9/23/2018 Navy Seals, San Antonio Spurs, and Just Culture - Building a Well-Functioning Pharmacy Team Rob Wills, PharmD, BCPS St. Luke’s Boise Medical Center 9/28/2018 Disclosures • The presenter has no real or perceived conflicts of interest related to this presentation ISHP Fall IS HP Fall Conference ce 20 2018 18 Learning Objectives • Identify how team differences and make up can affect goal attainment and success. • Recognize successful teams and what factors have led to a strong team and culture. • Discuss strategies to develop a just culture. • Be able to identify opportunities to make your team more effective. ISHP Fall IS HP Fall Conference ce 20 2018 18 1
9/23/2018 The Challenge! • Divide into 4 person Groups • Directions Each group to build the tallest possible structure with using the following items: Note – the marshmallow must be on top! Twenty pieces of uncooked spaghetti One yard of tape One yard of String One standard‐size marshmallow ISHP Fall IS HP Fall Conference ce 20 2018 18 Sources: BlueSky Personnel Solutions http://www.blueskypersonnel.com/why‐kindergarteners‐consistently‐outperform‐ceos‐on‐this‐challenge/ accessed 8/1/2018 ISHP Fall IS HP Fall Conference ce 20 2018 18 Image source: hanno.com Winner? • What were the key differences for the successful team? • Intelligence? • Skills? • Background? • Communication? • Clear leader? • Luck ISHP Fall IS HP Fall Conference ce 20 2018 18 Sources: Madaboutscience.com 2
9/23/2018 Compared different groups IS ISHP Fall HP Fall Conference ce 20 2018 18 Image source: lycee francais Chicago, jencoinc Marshmallow Challenge Winners 30 25 20 15 10 5 0 Height (in) Average Business School Students Lawyers Kindergarten CEO's ISHP Fall IS HP Fall Conference ce 20 2018 18 Sources: Build a tower, build a team, TED Talk. Tom Wujec ‐ YouTube Business Students • Got right to work • Began talking and thinking strategically • Examined materials • Tossed ideas back and forth • Asked thoughtful, savvy questions • Developed options and honed their most promising ideas • Result pursue one strategy IS ISHP Fall HP Fall Conference ce 20 2018 18 Sources: The Culture Code by Daniel Coyle. Sources: Build a tower, build a team, TED Talk. Tom Wujec ‐ YouTube 3
9/23/2018 Kindergarten students Kindergarten students • Did not strategize • Did not analyze or share experiences • Did not ask questions or propose options, or hone ideas • They barely talked at all ISHP Fall IS HP Fall Conference ce 20 2018 18 Sources: The Culture Code by Daniel Coyle. Sources: Build a tower, build a team, TED Talk. Tom Wujec ‐ YouTube What matters is the interaction • Individual skills are not what matters • Business school students • Appear to be collaborating • Instead they are engaged in a process psychologists call status management • Working to understand the norms • Who is in charge? • Is it okay to criticize? • What are the rules here? • They spend so much time managing status that they fail to grasp the essence of the problem ISHP Fall IS HP Fall Conference ce 20 2018 18 Sources: The Culture Code by Daniel Coyle. Image source: hanno.com Kindergartners • Appear disorganized • Looking closer • They are not competing for status • They stand shoulder to shoulder and work energetically together • They move quickly, spotting problems and offering help • They experiment and take risks • They succeed not because they are smarter but work in a smarter way IS ISHP Fall HP Fall Conference ce 20 2018 18 Sources: The Culture Code by Daniel Coyle. Image source: lycee francais Chicago 4
9/23/2018 NYT I ME S e b 25 th , 2016 F What Google L ear ned F r om Its Quest to Build the Per fec t T eam Source: http://www.nytimes.com/2016/02/28/magazine/what‐google‐ learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: www.nytimes.com Sto r y o f Julia ○ Julia Rozovsky ○ Searching for a career ○ Yale Business School – MBA ○ Assigned a study group ○ To foster tight bonds ○ Right of passage for MBA programs ○ A way for students to practice working in teams ISHP Fall IS HP Fall Conference ce 20 2018 18 Source: http://www.nytimes.com/2016/02/28/magazine/what‐ google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: www.advancedmanagement.net He r T e am ○ Every day, between classes and after dinner ○ Her and her 4‐teammates met ○ All smart & curious ○ Gone to similar colleges and worked at similar firms ISHP Fall IS HP Fall Conference ce 20 2018 18 Source: http://www.nytimes.com/2016/02/28/magazine/what‐ google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: www.pilantsbusinessethics.com 5
9/23/2018 Source of Stress • Constantly felt like she had to prove herself • Team dynamics could put her on edge • Teammates jockeyed for position during meetings • Conflicts over who was in charge • People spoke louder to gain authority • She became afraid to make mistakes ISHP Fall IS HP Fall Conference ce 20 2018 18 Source: http://www.nytimes.com/2016/02/28/magazine/what‐ google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: www.pilantsbusinessethics.com Julia Started Looking for a new team • Some students were putting together teams for ‘case study’ competitions • Participants proposed solutions to real‐world business problems • Her New Team • Different atmosphere • Creative • Produces top work • Connects outside of the group IS ISHP Fall HP Fall Conference ce 20 2018 18 Source: http://www.nytimes.com/2016/02/28/magazine/what‐ google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: www.123rf.com & Building the Perfect Team • Google’s People Operations Department • Invested millions of dollars in trying to learn how to put together the perfect team. • For years they have measured every aspect of their employee’s lives • From how frequently they eat together • To building larger networks by rotating dining companions • Believed that combining the best people created the best teams ISHP Fall IS HP Fall Conference ce 20 2018 18 Source: http://www.nytimes.com/2016/02/28/magazine/what‐ google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: google.co.th 6
9/23/2018 Project Aristotle • In 2012 Google put together Project Aristotle • Goal was to figure out why some teams succeeded while others stumbled • Started making diagrams Source: http://www.nytimes.com/2016/02/28/magazine/what‐ ISHP Fall IS HP Fall Conference ce 20 2018 18 google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐ team.html?_r=0 Image source: www.nytimes.com Project Aristotle - Questions • Did team’s need to be made up with people of similar interests, backgrounds, etc.? • Did the group need to have the same reward system or values? • How often did teammates socialize outside the office? • Did they have the same hobbies? • Were their educational backgrounds similar? • Was it better for all teammates to be outgoing or for all of them to be shy? Source: http://www.nytimes.com/2016/02/28/magazine/what‐google‐ ISHP Fall IS HP Fall Conference ce 20 2018 18 learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: www.resologics.com Project Aristotle’s Results • Reviewed over 180 teams within Google • No combinations seem to align or correlate • 2 teams could have similar makeup with overlapping members with entirely different outcomes L e Source: http://www.nytimes.com/2016/02/28/magazine/what‐ ISHP Fall IS HP Fall Conference ce 20 2018 18 r google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐ a team.html?_r=0 b Image source: www.resologics.com l o 7
9/23/2018 Project Aristotle’s Results • Started looking at Group Norms or behaviors • Were there unwritten rules • Did they have exacting standards on when to speak • Some celebrated birthdays, others had informal chit‐chat prior to the meeting start Source: http://www.nytimes.com/2016/02/28/magazine/what‐ IS ISHP Fall HP Fall Conference ce 20 2018 18 google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐ team.html?_r=0 Image source: www.resologics.com Good characteristics • Members spoke in roughly the same proportion • If one group or individual spoke primarily ‐ then the results declined • High social sensitivity = Psychological Safety ISHP Fall IS HP Fall Conference ce 20 2018 18 Source: http://www.nytimes.com/2016/02/28/magazine/what‐ google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐team.html?_r=0 Image source: the business couch Psychological Safety • ‘‘shared belief held by members of a team that the team is safe for interpersonal risk‐taking.’’ • ‘‘a sense of confidence that the team will not embarrass, reject or punish someone for speaking up,’’ Source: http://www.nytimes.com/2016/02/28/magazine/what‐ ISHP Fall IS HP Fall Conference ce 20 2018 18 google‐learned‐from‐its‐quest‐to‐build‐the‐perfect‐ team.html?_r=0 Image source: www.innovationmanagement.se 8
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