Role of the Executive Sponsor

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Role of the Executive Sponsor

• Reflections from Winchester Hospital

Richard M. Iseke, MD Vice President for Medical
Affairs and CMO
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Background on Winchester Hospital

• Financially strong, highly regarded 229-bed
  community hospital (13K discharges and 9K
  surgeries)
• Extensive outpatient services including home care
• 2,600 employees, 700 medical staff, 700
  volunteers
• Strategic goals focus on our success factors
• Quality and Safety
• Employee Engagement
• Physician Alignment
• Patient Experience
• Growth and Finance

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Background Winchester Hospital

• First community hospital in Massachusetts to earn
  Magnet award
• Premier/Care Science National Quality Award (top
  1 of inpatient hospitals)
• IPA and hospital, HPHC Honor Roll
• Top Employer Boston Business Journal, The Boston
  Globe, Fortune
• High satisfaction physician, employee, patient
• Centers for Excellence in certain areas

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Background

• Physician, VP for Medical Affairs at Winchester
• Executive sponsor for a team
• Serve on Senior Leadership Team
• Infection Prevention reports to Director of
  Surgical Services
• Senior Team recognized growing strategic
  importance of infection prevention
• Reviewed with Team CEO assessment of in- patient
  activities

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The Beginning

• Followed tips from Jim Conways presentation
• Initial meeting at the Collaborative very helpful
  in allowing me to meet team (WHO checklist) and
  help them reframe the scope and timelines
• Regular updates very helpful to keep focus and
  provide project management something other
  groups have asked for

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Summary of Jim Conways Tips

• System-level aims
• Regular review of progress
• Removal of barriers to success
• Regular celebration of achievement

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So then what happened

• Leader adapted the tools to take advantage of
  our culture. Every team is different
• My job became promoting the team via
  presentations at Quality, Board, Leadership Loops
• How to Spread

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Spread

• Start a weekly huddle for PI team leaders
• CNO co-led the huddles, No agenda, Peer support
• HAI team had enthusiastic leader who was able to
  point out barriers, make you laugh and actually
  think your were complimented
• Compare stuck teams to the HAI team

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What we found

• Lack of collaborative
• Lack of regular updates and learning initiatives
• Lack of sponsors
• Lack of recognition
• Lack of advice Money is not a deterrent

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What should we do?

• Look for collaboratives
• Form our own WinCollaborative with Sue Gullo to
  launch it as guest speaker
• Motivational and connected history of leaders in
  nursing and medicine, and their carrying of the
  torch
• Have to have an exec sponsor
• Have to attend the kick-off session
• Have to attend regular updates
• Encourage external collaboratives
• Train our leaders became institutional goal

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Leadership Training

• Participate in Performance Improvement projects
• Leadership Loops on Tools including
• Positive Deviance
• Lean
• Just Culture
• Safety Behaviors