Sustainable Quality Improvement – Emotion, Inspiration, and Creativity

Quality is made up of interconnecting circles of complex activity; however, we are conditioned to see and think in quality straight lines. What we see depends on what we are prepared to see. Without exploring assumptions, healthcare organizations will be held hostage to indifference to quality failure and will be unable to reach quality improvement potential.

Quality is made up of interconnecting circles of complex activity; however, we are conditioned to see and think in quality straight lines. What we see depends on what we are prepared to see. Without exploring assumptions, healthcare organizations will be held hostage to indifference to quality failure and will be unable to reach quality improvement potential.

By harnessing and a leveraging emotional intelligence, inspiration and creativity, healthcare organizations can bring to the surface the fundamental issues that suppress organizational ability to spring forward with sustainable quality improvement.

Daniel Goleman in his book, Primal Leadership: Unleashing the Power of Emotional Intelligence, suggests “actions of the leader account for up to 70% of employees’ perception of the quality climate of their organization. Emotional intelligence is a key element of self-awareness and the ability to self-regulate. The leader personifies this capacity. This is the embodiment of self-integration.”

 

My personal emotional intelligence growth awakened me to the leverage potential of harnessing three powerful quality improvement truths: reflection fuels, people matter, and relationships make the difference.

Three Powerful Quality Truths

In my January 2020, ISQua Podcast – “Humanizing Quality Improvement”, I talked about three consequential ‘humanizing leadership’ realities that profoundly impact the ability to lead quality improvement effectively and help regulate the well-being and quality strength of a healthcare organization.

1. Reflection Fuels. Leaders operate within a web of people relationship systems, and the health and power of these relationships are dependent upon the level of trust they carry within. Leaders cannot expect to harness the inspirational and creative human energies of healthcare organizations, and relationships within them, if they fail to fully understand the impact their behaviour has on those who bring quality visions and goals to fruition. Reflect on this…when the leader lacks confidence, the followers, quality commitment.

2. People Matter. Too often, a “people matter” concept value statement is limited to the words printed on a piece of paper. It is not enough to merely recognize the role and significance people have within the healthcare organization; there must be a commitment to alter organizational “people matter” mindsets. Employees who are engaged are more open to innovative ideas and new tools. They are open to create and inspire new ways to enhance the work they do, rather than just performing the bare minimum required.

3. Relationships Make the Difference. Emotional intelligence helps to create the glue that holds the fabric of a human health system together, and the elasticity, bond, and effectiveness of the quality glue is determined by the overall people relationship welfare of your healthcare organization. Healthcare organizations do not exist of fragmented parts, but rather a series of human systems within a larger and connected human system. We are aware that structure follows strategy and function follows form, but relationships run the show. Without relationships, there is no quality strategy implementation, and there is no quality function, to begin with. What goes on between people; defines an organizations quality and more importantly, what it can become. 

Organizational spaces made up of people relationships is where important quality handoffs between functions happen, and where an organization has the greatest potential for quality improvement. It can also be a space of misinformation, misunderstanding and missed opportunity, for reasons I will highlight in my next post.

References:

Coleman, D. “Primal Leadership: Unleashing The Power Emotional Intelligence.” Harvard Business Review, 2013.

Short, R. “Learning In Relationship.” Learning In Action Technologies Inc. 1998

MacLeod, H.B. “Humanizing Leadership.” FriesenPress, 2019.

January 2020, ISQua Podcast – “Humanizing Quality Improvement”


ISQua Expert & Member, Hugh MacLeod retired as CEO of the Canadian Patient Institute in 2015. Currently, he is an Adjunct Professor of the School of Population & Public Health at the University of British Columbia.

Hugh has recently published his first book ‘HUMANIZING LEADERSHIP: Reflection Fuels, People Matter, Relationships Make the Difference’ which has been described as ‘Candid, concise, and skillfully delivered leadership advice.’


Registration for ISQua’s 37th International Conference in Florence, Italy (30 August – 2 September 2020) is now open, and discounted rates are available for Early Bird registrants, ISQua Members, applicants from low-income countries, and students. Please visit the conference webpage to find out more – https://www.isqua.org/events/florence-2020.html.

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Nourhan Kawtharani


Nourhan, a quality and safety coordinator with eight years of experience in ambulatory healthcare in Lebanon, aims to deepen her understanding of the systemic and holistic approach to healthcare through this fellowship.

She aims to identify gaps and develop tailored interventions that address specific contexts rather than applying general solutions. Engaging with diverse professionals and perspectives during this educational journey will expand the application of these concepts across different cultural settings.

Nourhan emphasizes the importance of promoting a culture of continuous learning and improvement within healthcare institutions, considering it a vital leadership responsibility to integrate quality and safety initiatives into the organizational culture.

Nourhan's commitment to patient safety and quality management includes sourcing practical resources and transforming insights into actionable knowledge to drive continued progress in healthcare practices and outcomes.

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Elom Otchi


Elom is passionate about improving quality of care and patient safety outcomes.

In view of this, he has had the opportunity to work in various capacities with various organisations including AfIHQSA, WHO, UNICEF and others undertaking research, supporting the development of national quality policies and strategies, facilitating the establishment of quality governance systems across all the levels of the health sector and building capacity of national and sub-national quality leads/teams to institutionalize the practice of quality and patient safety across the continent.

He has also worked extensively across all levels of care in the health sector of Ghana, including leading the Quality & Patient Safety program in its largest teaching hospital.

I would like to use this Fellowship as a learning platform and an opportunity to acquire the requisite knowledge, skills and competencies to complement ongoing efforts by like-minded individuals and organizations to continuously advance improve the quality and patient safety in Ghana and the continent.

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Stephen Taiye Balogun


Stephen is a Senior Programme Officer at the Institute of Human Virology in Nigeria as well as Country Representative for Health Information for All (HIFA).

Stephen plans to use this opportunity to maximise his impact by championing the cause of patient safety and quality in Nigeria and across Africa.

Stephen says "Quality and safety is a major wheel through which universal healthcare coverage can be achieved. The goal is to be a bridge in the gap between the International Quality Improvement and Patient Safety community and my country to ensure rapid spread, adoption, implementation and practice."

We are looking forward to working with both Stephen and our 2020 winner Rhoda Kalondu over the next year.

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Dr Rhoda Kalondu


Rhoda is the Head of the Patient Safety Unit at Kenyatta Hospital in Nairobi and wants to use this Fellowship to learn how to establish a culture of safety and develop systems for assessment and analysis at her institution, and more widely. As well as this, Rhoda intends to develop and execute an intervention to improve patient safety in Kenyatta National Hospital.

It is one thing to institute measures and processes for improvement, but quite another to change the culture of an environment. Rhoda's ambition to lead others in this change inspired the panel.

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Dr Subhrojyoti Bhowmick


I am an MBBS graduate from Calcutta University with a Gold Medal in Gynecology & Obstetrics.

I have completed M.D in Pharmacology from IPGME& R, Kolkata and have over 12 years of experience in the field of Clinical Research, Pharmacovigilance and Medication management in Hospitals.

I have completed certification in Clinical Research Administration & Project Management from Stanford University, USA and in Patient Safety from Johns Hopkins University, USA.

I am an Assessor for National Accreditation Board for Hospitals & Health care providers (NABH), India assessing hospitals for medication safety and clinical quality standards and NABH Assessor for Ethics Committee Accreditation program in India as well.

I serve as the Chairperson, Institutional Ethics Committee of Health Point Hospital, Kolkata and am associated with 2 other Hospital ethics committees as a member.

I finished my Fellowship in Healthcare Quality from the International Society of Quality in Healthcare (ISQua) from Ireland in 2017.

I have published several research articles and have also authored a chapter on “Regulations governing Clinical Trial” in the book “Fundamentals of Clinical Trial & Research”.

I am a peer reviewer for prestigious international journals like the British Journal of Clinical Pharmacology, CNS Drugs and Drug Safety case reports.

I am the recipient of the UK Seth Oration Award for Best Clinical Pharmacology paper by the Indian Pharmacological Society in 2009 and the “Most promising Healthcare professional in Patient Safety in India” award by the Asian African Chamber of Commerce and Industry in October 2018.

Recently in April 2019, I received the Young Quality Achiever award by Consortium of Accredited Healthcare Organizations (CAHO), India for 2019 for my work in the field of medication safety and clinical research.

I have a keen interest in teaching and am visiting adjunct faculty of Pharmacology at KMC, Mangalore, India and for Healthcare technology at MAKAUT, Kolkata, India.

I was associated with Stanford University School of Medicine, in the USA as a Senior Clinical Research Associate from 2015 to 2017 and have certification in Biostatistics, Evidence-based Medicine and Medical Writing from Stanford University.

Currently, I am working as the Clinical Director of Academics, Medical Quality and Clinical Research at Peerless Hospital and B K Roy Research Centre, Kolkata.

I am very happy and thrilled to receive the prestigious ISQua Lucian Leape Patient safety Fellowship Award for 2019 and I look forward to honing my skills further in the field of healthcare quality and patient safety through my experiences during this fellowship.

I sincerely believe that successful completion of this fellowship will help me evolve as a more confident Patient safety leader in India who in turn can provide significant inputs on policy changes through NABH for the Indian healthcare system.

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