Saturday, September 4, 2010

Rounding to Influence

A former boss of mine introduced me to the concept of "Management by Walking Around". I've seen many leaders fully endorse using this concept with highly variable results. Maybe there's something more than just being visible?

The Sept/Oct 2010 edition of Healthcare Executive published an article from Dr. James Reinertsen about rounding to influence staff behavior and adoption of best practices. The Institute for Healthcare Improvement has made available the reprint here.

The following is an excerpt of the article:

Rounding to Influence
Rounding to influence is one element of an evidence-based bundle of leadership methods used in highly reliable organizations. Rounding to influence is not quite the same thing as leadership safety walkrounds, in which leaders go to hospital units and visit with staff to send a signal that they care about the hospital’s improvement agenda, want to gain better awareness of safety issues and want to build relationships with frontline staff. While these are all desirable outcomes, they don’t drive the successful execution of specific safety or infection control practices. Rounding to influence is much more focused. It’s not just about leaders being seen—it’s about what leaders are seen doing and asking.

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