Week 2_CC and Human Organizations

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COMMUNITY AS A BASIS

FOR HUMAN

ORGANIZATION

Presenter:

Elizabeth A. Smith, Ph.D.Founder

Community Medical Foundation for Patient Safety

The University of St. ThomasCenter for International StudiesGlobal Health (4370)

August 31, 2011


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COMMUNITYMEDICAL FOUNDATION

FORPATIENT SAFETYEstablished in 2003, registered in Texas 2004

Philosophy based on leadership and the Community

of Competence

A leader in research and educational programs onpatient safety and healthcare quality

Goals strongly support humanistic, patient-centered

healthcare system and inclusion of the patients andfamilies in all aspect of health care

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FORPATIENT SAFETY Get Rid of Unused Pharmaceuticals (GROUP) Campaign

The National Unused and Expired Medicines Registry

The National Directory of Drug Take-Back Programs

Share Our Stories (SOS) Patient Safety Reporting Syst.

Study of medical misdiagnosis (concussion in sports andmilitary)

Evaluation of medical devices

Trauma registry for the military (JTTR)

Patient Safety Checklists andMy Medical Journal

The Dictionary of Patient Safety

The National Patient Safety Community

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FORPATIENT SAFETYCommunity

WHAT are they?

WHY do we need them?

WHO lives in them?

WHERE are they?

HOW do they operate?

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THEORYUNDERLYING COMMUNITYMASLOWS HIERARCHY OF NEEDS

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PHYSIOLOGICAL

SAFETY

SOCIAL

ESTEEM

SELF-ACTUALIZATION


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COMPETENCE AS THE FOUNDATION FORMODERN COMMUNITIES

WHAT is competence?

WHY do you need to be competent?

WHO is competent?

WHERE do these competent people workand live?

HOW do people work at a competent level?

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COMMUNITIES OF COMPETENCE(COM.COM)

Not just any group, committee, orcoalition...but a true communityof

individuals based on knowledge, skills,

expertise, experience, motivation, andcompetency

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THEORYUNDERLYING COM.COM

DRIVING FORCES FORORGANIZATIONSGlobalizationcultural diversity, politics, distance,

continuous production, communication, etc.

Complexity of work itselfnumerous disciplines,experience levels, e-work, growing number of products andservices

Organizations are becoming flatter, virtual andboundaryless1

Turbulent external environment--limited resources

Challenges in behaving, learning, adapting, and surviving

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OPERATIONAL DEFINITIONS OF COM.COM

A new framework to first visualize what type of groupexists and what type of group should be created to do aspecific task or job

A methodology to describe, assess, and combine separatestrengths and core competencies of individuals, groups,and organizations into a meaningful, goal-oriented whole

A team of highly skilled, specialized people with provencompetencies

A flexible, learning organization

A network of organizations or systems9

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RESPONSIBILITIES OF COM.COM MEMBERS

Do specific tasks or jobs for which they are qualified orcompetent

Engage in continual learning and improving skills

Are intensely focused, problem-driven, and knowledgerich

Work together cooperatively and recognize expertise oftheir members and of other individuals

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RESPONSIBILITIES OF COM.COM MEMBERS

Members know the importance of open communicationand sharing of lessons learned

Rotate leadership based on unique competencies andexpertise

Make maximum use of tacit knowledge based on commonsense and information sharing

Communicate openly and share skills, abilities,knowledge, and unique expertise

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ADVANTAGES OF COM.COM

Members are selected for their competencies, or membersmay volunteer

Solve problems quickly as members are focused, goal-driven, and cohesive

Members are totally dedicated to the task and motivatedby the task itself

Members can move on to other communities where theirtalents are needed

Members know the importance of open communicationand sharing lessons learned

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Members use their unique tacit knowledge that is oftenbased on common sense and experience

Members desire to be in a community and have theirorganizations recognize & make better use of their overalltalents and potential

Build communities based on trust, creativity, and newknowledge

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Support and reinforce change management ordemonstrate how to move from where we are to where we

want to be

Build communities to create synergy within groups andamong groups of the organization

Ultimately, change and improve the organizational cultureand routine operations

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WHYUSE COM.COM

More than a network group (who) and provide answers to:

How (use systems thinking)

Why clear focus on one problem

Where roles and responsibilities are clearly defined inthe procedures manual

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PATIENT

Nurses

Educators

Engineers

Volunteers

Partners

EthicistsInfo Sc.

Env. Sc.

Interns

Oslerians

Others

Culture

Environment

Community of Competence forHealthcare


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COM.COM AS RESEARCH FRAMEWORK FORTHE NATIONAL UNUSED & EXPIRED

MEDICINES PROJECT Use framework and test methods of C0m.Com

empirically

Develop, implement, and evaluate models to safely

and legally collect and destroyconsumers UEMs fromhomes

Develop data repository to systematically characterizeand report regional and national trends

Expand UEM project into a national system

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Consumers

MedicalPractice

Drug/LawEnforcement

Public Safetyand Policy

ConsumerProtection

Patient Safety

EnvironmentalProtection

Academia andResearch

DrugManufacturers

Generalized Model Based onCommunity of Competence for NationalUEM Project

Patients/Consumers

MedicalPractice

Drug/LawEnforcement

Public Safetyand Policy

ConsumerProtection

Patient Safety

EnvironmentalProtection

Academia andResearch

DrugManufacturers


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ME

Culture

Environment

My Community


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5 Minute Break

BeforeIn-class Participatory Exercise onWork, Competencies, and Ideal

Job

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Week 2_CC and Human Organizations

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