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Spreading Change
Pursuing better care: Quality Improvement
in Paediatrics and Child Health

Dr. Damian Roland on behalf of the
Running Horse Group
(Google us!!)
1
2
Open minded

Reactive
Resist change

Proactive
Want change
Source
http://blogs.hbr.org/cs/2012/09/ten_ways_to_get_people_to_chan.html
3
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
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
20% of
the results

80% of
the time spent

20%
of the time spent
Source: Pareto’s principle.

80%
of the results
What don’t I do

Goals

Not goals

What do I do

Change is happening
Spreading Change
Culture
Call (to action)

Challenge

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Damian PechaKucha presentation Spreading Change

Editor's Notes

  1. Three steps to spreading change: Challenge, Call (to action) and Culture
  2. “If you do not change direction you may end up where you are heading” – Lao Tzu
  3. “Progress is a nice word. But change is a motivator. And change has its enemies” – Robert Kennedy
  4. “You must be the change you want to see” - Ghandi
  5. 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!
  6. You then need a Call to action – this is best as a personal and as narrative as possible
  7. The burning platform is becoming an increasingly popular analogy – why do you really need to change?
  8. Once you have the change and the reasons for it you need a culture to be able to implement that change
  9. “I have not failed I have just found a 10000 ways that won’t work” – Thomas Edison
  10. Context specific of course – but sometimes better to seek forgiveness than ask permission
  11. No easy answers
  12. Must note the change model but appreciate that this is very multi-faceted