Patient care protocols or guidelines - ✔✔Formally established expectations that define the
normal steps or processes in the care of a clinically related group of patients at a specific
institution
Functional protocols - ✔✔These determine how functional elements of care are carried out
Boundary spanning - ✔✔establishing and maintaining effective relationships with all
stakeholders, and adapting the HCO to the needs of its community
Knowledge management - ✔✔maintaining a detailed fact base about the organization,
including performance measures, benchmarks, and work processes, and making that fact base
accessible to associates through training and communication
Accountability and organizational design - ✔✔identifying and integrating the contribution
and goals of each HCO component
Continuous improvement - ✔✔continually analyzing and improving all work processes,
following a systematic cycle of measurement, opportunity identification, analysis, trial, goal
setting, and training for implementation
data warehouse - ✔✔Knowledge management is sometimes called the
_____________________ or the source of truth for the organization
Operational measures or operational scorecards - ✔✔Six dimensions of measurement that
include three measures of inputs or resources and three measures of outputs or results
,strategic measures or strategic scorecard - ✔✔Four dimensions of measurement (finance,
operations, customer relations, and learning/human resources) appropriate for service lines or
the HCO as a whole
Accountability hierarchy - ✔✔A reporting and communication system that links each
operating unit to the governing board, usually by grouping similar centers together under
middle management
Benchmark - ✔✔The best-known value for a specific measure, from any source
Opportunities for improvement (OFIs) - ✔✔Result of comparing actual outcome against goal
and goal against benchmark; also arise from qualitative assessments, including listening
Process improvement team (PIT) - ✔✔A group that analyzes processes and translates OFIs to
actual performance improvement
Root causes - ✔✔The underlying factors that must be changed to yield consistently better
outcomes
Performance improvement council (PIC) - ✔✔A formal coordinating structure composed of
representatives from all major activities or activity groups; the PIC's first job is to prioritize the
OFIs
Strategy - ✔✔A systematic response to a specific stakeholder need
Strategic positioning - ✔✔The set of decisions about mission, ownership, scope of activity,
location, and partners that defines the organization and relates it to stakeholder needs
Strategic protection - ✔✔Safeguards the assets of the organization
, Promote shared values by establishing, disseminating, and modeling attractive mission, vision,
and values.
Empower associates so that they feel they can change their work environment to improve
mission achievement.
Listen responsively to associates so that their needs are met and the responses model the
organization's values.
Support service excellence that helps delighted associates delight patients.
Celebrate and reward success. - ✔✔Leadership under this culture has five functions:
Creating the best place to give care in order to be the best place to get care. Listen to
associates, identify what they need to fulfill the mission, and provide it.
Implementing responsive leadership to build and sustain the culture. Use training, selection,
and modeling to create an environment where the values become real.
Measuring and continuously improving the HCO's culture. Use associate and customer
satisfaction measures to improve relationships and communication.
Establishing a program to respond to resistance and protect against damage. At the senior
management and governance level, handle potentially divisive issues and destructive behavior.
- ✔✔Critical Issues in Cultural Leadership
to effectively implement transformational management of teams from the bedside to the
boardroom
and
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