1. Extending Cultural Competence to (Mid-Level) Leadership  Dr. Rani H. Srivastava  Chief of Nursing & Professional Practice  Centre for Addiction & Mental Health, Toronto, Ontario Rani_Srivastava@camh.net  Ann Vanderbijl, MA  Director, Diversity Services  Providence Health Care Vancouver, British Columbia avanderbijl@providencehealth.bc.ca

2. Key Question - What does ‘cultural competence’ look like for mid-level leaders in healthcare? Leaders who are accountable for - - Quality of patient care - Staff ‘management’

3. Overview of session  Review key premises  Invite your experience and ideas  Identify key themes and domains for a leadership competencies framework Resources Summary Ongoing dialogue

4. Key Premises… Biomedical practice - A ‘culture’ in its own right Professional practice - sub-cultures Individualism – ‘western’ Primacy of science Built-environment Communication styles

5. Culture As An Invisible Backpack – Our ‘Common’ Sense

6. Quality, Equitable Patient Care…  Depends on- Trust between providers as well as between patients and providers Clear and effective communication Respectful relationships Understanding of, and skills in, addressing differences

7. Multicultural Workplaces  Invisible barriers?  Competing values?  Unaddressed conflict?

8. Discussion - 1 Think of a leader who you would say is culturally competent, someone who manages well within a diverse healthcare environment. What is happening? How can you tell things are working well?  What do you see?  What works well?  What makes this work well?

9. Discussion – 2a Think about your experience with a diverse healthcare team.  What are the positive opportunities that can be experienced?  How does the leader support or enhance the positive contributions of its diverse healthcare teams?

10. Discussion - 2b Think about your experience with a diverse healthcare team.  What are the potential challenges that are experienced?  How does the leader address the challenges?

11. Discussion 3 What areas or issues do leaders need to be competent in with respect to the delivery of quality care to diverse patient populations?

12. Identifying Themes in Leadership Competencies What competency domains have we identified as necessary for culturally competent healthcare leadership?

13. Resources – Dialogue - Summary