The Leadership Hand in Safety
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- Neal Reeves
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1 The Leadership Hand in Safety. leaders have the ability to make a difference!
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3 Who we are 1 of 13 Regional Health Authorities in Saskatchewan Legislated through The Regional Health Authorities Act Governed by an appointed Board of Directors 2198 FTE s = 2940 employees & 63 medical practitioners
4 What we do 24/7 operation Services primary health, acute, long term care, home care, public health, therapies, mental health, emergency services Variety of delivery environments including office, facility, field, home
5 Our Current Environment. Embarking on system transformation enhanced quality AND safety Patient is the focus Transformation through LEAN methodology Hoshin Kanri strategic planning, priorities & breakthrough
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7 There are those who look at things the way they are, and ask why... I dream of things that never were, and ask why not? -Robert Kennedy
8 Our Reality. Need to know where we are starting from to plot our path Realization that success would not be immediate Needed a strong foundational platform
9 The Facts. Felt like the harder we tried, the worse we got Reality was not a pretty picture No foundational base no pillars to build upon
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11
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13 Was this us? (me? You?)
14 A dream doesn t become reality through magic; it takes sweat, determination and hard work. -Colin Powell
15 Our Foundation. Lead by example Transparency Communication Get real feedback Being accountable
16 Live Our Values!!
17 Actions through our Values Same old was no longer acceptable Needed to seek new processes
18 Actions through our Values Go to the gemba
19 Actions through our Values Communication
20 Actions through our Values Get real feedback
21 Actions through our Values Being accountable
22 COMPASSION. We listen to our customers and then act and deliver services with compassion, care and respect. How did we listen if we didn t talk to them? How did we act and deliver if we didn t know what was needed? How did we demonstrate compassion, care and respect if we weren t available?
23 What are we doing? Leadership calls & conversation Support and resources
24
25 The Value. Staff say. Really appreciated being able to speak with Roberta and give her feedback on the equipment that we now have to use. Its nice to know that someone cares. Thank you for asking and listening. Now that I know that I matter, I will certainly work safer.
26 Managers say. The Value. Even though I have not had to use this process often, I think it s a positive. It feels like safety is everyone s responsibility. From the conversations I have had with my executive, it allows me to go over the incident and say what my suggestions are for corrective actions, and get instant feedback. I have gotten other suggestions that I may not have thought of the input is very helpful.
27 Now: Is it making a difference? October 1,2013 to Jan 31, incidents (47 time loss, 36 Medical Aid Before: October 1, 2012 to Jan 31, incidents (64 time loss, 38 Medical Aid) October 1, 2011 to Jan 31, incidents (77 time loss, 51 Medical Aid)
28 COURAGE. We act courageously in relentless pursuit of safety and excellence. What is courage? Relentless pursuit? How is harm excellence?
29 What are we doing? Provincial priority with targets and metrics Regionally daily, weekly, monthly and quarterly reporting Corrective Action Plans
30 CREATIVITY. We strive for innovation. Innovation or Improvement?
31 What are we doing? Building a Safety Management System Action plan to move the components forward in a phased manner Going to the gemba! Target and focus where most needed
32 COMMITMENT. We commit to integrity, honesty and accountability. How transparent were we? Are we walking the talk? Are we encouraging involvement from all?
33 What are we doing? Provincial priority with targets and metrics Reporting provincially monthly & quarterly Reporting regionally daily, weekly, monthly and quarterly reporting Corrective Action Plans provincially, regionally and facility/service/dept. specific
34 COLLABORATION. We act as one united team providing the best care possible. Why is it okay to harm each other? If we aren t safe, how are our patients/customers safe?
35 What are we doing? Providing tools standard work and work standards Supporting safety efforts No us versus them
36 How are we doing? Not yet attained our dream; we continue to sweat, maintain fierce determination and keep up with the hard work Not yet meeting the targets There is improvement Changing the culture takes a long time
37 60 Annual Comparison of Monthly Incidents April 1, 2011 to March 31, 2012 April 1, 2012 to March 31, 2013 Current Year - to January 31, 2014
38 Where to from here? 2014/15 strategic priority a hoshin Continue to emphasize vision & live our values Ongoing commitment and support Keep the safety momentum going Think proactive and long term Continuously improve & innovate
39 Thank you! Questions, Comments, Suggestions???
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