Building a Culture of Health Through Change Leaders: The Clinical Scholars Program A Robert Wood Johnson Foundation Advancing Change Leaders Program Giselle Corbie-Smith & Claudia Fernandez
The serious challenges we face are rooted in problems to the very culture of health in the United States Her call for change leadership is to engage sectors beyond health and health care, promote teamwork and collaboration, advance diversity and leverage technology to support robust networks and enhance mentoring. --2015 President s Message Dr. Risa J. Lavizzo-Mourey President and CEO of the Robert Wood Johnson Foundation change leadership a concept from the business literature that focuses on initiating large-scale change, responding to urgent needs, actively tolerating risk, and seeking inspiration through collaboration
RWJF Culture of Health Leadership Teams Health Policy Research Scholars (HPRS): Johns Hopkins University, Baltimore, MD Interdisciplinary Research Leaders (IRL): University of Minnesota, Minneapolis, MN Thomas LaVeist, PhD Harolyn Belcher, MD, MHS Culture of Health Leaders (CHL): National Collaborative for Health Equity, New Venture Fund, Washington, D.C. J. Michael Oakes, PhD Jan K. Malcolm Advancing Change Leaders Clinical Scholars (ACL-CS): University of North Carolina at Chapel Hill, N.C. Brian Smedley, PhD Natalie Burke Giselle Corbie-Smith, MD, MSc Claudia Fernandez, DrPH
Wicked Problems Threaten a Culture of Health: A focus for Clinical Scholars Economic realities driving policy decisions Environmental and Housing justice Public Health consequences Medical sequelae Each solution leads to unanticipated problems A Wicked Problem Backdrop of historical and current inequalities Requires change leadership to address wicked problemsthreaten a Culture of Health
Who are Advancing Change Leadership Clinical Scholars? Clinically active providers including: -holding a terminal degree enabling practice or clinical licensure (MD, DO, DNS, DNP, DDS, DMD, DSW, PA, MSW, BSN, APRN, PsyD, AuD, RD, OTD/MSOT, PharmD, DPT, DVM) Mid-career: 5 years+ out from terminal training Primarily applying in inter-disciplinary teams of 2-5 (some individual slots available). Interdisciplinary is key! Can be existing or newly formed team, can be co-located or not Proposing a Wicked Problem Impact Project
Overarching Goals for training this cadre of leaders in creating a Culture of Health: Understand their leadership style and how to be increasingly effective in leading and managing others and working collaboratively and inter-professionally Advocate for positive change within your teams, organizations, community, or in policy Promote creative thinking, innovation, and thought diversity Understand how to appraise, synthesize, and use best evidence to guide practice and policy recommendations Communicate effectively with both technical and non-technical stakeholders in multiple formats Negotiate to create win/win outcomes for all stakeholders Positively impact complex issues that create Wicked Problems around achieving a culture of health across the country, demonstrating effectiveness in project outcomes Their project-focused learning presents a strong focus on Implementation Science
Creating a Culture of Health is a Classic Leadership Challenge Impacting Wicked Problems affecting Culture of health Leading Change Understanding Others Understanding Self
Curriculum Pedagogy: Weave together complementary threads to create a net of skills that will improve leadership performance with teams and working on Wicked Problems Launch Session Sept 2016 Onsite #2 April 2017 Onsite #3 Sept 2017 Onsite #4 April 2018 Onsite #5 Sept 2018 Onsite #6 April 2019 Onsite #7 Sept 2019 Individual Leadership Skills for Addressing Wicked Problems Team Leadership Skills for Addressing Wicked Problems Technical Skills for Addressing Wicked Problems Systems-Level Skills for Addressing Wicked Problems Participants developed as individual leaders Participants developed as interprofessional leaders Participants gain sophisticated and diverse skills Team Project Outcome: Impacting a Culture of Health
Advancing Change Leadership CS: Distance Learning System O N S I T E Individually-based ongoing learning Individual Development Plan Specialized Development Experiences (AH, CCPH) Executive Coaching Sessions Team Project Consultation and Coaching with Experts Team-based ongoing learning Topic specific Technical Assistance Calls Just in Time Asynchronous Web-based learning Impacting Wicked Problems in the Culture of Health Program Readings Synchronous Topic Specific Webinars Mentoring: Internal and External Group Wicked Problem Leadership Impact Project Team Project - based Peer Facilitation Calls ( Peer Coaching ) Distance Education activities support and continue onsite learning for both individuals and groups Leadership Skills Self-Assessment O N S I T E
Advancing Change Leadership CS: Onsite Program Insight Tools The Human Leadership mirror: Leadership Instruments: 360 feedback FIRO-B MBTI I & II Change Style Indicator Inter-Cultural Diversity and Conflict The FourSight Tool Thomas Kilman Conflict CPI 260 EQi 2.0 Individual Development Plan On-going Executive Coaching Simulation & Experiential Based Training Managing Difficult Conversations, Simulation Paper Planes Inc, Simulation The Organization Simulation Negotiation Experiential Media Communication Experiential Peer Coaching Experiential Selling Change Experiential
The Advancing Change Leaders Clinical Scholars Program follows our evidence-based leadership development method Pre-test Post-test N= 54 interdisciplinary clinical and health leaders Core Skills Organizational skills We have found similar results working with physicians, interprofessional leaders, and academic leaders with changes that are measurable at end of training, 6 months, and 1-3 years post training. These across the board statistically significant and clinically meaningful differences in skills are reflected in both skill level and use of skills for academic leaders. DOI: 10.1007/s10995-014-1573-1 MCHJ
Program Partners 12
Timeline DATE February 22 March 21 TODAY March 30 12-1 pm EST April 19 at 3 pm EST April 29- May 13 May 23-June 24 June 26- July 1 July 16 September 1 September 25-29 EVENT Call for applications opens Webinar for prospective applicants to learn more All program webinar Applications due Applications reviewed Applicant interviews Selection meetings Finalists selected Program grants begin In-person program launch Princeton, NJ http://clinical-scholars.org
http://clinical-scholars.org
http://www.rwjf.org/en/library/fundingopportunities/2016/clinical-scholars.html
Clinicians at the Leading Edge of Building a Culture of Health
Advancing Change Leaders: 4 new programs to change the Culture of Health in the United States Health Policy Research Scholars (HPRS): Johns Hopkins University Annual cohorts of 50 or more first- or second-year doctoral scholars in any eligible field from underrepresented or disadvantaged populations Interdisciplinary Research Leaders (IRL): University of Minnesota Annual cohorts of 20 threeperson research teams (two researchers from different disciplines + a community member or organization) Funding: $20,000/year for 4 years and competitive dissertation grant (up to $10,000) Commitment: 4 years, with optional 5 th year Funding: Annual stipend of $25,000/person and research grant of up to $125,000 Commitment: 3 years Culture of Health Leaders (CHL): National Collaborative for Health Equity Funding: $20,000/ yr/person & project support Annual cohorts of 50 individuals who can be in established or emerging teams from diverse area such as education, transportation, technology, public health, public policy, business, health care, community development, urban planning, etc. Clinical Scholars (CS): University of North Carolina at Chapel Hill Annual cohorts of 50 clinically active, interdisciplinary teams, limited individual slots Funding: $35,000 per team member unrestricted (for a team of 5 = $175,000/year or $525,000/3 years) 1 Commitment: 3 years Commitment: 3 years
Apply at: http://clinical-scholars.org Contact us for more information: Melissa Green, MPH Deputy Director for Recruitment and Communications magreen@email.unc.edu 919-843-3304 or 919-445-0329 Other Advancing Change Leaders Programs: Health Policy Research Scholars: www.healthpolicyresearch-scholars.org RWJF_HPRS@JHU.edu Culture of Health Leaders: www.cultureofhealth-leaders.org info@cultureofhealth-leaders.org Interdisciplinary Research Leaders: www.interdisciplinaryresearch-leaders.org ResearchLeaders@umn.edu