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Role Insight To Help the Change Manager
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Role Insight To Help the Change Manager

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Pam Crouch shares her experiences working as a change manager for the first time.

Pam Crouch shares her experiences working as a change manager for the first time.

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  • 1. The greatest challenge for the change agent is to dare to dream in the reality of the role
  • 2. Role exploration  Why me as the agent of change?  What was the role and what makes up cancer at STV?  Change part 1 – driven by innocent enthusiasm  Change part 2 – driven by system and role awareness  Role development for improving sustainability of both self and service
  • 3. Why me as an agent of change?  Family influence  Sunday school  Family cancer  Occupational influence  Insider but with sales experience  Nurse – control and fix everything
  • 4. What was the role and what made up the service?  Health system influences  Disconnect in funding  Cultural silos and competition  Hospital drivers and barriers  Cancer business drivers (5 & 20)  Separate systems and independent operation  Conflicting primary task – activity V disease focus  Job description  Leant authority  the “anything else we want” clause
  • 5. Change part 1 – driven by innocent enthusiasm  First year - Redesign service and implementation  Strategic planning and governance  Research / grants / education  Second year – Reward and recognition  Costing models  Data management  Third year – Business planning  Strategic alliances and modelling of CC  Fourth year – Commenced personal studies to understand the change process - masters in Organisation Dynamics  Design and development of cancer centre
  • 6. Change part 2 – driven by system and role awareness  Fifth year – Commenced personal role development work  New governance model  Change is now the STV reality  Approval to construct cancer centre  Development of patient case manger role  Development of integrated data and communication processes  Sixth year – construction to be completed  Staff to be relocated into new roles with new facilities  Cancer departments as well as teams to be integrated
  • 7. What changed?  Change provoke system changes and individual unrest  Differing agendas and identified the needed to manage clinician buy in to maintain satisfaction of multidisciplinary service delivery model  I felt responsible for the uncertainty aroused in everyone
  • 8. Role development to the rescue Systems Psychodynamic Role analysis (Newton and Long) helped me identify how I was holding my role in my mind
  • 9. Role awareness  Began the work of joining the dots between the reality of the situation and the fantasy of my role  Authority relations  Role given V role taken - Impact of resentment and envy  The concept of boundary management  I must be flexible in the role I take up and it must be customised to the system, people and situation.  Awareness and acceptance that change is difficult and anxiety provoking and the role of the agent is to recognise and manage this and facilitate containment not necessarily lead the project.
  • 10. Personal insights  Capacity to continue with a commitment to valuing the power of influence and the role of followership  An understanding that real power in the system is accepting the influence of role awareness and managment.  Found the grace to accept the role of followership to support others to take up their roles to the best of their ability to manage the uncertainty of the change process and therefore grow with the service changes.
  • 11. Nelson Mandela Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness, that most frightens us. We ask ourselves, who am I to be brilliant, gorgeous, talented, And fabulous? Actually, who are you not to be? You are a child of God...Your playing small doesn't serve the world. There's nothing enlightened about shrinking so that other people won't feel insecure around you. We are all meant to shine, as children do. We are born to make manifest the glory of God that is within us. It's not just in some of us, it's in everyone. And as we let our own light shine, we unconsciously give other people permission to do the same. As we are liberated from our own fear, our presence Automatically liberates others. Thanks and good luck. Drop past for a coffee and a chat anytime. You all know where to find me. cheers