1 leading change & innovation in health care it ouellette & associates presented by ken...

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Leading Change & Innovationin Health Care IT

Ouellette & Associates

Presented by Ken Emery

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What are the Problems? Medical costs increasing faster than the economy

47 million uninsured citizens

Emergency room overload

Medical errors

One-sixth GDP

Billions of dollars lost by investors

Fragmented physician care

Complex systems of payments and reimbursements

Few uniform data standards

Islands of information Fragmentation of IT software purchases…(I want an

automobile, not a wheel, engine, and chassis!)

Historically underinvested in IT

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Last, but not least…… Many, Many Stakeholders:

− For-profit hospitals

− Not-for-profit hospitals

− Physicians

− Pharmaceutical companies

− Consumers

− Insurers

What are the Problems? (continued)

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All This = Much Uncertainty About the Future

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IT Innovation & Strategy

Strategy

IT Innovation

StrategyIT

Innovation

Strategy

IT Innovation

IT Innovation

Strategy

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Current Focus in Healthcare IT Electronic medical records Integration of disparate systems Storage and security of patient

data Physician practice integration Computerized physician order

entry Patient financial services Remote monitoring/telemedicine Medication administration

technology Twitter and clinical data Collaboration tools Deliver more with less

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Information Technology Can…

Provide a robust infrastructure for data integration and data sharing

Reduce the costs of medical care

Embed “best practices” into the technology

Integrate disparate processes and systems

Provide a stabilizing platform for implementing change

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Current

Valley of Despair

Future

Change Curve

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Clarity

Commitment

Community

The Components of Change Model

Communication

Copyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.

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Typical Reactions to Change

Skepticism Weariness Excitement Anxiety Anger Why? … This too shall pass (I

hope)!


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Experiencing Change

Thinking & feeling aspects

Natural to think “loss”, refocus on “gain”

Each individual has a limited capacity

Looking for support

Don’t often ask for help

Is creativity encouraged?

Change is personal !!


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Translate it to a Burning Platform

Why Change?


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“Some people change when they see the light, others when they feel the heat.”

- Caroline Schoeder

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Change Comes From the Inside Out!

Source: Howard Gardner “Changing Minds”

Often, the most important point of change is changing minds

The only one who can change a person’s mind is that person

Find out what current mindsets exist

Create a WIIFM environment that… helps people examine the change discover its benefits and decides to change their mindset


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Organizational Roles During Transition: Executive Change Sponsor

Transition Leader

Transition Leadership Team

Change Communications Coordinator

Project Leaders

Project Teams

Trail Blazer Teams

Change AdvocatesCopyright 2007 Ouellette & Associates and Omega Point Consulting. All rights reserved.

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Leadership Behaviors to Avoid…

The Vulcan Mind Meld

The Rational World View

Cuckoo Clock Leadership

Sponsoring the Idea ONLY

People magically will get on board, just because the leaders are.

“If it makes sense, people will do it.”

Leaders who pop out on occasion to champion the cause but otherwise remain hidden.

Sponsoring the goal, but not the journey.

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Other Examples…


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“If we do not change then our organization will not change.”

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Change CapacityChange #1

Senior Management

Middle Management

First Line Management

Staff

Middle management pressured from sr.

mgmt to make changes happen

Middle management receives resistance

from first line mgrs & staff

First line management receives resistance

from staff

Change #1

Change #1

Change #1

Change #2

Change #2

Change #2

Change #2


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Communication is the Glue

Communication is not an event… it is an accompaniment to life!

You can never communicate enough!

Build a Change Communication Plan and Execute it purposefully!


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“The rate of change is not going to slow down anytime soon. If anything, competition in most industries will probably speed up even more in the next few decades.”

- John Kotter

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One thing you can always count on…

There will be CHANGE!

1 leading change & innovation in health care it ouellette & associates presented by ken...

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