leaders as change agents
TRANSCRIPT
Leaders as Change Agents:Not as easy as it sounds
@tweetvandijk
“The people who are crazy enough to think that they can change the world are the ones who do”
Source of image: Whatsthebigideascwartzy.blogspot.com
Most change programmes fail to deliver their objectives
Source: McKinsey Performance Transformation Survey, 3000 respondents to global, multi-industry survey
70%
25%5%
Gets anywhere near achieving the change and
delivering the benefits
Source: McKinsey Performance Transformation Survey, 3000 respondents to global, multi-industry survey
70%
25%5% Delivers and
sustains the change
Most change programmes fail to deliver their objectives
What do you think the % is in healthcare?
What are you working on right now that is about change?
@HelenBevan #QS2015
@HelenBevan #QS2015
Anatomicalapproach
Improving clinical systems
Seeking to reduce harm and reduce risk
Redesigning pathways Standardising Measuring
The shape and structure of the system; structures and processes to deliver health and healthcare
@HelenBevan #QS2015
Anatomicalapproach
Improving clinical systems
Seeking to reduce harm and reduce risk
Redesigning pathways Standardising Measuring
The shape and structure of the system; structures and
processes to deliver health and healthcare
Physiologicalapproach
The vitality and life-giving forces that enable the system and its
people to develop, grow & change
creating higher purpose and deeper meaning
Leading through values building commitment creating hope and
optimism about the future calling to action
@HelenBevan #QS2015
Anatomicalapproach
Improving clinical systems
Seeking to reduce harm and reduce risk
Redesigning pathways Standardising Measuring
The shape and structure of the system; structures and
processes to deliver health and healthcare
Physiologicalapproach
The vitality and life-giving forces that enable the system and its
people to develop, grow & change
creating higher purpose and deeper meaning
Leading through values building commitment creating hope and
optimism about the future calling to action
It’s all about
energy!
Leading change in a new eraDominant approach Emerging direction
Most healthcare transformation
efforts are driven from this side
@HelenBevan #QS2015
The reality“What the leader cares about (and typically bases at
least 80% of his or her message to others on) does not tap into roughly 80% of the workforce’s primary motivators for putting extra energy into the change
programme”Scott Keller and Carolyn Aiken (2009)
The Inconvenient Truth about Change Management
Source of image: swedenbourg-openlearning.org.uk
@HelenBevan #QS2015
Leaders ask their staff to be ready for change, but do not engage enough in sensemaking........
Sensemaking is not done via marketing...or slogans but by emotional connection with employees
Ron Weil
@tweetvandijk
Starts on the fringe (at the edge)
Starts with the activistsGary Hamel
always
Troublemaker Vs Radical (Change Agent)“Troublemaker” “Radical”
Break Rules Change Rules
Complain Create
Assertions Questions
Me-Focused Mission-Focused
Anger Passion
Pessimist Optimist
Energy-Sapping Energy-Generating
Alienate Attract
Problems Possibilities
Worry That Wonder If
Doubt Believe
Social Loner Social
Source: Lois Kelly, Organizational Radicals, Foghound Study
Reflection• What are your insights around “rebels” and
“troublemakers”?• What moves people from being “rebel” to
“troublemaker”?
@tweetvandijk
@tweetvandijk
People who are highly connected have twice as much power to
influence change as people with hierarchical power
Leandro Herrerohttp://t.co/Du6zCbrDBC
@tweetvandijk
@tweetvandijk
C
@tweetvandijk
@tweetvandijk
@tweetvandijk
Research from the sales industry:How many NOs should we be seeking to get?
• 2% of sales are made on the first contact• 3% of sales are made on the second contact• 5% of sales are made on the third contact• 10% of sales are made on the fourth contact• 80% of sales are made on the fifth to twelfth contact
Source: http://www.slideshare.net/bryandaly/go-for-no
Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
Make it a personal PERFORMANCE target.
Source: http://www.slideshare.net/AndreaWaltz/gfn-slidesharegfnhandling-rejectionpositively
@tweetvandijk
What are change initiative are you working on right now?
How do you sell it to people?
@tweetvandijk
Effective framing: what do we need to do?
1. Tell a story2. Make it personal3. Be authentic4. Create a sense of “us” (and be clear who the “us”
is)5. Build in a call for urgent action
Source of image: woccdoc.org
Which do you like better?
1. Our infection rates are higher than they should be. We have new clinical guidelines. Let’s work together to implement them!
2. You are the one at the bedside. You know what works and what doesn’t. How can we tackle our infection rates?
3. Remember Mrs. Smith. She fully recovered from C-diff that she picked up on our unit. Just like you, I want to protect more of the chronic elderly. What do you think we can do?
What motivates people?
• Impact on Society (building community)• Impact on Customer (patients and families)• Impact on Organization • Impact on Team (work environment)• Impact on me (development or bonus)
What are the traits of “inspirational”
leaders?
-chat-
Viral Change, Leandro Herrero
https://www.youtube.com/watch?v=CNhYbJbqg-Y
@HCRcentral
Marlies van DijkProvincial Implementation Lead, Innovation
Quality and Healthcare ImprovementAlberta Health Services
[email protected]@tweetvandijk@HCRcentral
@ChangeDayAB
“Throw your own pebble - a simple commitment to make an act of improvement however small - into the pond of your world and those you care for. And know
that its effects will join with those of others who do the same, the rings of change extending far and wide.
Imagine what we could do.”
Jon Popowich
Pledge herewww.ChangeDayAB.ca