This is the conclusion of a presentation by Values Coach CEO and Head Coach Joe Tye on key success factors for positive culture change and the board's role for values and culture, with final comments on values-based leadership.

1. 12 Key
Success Factors for
Culture Change

2. Key Success Factor #1
Early engagement of leaders from
appropriate constituencies including
board of directors, medical staff,
volunteers, and others as appropriate

3. Key Success Factor #2
Commitment of the executive team
is the primary difference between
real culture change and just
another “program of the month”

4. Key Success Factor #3
Enthusiastic engagement of
middle management creates
expectations within each unit
and department

5. Key Success Factor #4
Assess don’t assume – ask your
people about their perceptions of the
culture, not just whether they are
satisfied or engaged

6. Key Success Factor #5
Have a blueprint and/or a manifesto
that creates a shared vision of the
culture you aspire to build

7. Key Success Factor #6
Establish initiative coherence and
avoid identification of the change
process with any single individual
or program

8. Key Success Factor #7
Keep it visible and tangible with
refresher courses, buttons and
wristbands, physical displays, daily
huddles and the like

9. Key Success Factor #8
Start with a core group of your
most passionate and enthusiastic
“Spark Plugs” then keep growing
the community

10. Key Success Factor #8 (contd.)
Embrace the skeptics,
marginalize the cynics, and
plow through resistance

11. Key Success Factor #9
Collect and share stories from
patients, visitors, and staff

12. Key Success Factor #10
Reach out to the micro-communities
of employee families and the macro-
communities of local schools,
business, and government

13. Key Success Factor #11
Remember that the best way to
motivate people to be better employees
is to inspire them to be better people
by living their personal values...

14. Key Success Factor #11 (contd.)
And that organizational values
determine strategy while personal
values shape culture

15. Key Success Factor #12
Opting out is
not an option!

16. The Board’s Role for
Values and Culture

17. Having a clear shared understanding of the
line between appropriate engagement at
the governance level and inappropriate
interference at the operational level

18. Reports on how well hospital values are
reflected in employee engagement, patient
satisfaction, workplace and patient safety,
recruiting and retention, operations, and
financial performance

19. Expecting a portion of each board
meeting to be devoted to a discussion
of cultural issues, including what is and
is not working according to agreed
upon expectations

20. Knowing when and how it is appropriate
to discipline a physician who generates
significant revenue but whose behavior
violates the organization’s values and
cultural expectations.

21. Preventing penny-wise but pound-foolish
decisions that achieve short-term savings
at the expense of lasting cultural harm –
eliminating the annual company picnic
being a classic example

22. Better appreciating, and being more
supportive of, investments in culture that
do not have a demonstrable return on
investment in financial terms (at least not
in the short term)

23. Providing feedback to leadership
concerning what they are hearing
about the hospital from out in the
community

24. Being alert to early signs that the
organization is struggling; the key
symptoms of organizational decay
described by Jim Collins in How the
Mighty Fall are cultural, not financial

25. Because healthcare tends to be insular,
sharing expertise from other industries.

26. “When you have a culture of
ownership, people bring down walls,
they reach out, they try to expand the
community.”
Wendy Harper

27. Values-Based
Leadership

28. People won’t quit a
mission; they will only
quit a job.

29. People don’t leave a
team; they will only
leave an organization.

30. People don’t desert a
leader; they will only
desert a boss.

31. A leader is someone who
takes you to a place to
which you didn’t know
you wanted to go.
– Joel Barker

32. A leader is someone
who helps you become
the person you didn’t
realize you could be.
– Joe Tye

33. Lead from the heart
and people will follow

34. The real
leadership
challenge