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Damian PechaKucha presentation Spreading Change

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PK presentation to RCPCH QI Session 2013

PK presentation to RCPCH QI Session 2013


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  • Three steps to spreading change: Challenge, Call (to action) and Culture
  • “If you do not change direction you may end up where you are heading” – Lao Tzu
  • “Progress is a nice word. But change is a motivator. And change has its enemies” – Robert Kennedy
  • “You must be the change you want to see” - Ghandi
  • First you need your challenge – idea, change process. Slightly easier if already established and spreading but you do need something solid on which to sell the change!
  • You then need a Call to action – this is best as a personal and as narrative as possible
  • The burning platform is becoming an increasingly popular analogy – why do you really need to change?
  • Once you have the change and the reasons for it you need a culture to be able to implement that change
  • “I have not failed I have just found a 10000 ways that won’t work” – Thomas Edison
  • Context specific of course – but sometimes better to seek forgiveness than ask permission
  • No easy answers
  • Must note the change model but appreciate that this is very multi-faceted
  • Transcript

    • 1. Spreading Change Pursuing better care: Quality Improvement in Paediatrics and Child Health Dr. Damian Roland on behalf of the Running Horse Group (Google us!!)
    • 2. 1
    • 3. 2
    • 4. Open minded Reactive Resist change Proactive Want change
    • 5. Source http://blogs.hbr.org/cs/2012/09/ten_ways_to_get_people_to_chan.html
    • 6. 3
    • 7. Sources: http://thehypertextual.com/2010/04/08/gary-hamels-pyramid-of-human-capabilities/ http://www.business-strategy-innovation.com/2010/04/employee-traits-hierarchy-for-creative.htm
    • 8. High energy Angry Alert Nervous Passion Stressed Happy Upset Sad Contented Depressed Relaxed Fatigued Calm Low energy Source: http://hmi.ewi.utwente.nl/verslagen/capita-selecta/CS-Zimmerman-Jurrit.pdf
    • 9. 20% of the results 80% of the time spent 20% of the time spent Source: Pareto’s principle. 80% of the results
    • 10. What don’t I do Goals Not goals What do I do Change is happening
    • 11. Spreading Change Culture Call (to action) Challenge

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