We’re revisiting the gnarly topic of change – this is our third ep on the subject, because there is so much to unpack! And because there is only one way to improve – and that is to change – successfully. And because the stats say we’re still struggling with this. This time we focus on what goes on ‘between the ears’ in resisting and accepting change.
1. QUALITY QUANDARY: Ch-ch-ch-Changes
Change is essential to improvement. But studies show that 70% of organisational transformations fail. What can we do to give ourselves a better chance? Understand the people bit before we dive into the process bit!
IHI Psychology of Change Framework:
2. TLDR (Too Long Didn’t Read) (14:10)
Change should be data-driven. But there’s so much to know, you can spend more time figuring out the data than making the change. We recommend ‘A Guide to Using Health Care Data for Quality Improvement as a timeless guide. https://www.aci.health.nsw.gov.au/__data/assets/pdf_file/0006/273336/vqc-guide-to-using-data.pdf
3. THE POINT (19:45)
Consumers leading change is still a work in progress across human services – but when it comes to change directly affecting the consumer experience, it seems like a smart idea.
Young, A et al. Use of a Consumer-Led Intervention to Improve Provider Competencies. PSYCHIATRIC SERVICES, August 2005 Vol. 56 No. 8.
4. DRDR (23:55)
This Did Read Do Read reminds us that although our natural inclination is to resist the resisters – flipping this gives you tactical and practical advantages in you change efforts.
Satell, G. Why You Should Learn To Love Your Haters, Digital Tonto, 2019 JULY.
5. QUALITY HACK (31:10)
Response to change is your choice: we take a few tips from stoicicim philosophy in the face of change.
6. OTHER BITS:
ACSQHC Better Care Everywhere series: https://www.safetyandquality.gov.au/our-work/healthcare-variation/better-care-everywhere-program-series
What Netflix show are we? Stick around to the end of the podcast to hear this discussion. (40:40) And let us know what you think we are!
Leading people through the changes in a project quality cycle: Balding’s free ‘LEEDIT’ course takes the classic quality cycle and adds top tips for getting people on the improvement project path and keeping them there until the end. Not dragging – leading!
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2 thoughts on “NHD Ep 28 – Successful Change: it’s all in the mind”
thanks for your pod cast, it is fun ( and very informative too!)
I would like to suggest a topic or what ever resources you can suggest that could assist staff to understand why we want to include consumers in planning an change. Staff in my organisation are used to patient experience and feedback on their care, but not used to consumers involved in strategic or other change.
I am about to introduce a consumer to a major improvement project team ( credentialing and peer review) – I would like an article(s) that summarises the benefit of including a consumer rep to share with the other project team members, many of whom are sceptical and haven’t had the experience before.
Thanks Helen! We address this in our upcoming episode on the aged Care RCR – should be out at the end of April. Until then, have a look at the Aged care Safety and Quality Commission and the Healthcare Safety and Quality Commission documents on engaging with consumers – some good stuff there. ‘When healthcare professionals, healthcare managers and consumers work in partnership the quality and safety of health care improves, adverse events decrease, healthcare professional satisfaction increases and patient care experience improves.’