Valerie Merz and the other members of the IntensCare Product Development Team faced several intrinsic issues that were impairing the success of the new remote monitoring system product launch. We diagnosed these issues through the lens of Patrick Lencioni’s leadership model as described in The Five Dysfunctions of a Team . Based on the options available to her at the time, Valerie’s response to the incident on February 13, 2009 should be to take a step back and take the weekend to craft a comprehensive strategy to address her team’s dysfunctions.
In arriving at our recommendation, the first dysfunction we identified with the IntenseCare Team is lack of trust. Valerie Merz did not trust her teammates or the leadership of Jack Fogel, just as Jack and the rest of the team did not trust Valerie. This was evident in the testimonials described in the case, as well as in the one-off meetings and back channel conversations that were taking place outside of the scheduled weekly team meeting. Lack of trust gave rise to the second dysfunction the team was suffering from –
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Option 2 would have presented Valerie with an opportunity to address the team’s dysfunctions directly, but confrontation in the heat of the moment would have been risky, as her aggression would likely have gotten the best of her; plus, she just learned that the team has no respect for her as a leader. Option 3 has no discernable upside and would only have further fueled her frustration and hostility towards the team. Voicing the issue to leadership (i.e. Option 4) could have helped Valerie gain the support of Art Beaumont, who was aware that the team was struggling, but more than likely this would have only widened her trust gap with team as the aggressive outsider now turned
Reactive: behaviour formulations; debriefing; care plan reviews; risk assessment reviews; team meetings; multi-disciplinary meetings; training reviews and updates
Human interaction between individuals and systems does not occur in a vacuum, rather it occurs in a dynamic and multidimensional setting. From a structural and procedural system performance perspective, the nursing care environment “is perfectly designed to get the results it gets” (LLoyd, Murray, & Provost, 2015). When mistakes happen in healthcare, all Joint Commission accredited healthcare organizations are obligated to analyze the care environment to assess for opportunities to improve the structural and procedural elements that lead to care failures, as in the fictitious sentinel event case of Mr. B who presented to the emergency department for a
Highly Reliable Organization are guided by five principles based on quality. The first three are anticipatory principles Preoccupation with Failure, Sensitivity to Operations and, Reluctance to Simplify. The remaining two are containment principles Commitment to Resilience and Deference to Expertise. The Cleveland Clinic and ThedaCare both have elements of being a Highly Reliable Organization. The Cleveland Clinic formed an entire Institute dedicated to Quality and Patient Safety. Cosgrove’s message was the everything matters, including housekeeping. Both organizations were highly focused on operations. ThedaCare in particular took time to train staff organization staff when a new unit opened so they would better understand their new roles
This is a reflective essay based on a event which took place in a hospital setting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and communicate with each other to achieve the best patients outcome.
A third strength of my leadership practice is my ability to meet the goals of the organization in a timely matter. The trust that I have for our CEO allows me to challenge any of my assignments enough to clarify the needed outcomes and then I become fully supportive. With the weakened state of the healthcare systems across the nation, it is imperative that my team and I are responsive and quick to take action when called upon. The fact of the
Teams working in a hospital or other healthcare setting may consist of several physicians, nurses, medical assistants, referral coordinators, pharmacists, therapists, and students among others. Such large teams can provide comprehensive care for complex and chronic illnesses, but when they fail to work well together, they
The ever evolving nature of healthcare organizations makes it imperative for Chief Information Officers (CIOs) to remain proactive and dynamic in order to meet both current and future needs of the organizations and healthcare consumers in today's fast moving technology and business world. Historically, the CIO position seemed to have evolved from data processing manager and information technology director, to the current status which embraces technology and business requirements. Given the roles of a CIO and challenges in the healthcare organization, the contemporary CIO needs certain leadership traits to be able to sail through the turbulent waves in the healthcare organizations. Today's leaders in information technology must move from the command- and- control way of thinking to an era of employee empowerment and engagement, and strategic thinking so as to be successful (Hein, 2013). This discussion will focus on how three of
During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.
-They put all the leadership towards the patient first, but they found it a challenge to provide hope for the patient and the staff to be able to give them the experience they both wanted
Jones could vividly recall the collective support and motivation that was accompanied in his recovery by the entirety of his team (Jones, 2015). This presents the role of nursing, as well as the roles of the other health care professionals, is very collaborative and team oriented, as they were never addressed individually. This presentation of their roles was somewhat consistent with my pre-existent idea of what roles they play. An example would be in terms of emotional availability, by acknowledging Jones’ concerns. (Jones, 2015). However, I had never considered the role of nursing, or the other professions as being so largely team oriented or being in direct contact on a daily basis.
Team power was evenly distributed in this case, and evident especially when compared to the Dewy case. Each team member respected the opinion and professional judgment of others on the team. There didn’t seem to be a clear team leader, there could have been several team leaders, such as the pulmologist, the teacher, and the social worker.
Art Beaumont, the newly hired president of MediSys Corp, created a core team in August 2008 in order to accelerate the IntensCare project. Team consisted technically competent employee in six areas: research and development, engineering, software design, production, marketing and regulatory affairs. Jack Fogel, a senior production manager was assigned the project leader. IntensCare project was very important to the success of Medisys but the team had very tight schedule. However, differences started to emerge soon after which obfuscated the future of IntensCare project.
Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric
To effectively manage the discharge of individuals and transfer of care between settings, the social service team at UPMC-MDU start early to anticipate problems and discuss barriers and reoccurring traumatic events, but most importantly, patients and multidisciplinary team, via daily meeting, are involved at all stages of the discharge planning and medical treatment process. Considering this process and significance to employ a person-in-environment approach, I have become more aware of the need for skillful care coordination to achieve the most successful clinical and
To assure quality and to promote a culture of safety, health care organizations must address the problem of behaviors that threaten the performance of the health care team.