Improving Primary Care with Human-Centered Design and Partnership-Based Leadership
Objective: The purpose of this quality improvement project was to empower and activate first-line staff (FLS) to improve the six-month depression remission rate in a primary care clinic. Background: Lack of workforce engagement has been identified as an emerging national problem in health care an...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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University of Minnesota Libraries Publishing
2017-06-01
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| Series: | Interdisciplinary Journal of Partnership Studies |
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| Online Access: | https://pubs.lib.umn.edu/index.php/ijps/article/view/166 |
| _version_ | 1811245612035735552 |
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| author | May-Lynn Andresen Teddie M Potter |
| author_facet | May-Lynn Andresen Teddie M Potter |
| author_sort | May-Lynn Andresen |
| collection | DOAJ |
| description | Objective: The purpose of this quality improvement project was to empower and activate first-line staff (FLS) to improve the six-month depression remission rate in a primary care clinic.
Background: Lack of workforce engagement has been identified as an emerging national problem in health care and health care leaders have urged practice redesign to foster the Triple Aim of improved population health, improved care experience, and reduced cost of care (Berwick et al., 2008). Depression is difficult to manage and often exacerbates chronic illnesses and shortens lifespans, yet despite known effective treatments, six-month remission rates are low and care practices are often inadequate. Engaging in empowering leadership behaviors has demonstrated improvement in motivation, work outcomes, and empowerment in various industry settings across the world. Core approaches include: enhancing staff self-determination, encouraging participation in decision-making, and ensuring that staff have the knowledge and tools to achieve their performance goals, in addition to leadership communications that increase confidence in staff’s potential to perform at high levels, and their recognition that their efforts have an impact on improving organizational effectiveness.
Methods: In this outpatient setting, care was siloed, staff were disengaged and a hierarchical paradigm was evident. Human-centered design principles were employed to intensively explore stakeholders’ experiences and to deeply engage end users in improving depression remission rates by creating, participating, and partnering in solutions. Leadership was educated in and deployed empowering leadership behaviors, which were synergistic with design thinking, and fostered empowerment.
Results: Pre- and post-surveys demonstrated statistically significant improvement in empowerment. The six-month depression remission rate increased 167%, from 7.3% (N=261) to 19.4% (N=247).
Conclusion: The convergence of empowering leadership behaviors and human-centered design, offers great promise for improved patient outcomes, staff empowerment, and promotion of partnership. |
| first_indexed | 2024-04-12T14:41:03Z |
| format | Article |
| id | doaj.art-d28e3719522640788e2a83efe18b0764 |
| institution | Directory Open Access Journal |
| issn | 2380-8969 |
| language | English |
| last_indexed | 2024-04-12T14:41:03Z |
| publishDate | 2017-06-01 |
| publisher | University of Minnesota Libraries Publishing |
| record_format | Article |
| series | Interdisciplinary Journal of Partnership Studies |
| spelling | doaj.art-d28e3719522640788e2a83efe18b07642022-12-22T03:28:50ZengUniversity of Minnesota Libraries PublishingInterdisciplinary Journal of Partnership Studies2380-89692017-06-014210.24926/ijps.v4i2.166Improving Primary Care with Human-Centered Design and Partnership-Based LeadershipMay-Lynn Andresen0Teddie M Potter1Quality in Health Care Advisory GroupUniversity of Minnesota - Twin CitiesObjective: The purpose of this quality improvement project was to empower and activate first-line staff (FLS) to improve the six-month depression remission rate in a primary care clinic. Background: Lack of workforce engagement has been identified as an emerging national problem in health care and health care leaders have urged practice redesign to foster the Triple Aim of improved population health, improved care experience, and reduced cost of care (Berwick et al., 2008). Depression is difficult to manage and often exacerbates chronic illnesses and shortens lifespans, yet despite known effective treatments, six-month remission rates are low and care practices are often inadequate. Engaging in empowering leadership behaviors has demonstrated improvement in motivation, work outcomes, and empowerment in various industry settings across the world. Core approaches include: enhancing staff self-determination, encouraging participation in decision-making, and ensuring that staff have the knowledge and tools to achieve their performance goals, in addition to leadership communications that increase confidence in staff’s potential to perform at high levels, and their recognition that their efforts have an impact on improving organizational effectiveness. Methods: In this outpatient setting, care was siloed, staff were disengaged and a hierarchical paradigm was evident. Human-centered design principles were employed to intensively explore stakeholders’ experiences and to deeply engage end users in improving depression remission rates by creating, participating, and partnering in solutions. Leadership was educated in and deployed empowering leadership behaviors, which were synergistic with design thinking, and fostered empowerment. Results: Pre- and post-surveys demonstrated statistically significant improvement in empowerment. The six-month depression remission rate increased 167%, from 7.3% (N=261) to 19.4% (N=247). Conclusion: The convergence of empowering leadership behaviors and human-centered design, offers great promise for improved patient outcomes, staff empowerment, and promotion of partnership.https://pubs.lib.umn.edu/index.php/ijps/article/view/166activationengagementempowermentempowering leadership behaviorshealth carehuman-centered design thinking |
| spellingShingle | May-Lynn Andresen Teddie M Potter Improving Primary Care with Human-Centered Design and Partnership-Based Leadership Interdisciplinary Journal of Partnership Studies activation engagement empowerment empowering leadership behaviors health care human-centered design thinking |
| title | Improving Primary Care with Human-Centered Design and Partnership-Based Leadership |
| title_full | Improving Primary Care with Human-Centered Design and Partnership-Based Leadership |
| title_fullStr | Improving Primary Care with Human-Centered Design and Partnership-Based Leadership |
| title_full_unstemmed | Improving Primary Care with Human-Centered Design and Partnership-Based Leadership |
| title_short | Improving Primary Care with Human-Centered Design and Partnership-Based Leadership |
| title_sort | improving primary care with human centered design and partnership based leadership |
| topic | activation engagement empowerment empowering leadership behaviors health care human-centered design thinking |
| url | https://pubs.lib.umn.edu/index.php/ijps/article/view/166 |
| work_keys_str_mv | AT maylynnandresen improvingprimarycarewithhumancentereddesignandpartnershipbasedleadership AT teddiempotter improvingprimarycarewithhumancentereddesignandpartnershipbasedleadership |