MHA 670 Belhaven University Biblical New Age Leadership Skills Discussion Discuss how Biblical worldview might impact new-age leadership skills desired for the 21st Century workplace. Health Administration Capstone
MHA 670
Hall #2
Complexity, Chaos, and Change
Introduction to Hall
Change in work and leadership
Different values and interactions
Reformulate the value in healthcare
Challenge current measurement
assumptions
Creation of more reflective models
2
Topics Covered
Biblical worldview and new age
leadership
Complexity
Chaos
Change
Primary vs. Secondary Greatness
Evidentiary Leadership
Healthcare Valuation Model
3
Hall Objectives
Discuss how Christian worldview might
impact the changes in the 21st century
workplace in forming the context for
new-age leadership.
Develop personal goals for adapting to
the leadership role in the presence of
chaos and complexity while maintaining
a Biblical worldview perspective.
4
Hall Objectives (cont.)
Identify the critical principles of
competent clinical leadership.
Review the major drivers for
documentation of value-based
outcomes.
Describe innovative leadership
strategies for measurement in complex
social systems.
5
Hall Objectives (cont.)
Gain an appreciation of the realities
and challenges of creating more robust
measurement models reflecting the
complexity of healthcare.
Discuss the utility of the Healthcare
Valuation Model as a guide for
transforming healthcare.
6
Biblical Worldview Application
1 Peter 4:10
? Our gift from God
? Our task
? To be good stewards
7
Living In The Potential
Provides a context for meaning
Why workers work
Individual value and meaning of work
Motivation for growth
Focus on the journey
8
Living In The Potential
Primary Greatness
Achieved through character
Three character traits
? Integrity
? The value we place on ourselves
? Maturity
? The balance between courage and
consideration.
? Abundance Mentality
? There is plenty out there for everybody.
10
Leadership Principles
1. Wholes Are Made Up of Parts
? Always interacting with each other
? System mind-set give direction and
purpose
? Goodness of Fit
? Point of service and overall work
? See and live in systemness
11
Leadership Principles (cont.)
2. All Health Care Is Local
? Local relationships
? Structure
? Function: Integrity and sustainability
? Only the amount needed to be effective
? Flow and fluidity
? More dynamic than static
? Stoking the expectation for changes
12
Inside-Out
Start first with self
Generate positive energy
Be trustworthy
Be more responsible
Be more helpful
13
Leadership Principles (cont.)
3. Adding Value to A Part Adds Value to
the Whole
? All activities have value
? Essential systemness
? Connections between system elements
? If value is not being added, it is being
taken away.
14
Biblical Worldview Application
Colossians 3:23
? Work willingly
? Working for the Lord
? Rather than people
15
Leadership Principles (cont.)
4. Simple systems make up complex
systems
?
?
?
Component system has same rules as
larger system
Well-integrated components
Systems must intersect and interact
16
Systems Relationships
Leadership Principles (cont.)
5. Diversity Is A Necessity of Life
? Presence of diversity ensures potential
to thrive.
? Makes chaos visible
? Conflicting forces create healthy
systems
? Task of the leader is to harness chaos
18
Leadership Principles (cont.)
6. Error Is Essential to Creation
? Error underpins all change
? Learning and Development
? Mechanism for assuring change and
advancement
? Absence of error = death
19
Leadership Principles (cont.)
7. Systems Thrive When All of Their
Functions Intersect and Interact
? No unilateral task performance
? No silos
? Role of leader make component and
whole system thrive
20
Leadership Principles (cont.)
8. Equilibrium and Disequilibrium Are
in Constant Tension
? Tensions between stabilizers and
challengers
? Consciousness and purpose
? People do not make change
? They live it
21
Leadership Principles (cont.)
9. Change Is Generated from the
Center Outward
? Each system is unique
? Point of service must deliver
? Dynamic and cyclical patterns
? Assess adequacy of support structures
22
Leadership Principles (cont.)
10. Revolution Results from the
Aggregation of Local Changes
? Paradigmatic moment
? Demand for a significant shift
? Jointly from external and internal
components
? Focus on implications
? Lead appropriate response to the shift
23
Coveys Three Resolutions
Appetites and Passions
? Self-discipline and self-denial
Pride and Pretension
? Character and competence
Aspiration and Ambition
? Service to others
24
Leadership Skills
Exploration vs.. exploitation
Stability vs. variability
All strategies have consequences
Membership continues
Small changes ? large changes
Crisis vs. creativity
25
System Contexts
Biblical Worldview Application
Psalm 78:72
? Cared for them
? True heart
? Led them
? Skillful hands
27
Evidentiary Leadership
Failure of linear models
New models
? Cannot stand alone
? Not isolated
? Must cover multiple variables
? Customized to the organization
28
Key Drivers for Change in
Measurement
Cost
Cost shifting
Demand without accountability
Partial measurement and avoidance
of ambiguous evidence
Using evidence is potential
29
Cost
What would be an acceptable cost?
What kinds of services should be
provided?
Should quality be a reflection of
cost?
30
Cost Shifting
Does it even the playing field?
Is controlling access the solution?
Disparity between cost and quality
Who determines who pays what?
Is healthcare a right or a privilege?
31
Demand Without Accountability
The reality of universal access
Lack of accountability
One way model
? Presence of disease/illness
No expectations of compliance
32
Measurement and Avoidance of
Ambiguous Evidence
Patient-provider relationships
Effectiveness of procedures
Patient satisfaction
Outcomes reflective of quality
33
Using Evidence Is Optional
Inconsistent identification and
application
? Lack of knowledge
? Lack of access to best practice data
IOM goal
? 90% evidence based clinical decision
making by 2020
34
System Complexity
Connectivity
Interdependence
Emergence
Needed measurements
? Traditional metrics
? Teamwork effectiveness
? Patient provider engagement
? Degree of evidence integration
35
New Healthcare Valuation Model
Document the story
Extend traditional tools
Quantify the value of teamwork
? Hours of work and skill mix
? Education and years of experience
? Overtime hours
? Complaints and satisfaction
? Caregiver feedback
? Negative patient outcomes
36
New Healthcare Valuation Model
(cont.)
Focus on engagement of providers
and patients
Begin locally
Plan for course correction work.
Create the business case for
healthcare
37
The Business Case For Healthcare
Document the healthcare narrative
Identify the goal or purpose and
relationship to the mission.
Determine costs.
Describe projected benefits
38
The Business Case For Healthcare
(cont.)
Select target levels of performance.
Identify anticipated profit / loss
Identify non-financial benefits
List key influential stakeholders
Identify anticipated risks
39
Christian Worldview Application
1 Peter 5:2-4
? Take care of those
entrusted to you
? Willingly
? Lead by your
example
40
Recap of Hall
Biblical worldview and new age
leadership
Complexity
Chaos
Change
Primary vs. Secondary Greatness
Evidentiary Leadership
Healthcare Valuation Model
41
Whats next?
Complete the reading assignments
Take the Hall Quiz
Answer the discussion questions
Complete the writing assignments
42
References
Covey, S. (1992). Principle-Centered Leadership. Los
Angeles, CA: Fireside Press.
Covey, S. (2004). The 7 Habits of Highly Effective
People: Powerful Lessons in Personal Change. (Revised
Ed.) Tampa, FL: Free Press.
Porter-OGrady, T. & Malloch, K. (2011). Quantum
Leadership Advancing Innovation, Transforming
Health Care. (3rd ed.). Sudbury, MA: Jones & Bartlett
Learning.
The Holy Bible (New Living Translation)
43
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