The African Queen …The African Queen …A lesson in (1) collaboration, (2) history … the African

stage during World War 1, and (3) citizenship.

Grade 7 Social StudiesGrade 7 Social StudiesTuesday, March 4

Lesson Objectives …

The student will be able to :

• identify the key elements in building a strategy for productive communication between (1) students, and (2) between a student and his or her teacher.

• understand how two vastly different different people can bridge their differences to achieve objectives and goals.

• build a culture of long-term cooperation between (1) students, and (2) the student and teacher.

Rose Sayer – Missionary

Her priorities : religion, proper English values, elegance, doing the right thing, “God and Country”, spinster

Charlie Allnut – Local Trader

His priorities : pragmatic, making money, drinking, having fun in a manly manner, “me, myself and I”, freedom of choice - autonomy

The African Queen

Both forced onto a small boat, The African Queen, to escape the German invasion.

Both forced to come to terms with each other as they faced external threats – Germans, the river, drought, the Luisa.

Both learn to appreciate each other – fall in love, risk their lives willingly, commit to a higher goal, and succeed.

What do they have in common?

Hospital Administration and Medical Staff, different incentives, different priorities, are facing an external force to undertake a major mission – CPOE.

Is the external force appropriate and legitimate?

Yes – safety, quality, efficiency, variation

Will CPOE help?

Yes – handwriting, transmission speed, pharmacy checks, order sets and quality, efficiency

Defining the issues …

How major is CPOE as a mission?

Major - change in work flow of patient care, change in method (paper to computer), time consuming, cost (hardware, software, teaching, coverage, updates), involuntary

Defining the issues …

Rose and Charlie would have fought among themselves and been killed or captured by the Germans, starved to death on the river, died from the leeches, or drowned – never getting close to sinking the Luisa. What in the culture of a hospital could support collaboration rather than disaster?

Working together …

1. Broad quality and safety program

Forthright peer review at department, medical staff and Board of Trustee level;

Aggressive pursuit of quality/safety agenda pre-problem, post-problem

Clear resolution of conflict policy

Requirements for success …

2. Transparency

Group decision-making

Role of Chairs

Role of President of Medical Staff, CMO, PHO, Med. Dir.

Joint Trustee Staff

Board of Trustees (20% M.D. membership)

Requirements for success …

3. Communication

Gang of 9

ECMS

Medical Staff Meetings

Community Letter

Town Hall Meetings

Access – email, talk, rounding

Requirements for success …

4. Management Structure

IS, IS/MD

CMO, PHO, Medical Directors

IS Committee

CPOE Implementation Committee

Vendor Responsiveness

Budget Contingency for emerging programming, coverage

Requirements for success …

5. Clearly defined roles for:

Hospital staff

Hospitalists

PA’s

6. Key leadership role of primary care

7. Moving past control by secrecy, favoritism, financial power, “autonomy” of self-interest

8. Some blind courage

Requirements for success …

Many missions lie ahead as students, members of our family, and citizens of our home country.

As a student and as a member of this class, what are the advantages for us to be more like Rose and Charlie?

Conclusion …