week 2_cc and human organizations
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COMMUNITY AS A BASIS
FOR HUMAN
ORGANIZATION
Presenter:
Elizabeth A. Smith, Ph.D.Founder
Community Medical Foundation for Patient Safety
The University of St. ThomasCenter for International StudiesGlobal Health (4370)
August 31, 2011
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COMMUNITYMEDICAL FOUNDATION
FORPATIENT SAFETYEstablished in 2003, registered in Texas 2004
Philosophy based on leadership and the Community
of Competence
A leader in research and educational programs onpatient safety and healthcare quality
Goals strongly support humanistic, patient-centered
healthcare system and inclusion of the patients andfamilies in all aspect of health care
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COMMUNITYMEDICAL FOUNDATION
FORPATIENT SAFETY Get Rid of Unused Pharmaceuticals (GROUP) Campaign
The National Unused and Expired Medicines Registry
The National Directory of Drug Take-Back Programs
Share Our Stories (SOS) Patient Safety Reporting Syst.
Study of medical misdiagnosis (concussion in sports andmilitary)
Evaluation of medical devices
Trauma registry for the military (JTTR)
Patient Safety Checklists andMy Medical Journal
The Dictionary of Patient Safety
The National Patient Safety Community
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COMMUNITYMEDICAL FOUNDATION
FORPATIENT SAFETYCommunity
WHAT are they?
WHY do we need them?
WHO lives in them?
WHERE are they?
HOW do they operate?
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THEORYUNDERLYING COMMUNITYMASLOWS HIERARCHY OF NEEDS
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PHYSIOLOGICAL
SAFETY
SOCIAL
ESTEEM
SELF-ACTUALIZATION
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COMPETENCE AS THE FOUNDATION FORMODERN COMMUNITIES
WHAT is competence?
WHY do you need to be competent?
WHO is competent?
WHERE do these competent people workand live?
HOW do people work at a competent level?
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COMMUNITIES OF COMPETENCE(COM.COM)
Not just any group, committee, orcoalition...but a true communityof
individuals based on knowledge, skills,
expertise, experience, motivation, andcompetency
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THEORYUNDERLYING COM.COM
DRIVING FORCES FORORGANIZATIONSGlobalizationcultural diversity, politics, distance,
continuous production, communication, etc.
Complexity of work itselfnumerous disciplines,experience levels, e-work, growing number of products andservices
Organizations are becoming flatter, virtual andboundaryless1
Turbulent external environment--limited resources
Challenges in behaving, learning, adapting, and surviving
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OPERATIONAL DEFINITIONS OF COM.COM
A new framework to first visualize what type of groupexists and what type of group should be created to do aspecific task or job
A methodology to describe, assess, and combine separatestrengths and core competencies of individuals, groups,and organizations into a meaningful, goal-oriented whole
A team of highly skilled, specialized people with provencompetencies
A flexible, learning organization
A network of organizations or systems9
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RESPONSIBILITIES OF COM.COM MEMBERS
Do specific tasks or jobs for which they are qualified orcompetent
Engage in continual learning and improving skills
Are intensely focused, problem-driven, and knowledgerich
Work together cooperatively and recognize expertise oftheir members and of other individuals
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RESPONSIBILITIES OF COM.COM MEMBERS
Members know the importance of open communicationand sharing of lessons learned
Rotate leadership based on unique competencies andexpertise
Make maximum use of tacit knowledge based on commonsense and information sharing
Communicate openly and share skills, abilities,knowledge, and unique expertise
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ADVANTAGES OF COM.COM
Members are selected for their competencies, or membersmay volunteer
Solve problems quickly as members are focused, goal-driven, and cohesive
Members are totally dedicated to the task and motivatedby the task itself
Members can move on to other communities where theirtalents are needed
Members know the importance of open communicationand sharing lessons learned
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ADVANTAGES OF COM.COM
Members use their unique tacit knowledge that is oftenbased on common sense and experience
Members desire to be in a community and have theirorganizations recognize & make better use of their overalltalents and potential
Build communities based on trust, creativity, and newknowledge
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ADVANTAGES OF COM.COM
Support and reinforce change management ordemonstrate how to move from where we are to where we
want to be
Build communities to create synergy within groups andamong groups of the organization
Ultimately, change and improve the organizational cultureand routine operations
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WHYUSE COM.COM
More than a network group (who) and provide answers to:
How (use systems thinking)
Why clear focus on one problem
Where roles and responsibilities are clearly defined inthe procedures manual
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PATIENT
Nurses
Educators
Engineers
Volunteers
Partners
EthicistsInfo Sc.
Env. Sc.
Interns
Oslerians
Others
Culture
Environment
Community of Competence forHealthcare
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COM.COM AS RESEARCH FRAMEWORK FORTHE NATIONAL UNUSED & EXPIRED
MEDICINES PROJECT Use framework and test methods of C0m.Com
empirically
Develop, implement, and evaluate models to safely
and legally collect and destroyconsumers UEMs fromhomes
Develop data repository to systematically characterizeand report regional and national trends
Expand UEM project into a national system
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Consumers
MedicalPractice
Drug/LawEnforcement
Public Safetyand Policy
ConsumerProtection
Patient Safety
EnvironmentalProtection
Academia andResearch
DrugManufacturers
Generalized Model Based onCommunity of Competence for NationalUEM Project
Patients/Consumers
MedicalPractice
Drug/LawEnforcement
Public Safetyand Policy
ConsumerProtection
Patient Safety
EnvironmentalProtection
Academia andResearch
DrugManufacturers
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ME
Culture
Environment
My Community
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5 Minute Break
BeforeIn-class Participatory Exercise onWork, Competencies, and Ideal
Job
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