Download - 1 Leading Change & Innovation in Health Care IT Ouellette & Associates Presented by Ken Emery
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Leading Change & Innovationin Health Care IT
Ouellette & Associates
Presented by Ken Emery
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What are the Problems? Medical costs increasing faster than the economy
47 million uninsured citizens
Emergency room overload
Medical errors
One-sixth GDP
Billions of dollars lost by investors
Fragmented physician care
Complex systems of payments and reimbursements
Few uniform data standards
Islands of information Fragmentation of IT software purchases…(I want an
automobile, not a wheel, engine, and chassis!)
Historically underinvested in IT
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Last, but not least…… Many, Many Stakeholders:
− For-profit hospitals
− Not-for-profit hospitals
− Physicians
− Pharmaceutical companies
− Consumers
− Insurers
What are the Problems? (continued)
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All This = Much Uncertainty About the Future
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IT Innovation & Strategy
Strategy
IT Innovation
StrategyIT
Innovation
Strategy
IT Innovation
IT Innovation
Strategy
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Current Focus in Healthcare IT Electronic medical records Integration of disparate systems Storage and security of patient
data Physician practice integration Computerized physician order
entry Patient financial services Remote monitoring/telemedicine Medication administration
technology Twitter and clinical data Collaboration tools Deliver more with less
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Information Technology Can…
Provide a robust infrastructure for data integration and data sharing
Reduce the costs of medical care
Embed “best practices” into the technology
Integrate disparate processes and systems
Provide a stabilizing platform for implementing change
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Current
Valley of Despair
Future
Change Curve
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Clarity
Commitment
Community
The Components of Change Model
Communication
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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Typical Reactions to Change
Skepticism Weariness Excitement Anxiety Anger Why? … This too shall pass (I
hope)!
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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Experiencing Change
Thinking & feeling aspects
Natural to think “loss”, refocus on “gain”
Each individual has a limited capacity
Looking for support
Don’t often ask for help
Is creativity encouraged?
Change is personal !!
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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Translate it to a Burning Platform
Why Change?
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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“Some people change when they see the light, others when they feel the heat.”
- Caroline Schoeder
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Change Comes From the Inside Out!
Source: Howard Gardner “Changing Minds”
Often, the most important point of change is changing minds
The only one who can change a person’s mind is that person
Find out what current mindsets exist
Create a WIIFM environment that… helps people examine the change discover its benefits and decides to change their mindset
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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Organizational Roles During Transition: Executive Change Sponsor
Transition Leader
Transition Leadership Team
Change Communications Coordinator
Project Leaders
Project Teams
Trail Blazer Teams
Change AdvocatesCopyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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Leadership Behaviors to Avoid…
The Vulcan Mind Meld
The Rational World View
Cuckoo Clock Leadership
Sponsoring the Idea ONLY
People magically will get on board, just because the leaders are.
“If it makes sense, people will do it.”
Leaders who pop out on occasion to champion the cause but otherwise remain hidden.
Sponsoring the goal, but not the journey.
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Other Examples…
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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“If we do not change then our organization will not change.”
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Change CapacityChange #1
Senior Management
Middle Management
First Line Management
Staff
Middle management pressured from sr.
mgmt to make changes happen
Middle management receives resistance
from first line mgrs & staff
First line management receives resistance
from staff
Change #1
Change #1
Change #1
Change #2
Change #2
Change #2
Change #2
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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Communication is the Glue
Communication is not an event… it is an accompaniment to life!
You can never communicate enough!
Build a Change Communication Plan and Execute it purposefully!
Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.
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“The rate of change is not going to slow down anytime soon. If anything, competition in most industries will probably speed up even more in the next few decades.”
- John Kotter
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One thing you can always count on…
There will be CHANGE!