Patient Safety and Accountable Care Patient Safety and Accountable Care Begins With Personal AccountabilityBegins With Personal Accountability

8/17/11 8/17/11 –– Mini Summit 7 Mini Summit 7 –– 4:15 pm4:15 pm

Patient Safety

Accountable Care OrganizationAccountable CarePersonal AccountabilityOrganizational Accountability

ACCOUNTABILITY It’s Personal

LEGALLEGALACCOUNTABILITYACCOUNTABILITY

(transactional)

PERSONAL PERSONAL ACCOUNTABILITYACCOUNTABILITY(transformational)

What is non-negotiable?What must I know?

What will I be held to account for?How often does it change?

How will I keep up?

How much is up to me?How much is up to outside

conditions?What am I accountable for?

When will I keep up?

Keep going, and don't look over your

shoulder. . .

Something may be Something may be gaining on you!!!gaining on you!!!

High-performance Accountability

I am responsible, self-empowered and accountable for understanding the role, the task, the final deliverable, and the due dates. It is up to me to be clear and successful in my role. If obstacles or conflicting priorities arise, it is still up to me to gain focus and create greater effectiveness. (Mindset)

No fault, no blame, no guilt.No fault, no blame, no guilt.

Personal Responsibility

A “before the factbefore the fact” mindset of personal ownership and commitment to a result.

Thought / Before

100/0 80/20 50/50 ?

Self-empowerment

To take action and risk to ensure the achievement of the result.

Action / During

Empowerment Requires Risk

Empowerment is Not AuthorityEmpowerment is Not Authority

Control Stifles Empowerment

Negotiable

Non-negotiable

Personal Accountability

A personal willingness “after the fact” to answer for outcomes produced.

Evaluate / After

No fault, no blame, no guilt.

The List

Talk TOTO Not ABOUTABOUT

1 = Poor 5 = Excellent

_____ Talk to, not about_____ No meeting-after-the-meeting_____ Use Clear Agreements_____ Meeting Agenda clarity_____ Clear roles and authority_____ Leadership sets and agrees on priorities

(alignment, communication and trust)_____ Accountability is a learning tool; looking

back to go forward (worksheet)

_____ Definition of success is clear along with what the goal is

_____ No “rescue, fix, and save”_____ Hold self and others accountable_____ Conflict competent_____ Cultural competence and mutual

respect_____ Transparent

CLEAR AGREEMENTS

Imaging Shows Relevant Information

http://neuroinformatics.mitre.org/images/front_image.jpg

What we believe, the way we think, leads to the decisions we make. Those decisions in turn lead to actions and those actions then produce our outcomes.

BelieveThoughts Decisions Behaviors

Actions Outcomes

“Individuals carry their success or failure with them; it does not depend on outside conditions.”

—Ralph Waldo Trine

If you had 0-100% on a scale, how how much is up to you much is up to you and how much is and how much is outside conditionsoutside conditions? 0% 100%

85/15

50/5075/25

60/40

100/055/45

70/30

I’m afraid of this surgeon.

Those financials were sure scary. I’ve got to get volumes up!

My feet hurt.

I’m keeping count. We’reon it.

I feel a lot more confident now

that I know what this surgeon

expects.

This is where I want to be - great skills everyone!

Important Points

My role:What is expected of me?How I am accountable for the expectations?Feedback

Looking Back to Go Forward

What went wrong?

What I learned:

What I had to do to fix the problem:

What I will do differently next time:

BABYSITTER UNIVERSITY

NO!NO!