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Improving Health, Creating Value: Essentials of Transformative Leadership

Areas of Study

Improving Health, Creating Value: Essentials of Transformative Leadership (ETL), is an advanced leadership development program that offers an extensive look at innovation and leadership, team collaboration and change management using the case method and leadership challenges created by the monumental shift in health care reimbursement and accountability. The program consists of two 2-day in-person sessions over two consecutive weeks in November 2018 and group work under faculty supervision to be completed for a capstone event in May 2019.  This program offers an extensive inter-professional immersion into the leadership, communication and collaboration skills required for teams to succeed in value-based health care. ETL is currently accepting applicants for the November 2018 class.  

Session 1

Day 1 - Overview of Value-Based Health Care

Objectives: At the conclusion of day 1, participants will be able to:

  • Explain the principles of value-based performance.
  • Articulate the Federal and State forces driving value-based health care.
  • Describe the essential elements of a community/population health improvement framework with the social determinants of health.
  • Assess a health system's organizational capacity and needs through the lens of community/population health improvement.

Key Themes

  1. Framework for Community Health Improvement (IOM 1999)
  2. A Framework for a population-based health management system (McAlearney 2015)
  3. Understanding Social Determinants (Leveraging Social Determinants of Health: What Works, Taylor, et al, 2016)
  4. Community and Population Health Improvement
    • Health Reform and Global Budgets
    • Accountability and Shared Responsibility
  5. Case 1A - Barriers and Solutions at the Community level
  6. Case 1B - Maryland Waiver 2.0

Day 2 - Strategic Alignment: Leadership, Collaboration and Collective Impact, and Other Realities of Value-based, Population-focused Care

Objectives: At the conclusion of Day 2, participants will be able to:

  • Understand the business case for health by creating value through collaboration.
  • Develop and articulate the role for their organization as a member of community-oriented, "public" health care model using the Collective Impact framework.
  • Understand and apply the key principles of Meta-Leadership in building lasting strategic collaborations with partners outside the four walls of the healthcare system.
  • Create meaningful measures of success that encourage, align, and engage all members of the collaborative.

Key Themes

  1. Enabling Transformation: Creating a Leadership Mindset (Kouzes & Posner 2007, Shortell 2000)
  2. Strategic Collaborations: Principles of Meta-Leadership
  3. Creating a new reality: Leveraging the Collective Impact Framework (Kania & Kramer 2011)
  4. Developing mutual alignment and accountability: Putting metrics to the test (Measures and Measurement Tools IOM 1995)
  5. Case 2A: Who are your partners
  6. Case 2B: Breaking down silos
  7. Case 2C: Defining measures of success

Session 2

Day 1: Motivating for Change: Influence, Power, and the Importance of Incentives

Objectives: At the conclusion of day 1, participants will be able to:

  • Articulate the essential elements of change, change management, and sustainability.
  • Associate leadership styles with power and influence.
  • Describe collective ambition and its power in transformational change.
  • Define the essential elements of motivation and the role of habit in understanding behavior.
  • Identity and implement incentives that align behaviors and drive performance
  • Frame a capstone project for presentation in May 2019

Key Themes

  1. The Power of Culture and the role of governance in cultural transformation
  2. Leveraging Information: Knowledge Management essentials (Sibbald, et al. 2016)
  3. Understanding Behavior in the workplace (Borkoski, N. 2005)
  4. Transforming Behavior: The role of Motivation and Habit (Duhigg, C. 2012)
  5. Motivation: The cornerstone to success (Pink, D. 2009)
  6. Overcoming Organziation Dynamics for Transformation Change

Day 2: Leading, Leadership, and Performance: Developing dimensions of personal strength

Objectives: At the conclusion of day 2 seminar, participants will be able to:

  • Associate leadership styles with power and influence.
  • Describe collective ambition and its power in transformational change.
  • Define the essential elements of motivation and the role of habit in understanding behavior.
  • Identify and implement incentives that align behaviors and drive performance.
  • Build healthy organizations, put leadership into action (Rosen 2014).
  • Present project proposal with outcomes, timeline, process, and needed resources.

Key Themes

  1. Finding your roots as a leader (Rosen 2014)
  2. A case for Leadership and Culture change
  3. Case A3: Challenges and Solutions within healthcare organizations
  4. Change-oriented incentive designs that align behaviors and enhance sustainability and avoid issues of interdependency, controllability and alignment
  5. Leadership and the art of influence (Cialdini, R. 2007)
  6. Creating a change-adept organization: The power of collective ambition (Ready & Truelove, HBR 2011)