Public Narrative and Strategy:Building Teams & Fixing Problems

Andrew Morris-Singer, MDPresident, Primary Care Progress

Affiliate Instructor, OHSU Department of Family Medicine

Lecturer, Harvard Medical School

Stephanie AinesChapter Outreach Manager & Lead Organizer

Primary Care Progress

Objectives

What makes a leadership story?

Storytelling as a leadership practice

Acknowledgements

Adapted from the work of Marshall Ganz of the Harvard Kennedy School and Leading Change Network.

Leadership Styles“Dot” in the Middle

Everyone is a Leader

Leadership Styles

The SnowflakeAn interdependent model of leadership

Leading Change Efforts

Steph’s Story

Public Narrative

Self

Us Now

What is a Public Narrative?• 3 parts:

– Story of SELF: Why do I care? What brought me to this point of stepping up and taking action?

Communicates MY values through choices

– Story of US: Why do WE care? What are moments we have shared as a community?

Communicates values we SHARE

– Story of NOW: Why is it time to take action now? Why is it urgent? What must we do now?

Brings us together to take action NOW

Story of Self

Why was I called to be a leader?Communicates values through choices

Story of Us• “What values do I share with others?”• A story about a specific group of people• Highlights choices we’ve made

Story of Now

• Creates a sense of urgency• Calls on the community to act NOW

3 Parts of Public NarrativeInvites others to bein relationship with you

Invites others to join in your communityunity

Invites others to takeACTION!

Invites others to be in relationship with you

Invites others to take ACTION!

Your story succeeds if it has…

A choiceA challenge An outcome

•Why am I called to leadership in healthcare? What is my purpose in calling on others to join me?

–Focus on a major project you are working on with your team. Why did you decide to tackle this specific problem? What stories can you tell to answer these questions?

•What values move me to act? How might they inspire others to similar action?

•What stories can I tell from my own life about specific people or events that would show (rather than tell) how I learned or acted on those values?

•CHALLENGE CHOICE OUTCOME

Pulling Together The Ingredients

Practice

Break!!

Don’t work harder to effect change.Work smarter.

Strategy & Action

Bringing People Together

Building community, sharing resources Advocacy and leadership Advancing Innovation

Engaging communities to transform primary care

Theory of Change

• Theory of No Change

• Technical – flu shots

• Legislative/Judicial – Brown v. Board

• Organizing – people power!

So what are we talking about…

Strategy is turning the RESOURCES you have into

the POWER you need to get the CHANGE you want

GoalsStrategy is…

Into what you needTurning what you have

Resources To get what you wantPOWER

4 Key Questions In Strategizing

1) What is the PROBLEM?

2) Who are our PEOPLE?

3) What is our SOLUTION – the CHANGE that we seek in order to begin solving the problem? (Goal)

4) Who can give it to us? What do they care about? What do we have that they care about?

Montgomery Bus Boycott

(Step 1) What is the problem?

Racism

Segregation: Busses

(STEP 1) What is the Problem?

ALLIES

LEADERSHIP

CONSTITUENTS:

ALLIES

Gre

ates

t Int

eres

t in

Chan

geG

reatest Interest in Status Quo

(Step 2) Who Are Your People?

OPPOSITION

ALLIES

LEADERSHIP

CONSTITUENTS:

AFRICAN-AMERICANS IN MONTGOMERY, ALABAMA

IN 1955

ALLIES

Gre

ates

t Int

eres

t in

Chan

geG

reatest Interest in Status Quo

Who Are Your People?

OPPOSITION

ALLIES

LEADERSHIP

CONSTITUENTS

ALLIES

Gre

ates

t Int

eres

t in

Chan

geG

reatest Interest in Status Quo

Who Are Your People?

OPPOSITION

E.D. Nixon

Jo Ann Robinson

Dr. Martin Luther King

Who was the Leadership Team?

Rosa Parks

ALLIES

LEADERSHIP

CONSTITUENTS

ALLIES

Gre

ates

t Int

eres

t in

Chan

geG

reatest Interest in Status Quo

Who Are Your People?

OPPOSITION

ALLIES

LEADERSHIP

CONSTITUENTS

-bus companies

-City Council

-many white people in town

ALLIES

Gre

ates

t Int

eres

t in

Chan

ge

Greatest Interest in Status Q

uo Who Are Your People?

OPPOSITION

ALLIES

LEADERSHIP

CONSTITUENTS

ALLIES

Gre

ates

t Int

eres

t in

Chan

geG

reatest Interest in Status Quo

Who Are Your People?

OPPOSITION

ALLIES

LEADERSHIP

CONSTITUENTS

ALLIES: Sympathetic whites

Cab driversPeople in other cities

Gre

ates

t Int

eres

t in

Chan

geG

reatest Interest in Status Quo

Who Are Your People?

OPPOSITION

End of Racism; Justice, Equality

Integrated Busses

(STEP 3) What’s the Solution?

GoalsStrategy is…Steph

Into the what you needTurning what you have

Resources To get what you want

POWER

(STEP 4) Who can give us what we want?

University of Colorado and Community

(Step 1) What’s the problem?

Poverty and healthcare disparities

Lack of access to the

AMC

(STEP 1) What’s the Problem?

Primary care marginalization,

professional siloization

Lack of IP training in

primary care

ALLIES

ALLIES

LEADERSHIP

Gre

ates

t In

tere

st in

Ch

ange

Greatest In

terest in Statu

s Qu

o(Step 2) Who Are Your People?

OPPOSITION

ALLIES

LEADERSHIP

CONSTITUENTS

ALLIES

OPPOSITION

It’s Partner Time!

Gathering Key Support

Data and Stories

Community access to healthcare and IP student collaboration

An IP student run free clinic!

(STEP 3 ) What’s the Solution?

(STEP 4 ) Who can give us what we want?

Dean

Chair of Site of Practice Cmttee

GoalsStrategy is…Steph

Into the what you needTurning what you have

Resources To get what you want

POWER

(STEP 4) Who can give us what we want?

Great Technical Plan

• Testing Through UCH• Supplies Through Schools,

Advocates for World Health• Interpreter Training and

Language Line• Patient Navigator Training• Community Resource

Clearinghouse• Insurance Enrollment and

Referrals

The Petition

(Step 1) What problems face us in PRIMARY CARE?

What is the Problem?

Marginalization of Primary Care.

(STEP 1) What’s the Problem?

ALLIES

LEADERSHIP

CONSTITUENTS:

ALLIES

Gre

ates

t Int

eres

t in

Chan

ge Greatest Interest in Status Q

uo(Step 2) Who Are Our People?

OPPOSITION

SOLUTION

(STEP 3 ) What’s the Solution?

Track Down Power

• What do my people want? (the goal!)

• Who can give us what we want? Us? Others?

• What are their/our interests?

• What do we have that they need?

Theory of Change

Debrief

Plusses...

Deltas...

Takeaways...

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Thank You andEnjoy Lunch!