CFR Advisory - RCPA Annual Conference · • Assess your own ability to multi-task • Understand •The sources of resilience •How building your resilience improves your performance

© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 CFR Advisory, LLC. All rights reserved.

Powering Professional Performance

CFR Advisory

© 2014 Leo F. Flanagan, Jr. and The Center For Resilience© 2016 The Center For Resilience, LLC. All rights reserved.

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© 2014 Leo F. Flanagan, Jr. and The Center For Resilience

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“We are very good at preparing to live, but not very

good at living.

We know how to sacrifice ten years for a diploma,

and we are willing to work very hard to get a job, a

car, a house, and so on.

But we have difficulty remembering that we are

alive in the present moment, the only moment there

is for us to be alive.”

Thich Nhat Hanh



CFR Advisory

© 2016 CFR Advisory, LLC. All rights reserved.2

Leo F. Flanagan, Jr., PhDCo-Managing [email protected]

The Center For Resiliencewww.CenterForResilience.com

Thomas L. BiancoCo-Managing Partner

[email protected] 655-5017


CFR Advisory

Building Lifelong Resilience

For

Health And Human Services Executives

2



CFR Advisory TO D AY, I I N V I T E Y O U TO . . .

• Think about work and life as we know them

• Consider the research on the impact of our world as we know it on our efficiency, productivity, quality of work, and well-being

• Assess your own ability to multi-task

• Understand

•The sources of resilience

•How building your resilience improves your performance and well-being

• Learn core skills that build your resilience

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CFR Advisory

What The Research Says About Work As We Know It . . .



CFR Advisory

© 2014 Leo F. Flanagan, Jr. and The Center For Resilience

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Rehashing Rehearsing

2047%Copyright©2014LeoF.Flanagan,Jr.,PhD

BeingPresent

4/11/17

©2014LeoF.Flanagan,Jr.andTheCenterForResilience

11.5 Minutes Before

Being Distracted

Daily Personal

Efficiency

32%

On average you check

your “Smart” phone

every

5 minutes

144 times in a 12 hour

day.

41%

Never Return To The

Priority After Being

Distracted



CFR Advisory T H E E P I D E M I C O F B U R N O U T

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Shanafelt TD, et al. (2015) Changes in Burnout and Satisfaction With Work-LifeBalance in Physicians and the General US Working Population Between 2011 and 2014. Mayo Clinic Proceedings. 90(12):1600-13

Stress Is The

“Health Epidemic Of The 21st Century”

World Health Organization



CFR Advisory B U R N O U T M AT T E R S

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Mayo Clin Proc. Jan 2017;92:129-146.



CFR Advisory C H AN G E O U T PA C I N G H U M A N AD A P TA B I L I T Y

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Graphic from Thank You For Being Late by Thomas L. Friedman, 2016

Resilience



CFR Advisory THE QUADRUPLE AIM

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Improved Clinician

&Staff

Experience

Improved

Patient

Experience

Lower

Cost

Better

Outcomes

Ann Fam Med. Jan 2014;12:573-76.



CFR Advisory

The Multi-tasking Challenge!



CFR Advisory

© 2014 Leo F. Flanagan, Jr. and The Center For Resilience11

Multitasking Challenge 1



CFR Advisory

© 2014 Leo F. Flanagan, Jr. and The Center For Resilience12

Multitasking Challenge 2



CFR Advisory PRODUCTIVITY DECLINE AS A RESULT OF MULTI -TASKING

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

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Pro

du

ctiv

ity

Task Changes


Perry-Smith, B.J. and. Bachrach, D. G. [2010] The Perception

Of Difficulty In Project-work Planning And Its Impact On Resource Sharing. Journal Of Operations Management



CFR Advisory W H Y C O G N I T I V E AS S E S S M E N T S AR E N ’ T P R E D I C T I V E . . .

• The median duration of focus is about 40 seconds1

• You switch focus up to 400 times a day

• You double or triple your error rate2

• Your effective IQ drops 15 points

1Mark, G., Iqbal T. A., Czerwinski M., Johns P., Sano. A.,"Neurotics Can't Focus: An in situ Study of Online Multitasking in the Workplace,"Proceeding of the thirty-fourth annual SIGCHI conference on Human factors in computing systems (CHI’16), 2016.2 Momentary interruptions can derail the train of thought.

By Altmann, Erik M.; Trafton, J. Gregory; Hambrick, David Z.

Journal of Experimental Psychology: General, Vol 143(1), Feb 2014, 215-226

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CFR Advisory

Share specifically:

What are the implications of what

we’ve covered for you?

Time for a “buzz group” . . .



CFR Advisory

Resilience:

“psychological & biological strengths necessary to master change …

a strength that most of us can develop with thought and practice”

Frederic Flach, M.D. Resilience: Discovering A New Strength at Times of Stress

16Copyright © 2014 Leo F. Flanagan, Jr., PhD



CFR AdvisoryW H AT AR E T H E B E N E F I T S O F B U I L D I N G Y O U R R E S I L I E N C E AN D T H AT O F Y O U R O R G AN I Z AT I O N ?

• 17% increase in productivity

• 29% increase in positive emotions

• 26.5% increase in self-awareness

• 25% decrease in reactivity

• 13% increase in confidence

• Greater optimism

• Stronger Relationships

• 32% increase in physical well-being

• 15 -20% greater financial performance [team resilience]

• 26% increase in information processing

• 26% increase in perception

• Increased working memory

• Increased ability to solve complex problems

• Increased critical-thinking

• Better decision-making

• 60% increase in identifying potential compliance issues

Copyright © 2014 Leo F. Flanagan, Jr., PhD

Overall Improved Performance & Ability To Thrive



CFR Advisory O U R M E TA - M O D E L O F R E S I L I E N C E

The Ten Factors That Define Resilience

GritPerseverance and passion for long-term goals

Courage in managing fear of failure

Working tirelessly

Driving through setbacks

Pragmatic OptimismBelieves that the future will be better and they will have a role in

making it so

Sees set backs as time limited, narrow in focus and overcome with

personal talents and motivations

Self-reflectionAbility to objectively review past behaviors, attitudes, perspectives and

results

Changes behavior based on learning from past experience

Engaging Others In A Higher

PurposePaints a compelling picture of serving a higher purpose[s] than

financial success

Enables each team member to see themselves playing a role in

serving a higher purpose

Self-controlMakes conscious choices under pressure

Controls expression of emotions to maintain relationships and personal

performance

Fact Based Decision-MakingGathers facts being considered by others to inform decisions

Grounds assumptions, conclusions, decisions and actions on facts

FocusMaintains attention to the matters and people at hand

Minimizes distractions

Cultivating SupportSets positive tone for team

Attributes other success to commitment

Attributes others failures to insufficient practice

Balanced Goal SettingPursues measurable goals in four life arenas: work; family/personal;

health/spiritual; and community

Ability To PivotBefore tackling any problem develops 3 or more potential solutions

When first solution is blocked quickly executes next solution

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Helping People Perform Under PressureImproving Professional PerformancePowering Professional Performance



CFR Advisory


Pragmatic Optimism

Believes that the future will be better and they will have a role in making it so

Sees set backs as time limited, narrow in focus and overcome with personal talents and motivations

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CFR Advisory

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PESSIMISM VS. OPTIMISM

Pessimistic Perceptions Optimistic Perceptions

Set Backs

Set-backs are permanent Set-backs are temporary

Set-backs are pervasive –

they are a sign of an overall

weakness

Set-backs are limited to a

particular set of

circumstances.

Set-backs are my fault Set-backs are overcome by

my talents and motivation

Wins

Success doesn’t last Success encourages me

Success doesn’t change

everything

Success builds on itself

I got lucky I set myself up for success



CFR Advisory OPTIMISM IS A SKILL THAT BUILDS MOTIVATION

You build optimism with behaviors

What Went Well

Accepting

Practicing Optimism

Gathering And Managing Social Support



CFR AdvisoryT H E F I V E T H I N G S W E C AN N O T C H AN G E & T H E H AP P I N E S S W E F I N D B Y E M B R A C I N G T H E M

1. Everything changes and ends

2. Things do not always go according to

plan

3. Life is not always fair

4. Pain is part of life

5. People are not loving & loyal all the time

By: David Richo

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CFR Advisory

You build resilience with behaviors

What Went Well: Tactic

• At the end of each day write three to five things that

went well and why

• Review every two weeks

• Please do this each night, beginning tonight, until I

return


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CFR Advisory PRACTICING OPTIMISM

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• When you experience a set-back, ask yourself the

following three questions:

– Is this really a permanent set back? Won’t it’s

importance fade with time?

– Does this really impact everything that is important to

me? Or is it limited to one area of my life or career?

– Can I apply my skills and focus my motivation on

moving forward?

• Next, connect with someone you trust.

• Be vulnerable, share the set-back

• Ask them to share their perspective on the above three

questions




CFR Advisory


Balanced Goal Setting

Pursues measurable goals in four life arenas: work; family/personal; health/spiritual; and community

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CFR Advisory

8/30/2017© Leo F. Flanagan, Jr., PhD & H.E.A.R.T. 9/11 2014

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T H E I M P O R TA N C E O F A BA L A N C E D P O R T F O L I O

In Investing . . .

Work100%

Commitments

In Life . . .

Investments




CFR Advisory

8/30/2017© Leo F. Flanagan, Jr., PhD & H.E.A.R.T. 9/11 2014

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In Investing . . .

Work25%

Community25%

Relationship25%

Health/ Spirituality

25%

Commitments

In Life . . .Investments

T H E I M P O R TA N C E O F A BA L A N C E D P O R T F O L I OPowering Professional Performance



CFR AdvisoryTHE FOUR MOST POWERFUL QUESTIONS

1.What do you want?

2.What are you doing to achieve it?

3.How is that working?

4.What is your plan?


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Answering these four questions motivates me to adapt, without triggering my resistance while neutralizing decision biases.




CFR Advisory

Copyright © 2014 Leo F. Flanagan, Jr., PhD29

The Four Most Powerful Questions

Answering and reflecting on your answers to these four questions is one of the most powerful ways of focusing and motivating

yourself to achieve fulfillment. In the chart below, begin by listing 3 – 4 things you want in the first column. Be specific. Next answer

the questions in columns 2 – 4 in regard to each of the things you want.

Step 1: What do I want? Step 2: What am I doing to

achieve this objective?

Step 3: On a scale of 1 [not at all] to

5 [extremely well], how is that

working?

Step 4: What is my plan?

Professionally:

Family/Home:

Socially/Community:

Health/Spirit:

The Four Most Powerful Questions Tool



CFR Advisory


Ability To Pivot

Before tackling any problem develops 3 or more potential solutions

When first solution is blocked quickly executes next solution

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CFR Advisory

For you:60 hours per week X 14% = 8.4

hours personally saved

For the enterprise:?

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Option Evaluation Grid

Objective:

Criteria

Options

Criteria 1 Criteria 2 Criteria 3 Criteria 4 Criteria 5 Criteria 6

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1. On the chart below, write in the objective you want to focus on achieving.2. Next write in 4 – 6 criteria that must be met for you to feel you were successful in achieving

your objective.3. Brainstorm 6 – 8 options for achieving your objective.4. Now evaluate each of your options against all of the criteria.5. Select your best option.

8/30/2017

Aligning Your Options



CFR Advisory


Focus

Maintains attention to the matters and people at hand

Minimizes distractions

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CFR Advisory

Mindfulness is the awareness that emerges through paying attention, on purpose, in the present moment,and nonjudgmentally, to things as they are.

—Williams, Teasdale, Segal, and Kabat-Zinn (2007)

S R

Between the stimulus and the response there is a space. In that space is our power to choose our response. In our response lies our growth and freedom.

- Victor Frankel

S A R

Copyright © 2014 Leo F. Flanagan, Jr., PhD8/30/2017 © 2014 Leo F. Flanagan, Jr. and

The Center For Resilience

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CFR Advisory

After 8 weeks of meditation, brain imaging shows significant changes in brain density in areas related to:• Working memory• Perception• Decision-making• Social interaction• Emotional controlBritta K. Hölzel, James Carmody, Mark Vangel, Christina Congleton, Sita M. Yerramsetti, Tim Gard, and Sara W. Lazar. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res. Jan 30, 2011; 191(1): 36–43.

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CFR Advisory

May you be safe

May you be healthy

May you be happy

May you live with purpose

May you live with ease

Many thanks!

35Copyright © 2014 Leo F. Flanagan, Jr., PhD

Documents

CFR Advisory - RCPA Annual Conference · • Assess your own ability to multi-task • Understand •The sources of resilience •How building your resilience improves your performance