Minnesota Department of Health

Learning DaysApril 3-4, 2018

St. Paul, MN

Leverage Your Team’s Leadership Skills to ImpactYour Quality Measures

PRESENTED BY:

S A N D Y Z U T Z - W I C Z E K , M B A

C H I E F O P E R AT I N G O F F I C E R

F I R S T L I G H T H E A LT H S Y S T E M

Learning Objectives1. MACRA Overview

2. Leadership Impact on Quality

3. Building Your Quality Forum

— Milton Glaser, 1976

MACRA Overview

1. MACRA Overview

2. Leadership Impact on Quality

3. Building Your Quality Forum

Sustaining MACRA requires a Unique Approach

MACRA* is here Bipartisan-supported law Vote Breakdown

Senate: 92-8 House: 392-37

Outlined by Congress, program rules written and adjusted annually by HHS/CMS

*Medicare Access and CHIP (Children’s Health Insurance Program) Reauthorization Act of 2015

MACRA Final Rule

MACRA Category Weights2018

Quality50%

Advancing Care Information

25%

Improvement Activities

15%

Cost10%

2019

Quality30%

Advancing Care Information

25%

Improvement Activities

15%

Cost30%

Leadership Impact on Quality

1. MACRA Overview

2. Leadership Impact on Quality

3. Building Your Quality Forum

Six Essential Leadership Skills to Impact Your Quality Measures Communication

Connection

Clarity

Challenging

Consistency

Coaching

Communication

“95% of a company’s employees are unaware of, or do not understand,

its strategy.”

— Harvard Business Review, October 2005

Communication Cascade Organizational Goals

Align Goals with Your Team(s)

Align Goals with Employee Roles

Communication

CommunicationThe LESS you communicate…

the MORE you will have to manage.

Visual Learners Reading/Writing

Hands-onExperiential

Auditory

Connection

Distance Probability of Collaboration

Same corridor 10.3%

Same floor 1.9%

Different floor 0.3%

Different building 0.4%

Study by Bell Labs & University of Arizona, 1988

The 50-Foot Rule

ConnectionA participant-centered approach engages your team

Clarity What did you accomplish since last meeting? What is in your way? What are you working on until the next meeting?

Challenging

How? Why?

Ask: What would happen if we do this…? Ask: What are we missing? Ask: What else?

Consistency

“We are what we repeatedly do. Excellence, then, is not an act,

but a habit.”— Aristotle

Male Supreme Court justices interrupt female justices three times as often as they interrupt each other.

Jacobi, Tonja and Schweers, Dylan, Justice, Interrupted: The Effect of Gender, Ideology and Seniority at Supreme Court Oral Arguments (October 24, 2017). 103 Virginia Law Review 1379 (2017); Northwestern Law & Econ Research Paper No. 17-03. Available at SSRN: https://ssrn.com/abstract=2933016

Coaching

“Coaching is one of the leadership styles that has a ‘markedly positive’

impact on culture, performance and the bottom line.”

— Daniel Golman, “Leadership that gets results”

Coaching doesn’t work if its… Too complicated Too boring Doesn’t align with the reality

of work

Coaching works when you… Ask more Tell less Connect frequently

Building Your Quality Forum

1. MACRA Overview

2. Leadership Impact on Quality

3. Building Your Quality Forum

2015 Quality Goals

Definition of a Forum

Build an Effective ForumYou must create SAFE ENVIRONMENT to: Ask questions Express frustration Share processes Practice Plan

Who? Providers Nurses Social workers Care coordination Pharmacy Rehabilitation

Where? At each clinic location

When?Scheduled in Outlook at all locations on same day every month 12 times per year 12:15—12:45pm END in 30 minutes

How? 12:15—12:25

Last month’s resultsWhat did you accomplish since last meeting?

12:25—12:40ExerciseWhat is in your way?

12:40—12:45Wrap-upWhat are you working on until the next meeting?

Participant-Centered Approach

Participant-Centered Approach

“Answers are closed rooms;and questions are open doors

that invite us in.”— Nancy Willard