More Time to Care. North Bay Regional Health Centre

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More Time to Care Clinical Change: and Wrong Organizational Approach = Excellence Wrong Results at North Bay Regional Health Centre Sumeet Kumar, B.Eng., MBA, Lean Six Sigma Black Belt, PMP, OCAI Founding Partner, Marc Gauthier, Bcom Hon, M. Ed Director of Education, CSPGNO Natalie Lepine and Micheline Demers, Managing Partners at 1 1

Introduction Marc Gauthier, Bcom Hon, M. Ed. Director of Education, Conseil Scolaire Publique du Grand Nord de l Ontario Sumeet Kumar, B. Eng., MBA, PMP, OCAI, Lean Six Sigma Black Belt Founding Partner, Community Leader Award Recipient from Sudbury Police Services 2

About Us is a management consulting firm that specializes in supporting clients in their journey to organizational excellence and culture transformation. Our services include, Assessment, Alignment and Integration Design and Implementation Process and resource optimization We are one of only three firms in Canada that are certified to conduct the organization culture 3 assessment instrument and integrate culture into organization s strategy and daily operations

Our Industry Experience Yarn & Textiles Food Agro Veterinary Automotive Sumeet Call Centre Natalie Education Chemical Healthcare PEMBERTON HEALTH CENTRE Micheline Question Assumptions Bias for Action Building Relationships Creativity & Fun 4 4

Workshop Learning Outcomes The attendees will: Understand the different types of Change and their characteristics Understand how to implement the type of change required and the role of Organizational Culture Understand the benefits of aligning organizational culture to strategy and operations Be able to apply the learning in their own organization 5

Agenda Simulation Exercise Education on Types of Change and their characteristics Education on the impact of Organizational Culture Case Study - The Missing Link to getting results you need Q & A 6 6

More Time to Care Clinical and Organizational Excellence at North Bay Regional Health Centre Simulation on Types of Change 7 5

Performance Definition and broad characteristics Incremental Change Tweaking of the System or Process. Change occurs over a period of time in incremental stages The new state is prescribed enhancement of the old state. Change is at a local level. Focus is Internal and on Structure. Time F1 F2 F3 8

Definition and broad characteristics Transitional Change Implementation of a known new state. F1 F2 F3 Management of the Old Transition New interim transition state over a controlled period State State State of time. Change is at sub-system level. Focus is Internal and on Integration. May or may not cut across the organization. F1 F2 F3 P/S 1 P/S 2 P/S 3 P/S 1 P/S 2 P/S 3 9

efinition and broad characteristics Transformational Change Emergence of a radically different new state, unknown until it take shape. New state requires fundamental shift in mindset, behavior, and/or culture. Change is at system level. Focus is External and on Differentiation. New Management System to Impact Culture Behavior Culture Personal Interpersonal Org Systems and Structures Environment External Forces 10

Performance Understand the Need for Change Incremental Change Transitional Change Transformational Change Old State Transition State New State New Management System to Impact Culture Time Culture Behavior Environment F1 F2 F3 P/S 1 P/S 2 P/S 3 Personal Interpersonal Org Systems and Structures External Forces F1 F2 F3 F1 F2 F3 P/S 1 P/S 2 P/S 3 Lead Self Engage Others Achieve Results Transform Systems Develop Coalition 11

What is the secret sauce to sustain the gains? CULTURE 12

INTERNAL FOCUS Integration and Communication Our Approach Flexibility and freedom to act People Culture Innovation and Growth Culture Process Culture LEADERSHIP COMMITMENT Customer Oriented and Competitive Culture Differentiation and Partnership EXTERNAL FOCUS Stability and Control

How culture is typically understood 14 14

Culture can be measured! People Innovation & Growth Process Customer Oriented & Competitive Culture We are 1 of only 3 firms in Canada certified to conduct a Culture Assessment for an Organization 13

ELEMENTARY SCHOOL PRINCIPALS HIGH SCHOOL PRINCIPALS SUPERVISORS EXECUTIVE TEAM TRUSTEES Avg C A M H TOTAL Avg C A M H TOTAL Avg C A M H TOTAL Avg C A M H TOTAL Avg C A M H TOTAL NOW 39 20.5 18.73 21.77 100 NOW 38.93 21.81 14.33 24.93 100 NOW 23.27 17.25 22.81 36.67 100 NOW 32.9 21.12 16.45 29.52 100 NOW 35 24.83 18.33 21.83 100 PREF 35.75 26.83 21.08 16.33 100 PREF 34.74 25.37 22.41 17.48 100 PREF 29.48 24.54 22.85 23.13 100 PREF 34.29 25.33 22.76 17.62 100 PREF 35.5 28 20.33 16.17 100 Diff -3.25 6.33 2.35-5.44 Diff -4.19 3.56 8.08-7.45 Diff 6.21 7.29 0.04-13.54 Diff 1.39 4.21 6.31-11.9 Diff 0.5 3.17 2-5.66 DC C A M H TOTAL DC C A M H TOTAL DC C A M H TOTAL DC C A M H TOTAL DC C A M H TOTAL NOW 43 18 19.5 19.5 100 NOW 40 18.33 17.22 24.44 100 NOW 22.5 15 21.25 41.25 100 NOW 37.43 18.86 15.14 28.57 100 NOW 37 23 16 24 100 PREF 38 24.5 20.5 17 100 PREF 35.78 23.33 23.33 17.56 100 PREF 28.38 21.63 24 26 100 PREF 35.43 23.57 22 19 100 PREF 41 23 21 15 100 Diff -5 6.5 1-2.5 Diff -4.22 5 6.11-6.88 Diff 5.88 6.63 2.75-15.25 Diff -2 4.71 6.86-9.57 Diff 4 0 5-9 OL C A M H TOTAL OL C A M H TOTAL OL C A M H TOTAL OL C A M H TOTAL OL C A M H TOTAL NOW 39.5 19.5 15.5 25.5 100 NOW 40.56 20.56 12.89 26 100 NOW 26.25 15.63 24.38 33.75 100 NOW 34.29 22.14 14.29 29.29 100 NOW 38 29 18 15 100 PREF 35.5 26 20.5 18 100 PREF 35.78 26.78 20.22 17.22 100 PREF 29 24.38 23.5 23.13 100 PREF 34.29 26.86 20 18.86 100 PREF 39 27 21 13 100 Diff -4 6.5 5-7.5 Diff -4.78 6.22 7.33-8.78 Diff 2.75 8.75-0.88-10.62 Diff 0 4.72 5.71-10.43 Diff 1-2 3-2 MoE C A M H TOTAL MoE C A M H TOTAL MoE C A M H TOTAL MoE C A M H TOTAL MoE C A M H TOTAL NOW 38 25.5 17 19.5 100 NOW 47.22 19.78 9.67 23.33 100 NOW 22.5 20.63 15.63 41.25 100 NOW 37.86 15 15 32.14 100 NOW 34 23 19 24 100 PREF 37 28 21 14 100 PREF 38.56 22.11 23.44 15.89 100 PREF 28.75 25 22.75 23.5 100 PREF 35.14 25.57 22.71 16.57 100 PREF 40 26 14 20 100 Diff -1 2.5 4-5.5 Diff -8.66 2.33 13.77-7.44 Diff 6.25 4.37 7.12-17.75 Diff -2.72 10.57 7.71-15.57 Diff 6 3-5 -4 OG C A M H TOTAL OG C A M H TOTAL OG C A M H TOTAL OG C A M H TOTAL OG C A M H TOTAL NOW 40 16.5 17.9 25.6 100 NOW 33.33 24.44 14.44 27.78 100 NOW 18.38 16 27.5 38.13 100 NOW 31.43 18.57 20 30 100 NOW 28 22 23 27 100 PREF 35.5 25.5 20.5 18.5 100 PREF 31.33 26.78 22 19.89 100 PREF 28.5 26.88 23.5 21.13 100 PREF 38.57 23.57 21.71 16.14 100 PREF 29 29 21 21 100 Diff -4.5 9 2.6-7.1 Diff -2 2.34 7.56-7.89 Diff 10.12 10.88-4 -17 Diff 7.14 5 1.71-13.86 Diff 1 7-2 -6 SE C A M H TOTAL SE C A M H TOTAL SE C A M H TOTAL SE C A M H TOTAL SE C A M H TOTAL NOW 32.5 27.5 16.5 23.5 100 NOW 34.44 25.56 18.33 21.67 100 NOW 23.13 20 23.75 33.13 100 NOW 27.86 24.29 17.14 30.71 100 NOW 38 25 15 22 100 PREF 32.5 31 20 16.5 100 PREF 31.44 28.78 23.11 16.67 100 PREF 28.13 28.13 21.88 21.88 100 PREF 29.71 27.43 24.14 18.71 100 PREF 34 32 16 18 100 Diff 0 3.5 3.5-7 Diff -3 3.22 4.78-5 Diff 5 8.13-1.87-11.25 Diff 1.85 3.14 7-12 Diff -4 7 1-4 CoS C A M H TOTAL CoS C A M H TOTAL CoS C A M H TOTAL CoS C A M H TOTAL CoS C A M H TOTAL NOW 41 16 26 17 100 NOW 38 22.22 13.44 26.33 100 NOW 26.88 16.25 24.38 32.5 100 NOW 28.57 27.86 17.14 26.43 100 NOW 35 27 19 19 100 PREF 36 26 24 14 100 PREF 35.56 24.44 22.33 17.67 100 PREF 34.13 21.25 21.5 23.13 100 PREF 32.57 25 26 16.43 100 PREF 30 31 29 10 100 Diff -5 10-2 -3 Diff -2.44 2.22 8.89-8.66 Diff 7.25 5-2.88-9.37 Diff 4-2.86 8.86-10 Diff -5 4 10-9 16 DC: Dominant Characteristics, OL: Organizational Leadership, MoE: Management of Employees, OG: Organizational Glue, SE: Strategic Emphasis, CoS: Criteria of Success

People Innovation & Growth Align and Integrate Culture with Strategy Strategic Direction People Process Customer Financial Strategic Objectives SO 1 SO 2 SO 3 Process Big Dot Measures A1 A2 A3 A4 A5 A6 Customer Oriented & Competitive Culture Desired Culture Align and Integrate Culture with Operations Strategic Initiatives a b c d e f A1a.1 Potential Projects A1a.2 A1a.3 Improvement Projects A4c.1 A4c.2 A4c.3 Improvement Projects All Projects must connect 17

More Time to Care Clinical and Organizational Excellence at North Bay Regional Health Centre Exercise: Applying the Learning 18 5

Contact Us Sumeet Kumar, BEng., MBA, Lean Six Sigma Black Belt, PMP, OCAI Founding Partner, Cell : (705) 498-7758 Email: sumeet@kumarfriends.com www.kumarfriends.com Toronto Office North Bay Office 150 Consumers Road 409 Mainstreet East Suite 502 Suite 309 Ontario M2J 1P9 Ontario P1B 8G2 19 19