we think that you know in healthcare
we're very reluctant to look outside of
ourselves we think we have all the
answers that healthcare is such a unique
and special endeavor and indeed it is
but as we've learned from the music
paradigm we have lots of lessons to
learn from those outside of health care
I want to create a safe enjoyable
environment because for the resistant
people that's the environment that's
going to make them most open to looking
at themselves anew it's very difficult
to blame somebody else for the sound
that's coming out of your own instrument
when you're the only one in the room and
so we became incredible problem solvers
with our hands and we also are a very
accurate organization we don't really
were not satisfied with 98% accuracy we
really want a hundred percent accuracy
one of the things that we've been
talking about for some time is the
concept of eliminating medical injuries
from errors and mistakes the obvious
relevance to what we try to do in our
complex system of healthcare was I think
extraordinary you're seeing your
organization in the orchestra
I think everyone sat there and said you
this is a wonderful framework to think
about what we do but because it isn't
your workplace it allows you to discuss
those things you know to be issues in
your workplace in a non-threatening
manner I use the orchestra to show the
difference between what's just sort of
adequate professional playing and really
inspired visionary playing and people
can feel that and they transfer that to
themselves I said well what could it be
like if we collectively could do
something really great every person in
the organization has to be involved and
feel like they have a role in ensuring
the safety of patients the music
paradigm gave that clear clear message
about how every member of the
organization is absolutely critical for
that you can have the greatest soloist
in the world but if they're not playing
the same notes at the same time off the
same sheet of music if they're not a
very harmonious result and I think
that's something that's that resonated
with all of us that that's a lot of the
issue that we face is we've got a
culture of soloist in an environment
that requires a coordinated team effort
there were so many moments in in the
music paradigms presentation where I was
looking around and I saw people shaking
their heads completely relating I saw
CEOs shaking their heads when he was
talking about leadership I saw people
who were clinicians and practitioners
shaking their heads when he was you know
focusing in on the team and had a play
together when Rodger conducted in
particular ways to show somewhat
dysfunctional leadership
when he was conducting in a different
manner and basically directing them more
and you could see not only was he being
more directive but he also his passion
wasn't the city
and then he spoke to the musicians and
the musicians said well you know we had
nothing to do and so what's it like
working with this conductor well it
defeats the purpose of me actually being
trained or any of us to be trained as to
what we're doing because we no longer
have any responsibility for our actions
because you've taken it over I can we
can detach we can detach from what's
going on because you have taken over the
responsibility of everything it's a like
a control issue it's very profound what
you're saying now our skills have become
negated by by your control over
everything every aspect of the piece
leaders have to understand that they
can't go around telling people what to
do they have to inspire people they have
to have vision they have sure to show
direction all the things that a
conductor has to do I never would have
made that connection before I never saw
it before and it just was just so
magical to watch the way the conductor
was able to pull that together for me I
took away things like leaders don't
should not necessarily be doers but in a
blurs that micromanaging is actually
sends the signal that you don't trust
every one I have seen since the session
this morning everyone has stopped and
said that was the most amazing
experience I've ever had in a meeting I
mean it was truly people were moved
because they were relating to what he
was saying and it was bringing them back
to why they went into health care and
then this morning was just on the level
I just couldn't imagine you could reach
just the whole experience I could just
feel permeating like my body was just
amazing I went out of the meeting this
morning I had a phone call with some
issues at work I needed to take care of
and the first thing I did was to pause
and say do not micromanage respect your
teammates understand they have great
ability I want to affirm them which is
exactly what I did so did it affect me
immediately
it's an incredible program it's
incredible I just don't know how we can
ever do anything
