Fostering Shared Leadership in the Patientcentered Medical Home

Fostering Shared Leadership in the Patient-centered Medical Home: From Taking Orders to Driving Innovation Aaron Gale, MD Medical Director Exempla/Saint Joseph Family Medicine Residency Join the conversation! Our Twitter hashtag is #CPI 2011.

Thank You! For being involved in Family Medicine For taking care of patients For improving the work life of staff For teaching the future leaders in Family Medicine • For teaching the leaders of medical innovation in the U. S. and beyond • •

Introduction • Aaron Gale, MD • Family Doc! • Medical Director, St. Joseph Family Medicine Residency Clinic

My Vision • Bruner Family Medicine Must Always Be Becoming: – A great place to be cared for as a patient – A fun and fulfilling place to work – An effective learning environment for everyone, from the patient to the program director

Introduction: Sister Joanna Bruner Family Medicine Center - 7, 500 patients in our panel - 40% are uninsured - We have a high level of cultural and language diversity - We are a low resource clinic with a “Do more with less” ethos

Bruner Family Medicine • • • 4 medical receptionists 2 full time phone receptionists 9 MAs (3 per team) 1 administrative MA 1 referral coordinator 0. 2 FTE of a Social Worker 0. 2 Data Manager 24 residents, 1 OB fellow 7 Full time faculty, a few part time faculty 1 office manager

What Is The Hook? Why are we here talking about shared leadership? Join the conversation! Our Twitter hashtag is #CPI 2011.

What Is The Hook? • My journey to improve our clinic has led me to this simple conclusion: • I can not do this on my own!!! • The model of the “heroic leader” does not apply to our process of transforming into a PCMH. • Has anyone else had that experience?

Learning Objectives: • Describe shared leadership • Describe the benefits and limitations of shared leadership • Discuss three strategies to foster shared leadership • Formulate new site specific strategies to foster shared leadership • Develop one plan to foster shared leadership in your own clinic

Wassily Kandinsky, Composition VII, 1913

Questions about Shared Leadership • Why do you want to think about or learn about shared leadership? • Why do you want to foster shared leadership in your clinic? • What does shared leadership mean to you? • What are the necessary ingredients?

Define Shared Leadership

Define Shared Leadership • “a relational, collaborative leadership process or phenomenon involving teams or groups that mutually influence one another and collectively share duties and responsibilities otherwise relegated to a single, central leader. ” – Kocolowski, Shared Leadership: Is it Time for a Change? Emerging Leadership Journeys, Vol. 3 Iss. 1, 2010, pp. 22 -32.

Define shared leadership: Kandinsky, The Blue Rider 1903

The Necessary Ingredients: • Team environment of: – – – Shared purpose or goal / Ownership Social/emotional support for participants Voice given to all team members/equity Joint completion of tasks/partnership Mutual skill development Responsibility and Accountability • Kocolowski, Shared Leadership: Is it Time for a Change? Emerging Leadership Journeys, Vol. 3 Iss. 1, 2010, pp. 22 -32.