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The 8th clinical Microsystem Festival 3-4 March 2011, Jonkoping Sweden by Mind Map: The 8th clinical Microsystem
Festival 3-4 March 2011, Jonkoping
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The 8th clinical Microsystem Festival 3-4 March 2011, Jonkoping Sweden

Link to Program - Session 1


New node


Future of healthcare



Read: Value by design

Slides by Göran Henriks,





Productivity - more ?

Creativity - more soul

Mindmap authors



Session 2 - Small group get to know

PRoject manager Sweden

changing work in healthcare

Better life for old people in need of health care and social care

Swedish palliative register 2010

Therese . lindman @

Psychologist, Finland

LIITTYVA VOIMA COllaborative intensity

New node

Physiotherapist, Andreas, Norway

back pain, hospital work

HEad of adult community services, Wakefield, England

140.000 people living

going through a reorganisations

vertical integration of the primary care and hospital care

Sweden, Mrs. Lamark, Nurse

Working in staff, in area of skin/ear/eye infections

Trying to make improvements, help leaders in different clinics measure outcomes of work

struggle with managerial problems: top-down vs botom up

from ITaly delegation

Expert users and damily members in mental health services

Areas, Menthal health center, reception at the front office and call center accompaniment in crisis situation participation in community treatment team, hospital ward, presence and accompaniment in crisissituations, housing, night and day shift at the sun house, a residential facility that accomodates people with severe mental disorders, care pathways, awareness campaign, families, quality

The concept of Esther Coaches - Education and active networking - A success story from Eksjo

Nicoline Wackerberg

Physical therapy

Quality manager in Esther network since 2006

Same job, different people paying

Esther Coaching

Coaching started in 2006, Esther Coaches Step 1, Esther Coaches Step 2, goes out to different organisations, e.g. 20 hours in spring, 20 hours in fall, Keypoints, Patient focus, Learn of others, Cooperation, multiprofessional, structure in improvement, Training, 6 days, Learning by doing, MAking their own personal improvement project, making an improvement at work, coaching skills - conversations topics, site visits in other organisations in and outside healthcare, solution based coaching, smart way of using language, "coach contract", Agreement between leadership and coach, morning leaders of department come, end of the day they return

Esther network - "No matter where, we will be there!" -- tagline

Stand in the shoes of another in healthcare, one day a year, how is it to be a social worker, how is it to be an occupational therapist

We are good in process mapping

Started in 1997, we moved much forward since then, we are not there.

VISION, creating a durable and neergetic network results that Esther can feel confident and independent, Esther, knows where to turn to, gets care in or close to her home, See us as the same provider of care, has the same possibilities to get care all over the region, Always stories, Esther met 32 people, attach process mapping to stories, thinking LEAN, yet putting the person central, When funding was gone, shaped network, Esther is a name, it's a symbol, a symbol for the patient that needs several caregivers

Hoglandet, Hospital Eksjo - Nassjo, Referrals prefer to send patients there, 110.000 inhabitants, 7 municipalities, 7 primary care regions, One hospital

Esther network = 3 jobs, Do your job, Improve it, Spread it

Changes, Who's in the room, Politicians, patients, Carers, Healthcare professionals, optimising use of the network, Basic idea, we want, we can, we have the guts, managing with all you have, it's not about money, requires support of colleagues, improvement work, Our colleagues understand now how we contribute to improvement, Literature, Flaherty J. Coaching: Evoking excellence in others. 3rd edition. Butterworth-Heinemann,2010, s 2-3, Szabo P Meier D Coaching: Plain & simple. 2009, s 7

SEssion participants





management / directors

Presentations 2010

Solution focus

Gregory Bateson, Milton Erickson (and MRI Palo Alto), 1950s

Solution Focus Based Therapy, 1980s

Steve de Shazer & Insoo Kim Berg

Solution focus in organisation 1990's

systems thinking


Solution Based coaching - OSKAR

Outcome, What you want is

Scale, what's already happening

Know-how, What works here

Affirm and action, Whats impressed and small steps

Review, what's better. how did you do that?