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How to Be a Great Change Agent - Minicourse M10

How to Be a Great Change Agent - Minicourse M10



Presentation from IHI National Forum on Quality and Safety ...

Presentation from IHI National Forum on Quality and Safety

Minicourse M10 How to Be a Great Change Agent
It’s tough being a change agent, particularly when other people don’t want to change. Yet big change happens in health care organizations only because of heretics: passionate people who are willing to take responsibility for change. Such individuals support organizational goals, but also want to change existing thinking and practice and improve care for patients. This session provides a toolkit for surviving and thriving as a change agent.

After this session, participants will be able to:
Identify and practice tactics for being an effective change agent
Build a toolkit of powerful approaches to enable change
Connect with and learn from other change agents
Monday 9th December Crystal Ballroom, Salon D8.30am to 4.00pm

Helen Bevan @HelenBevan
Robert Varnam @RobertVarnam
Andrew Hasler @AndrewHasler

#IHI25Forum #ChangeAgents



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  • @TimBenson1 Thanks Tim for nice comment. It's hard to choose what to prioritise in a day. We have a section in the workshop on 'building alliances' which is all about practical tactics for getting people on board with your cause, using approaches based on narrative and calling others to action. I think this is in the same territory as 'followers'. best wishes Helen
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  • Fantastic slides.

    My only thought was that you missed out the problems of attracting followers (http://people-equation.com/following-its-the-new-leadership/) and crossing the chasm.
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  • These are the slides for a one day workshop on 'How to be a great change agent' that is taking place on 9th December 2013 at the Institute for Healthcare Improvement 25th National Forum on Quality in Healthcare. The workshop is aimed at people who support the mission of their organisations and who see the need for change but who often find that the way that their organisations go about change to be frustrating and challenging. This is a day of tactics for surviving and thriving as a change agent; how to rock the boat and stay in it. The workshop starts at 8.30am EST which is 1.30pm UK time. Please feel free to take part in real time virtually, wherever you are, using the hashtags #IHI25Forum and #ChangeAgents
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  • Examples of Social Movements: people doing something for a cause …The early psychosis declaration: Under the banner of IRIS a small group of people from around the UK gathered in Cheltenham in 2001 to discuss how they might generate a consensus on how services could be improved for young people with psychosis and their families. From those initial ideas the launch of the National Institute for Mental Health in England provided an ideal platform for further development.  40 people (service users, family members, and expert practitioners) met with representatives of the World Health Organisation (WHO), IRIS and Rethink to agree standards of care that those developing early psychosis and their families should expect. The IRA Hbloock/Armagh: IRA leaders detained in prison went on a dirty protest and refused to eat – Bobbly Sands was elected to the UK parliament whilst in prison and not allowed to take up his seat and died in prison. Greenpeace: surely everyone knows something about Greenpeace?100k lives campaign: in the USA from IHI, participating organizations agreed to provide monthly mortality statistics and adopt at least one of six interventions. These interventions included dispatching rapid response teams at the first sign of patient decline, following rigorous protocols to prevent infections caused by surgery, central venous catheters, and ventilators, giving heart attack patients recommended medications when they enter and leave the hospital, and checking to make sure all medications taken by a patient are appropriate. The 5 Million Lives Campaign calls for six additional interventions, including guidance on best practices to prevent pressure ulcers and to reduce Methicillin-Resistant Staphylococcus aureus (MRSA) infectionMarathon runners: City marathons for charity as well as elite athletes started in London on the 80s and have grown and spread all over the worldSuffragettesCND: peace marchers and peace camps against nuclear war British Heart Foundation – could have any number of charities
  • Large scale action - Not requiring large leadership team or compliance frameworkDefinition used in “The Power of One, the Power of Many” = a voluntary collective of individuals committed to promoting or resisting change through co-ordinated activity.
  • Examples form the NHS of social movements often called a call to action
  • 3min. Reflect & write it down
  • So that we believe that this is creating contagious commitment to deliver pretty challenging results across the challenging times. We use our shared purpose to connect with others, through shared values and commitment around a collective vision. A narrative creates contagious commitment by connecting people to our values, purpose and vision. So when thinking about engagement we are best placed if we strike a balance in our engagement
  • Connection is made with individuals by connecting with their values
  • Removed all the builds and let the presenter speak to this using narrative to connecting with peoples values, emotions which then connects with action.Ask delegates to turn to page 6 and write a few words reflecting on the change they are seeking
  • LIST some emotions
  • Where has it been used?
  • Count how many times each element is used.How did it make you feel? Did you notice the elements? What do you remember? What else did he include?
  • Try to include a challenge , choice and outcome in your story when you write it.We will ask you to provide feedback to your colleagues as they tell their stories later on whether these are obvious to you.
  • Remember the power of “Killer Facts”Have one that really illustrates this for you.JG – I often use one from Kath Evans. If we had the health care system in England that matched the best in Europe 1500 children a year, would not die in our care.
  • How does this make you feel?
  • there are three roles and a set of role cards for each triad
  • RV Stories of our process with CCGs & partners & practices