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Self Leadership and More Health / Less Care. Peter J. Weiss, MD Adventist Health System February 29, 2012. Agenda. Healthcare today Why are we sick? Self Leadership - How to change Take aways: Environment Emotions. There’s a Pill for Everything !.
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Self Leadership andMore Health/Less Care Peter J. Weiss, MD Adventist Health System February 29, 2012
Agenda • Healthcare today • Why are we sick? • Self Leadership - How to change Take aways: • Environment • Emotions
Healthcare Crisis or Health Crisis ? • 70% care is for preventable illness • 1/3 of care is useless or harmful 20% 20% 10% necessary care for non preventable conditions care for non preventable conditions all care
Healthcare Crisis or Health Crisis ? $$$ Healthcare Spending Overall Health $ Time
What Happened to Us? Internal • Genetics • Character / Moral Fiber • Choices External (the environment) • Portion Sizes • Kinds of Foods • Electronic Activities / Entertainment • Affluence
What Should We Do ? Personal Issue VS. • Personal Health • Public Health VS. Willpower Environment VS. Social Issue
Let’s Do It All ! Yes to social change Yes to personal change What should I do ? – Self Leadership Everyone thinks of changing the world, but no one thinks of changing himself. – Leo Tolstoy
How We Change Readiness Design Implementation
Readiness Preventers • Laziness ? • Denial • Can’t envision success • Lack of familiarity • Learned helplessness • Low self esteem / low emotional health • It’s all about emotions! Always bear in mind that your own resolution to succeed is more important than any one thing. Abraham Lincoln
Design • One size fits none ! Own your plan • Structure your environment to help you • Stop “trying harder” at what didn’t work before (willpower) • Be open to new ideas Goals vs. direction Small steps vs. all at once • Mix and match – Create and Discover
The Behavioral Effect of Our Environment Apparent / Overt • Direct interaction • Advertising Indirect but not out of mind • Social Movements or Fads Pervasive but often underappreciated • Culture • Worldview
How Should You Live ? What is “normal” that is not good for you ? How did it become your normal? What could be a new normal ? • Foods / Supplements / Medications • Alcohol / Tobacco • Jobs / Hobbies / Leisure pursuits • Relationships / Friends / Groups • Exercise
How Do You Do It ? Environmental approach vs. willpower • How would you do quality improvement at work? Limit Choices • No TV cable service • Healthy foods in the house • Supportive friends • Dining out?
Implementation • Start ! • Allow for setbacks • Have a support team / system It’s all about the emotions • Keep learning • Make adjustments • Just keep at it
Understanding Emotions …emotions lead to action while reason leads to conclusions – Donald Caine • Do you agree that emotions drive behavior? • What about negative behavior? • Where do emotions come from? • Can you control your emotions? How?
Pete’s Self Leadership bottom line Remember… Environment Emotions You can do it! And let me know if I can help - Pete