Today we will answer:
• What is Shared Governance?
• How do my patients and I benefit from Shared Governance?
• What are Unit/Department Based Councils and Hospital-Wide Councils?
• How can I help Shared Governance work on my unit?
What is Shared Governance?
Shared Governance is shared decision making based on the
principles of partnership, equity, accountability and ownership at
the point of service.
All Professions have Accountabilities
• Practice
• Quality
• Education/Competence
• Research
• Management of resources
Why did Lutheran start Shared Governance?
• Compliments current structure
• Safe, fair and just culture
• Staff ownership in clinical and operational outcomes
How do my patients and I benefit from Shared Governance?
• Avenue to make changes
• Decisions made by bedside clinicians
• Fosters healthy work environment
• Improves employee satisfaction, patient outcomes and employee turnover
Directors & Managers
Clinical Decisions Implemented Here
The Evolution of Clinical Decision Making
Senior Leadership
Decisions Made Here
Clinical Mangers
Frontline Clinical and Nursing Staff
What it is - What it isn’t
Shared Leadership Model
Partnering Relationships
Service Line Leadership Council
Opportunity/Improvement
Leaders/ Strategic
Collective Collaboration
Effective and Efficient
Ownership & Commitment
Traditional
Hierarchical Relationships
Bureaucratic Culture Boss/Manager/Subordinate
Problem Focused/Urgency/Crisis Competition/Silos
Entitlement
Compliance
Unit/Department Based Councils
• Made up of and led by frontline staff
• Clinical managers are mentors and guides
Unit/Department Based Councils
Unit/Dept.Based Council
Clinical Practice
Recruitment & Retention
Budgets & Management
Participatory/Self-Staffing
Quality and Improvements
Professional Development
Service Line Councils
• Cardiac• Neurology• Perioperative• Emergency Services• Oncology• Human Motion Institute (Ortho/Spine)• Medical Imaging• Behavioral Health• Long Term Care• Center for Women and Infants
Hospital Wide Councils
• Professional Nursing Practice Council
• Clinical Practice Council
• Education Council
• Advanced Practice Council
• Clinical Managers Council
• Service Line Coordinating Council
• Quality Improvement Council
Relationship with Medical Staff
• Critical to success
• Represented on Shared Governance Councils including Service Line Councils
How do my patients and I benefit from Shared Governance?
Decision Rights
Accountability
AutonomyAuthority
How Can I Contribute to My Unit/Dept. Based Council or other Committees?
Clinical Staff Involved Here
Decision
Outcome
Action
How can I help make Shared Governance work on my unit?
• Engage
• Commit
• Collaborate
• Deliver
• Encourage
FAQs
• Is this just one more “plan” that I can count on going away in 6 months?
• Will Clinical Managers go away?
• How do we know this will work?