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© 2014 IBM Corporation 
Addressing Care Challenges for 
Mental Health 
Tuesday, October 21 
2:00-2:45
Nicoletta Tessler, Psy.D., M.B.A. 
Vice President & Chief Administrative 
Officer 
Jackson Behavioral Health 
Hopsital 
2 
Addressing Care 
Challenges for Mental 
Health
3 
Addressing Care 
Challenges for Mental 
Health 
Bill Emmet 
Executive Director 
The Kennedy Forum
Pete Early 
Best selling author 
journalist & mental health 
advocate 
4 
Addressing Care 
Challenges for Mental 
Health
© 2014 IBM Corporation 
How Do We Define the Future of 
Behavioral Healthcare? 
Nicoletta B. Tessler, Psy.D., M.B.A. 
Vice President & Chief Administrative Officer 
October 21, 2014
ACCELERATE 
CHANGE
CHANGE IS HARD 
70 percent 
of all change efforts fail!
Change 
Fatigue
A True Sense of Urgency is a 
Prerequisite for Change 
When do we know we are there? 
• We are aware of looming hazards and great 
opportunities around us. 
• We feel a sense of urgency. 
• We have a powerful desire to make changes 
win – NOW!
Step 1: 
Establish Our Sense 
of Urgency 
Complacency and false urgency 
are buzz kills
We are urgent about 
what, exactly?
Step 2: 
Create Our Guiding Coalition 
We are better as a team than we are 
as individuals
A diverse many, not a 
limited few 
Power of Change Volunteerism! 
“Want To and Get To”
Step 3: 
Develop Our Change Vision 
Change never happens through 
authoritarian decree or 
micromanagement
Step 4: 
Communicate our Vision for 
Buy-In 
BH needs to understand what’s in it for 
us once we’ve successfully achieved the 
vision
Step 5: 
Empower Broad-Based Action 
We need to identify common 
barriers 
that stand in our way of our change 
vision
What are our barriers?
Step 6: 
Generate Short-Term Wins 
We need compelling evidence of 
change – immediately!
Where and how will we 
publicize our 
successes?
Step 7: 
Never Stop Fighting 
• Maintain momentum 
• Maintain a sense of urgency 
• Continue learning from experience
Does our problem still 
feel urgent and 
relevant?
Step 8: 
Incorporate Change into The 
Culture 
Everyone needs to believe in it
The Change Becomes 
“The way we do things 
around here,” says BH.
PLAYING 
TO WIN
Overview of Playing to Win 
#1 Our strategy is about making 
choices 
#2 Our strategy is about increasing the 
odds of success
#1 
Our Strategy Is About 
Making Choices 
To win, JBHH must choose to do some 
things and not others
#2 
Our Strategy Is About 
Increasing the Odds of Success 
There is no such thing as a PERFECT 
strategy
JBHH Strategy 
How will 
we win? 
What is our 
winning 
aspiration? 
What 
capabilities 
must we 
have? 
Where will 
we play?
JBHH Strategy Cascade 
How will 
we win? 
What is our 
winning 
aspiration? 
What 
capabilities 
must we 
have? 
Where will 
we play?
What Is Our Winning 
Aspiration? 
A winning aspiration is a future-oriented 
statement about the guiding purpose of 
the organization: 
• What does JBHH exist to do? 
• What does winning mean for us?
JBHH Strategy Cascade 
How will 
we win? 
What is our 
winning 
aspiration? 
What 
capabilities 
must we 
have? 
Where will 
we play?
Where Will We Play? 
This choice defines the playing field on which we 
choose to compete: 
• Care integration 
• Our catering business 
• Expanding reach 
• Clinical expansion 
It is also about where NOT to play
JBHH Strategy Cascade 
How will 
we win? 
What is our 
winning 
aspiration? 
What 
capabilities 
must we 
have? 
Where will 
we play?
Playing to Win versus Playing to Play 
PLAYING TO PLAY 
• Doesn’t have a 
winning element 
but focuses on 
simply serving a 
customer segment 
PLAYING TO WIN 
• Starts with patients 
rather than 
money—what does 
it mean to win with 
JBHH customers?
How Will We Win? 
This choice is about how we will win 
on the playing field we’ve chosen. 
What is our competitive advantage?
The Two Fundamental 
Ways to Win 
LOW COST 
• Achieve financial strength 
• Ensure care is effective and 
efficient 
• Commit to evidence-based 
practices 
• Drive innovation 
DIFFERENTIATIO 
N 
Sustainable 
Competitive 
Advantage
JBHH Strategy Cascade 
How will 
we win? 
What is our 
winning 
aspiration? 
What 
capabilities 
must we 
have? 
Where will 
we play?
Which Capabilities Must We Have? 
Capabilities are the activities that 
enable JBHH to bring the where-to-play 
and how-to-win choices to life.
39
40 
Nicoletta Tessler 
Bill Emmet 
Pete Earley

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Addressing Care Challenges for Mental Health

  • 1. © 2014 IBM Corporation Addressing Care Challenges for Mental Health Tuesday, October 21 2:00-2:45
  • 2. Nicoletta Tessler, Psy.D., M.B.A. Vice President & Chief Administrative Officer Jackson Behavioral Health Hopsital 2 Addressing Care Challenges for Mental Health
  • 3. 3 Addressing Care Challenges for Mental Health Bill Emmet Executive Director The Kennedy Forum
  • 4. Pete Early Best selling author journalist & mental health advocate 4 Addressing Care Challenges for Mental Health
  • 5. © 2014 IBM Corporation How Do We Define the Future of Behavioral Healthcare? Nicoletta B. Tessler, Psy.D., M.B.A. Vice President & Chief Administrative Officer October 21, 2014
  • 7. CHANGE IS HARD 70 percent of all change efforts fail!
  • 9. A True Sense of Urgency is a Prerequisite for Change When do we know we are there? • We are aware of looming hazards and great opportunities around us. • We feel a sense of urgency. • We have a powerful desire to make changes win – NOW!
  • 10. Step 1: Establish Our Sense of Urgency Complacency and false urgency are buzz kills
  • 11. We are urgent about what, exactly?
  • 12. Step 2: Create Our Guiding Coalition We are better as a team than we are as individuals
  • 13. A diverse many, not a limited few Power of Change Volunteerism! “Want To and Get To”
  • 14. Step 3: Develop Our Change Vision Change never happens through authoritarian decree or micromanagement
  • 15. Step 4: Communicate our Vision for Buy-In BH needs to understand what’s in it for us once we’ve successfully achieved the vision
  • 16. Step 5: Empower Broad-Based Action We need to identify common barriers that stand in our way of our change vision
  • 17. What are our barriers?
  • 18. Step 6: Generate Short-Term Wins We need compelling evidence of change – immediately!
  • 19. Where and how will we publicize our successes?
  • 20. Step 7: Never Stop Fighting • Maintain momentum • Maintain a sense of urgency • Continue learning from experience
  • 21. Does our problem still feel urgent and relevant?
  • 22. Step 8: Incorporate Change into The Culture Everyone needs to believe in it
  • 23. The Change Becomes “The way we do things around here,” says BH.
  • 25. Overview of Playing to Win #1 Our strategy is about making choices #2 Our strategy is about increasing the odds of success
  • 26. #1 Our Strategy Is About Making Choices To win, JBHH must choose to do some things and not others
  • 27. #2 Our Strategy Is About Increasing the Odds of Success There is no such thing as a PERFECT strategy
  • 28. JBHH Strategy How will we win? What is our winning aspiration? What capabilities must we have? Where will we play?
  • 29. JBHH Strategy Cascade How will we win? What is our winning aspiration? What capabilities must we have? Where will we play?
  • 30. What Is Our Winning Aspiration? A winning aspiration is a future-oriented statement about the guiding purpose of the organization: • What does JBHH exist to do? • What does winning mean for us?
  • 31. JBHH Strategy Cascade How will we win? What is our winning aspiration? What capabilities must we have? Where will we play?
  • 32. Where Will We Play? This choice defines the playing field on which we choose to compete: • Care integration • Our catering business • Expanding reach • Clinical expansion It is also about where NOT to play
  • 33. JBHH Strategy Cascade How will we win? What is our winning aspiration? What capabilities must we have? Where will we play?
  • 34. Playing to Win versus Playing to Play PLAYING TO PLAY • Doesn’t have a winning element but focuses on simply serving a customer segment PLAYING TO WIN • Starts with patients rather than money—what does it mean to win with JBHH customers?
  • 35. How Will We Win? This choice is about how we will win on the playing field we’ve chosen. What is our competitive advantage?
  • 36. The Two Fundamental Ways to Win LOW COST • Achieve financial strength • Ensure care is effective and efficient • Commit to evidence-based practices • Drive innovation DIFFERENTIATIO N Sustainable Competitive Advantage
  • 37. JBHH Strategy Cascade How will we win? What is our winning aspiration? What capabilities must we have? Where will we play?
  • 38. Which Capabilities Must We Have? Capabilities are the activities that enable JBHH to bring the where-to-play and how-to-win choices to life.
  • 39. 39
  • 40. 40 Nicoletta Tessler Bill Emmet Pete Earley