Leo Kearns National Lead Transformation and Change

Clinical Leadership in the Context of

System Reform

“Unlike even the very best management process, leadership has as its primary function the production of change.

Without leadership, purposeful change of any magnitude is almost impossible”

John Kotter, 1992

Fundamental reform of the model of health

care

Societal ChangesIreland

People & Culture

EconomicsA complex

System

Quality & Patient Safety

Health System ReformsEmpower those closest to patient

Clear responsibility, authority and accountability at all levelsDesign and implement integrated models of care

Prevention a strategic priorityQuality designed in

All financial levers used to incentivise models of careNecessary knowledge and information available at all levels

Motivated staff working in a positive and accountable cultureRebuild trust

System-level, strategic understanding and control

7Hospital Groups

90Primary Care

Networks 50,000 avg. population

REFORM of social care,

mental health and health and

wellbeing services

9Community Healthcare

Organisations

Saolta Hospital Group

UL Hospital Group

South/ South

West HG

RCSI Hospital Group

Ireland East

Dublin Midlands

Children's Hospital Group

Community Healthcare Organisations & Hospital Groups

AcutePrimary Mental Health

Social Health & Wellbeing

Older Person …. Clinically led, multi-disciplinary, design authority

Children …

Chronic Disease Prevention & Management …

Maternity …

Patient Flow …

Finance

Human Resources

ICT/eHealth

Service Improvement

change managementperformance improvement geographic,

cross boundary,

transition to BAU

Integrated Care Programmes

Performance Indicators/Assurance

Des

ign

Auth

ority

Enab

lers

Reform of Human Resources A vision & strategy for people in the health service

Engagement

Knowledge Data

Accessibility

Work Optimization

Leadership, Managements

and Talent Management

Learning and Development

Reform of Human Resources A vision & strategy for people in the health service

Engagement

Knowledge Data

Accessibility

Work Optimization

Leadership, Managements

and Talent Management

Learning and Development

Finance

A new Financial Operating

Model

Activity Based

Funding

E- Health

Richard CorbridgeChief Information Officer

Call for NominationsCouncil of Clinical Information Officers - Office of the Chief Information Officer A Council of Clinical Information Officers has been established to provide clinical governance to the delivery of eHealth solutions and in particular the Electronic Health Record (EHR) Programme. Its role is primarily as an advisory group, supporting the primary governance and oversight provided by the Office of the CIO and the eHealth Ireland committee. It is composed of a wide clinical leadership, and those with hands-on successful programme delivery experience in the Irish healthcare system. There are deep and diverse experiences and perspectives represented on the Council which will support the development of national level programmes such as Electronic Health Record (EHR) Programme and the eReferral programme. Current Membership is as follows: Member TitleGrainne Wyer ICT Clinical Analyst, Sligo Joyce Healy Senior Physiotherapist.Mary Fitzsimons Principal Physicist, Beaumont Prof. Richard Greene Professor Clinical Obstetrics, UCC; Director of the National Perinatal Epidemiology Centre, Newborn & MaternalDr. Linda Nugent Research fellow, RCSI Faculty of Nursing and Midwifery/NMPD.Michelle Kearns Director of IT Dr. Brian O'Mahony National ICT Project Manager, GPIT Group. Dr. Conor O'Shea Practising GP; National Co-ordinator, GPIT group, ICGP. Dr. Rob Landers Clinical Director Dr. Brian Marsh Clinical Director Emma Benton Therapy Professions Advisor

Broadcast

Population and patient

National CentrePopulation Needs AssessmentIntegrated Strategy & PlanningAccountability Frameworks &

PerformanceSystem-level Metrics

Service Delivery Organisations

Community Healthcare Organisations –

Hospital Groups – Ambulance – National

Screening – PCRS

The Centre

Population and patient

National CentrePopulation Needs AssessmentIntegrated Strategy & PlanningAccountability Frameworks &

PerformanceSystem-level Metrics

Service Delivery Organisations

Community Healthcare Organisations –

Hospital Groups – Ambulance – National

Screening – PCRS

The Centre

Clinical Leadership

How could we possibly imagine that clinical leadership was not at the heart of these reforms?

Leadership

This is an individual challenge for each one of us.

It is a cart if it travels well, else it is but timber

Hindu Proverb

“You’ve got to think about big things while you’re doing small things, so that all the small things go in the right direction”

Alvin Toffler