Final Open Systems Session:

1. Final Open Systems Session: Within the Innovator Role: Managing Change

2. Learning Goals • Be able to identify forces promoting and resisting change in specific situations • Depict through force field analysis • Use force field analysis and knowledge of org change to analyze change efforts

3. Agenda • Mini lecture on managing change • Teams do force field analyses • Present and discuss • Wrap up

5. Many Pressures for Change in Health Care • Advancing drug technologies • Shifting demographics • Assertive regulators and payers • Educated patients

6. Agility is key to success in health care -- and yet most change efforts fail

7. People resist change • Uncertainty • Inability to predict outcome • Loss • Of control, status, relationships, sense of competence

8. Systems resist change • Structural barriers • Bottlenecks • Physically separations • Process Barriers • Takes time to shift behaviors • Cultural Barriers

9. Force Field Analysis “Object at rest will remain at rest unless….”

10. Force Field Analysis • List all driving forces • List all resisting forces • Assign a numerical value to each • Identify which you can affect • Analyze to see how to implement change

11. Options May Include: • Increasing strength of driving forces • Adding new driving forces • Decreasing strength of resisting forces • Removing resisting forces • Changing resisting forces into driving forces

12. 3 Approaches to Managing Change • Rational empirical: Just the facts! • Normative-reeducative: Helping the whole human with change • Power-coercive: I’m in charge

13. General Tips for Implementing Change • Create a supportive environment • Emphasize respect • Maintain a positive vision

14. Coming Up • Thursday integration • Next Tuesday interview panel • Lakeview simulation

15. And Don’t Forget… • HPA Alumni Showcase • 1:25 – 2:15 • 2:30 – 3:20 • 3:35 – 4:25 In the Henderson Living Center