Leadership, Legacy, and Community: A Retreat to Advance Maternal and Child Health Scholarship and Practice University of Illinois at Chicago Forum

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Leadership, Legacy, and Community A Retreat to
Advance Maternal and Child Health Scholarship and
PracticeUniversity of Illinois at Chicago Forum
July 16, 2008

• The Sociology of the MCH Industry Utilizing
  Legacy and Leadership to Build a Community of
  Practice

Mario Drummonds, MS, LCSW, MBA CEO, Northern
Manhattan Perinatal Partnership, Inc.
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Presentation Objectives

• Review Strategic MCH Legacy Moments that
  Propelled the Industry to Its Current Position.
• 2. Provide a Working Definition of MCH
  Leadership that Raises Key Theoretical and
  Practice Questions The Industry Must Address.
• 3. Define Community and What It Means to be A
  part of a Community of Practice.

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LegacyRetreat to AdvanceReturn to History

• A Strategic Inflection Point is when the Balance
  of Forces Shift in an Industry from the Old
  Structure, from the Old Way of doing Business and
  the Old Way of Competing, to the New.

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MCH Legacy Moments

• If You Change the Rules You Change the Game!
• Signal the Beginning of the End for Certain
  Industries Businesses
• Opportunity for New Period of Growth

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MCH Legacy Moments

• The History, Legacy, Role of African
  African-American Granny Midwifes who became the
  Only Newborn Delivery Healthcare System in the
  African American Communities of the South from
  the Early 1820s to the 1950s

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MCH Legacy Moments

• Merging Birthing Skills from Africa with the
  Obstetric Skills Learned from Nurses Doctors
• First Wave in the Fight Against Black Infant
  Mortality
• Cared for Poor Black and White Mothers Where
  There was No System of Healthcare Throughout the
  South

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MCH Legacy Moments

• Legacy of White Supremacy, Slavery,
  DiscriminationBirthed A New System of Healthcare
  for African American Women and their Families
• Besides Catching Babies, She was a Healer, A
  Spiritualist, Public Health Activist Community
  Organizer

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Creation of the Childrens Bureau in 1912

• President William Howard Taft Signed into Law a
  Bill Creating this new Federal Government
  Organization in 1912.
• Lillian Wald, of New Yorks Henry Street
  Settlement House Influenced Congress through
  Grassroots Organizing to Pass this Law starting
  in 1903.

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MCH Legacy Moments

• For the First Time the Federal Government
  organized an Agency that was Responsible for
  Investigating Infant Mortality, the Birth Rate,
  Establishing the National Birth Registry,
  Orphanages, Juvenile Courts, Child Labor Laws and
  all Legislation Affecting Children and their
  Mothers!

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Blue Baby Operations at John Hopkins University

• Dr. Alfred Blalock and Vivien Thomas, an
  African-American Laboratory Technician in 1944
  performed the first Blue Baby Operation on a
  15-Month-Old Girl. Cyanosis is a condition of
  bluish skin caused by lack of oxygen in the
  blood. They theorized that Cyanosis was due to
  the tightening of the pulmonary artery.

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Blue Baby Operations at John Hopkins University

• They Perfected an Operation in which a Branch of
  the Aorta is Joined to the Pulmonary Artery
  Ensuring a Flow of Blood to the Lungs. The
  Procedure was Widely Adopted and Saved Thousands
  of Babies Lives In the United States and Across
  the World!

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MCH Legacy Moments

• During the 1960s American Witnessed a Growth of
  Neonatal Intensive Care Units Across the U.S.

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MCH Legacy Moments

• Research Has Shown that HIV-Positive Women who
  Receive Anti-Retroviral Therapy During Childbirth
  are Less Likely to Transmit the HIV Infection to
  Their Children

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MCH Legacy Moments

• During the 1980s 1990s States Began to Adopt
  Regionalization of Perinatal Care Plans for
  Maternity Hospitals
• 2003s MCH Life Course Theory Developed by Dr.
  Lu!

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Leading Change

• Leadership is the Self-Defined Capacity to
  Communicate Vision and Values While Providing
  Programs, Structures and Core Services that
  Satisfy Human Needs and Aspirations While
  Transforming People, Your Organization and
  Society in the Process!

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Leading Change

• Leaders Are Dealers in Hope!
• Leaders Help Organize a Peoples or Departments
  Hopes Dreams!
• Leaders Take the Assets They are Given Today
  (People, Structure and Programs) and Make Them
  More Valuable Tomorrow.

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Leading Change

• Leaders Stretch Their Organizations Beyond Their
  Current Capabilities and Structure by Challenging
  Everyone to Do What They Think is Impossible to
  do.

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Leading Change

• Leaders Have a Unique Interaction with
  Dangerousness as They Battle Against the Status
  Quo in Their Industry By Raising the Right
  Theoretical Questions, Proposing New Programmatic
  Solutions to Old Problems While Riding the Wave
  Towards Change.

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To Advance Maternal Child Health Scholarship
Practice-You in This Audience Must Re-Invent MCH

• Racism Stress on Birth Outcome Studies
• Social Environmental Influences on MCH
• a. Built Environment Studies
• b. Demographic Changes in MCH
• Population

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Leading Change

• Moving From Studying Health Disparities to Coming
  Up with Solutions to Achieve Health Equity !

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Leading Change

• Perfecting Operationalizing Life Course Theory
• a. Perfecting Theory-Setting Research
• Agenda
• b. Determine and Outline Policy
• Implications
• c. Deciding On the Education
• Training Needs

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Leading Change

• d. What is to be Done?
• Organizational Implications
• Practice

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Leading Change

• To Reinvent MCH A Ship Must be Built By Leaders
  Followers to Make the Voyage

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Building a Community of Practice

• Where Community Exists it Confers Upon its
  Members Identity, Values, a Sense of Belonging, a
  Measure of Security
• A Departments Values are the Link Between
  Emotion and Behavior. They are the Link between
  What Staff Think and What They Do

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Communities are the Generators and Preservers of
Value Systems

• Vision, Respect, Commitment,
• Teamwork, Results!
• 1. To perform up to the highest measure of
  competence, always.
• To take initiatives, ask questions, absorb risks.
  
• To adapt to change.

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Building a Community of Practice

• To prevent disease, prolong life and promote
  health.
• To publish research findings so others can learn!
  
• To make decisions.
• 7. To work cooperatively as a team.

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Building a Community of Practice

• To be open, especially with information,
  knowledge, and news of forthcoming or actual
  problems.
• To trust, and be trustworthy.
• To respect others (customers, vendors and
  colleagues) and oneself.

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Building a Community of Practice

1. Show a willingness to fail and be wrong.
2. To answer for our actions, to accept
   responsibility.
3. To judge and be judged, reward and be rewarded,
   on the basis of our performance!

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Building a Community of Practice

• Members of a Community of Practice Deal with Each
  Other Humanely, Respect Individual Differences
  and Value the Integrity of Each Person.

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Building a Community of Practice

• A Community of Practice Should Have a Sense of
  Where it Should Go (Vision-Strategy-Core
  Competencies) and What it Might Become
  (Organizational Change).

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Building a Community of Practice

• A Community of Practice at a University, a
  Health Department or a local MCH Organization all
  Have Foreign Policies or Protocols to Interact
  with Representatives of Government, the Private
  Sector and the Local Communities They Have to
  Interact With Daily.

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Building a Community of Practice

• A Community of Practice Abandons Policies,
  Theories and Practices that Fails to Achieve
  Measurable Outcomes for Mothers and Babies and
  Strives to Set the Agenda to Seek New Answers to
  Old Problems Despite Opposition from Higher
  Powers.

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Building a Community of Practice

• Finally a Community has the Power to Motivate
  Their Members to Exceptional Performance. The
  Community Can Tap Levels of Emotion and
  Motivation that Often Remains Dormant. It Sets
  Standards of Expectation for the Professional and
  Nurtures a Climate Where Great Things Happen.

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CODA

• The MCH Industrys Legacy Achievements Outlined
  in This Speech Can Serve as a Burning Platform
  to Push the Industry to Greater Achievements in
  Research Practice.

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Building a Community of Practice

• The MCH Leaders Job is to Transform and Empower
  Followers by Being the Change They Wish to See in
  the World, Acting with Deep Integrity,
  Consistency, and Transparency.

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Building a Community of Practice

• Building a Community of Practice Is Hard Work.
  However, If it is Executed Correctly, the
  University, Health Department or Local MCH
  Organization Will Honor Their Leadership Mandate
  Which is to Unlock the Vast Potential in Your
  Organizations and Built Lasting Capabilities.

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For more information contact

• Mario Drummonds, MS, LCSW, MBA
• Executive Director/CEO
• Northern Manhattan Perinatal Partnership
• 127 W. 127th Street
• New York, NY 10027
• [phone]
• mdrummonds_at_msn.com