alliance contracting

“Alliancing”

What skills do you need?

Experience

• BOP DHB / EBOP PHA “alliance” • NZRGPN chairperson• Developing the RHAANZ • Wonca Working Party on Rural PracticeFollow the conversations on .. @opotikigp @countrygps@ruralhealthnz

What works ?

• Constructive alignment in health• Appreciate group dynamics• Find the common ground• Focus on the core issues – build trust• Finding the 18th camel….

The intended outcomes of the “alliance

contract/workstream”

The evaluation regime

The outcomes are developed first – from these the evaluation activities are identified

Once an appropriate evaluation regime is developed, activities are developed that will reach those outcomes.

Health intervention activities

What the providers do directly links to the desired outcomes. This builds on what we know about motivation for activity in adults.

review

Constructive Alignment in Health …making sure activities result in desired outcomes and are valued by providers….

Group dynamics • Forming, norming, storming, and performing • Define roles• Structure – timekeeping, notekeeping,

keeping on track , minute keeping, sharing open source, review of action lists

• Look for the “third side…”

Resources: “William Ury – The walk from “no” to “yes” TED talk

Common ground • Shared values discussion• Shared principles discussion• Put all the issues on the table• Agree the conflicts• Initial focus on the “core” issues – recruitment,

retention, practice support – build trust• Keep returning to the common ground

1/9 1/3 1/2

1/9 1/3 1/2

1/9 1/3 1/2

1/9 1/3 1/2

1/9 1/3 1/2

1/9 1/3 1/2