4. Driving healthcare change (Oral)

Strategies for transformational change: Harnessing our collective strength 

Alberta Health Services (AHS) is no stranger to transformational change. Canada’s first and largest province-wide, fully-integrated health system, we are leaders in areas such as stroke care, transplant surgeries and enhancing care in the community. As part of this constant state of change and innovation, AHS has been engaged in several organizational culture initiatives. A set of core behavioural competencies, known as AHS Competencies, have been developed to serve as foundational support for how we live our organizational values. We have transformed our performance appraisal system, shifting from a ratings-based annual review process to a sustainable, inclusive strategy of ongoing coaching and goal setting. Finally, we are transforming how we learn by offering staff the opportunity to design their own learning journey by moving to a learning continuum ranging from foundational to advanced levels of development, while also moving to a more inclusive approach to developing leadership in an initiative called Your Learning, Your Way. Leveraging the Prosci® Change Management Methodology and ADKAR model, this panel will discuss how each of these innovative solutions were identified, developed, implemented and evaluated through the lens of co-creation, leading practice and agile change strategies. Organizational outcomes and unintended consequences will be discussed and debated, while considering the implementation of each initiative within our complex, multifaceted and geographically dispersed organization. Creative consultation strategies will be discussed and critiqued, along with how and why barriers to identified solutions were overcome. Presenters will reflect on what went well, what they would differently, and the importance of being responsive, adaptive and innovative in the face of emerging constraints, demands and challenges. Unique to this presentation is that all speakers provided subject matter expertise to each of the initiatives, allowing for a rare opportunity to showcase the value of collaborative change strategies and an integrated perspective on organizational change. The panel moderator, a scholar-practitioner in systemic and transformational change, will facilitate discussion of the specific change strategies, paying particular attention to the psycho-social aspects of organizational change. Key discussions will focus on how the panelists ensured the shift from theory to practical application. Session attendees will be invited to question and challenge the panel regarding the strategies selected and the decisions made.

Modeling AHS’ foundational approach to transformational change, the panel format will enable each of the panelists to identify the intersections between each of the transformational solutions being discussed and how these solutions represent critical puzzle pieces to AHS’ People Strategy.

Isleta M Ricketts – Alberta Health Services

Alana Casement – Alberta Health Services

Jackie Specken – Alberta Health Services

Deb Smart – Alberta Health Services


What’s up doc? How to effectively communicate data with physicians to drive change

We all know the importance of using data to drive change, but is it any different when it comes to engaging physicians in change? Can data be used as a way of driving engagement? What’s the best way to communicate data that will result in change? How do physician and administrative leaders work collaboratively as a team to effectively communicate performance data? Through a research study and lived experience, the purpose of this session is to share how one hospital used both physician performance data and influencing strategies to significantly increase patient safety and quality. Using patient-informed indicators, London Health Sciences Centre achieved upwards of 20% improvement in patient safety indicators after introducing a physician performance reporting system. Five key recommendations will be shared, along with practical tips to harness the power of data.

Tammy Quigley – London Health Sciences Centre

Andrea Lum – Western University

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