Collaboration in Health Care: The Journey of an Accidental Expert? | Joy Doll | TEDxCreightonU

Summary

This video shares the journey of an accidental expert in transforming healthcare through collaboration, innovation, and personal growth. The speaker discusses the challenges of improving healthcare, including the lack of interprofessional teamwork, the business complexities, and how traditional education fails to teach professionals how to work together. Through the lens of a healthcare team's experience, the speaker outlines six lessons for success: grit, overcoming rejection, letting go of ego, fostering psychological safety, defining team culture, and understanding oneself. Ultimately, the speaker emphasizes the importance of collaboration in healthcare transformation, stressing that positive change requires diverse perspectives and working together.

Takeaways

• 😀 Healthcare in the United States is ineffective, inefficient, and very expensive, and there is a need for systemic changes.
• 😀 The speaker became an 'accidental expert' in healthcare transformation through an experience of collaborating with diverse healthcare professionals.
• 😀 Interprofessional collaborative care involves healthcare providers working together with patients and families to deliver cohesive care.
• 😀 Healthcare faces challenges such as a lack of uniformity across systems, and difficulty in pricing transparency and accessibility.
• 😀 The quadruple aim in healthcare includes improving population health, care experience, and cost, while addressing clinician burnout and well-being.
• 😀 The speaker's clinic saw dramatic improvements, including reductions in emergency visits, hospitalizations, and costs, while improving employee engagement.
• 😀 A key challenge in healthcare is the 'business of healthcare,' which involves different service models, unclear pricing, and financial disparities.
• 😀 The education of healthcare professionals often lacks emphasis on collaboration, which is critical to high-performing healthcare teams.
• 😀 Success in healthcare transformation involves having grit, the willingness to push through difficulties and challenges.
• 😀 Cultivating collaboration requires embracing psychological safety and assuming positive intent, ensuring everyone feels safe to contribute and learn.
• 😀 To create effective teams, individuals must know themselves well, including both their strengths and weaknesses, and be willing to address areas for improvement.

Q & A

What is the main theme of the speaker's message?

The main theme is the importance of collaboration in healthcare, the challenges faced in improving the system, and the personal lessons the speaker learned in the process of implementing collaborative care.

Why does the speaker refer to their journey as an 'Alice in Wonderland' experience?

The speaker uses the 'Alice in Wonderland' metaphor to describe how they unexpectedly became involved in healthcare reform and how they navigated an uncertain and complex process, much like Alice exploring a strange world.

What are the three main goals identified by the Institute for Healthcare Improvement to improve healthcare delivery?

The three main goals are improving population health, improving the experience of care, and reducing healthcare costs.

What is the 'quadruple aim' in healthcare, and why is it important?

The 'quadruple aim' adds a fourth goal to the healthcare improvement framework: taking care of clinicians by addressing issues like burnout and mental health, which are critical for maintaining a healthy and effective workforce.

What challenges does the speaker identify in the healthcare system?

Two main challenges are the lack of uniformity across healthcare facilities, which makes it difficult to implement a single model everywhere, and the inadequacy of current health profession education that does not emphasize teamwork.

How does the speaker compare healthcare to McDonald's?

The speaker compares healthcare to McDonald's by highlighting the uniformity of a Big Mac across locations, whereas healthcare services vary widely across facilities, making it difficult to create standardized care models.

What is the significance of psychological safety in healthcare teams?

Psychological safety allows team members to speak up and share their opinions without fear of judgment or consequence, fostering a collaborative environment where everyone can contribute to improving care.

What are the two mottos that define the culture in the speaker’s clinic?

The two mottos are 'Everyone teaches, everyone learns,' which promotes mutual respect and shared learning, and 'Assume positive intent,' which encourages team members to view each other’s actions and opinions as supportive rather than adversarial.

How does the speaker suggest individuals can contribute to systemic change?

The speaker suggests that systemic change begins with personal change, emphasizing the importance of understanding and adjusting one's own actions, strengths, and weaknesses in order to make a positive impact on the wider system.

What is the most difficult lesson the speaker shares, and why is it important?

The most difficult lesson is knowing yourself, particularly understanding both your strengths and weaknesses. This self-awareness is crucial for effective teamwork and for addressing any behaviors that could negatively impact the team.