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Neil J. Baker M.D.
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Pay Now or Pay Later                                                              The Value of Taking Time to Shape Culture

2/13/2019

 
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See article on the Institute for Healthcare Improvement Blog at


Pay Now or Pay Later

Psychological Safety: simple, important, and fragile

10/18/2018

 
​Video (3 min. 20 sec.)
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References
(1) Edmondson, Amy C. et al Psychological Safety: The History, Renaissance, and Future of an Interpersonal Construct          Annu. Rev. Organ. Psychol. Organ. Behav. 1: 23 – 43, 2014
(2) 
Perlow, Leslie et al Is Silence Killing Your Company? Harvard Business Review May 2003
(3) 
Raemer, Daniel B. et al Improving Anesthesiologists’ Ability to Speak Up in the Operating Room Acad Med. 91:530–          539, 2016

(4) Salazar, Marco J. Barzallo et al Influence of Surgeon Behavior On Trainee Willingness to Speak Up: A Randomized           Controlled Trial J Am Coll Surg 219:1001-1009, 2014

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In this article you will learn what psychological safety is and why it is simple, important, and  fragile. 

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Black Holes--an invisible danger to change initiatives

5/29/2018

 
Video (3 min.)
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References
1. Beer, Michael High Commitment, High Performance Jossey-Bass 2009
2. Conner, Daryl R. Managing at the Speed of Change Villard Books 1992
3. Crosby, Robert P. Solving the Cross-Work Puzzle VIVO! Publishing 2010 
4. Scherr, Allen L. and Jensen, Michael C. A New Model of Leadership Harvard NOM Research        Paper No. 06-10, Barbados Group Working Paper No. 06-02, 2007

Tool for Ongoing Review Meetings
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In this article you will learn about black holes and how to prevent them from endangering change initiatives. ​

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When Decisions Cause Distress--                                                 a path of courage and compassion

3/27/2018

 
Video (3 min.)
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Reference
  1. Heifetz, Ronald A. Leadership Without Easy Answers The Belknap Press 1994

Additional resources
  1. Are flaws in decision making causing conflict and poor alignment--a quick diagnostic
  2. We have a consensus!....?

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​(text of video)
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This article addresses a question I’m asked frequently by leaders: How can I foster an environment of empowerment when I have to make decisions at times which may cause some people to feel disempowered and distressed?  

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Power Literacy: Own and Leverage Your Power

2/25/2018

 
Video (3 min.)
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References
  1. Kim, Sara A New Focus in Healthcare Conflict Research Journal of Community and Public Health Nursing Volume 3, Issue 4, 2017
  2. Baker, Neil Flattened Hierarchy = Increased Empowerment? 
  3. Liu, Eric You’re More Powerful Than You Think: a citizen’s guide to making change happen Public Affairs 2017

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In this article, you will learn the basics of power literacy in order to enhance your effectiveness. 

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The Leadership Fractal--                                                                Simple Rules to shape culture

1/9/2018

 
Video (3 min.)
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References
  1. Wheatley, Margaret J. Leadership and the New Science: Learning about Organization from an Orderly Universe Berrett-Koehler Publishers Inc. 1994
  2. Rodin, Scott R. The Steward Leader InterVarsity Press 2010
  3. Sull, Donald and Eisenhardt, Kathleen M. Simple Rules: How to Thrive in a Complex World Houghton Mifflin Harcourt 2015

Additional Information and Resources
  1. For more information on Simple Rules (also called In-the-Moment Leadership Strategies) see website at neilbakerconsulting.com.
  2. Subscribers can reference the Resource Guide. If you wish to subscribe for free monthly articles and link to this guide, click on Subscribe. You may unsubscribe at any time. 

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This article will provide a brief introduction to the Leadership Fractal and how this concept can provide an efficient and effective way to shape culture in the flow of daily work. 

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How to Give Direction and Coach at the Same Time

10/21/2017

 
Video (4 min. 15. sec.)
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References
  • Coaching methods
    • How To Coach When There Is No Time
  • Setting team norms
    • An Easily Missed Ingredient for High Team Performance
  • Feedback and going first
    • Vulnerability, results, and leadership
    • Teamwork as perpetual feedback
  • Clear, consistent decision making
    • Are flaws in decision making causing conflict and poor alignment?

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​In this article you will learn how to give direction and coach at the same time. This is one of the more difficult balancing acts in leadership and it is crucial to the best results. 

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How To Coach When There Is No Time

8/28/2017

 
Video (4 min. 15 sec.)
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Reference
Whitmore, John Coaching for Performance Nicholas Brealey Publishing 2009

Questions Tool for Coaching
Obtain the tool by subscribing for free monthly articles at Subscribe. On subscribing you will receive a link to a page for subscribers only with a variety of tools including this one on coaching. You may unsubscribe at any time.  

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In this article you will learn why coaching is so important to effective leadership and how to coach when it feels like there is No Time.  

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Break Through to Your Elite Level of Leadership

6/28/2017

 
 Video (5 min. 50 sec.)
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Instructions to access Resource Guide
The Resource Guide for strategies which accelerate deliberate practice is available for subscribers only. Obtain a link to the guide by subscribing for free monthly articles at Subscribe. You may unsubscribe at any time. 

References
The full reference list for deliberate practice is available for subscribers only. Obtain a link to the list by subscribing for free monthly articles at Subscribe. You may unsubscribe at any time. 
1. Ericsson Anders, Pool Robert Peak: secrets from the new science of expertise Houghton Mifflin Harcourt 2016

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This article is for experienced, seasoned leaders who feel, or who have felt at some time in the past, the aspiration to bring their highest values, skills, and passion to any and all situations, including those that are very provocative and difficult. 

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Secrets to successful healthcare innovation too often stay hidden

5/29/2017

 
Video (5 min. 36 sec.)
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References
  1. Kahneman, Daniel Thinking Fast and Slow Farrar, Straus, and Giroux 2012.
  2. Baker, Neil J. et al Hidden in Plain View: Barriers to Quality Improvement Physician Leadership Journal (2) Mar-Apr 2016, 54- 57
  3. Lencioni, Patrick The Advantage Jossey-Bass 2012

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Tool for Ongoing Review Meetings for Improvement Initiatives
Available for subscribers only. Subscribe for free monthly resources and obtain a link to the tool by clicking on the subscribe button below . You may unsubscribe at any time. ​
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Text of video (4 - 6 min. reading time)
​In this article you will learn that secrets to successful healthcare innovation too often stay hidden, why this happens, and what is needed to uncover them. 

Here are two brief stories of improvement initiatives told at conferences in which critical success factors emerged only when I later talked individually with the presenters. 

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Beware of the Potential Harms of Trust: Five Safeguards

4/26/2017

 
Video (5 min. 40 sec.)
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Additional resources for developing norms
  • An Easily Missed Ingredient for High Team Performance
  • Don't wait. Apply principles for dialogue in every conversation.
  • Five Barriers to Feedback and High Capacity for Transformation
  • Are flaws in decision-making processes causing conflict and poor alignment?--a quick diagnostic

Brief overview and list of references for “Beware of the Potential Harms of Trust”
  • Available for subscribers only. Subscribe for free monthly resources and a link to articles and tools for subscribers only at Subscribe.

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Text of video (4 - 5 min. reading time)
​In this article you will learn about the potential harms of trust and five safeguards or ground rules to prevent them. How we define trust is the important issue. 

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Normalize Human Messiness                                                     to Enhance Psychological Safety on Teams

3/22/2017

 
Video (5 min. 38 sec.)
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References
  1. Edmondson, Amy C. Teaming Jossey-Bass 2012
  2. Salazar, Marco J Barzallo et al Influence of surgeon behavior on trainee willingness to speak up: a randomized controlled trial J Am Coll Surg 219: 1001 – 1009, 2014

Additional resources
  • Are you leading from reactivity or creativity?--four steps to see your blind spots
               Provides more details about indicators of "reactivity"--another term for "messiness."
  • A Key Barrier to Making Our Leadership Transformational
               Explains a method to reflect on personal behavior to identify our own messiness.
  • An Easily Missed Ingredient for High Team Performance
               Explains why team norms are so important and why it is so easy not to set them. 

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Text of video (4 - 5 min. reading time)
​Imagine someone has video-recorded you during every minute of your work the last week and you are now watching it. What are the odds that you will wince in some parts because of mistakes in the way you behaved or communicated?

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B = f (P, E)                                                                                       how to approach personality problems at work

2/15/2017

 
Video (5min.)
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References
  1. Weisbord, Marvin R. Productive Workplaces Revisited Jossey-Bass 2004
  2. Cooperrider, David Positive Image, Positive Action: The Affirmative Basis of Organizing in Appreciative Inquiry ed. by David L. Cooperrider et al, Stipes Publishing LLC 2000
  3. Miller, William R., Rollnick, Stephen Motivational Interviewing, Second Edition The Guilford Press 2002

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​Our beliefs about what causes problematic behavior in others substantially impact our ability to influence change. ​

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Are you leading from reactivity or creativity?                           ---four steps to see your blind spots

1/20/2017

 
Video (6 min. 30 sec.) 
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Tool
​
A Four-Step practice--Guiding Questions
​

References
1. Ellis, Albert The Road to Tolerance Prometheus Books 2004
2. Kahneman, Daniel Thinking Fast and Slow Farrar, Straus and Giroux 2011

Reference List on Reactivity

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Text of video (4 - 6 min. reading time)
In this article you will learn about a four-step practice for a major leadership challenge—seeing our own contribution to problems. I discovered this challenge in my first leadership position supervising a staff of doctors and nurses at a hospital.  

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Resistance is not about the people resisting

12/19/2016

 

Video (4 min. 39 sec.) 

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Links to brief articles
     Having trouble motivating others?--a quick diagnostic
     Active telling--the art of assuring people listen to you 

Reference
  1. Miller, William R., Rollnick, Stephen Motivational Interviewing, Second Edition The Guildford Press 2002

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with text of video

​Subscribe for free monthly articles and links to tools for subscribers only
Text of video (4 - 5 min. reading time)
​It is nearly automatic to feel that resistance is about the people resisting—that resistance is IN the resistors. 

When caught in this perspective, we tend to focus on our “messaging” (the content of what we are saying) in order to convince them or motivate them or get them to buy-in. This approach creates substantial risk that people will feel we are trying to change them leading to push back or passive compliance with a negative impact on results. 

There is a more effective way but it requires a shift in perspective. We need to see that it is not true resistance is IN others.

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Neil Baker Consulting and Coaching
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