The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
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See the Problem You Don’t See: The Art of Helping People Change Jason Woo, MD, MPH, FACOG Senior Consultant, Healthcare Solutions AKPhA 2020
WHAT WE DON’T SEE COPYRIGHT © 2018 Arbinger Properties, LLC. COPYRIGHT © 2018 Arbinger Properties, LLC.
CHILDBED FEVER Mortality Rates in Two 1/50 Maternity Wards 1/10 COPYRIGHT © 2018 Arbinger Properties, LLC.
IGNAZ SEMMELWEIS Analyzed and Equalized Differences Turns out, that the maternity wards weren’t identical at all COPYRIGHT © 2018 Arbinger Properties, LLC.
COPYRIGHT © 2018 Arbinger Properties, LLC.
CHILDBED FEVER Mortality Rates in Two 1/50 Maternity Wards 1/10 COPYRIGHT © 2018 Arbinger Properties, LLC.
CHILDBED FEVER Mortality Rates in Two 1/50 Maternity Wards 1/100 COPYRIGHT © 2018 Arbinger Properties, LLC.
IGNAZ SEMMELWEIS Father of Hand Hygiene 1861 Published “Etiology, Concept and Prophylaxis of Childbed Fever” 1864 Committed to an asylum and died 2 weeks later COPYRIGHT © 2018 Arbinger Properties, LLC.
CHIP HUTH Major & Former SWAT Sergeant Kansas City Police Department
Inward vs. Outward INWARD MINDSET Others are Others OBJECTS Vehicles that I use DON’T My objectives MATTER & behaviors are self-focused Obstacles that I blame like I matter Irrelevancies that I ignore 3
Inward vs. Outward INWARD MINDSET Others are Others OBJECTS DON’T My objectives MATTER & behaviors are self-focused like I matter OUTWARD MINDSET Others are PEOPLE Their needs, Others objectives & MATTER challenges like I matter matter to me 3
REAL MADRID
How do you see mindset at play here?
What the research shows INWARD Where individuals rate Where individuals OUTWARD MINDSET their organizations rate themselves MINDSET 3
Does an inward mindset mean hard behavior, and does outward mindset mean soft behavior?
INWARD When others are objects to us, we might engage in: HARD BEHAVIORS SOFT BEHAVIORS Vehicles Obstacles Irrelevancies Vehicles Obstacles Irrelevancies • Manipulate • Criticize • Ignore • Indulge • Cope • Engage in token niceties • Threaten • Blame • Exclude • Pander • Avoid • Control • Punish • Belittle • Try to be liked • Leave • Offer little feedback What behaviors best describe how you act when you are inward? 3
OUTWARD When others are people to us, we might engage in: HARD BEHAVIORS SOFT BEHAVIORS • Set high • Give helpful correction • Listen & learn • Show genuine appreciation expectations • Give direct feedback • Offer help • Acknowledge mistakes • Give real • Have necessary difficult • Involve others • Take correction easily responsibility conversations • Challenge When has someone corrected you with an outward mindset? 3
What do you think an inward mindset invites in others? My Objectives Objectives & behaviors are & behaviors are self-focused self-focused
What if we just train Chip to behave and act like someone who is outward?
CHIP HUTH Major & Former SWAT Sergeant Kansas City Police Department
KCPD 1910 SWAT Squad Before and After BEFORE AFTER KEY INDICATORS Implementing Mindset Implementing Mindset Change (1996-2006) Change (2007-2017) Complaints filed against squad annually 36 Average cost per complaint $70,000 Annual cost $2,520,000 Total cost over ten years $25,200,000 Total illegal guns recovered “x” Total illegal drugs recovered “y”
MINDSET-CHANGE TOOL INFLUENCE PYRAMID TM 8-9
The Only Way to Invite Change in Others Objectives Objectives & behaviors are & behaviors are self-focused self-focused ME OTHERS 8-9
The Only Way to Invite Change in Others Objectives Objectives & behaviors take & behaviors are others into self-focused account ME OTHERS 8-9
Dealing with things LESSONS OF THE PYRAMID that go wrong Correct Teach & Communicate 1 WORK BOTTOM UP Most time and effort should be spent at the Listen & Learn lower levels of the pyramid. Helping things go right Build the Relationship 2 WHEN STUCK, GO LOWER The solution to a problem at one level of the pyramid is always below that level. Build Relationships with Others Who Have Influence 3 MINDSET MATTERS MOST Ultimately, my effectiveness at each level of Turn Outward the pyramid depends on the lowest level of the pyramid—my mindset. improve my mindset 8-9
Mindset and the Pyramid Correct Teach & What do you Communicate suppose an inward Listen & Learn mindset does to the Build the Relationship pyramid? Build Relationships with Others Who Have Influence 8-9
With a partner, do the following: 1 Think of someone you think needs to change in some way 2 Identify the levels of the pyramid at which you have been weakest in this situation. 3 Brainstorm things you might do in these and other levels of the pyramid to improve this situation. (Write these ideas on the lines to the right of the pyramid.) 4 Of the ideas you discussed, circle the things you will do 8-9
Applying the Pyramid to Organizational Change DESIRED RESULTS What do we need to correct/change as an organization? Correct Teach & Who do we need to communicate with, train, or teach, and how? Communicate Who do we need to listen to and learn from? Who needs a voice? Listen & Learn How could we strengthen our relationship with these people? Build the Relationship Build Relationships with Others What other stakeholders will influence those involved? Who Have Influence Do we really understand the needs, challenges, and objectives of everyone who is impacted? Do we see them as people? MINDSET 2
Organizations that identify and address pervasive mindsets at the outset are four times more likely to succeed in organizational-change efforts than are companies that overlook this stage. Nate Boaz and Erica Ariel Fox “Change Leader, Change Thyself,” McKinsey Quarterly, March 2014 2-3
Ways to engage or go deeper Onsite speech or Self-study and Public workshop workshop complimentary resources
INVITATIONS Put your Influence Pyramid plan into action. For the rest of the day, concentrate on seeing every person you interact with as a person. See what happens.
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