Civic engagement to transform health is critical. Open space technology is one brilliant way to build a platform for change and action. Quality Forum 2015
2. Why do change efforts fail?
• Change starts at the top
• Change is rolled out
• Change is engineered
• Focus on a few elements of a complex system (not all)
• Changing organizations without adequately dealing
with the human beings (emphasis on head vs. heart)
• We must address all the key elements that make up a
system
McKinsey and Co; Inconvenient truth about change management/Build a platform of change; not
a change program (2014)
3.
4. What is transformational
change?
Fundamental change, altering the very nature
of something.
Transformational change is both radical and
sustainable.
Something that is transformed can never go
back to exactly what it was before.
Robert Gass, Who we are, Social Change Transformation
5.
6.
7. If you have come here to help me, then you
are wasting your time… but if you have come
because your liberation is bound up with
mind, then let us work together.
Lila Watson, Australian Aboriginal activist
8. Staff Engagement
Culture of Safety and Trust
Patient/resident Centred Care
Health Reform
Tapping into hearts and minds
Complex Challenges
13. Open Space Principles
• Self-organizing
• All attendees are encouraged to present or
facilitate a session
• The goal is understanding, not necessarily to
"win" or win support by being right
• Law of Two Feet
14.
15.
16.
17.
18.
19.
20. Traditional Unstructured/Open Space
Agenda is pre-set Participants set the agenda
Expert driven Driven by the “pitcher” – no
expert
PPT driven /Panels Discussion based
People around table or
behind
Sitting in a circle with no
table
All presentations and room
spoken for
Encouraged to strike up an
impromptu group discussion
Committee planned Participant driven
Information /Workshop Connection to Action
Sit through the session (at
all cost)
Law of 2 feet. Find the right
conversation.
22. A good question has …
• “How can we…”
• No solution in the question
• Status quo is not an option any more
• Big goal that is open enough for different
solutions to emerge
• Many elements that influence the problem
WICKED
23. What questions need to be dealt with
– for this conference
to be a success for me?
Workshop!
24. Our Burning Question?
Q1: How do you truly engage frontline staff in
change?
Q2: How do you create a culture where people
are free to try new things?
Q3: How do you find untapped energy in your
workforce?
What do you want to add?
25.
26. • Write your idea/question on a piece of
paper and add your name
• Come and pitch it! (1 minute time line)
• You will be given a “circle” to meet!
27.
28.
29.
30. Facilitator Training
• First names only
• Step up and step back
• Monologues
• Circular arguments
• Conversations that won’t end
Best facilitators: gentle nudgers who are
adaptive in style
33. But the "magic" is not Open Space Technology, but
rather the force that underlies it -- the power of self
organization.
Harrison Owen
34.
35. The intuitive mind is a sacred gift and the
rational mind is a faithful servant. We have
created a society that honors the servant and
has forgotten the gift.
Albert Einstein
Currency of relationships and connections – vs. power and hierarchy
Networks – change on the fringe – outside the formal hierarchy
Start small – don’t ask for permission – embrace no
Radicals/rebels
Social change leaders of our time
Mahatma Gandhi, Martin Luther King, Dorothy Day and Nelson Mandella
Our dominant culture teaches us individualism and competition. Transformation invites to the radical understanding that not only do we need each other but we are profoundly interconnected
Only one way to do this and that is through civic engagement
OS Law of Two Feet - Use your two feet to move to whatever place you can best learn or contribute. Only participate in what has ‘heart and meaning’ for you. Don’t hesitate to wander and cross-pollinate freely. [Review 4 Open Space Principles]A big part of this unconference is self-organizing. Anyone can introduce new topics for discussion at any time. Just find some space and post the topic/question you want to discuss. The only boundaries are the two Theme Questions.The goal is understanding, not necessarily to "win" or win support by being right.Jot down notes instead of cutting each other off. This is an important sign of respect for those in your circle.When disagreements arise, welcome them and turn your initial judgment into curiosity.Anyone can request assistance from any designated Facilitator at any time.
you can choose more than one session at the same time; it’s possible to be in multiple places at once
cross-pollinate ideas
May never attend a session; they hang out in the kitchen, outside, in the terrace
A small-talk with one might impact your thinking and affect others in the large group
So, don’t be irritated by those who don’t join sessions. If you’re one, know that you’re always welcome on Open Space meetings
Whoever comes are the right people
We don’t need everybody, just those who care
Only one? When was the last time you had quiet time to think and write about something you really cared about? Go for it!
2)Whenever it starts is the right time
Creativity does not happen according to a schedule
3)Whatever happens is the only that could have
Let go of expectations: coulds, shoulds; whatever is, is;
4)When its over its over
Done in 10 minutes? Great! Move on.
Corollary: when it’s not over, keep going until you’re done
Hi Marlies,
Sorry for the delay - was quite sick this week!
Good questions in the design world often start with "How might we...." and also don't include the solution in the question. Making healthcare more friendly begs the question - why? what will that do?
I think the goal really is improving patient outcomes, or increasing health and wellness in BC or something like that. A big goal that is open enough for lots of different solutions to emerge. Make sense? If not - we have a call booked on Monday and can chat more then.
Also, I am going to to an e-intro to another great co-facilitator that you can engage if you would like help on the day.
Have fun!
-steve
On 29 January 2014 13:10, Marlies van Dijk <mvandijk@bcpsqc.ca> wrote:
Hi Steve,We are just getting organized for the mini unconference we want to run at the Quality Forum.We are still wondering if using out burning question from SQAN "What does it take to provide top surgical care in BC?" is limited to surgery and most attendees not from that world.What are some other mock up questions that would be good for that 1 hour session.Here are some ideas?Can you send me some notes on how you determine what a good question is? Do you have anything on that?Ideas:How could we make healthcare more patient friendly?What does it take to make healthcare more patient friendly?How do we get healthcare unstuck and more innovative?What does it take for us to work in teams and communicate better?
Pitch:
Piece of paper on the table – pen
Pitch for one minute