Presented by: Eleanor RivoireDate: XXX

Keynote Address by:Eleanor Rivoire, Independent Healthcare AdvisorFormer Executive Vice President & Chief Nursing ExecutiveOctober 2015

WINNING CONDITIONS FOR HEALTHCARE TRANSFORMATION –PERSPECTIVE OF A CANADIAN NURSE LEADER

Leadership Partnership

Leading with …Partnering with …

Patients and Families

Patient and Family Centred Care

Respect and dignityInformation Sharing

ParticipationCollaboration

Institute for Patient- and Family-Centered Care

Patient and Family Centred Care

“the experience (to the extent the informed, individual patient desires it) of transparency, individualization, recognition, respect, dignity and choice in all matters, without exception, related to one’s person, circumstances and

relationships in health care.”

Don Berwick, 2009

Patient and Family Centred Care

“an approach to care that guides all aspects of planning, delivering and evaluating

services, with the foundation being mutually beneficial partnerships between patients and

families and services providers.”

Adapted from IPFCC, 2008Saskatchewan Ministry of Health, 2011

Key Leadership Trait

Adaptability – with awareness of context and changing context

Current Healthcare Landscape

Climate of:• Economic Challenge• Political and positional uncertainties• Turbulence with health system redesign• Consumer/customer mindset – patient rights;

self-advocacy and greater involvement• Far reaching and immediate access to information

Context

“Unleashing Innovation –

Excellent Healthcare for Canada” – July

2015

• Patient Engagement and empowerment• Health system integration with workforce modernization• Technological transformation via digital health & precision medicine• Better value from procurement, reimbursement and regulation• Industry as an economic driver & innovative

catalyst

Context

Accreditation CanadaCanadian Patient Safety InstitutePatients for Patient SafetyCanadian Foundation for Healthcare ImprovementHealthCareCANPatients CanadaProfessional Organizations

Experience at Kingston General Hospital

The Winning Conditions for Meaningful Patient Engagement

Winning Conditions

1. Strategy - Annual Plans/Tactics

• Transform the patient experience through a relentless focus on quality, safety, and service

Winning Conditions1. Strategy - Annual Plans/Tactics

• Patient Advisory Council launched

• 15 patient advisors are integrated into KGH Committees

• Patient led forums are conducted within programs

• Overall patient satisfaction is at or better than the provincial teaching hospital average

• The five standards: name tags, whiteboards, hourly rounding, patient led forums, and communications (care providers introducing themselves and their role to the patient)

Winning Conditions

1. Strategy with Annual Plans

2. Leadership Support

Winning Conditions

1. Strategy with Annual Plans2. Leadership Support3. Organizational Champions

Winning Conditions

1. Strategy with Annual Plans2. Leadership Support3. Organizational Champions4. Partners

Winning Conditions

1. Strategy with Annual Plans2. Leadership Support3. Organizational Champions4. Partners5. Performance Improvement Mind

• Continuous Improvement• Change Management• Performance Management

Winning Conditions

1. Strategy with Annual Plans2. Leadership Support3. Organizational Champions4. Partners5. Performance Improvement Mindset6. Infrastructure

Position Descriptions

Terms of Reference

Policies

Space for Advisors

Signage

Identification Badges

Decision-making Processes

Winning Conditions

1. Strategy with Annual Plans

2. Leadership Support3. Organizational Champions4. Partners5. Performance Improvement Mindset6. Infrastructure7. Sustainability

Winning Conditions

1. Strategy with Annual Plans

2. Leadership Support3. Organizational Champions4. Partners5. Performance Improvement Mindset6. Infrastructure7. Sustainability8. Patient Centred Leadership

...every person …every day

Knowledge – Experience – Instincts

Culture – Processes – Outcomes

Should we – Can we – Will we

Three Maxims

“the needs of the patient come first”“nothing about me, without me”“every patient is the only patient”

Knowing the Way …Showing the Way …

Going the Way !

Noli timereSeamus Heaney