GROWTH TO A MEDIA MID-CAP 81 Distinctive Culture 82 Internal Growth and Economic Pains 82 COMPASSIONATE EMPLOYER OF CHOICE 83 ASSESSMENT: ON THE AIR 85 DIAGNOSIS: PLUGGED IN? 86 New Business Realities: Drivers for Change 87 Change Objective 88 APPROACH 88 DESIGN: WHO’S OUR CUSTOMER? 89 INTERVENTION: GETTING TUNED IN 89 Executive Alignment 89 Malicious Compliance 91 Leading for Results 91 PROGRAM PROMOTION AND MULTIMEDIA 92 BUILDING A HIGH-PERFORMANCE DISCIPLINE: CRANKING IT UP! 94 Balanced Scorecards 94 79 S S Note: Some information in this case study was taken with permission from Emmis Communica- tions internal and public documents. cart_14399_ch04.qxd 10/19/04 12:01 PM Page 79 . 70 BEST PRACTICES IN LEADERSHIP DEVELOPMENT AND ORGANIZATION CHANGE 1 50 60 70 80 90 100 50 100 Anger (Time in seconds) Heart Rate. Survey Rating of "DCH as a Place to Practice Medicine" Physician Satisfaction — PRC Survey Rating of "Overall Quality of Care" Patient