unstructuring healthcare open space technology
TRANSCRIPT
Unstructuring Health Care
Open Space TechnologyFebruary 20, 2015
Why do change efforts fail?
• Change starts at the top• Change is rolled out • Change is engineered• Focus on a few elements of a complex system (not all)• Changing organizations without adequately dealing
with the human beings (emphasis on head vs. heart)• We must address all the key elements that make up a
system
McKinsey and Co; Inconvenient truth about change management/Build a platform of change; not a change program (2014)
What is transformational change?
Fundamental change, altering the very nature of something.
Transformational change is both radical and sustainable.
Something that is transformed can never go back to exactly what it was before.
Robert Gass, Who we are, Social Change Transformation
If you have come here to help me, then you
are wasting your time… but if you have come
because your liberation is bound up with
mind, then let us work together.
Lila Watson, Australian Aboriginal activist
Staff Engagement
Culture of Safety and Trust
Patient/resident Centred Care
Health Reform
Tapping into hearts and minds
Complex Challenges
Wikepedia
Open Space Principles
• Self-organizing
• All attendees are encouraged to present or facilitate a session
• The goal is understanding, not necessarily to "win" or win support by being right
• Law of Two Feet
Traditional Unstructured/Open Space
Agenda is pre-set Participants set the agenda
Expert driven Driven by the “pitcher” – no
expert
PPT driven /Panels Discussion based
People around table or
behind
Sitting in a circle with no
table
All presentations and room
spoken for
Encouraged to strike up an
impromptu group discussion
Committee planned Participant driven
Information /Workshop Connection to Action
Sit through the session (at
all cost)
Law of 2 feet. Find the right
conversation.
Burning Question
A good question has …
• “How can we…”
• No solution in the question
• Status quo is not an option any more
• Big goal that is open enough for different solutions to emerge
• Many elements that influence the problem
WICKED
What questions need to be dealt with
– for this conference
to be a success for me?Workshop!
Our Burning Question?
Q1: How do you truly engage frontline staff in change?
Q2: How do you create a culture where people are free to try new things?
Q3: How do you find untapped energy in your workforce?
What do you want to add?
• Write your idea/question on a piece of paper and add your name
• Come and pitch it! (1 minute time line)• You will be given a “circle” to meet!
Facilitator Training
• First names only
• Step up and step back
• Monologues
• Circular arguments
• Conversations that won’t end
Best facilitators: gentle nudgers who are adaptive in style
Postcard: A way to record at each conversation
But the "magic" is not Open Space Technology, but rather the force that underlies it -- the power of self
organization.
Harrison Owen
The intuitive mind is a sacred gift and the
rational mind is a faithful servant. We have
created a society that honors the servant and
has forgotten the gift.
Albert Einstein
References
• http://www.openspaceworld.com/index.htm
• https://www.youtube.com/watch?v=aD3S0wlbek0
• What is transformation and how it advances social change. Robert Gasshttp://www.stproject.org/about-us/who-we-are/
• Avaaz the world in action http://www.avaaz.org/en/
