This document discusses healthcare culture change and organizational transformation. It defines corporate culture and culture change, and presents a culture change model involving preparation, principles of change, interventions like human resources and organizational development, and managing barriers. It provides examples of assessing culture, barriers to change, and the importance of leadership commitment for realizing lasting cultural transformation. The overall message is that achieving sustainable healthcare system changes will require profound cultural shifts led by transformational leaders.
Youth Involvement in an Innovative Coconut Value Chain by Mwalimu Menza
Healthcare Culture Change Guide
1. A Perspective onA Perspective on
Healthcare Culture ChangeHealthcare Culture Change
H S A 6939H S A 6939
Leadership StudiesLeadership Studies
University of FloridaUniversity of Florida
2. What Do We Mean When We SayWhat Do We Mean When We Say
“Corporate Culture? ““Corporate Culture? “
Corporate CultureCorporate Culture
– Shared Attitudes, Habits, Values, SocialShared Attitudes, Habits, Values, Social
ConventionsConventions
– Stew of Rules, Mores, and TraditionsStew of Rules, Mores, and Traditions
Which Shape the Work ExperienceWhich Shape the Work Experience
– ““The Way We Do Things Around Here”The Way We Do Things Around Here”
3. What Do We Mean When We SayWhat Do We Mean When We Say
“Culture Change?”“Culture Change?”
Organizational TransformationOrganizational Transformation
– CoreCore Competence ChangeCompetence Change
Drivers of Culture ChangeDrivers of Culture Change
– Creating Successful New VenturesCreating Successful New Ventures
– Managing Mergers & AcquisitionsManaging Mergers & Acquisitions
– Coping With Innovation & ChangeCoping With Innovation & Change
– Overcoming New Competitive PressuresOvercoming New Competitive Pressures
LeadershipLeadership OrganizationalOrganizational
TransformationTransformation
4. Culture Change ModelCulture Change Model
Preparation
Principles
HR and OD
Interventions
Managing
Barriers
Managing the
Middle
5. PreparationPreparation
Culture Change=White Water Raft RideCulture Change=White Water Raft Ride
Study Organization’s HistoryStudy Organization’s History
Describe Baseline CultureDescribe Baseline Culture
– Values and BeliefsValues and Beliefs
– Heroines and HeroesHeroines and Heroes
– RitualsRituals
– CeremoniesCeremonies
– Stories and Story TellersStories and Story Tellers
6. PreparationPreparation
Build a Case for ChangeBuild a Case for Change
– Current and Anticipated PainCurrent and Anticipated Pain
– Intellectual and Emotional ArgumentsIntellectual and Emotional Arguments
Craft a Vision for the FutureCraft a Vision for the Future
– Kotter’s Six Way Test: Imaginable; Desirable;Kotter’s Six Way Test: Imaginable; Desirable;
Feasible; Focused; Flexible; andFeasible; Focused; Flexible; and
CommunicableCommunicable
7. Principles of OrganizationalPrinciples of Organizational
ChangeChange
NONO Vision Realized Without CultureVision Realized Without Culture
ChangeChange
Commitment of LeadershipCommitment of Leadership CommunityCommunity
Continuity of LeadershipContinuity of Leadership
Flexible Execution PlansFlexible Execution Plans
10. Human Resource PhilosophyHuman Resource Philosophy
Largely Untapped Reservoir of TalentLargely Untapped Reservoir of Talent
Treat Employees Like Your BestTreat Employees Like Your Best
CustomerCustomer
PerPermission Statementsmission Statements
11. RecruitmentRecruitment
Warren Buffet Story: Integrity, Intellect,Warren Buffet Story: Integrity, Intellect,
and Energyand Energy
Rule of ThumbRule of Thumb
– % GO% GO
– % GO, BUT% GO, BUT
– % NO% NO
12. OrientationOrientation
Leader’s Role During OrientationLeader’s Role During Orientation
Utility of Peer PressureUtility of Peer Pressure
Forge Company TypesForge Company Types
13. LearningLearning
Foundation of Values, Trust andFoundation of Values, Trust and
EmpowermentEmpowerment
No Learning Without Difficulty andNo Learning Without Difficulty and
FumblingFumbling
An Investment, Not An ExpenseAn Investment, Not An Expense
14. RewardsRewards
Performance Appraisal ShortcomingsPerformance Appraisal Shortcomings
Importance of Psychic IncomeImportance of Psychic Income
Growing compensation GAP betweenGrowing compensation GAP between
CEO and direct caregiversCEO and direct caregivers
15. Organizational RedesignOrganizational Redesign
Management LayersManagement Layers Block, Distort, andBlock, Distort, and
FilterFilter
Low Corporate Overhead is aLow Corporate Overhead is a
Competitive AdvantageCompetitive Advantage
Governance Culture ChangeGovernance Culture Change
16. CommunicationCommunication
NO Beats UncertaintyNO Beats Uncertainty
Walk Your TalkWalk Your Talk
Keep Your Message Simple: AvoidKeep Your Message Simple: Avoid
Techno Babble and MHA-SpeakTechno Babble and MHA-Speak
17. Innovation EnhancementInnovation Enhancement
Focus on CustomerFocus on Customer
Constant, Incremental ImprovementsConstant, Incremental Improvements
Exposure to People and Ideas that areExposure to People and Ideas that are
Foreign, Uncomfortable and ThreateningForeign, Uncomfortable and Threatening
18. Managing NormsManaging Norms
Unwritten Rules:Unwritten Rules:
Positive and NegativePositive and Negative
New Vision RequiresNew Vision Requires
New NormsNew Norms
BaselineBaseline
CultureCulture
DesiredDesired
CultureCulture
ConformConform PerformPerform
HoardHoard
InformationInformation
ShareShare
InformationInformation
AvoidAvoid
ConflictConflict
ConfrontConfront
ConflictConflict
19. Managing ValuesManaging Values
Leaders Promote & Protect ValuesLeaders Promote & Protect Values
GAP Between Values on Paper andGAP Between Values on Paper and
Values in PracticeValues in Practice
Litmus Test? Hold to Values When TimesLitmus Test? Hold to Values When Times
are Toughare Tough
20. Barriers to ChangeBarriers to Change
Leadership BurnoutLeadership Burnout
Reluctant CEOReluctant CEO
Insular CultureInsular Culture
Cycle of CynicismCycle of Cynicism
Physician RebellionPhysician Rebellion
21. Barriers to ChangeBarriers to Change
Loss of Trustee Sponsorship and SupportLoss of Trustee Sponsorship and Support
Middle Management ResistanceMiddle Management Resistance
Suffering Associated with Major ChangeSuffering Associated with Major Change
Loss of Key Player(s)Loss of Key Player(s)
Events Outside Management ControlEvents Outside Management Control
22. Managing the MiddleManaging the Middle
Basic Truth of Management is ThatBasic Truth of Management is That
Nearly Everything Looks Like aNearly Everything Looks Like a
Failure in the MiddleFailure in the Middle
ToolkitToolkit
– Celebrate Short Term WinsCelebrate Short Term Wins
– Get Close to the CustomerGet Close to the Customer
– MentorMentor
– Run ScaredRun Scared
– Culture AuditCulture Audit
23. Regional Medical Center CultureRegional Medical Center Culture
Audit FindingsAudit Findings
OLD CULTUREOLD CULTURE
People: CommoditiesPeople: Commodities
Social EnterpriseSocial Enterprise
Weight of HistoryWeight of History
CynicismCynicism
Control BehaviorControl Behavior
EntitlementEntitlement
Totem: ElephantTotem: Elephant
NEW CULTURENEW CULTURE
People: Valued AssetsPeople: Valued Assets
Business EnterpriseBusiness Enterprise
Promise of the FuturePromise of the Future
TrustTrust
Enable BehaviorEnable Behavior
AccountabilityAccountability
Totem: EagleTotem: Eagle
24. Final ThoughtsFinal Thoughts
No Vision Realized Without CultureNo Vision Realized Without Culture
ChangeChange
Leadership Community, NOT HeroicLeadership Community, NOT Heroic
LeaderLeader
Treat Employees Like Your BestTreat Employees Like Your Best
CustomerCustomer
Need for Energy, Passion, Sacrifice,Need for Energy, Passion, Sacrifice,
Creativity and CommitmentCreativity and Commitment
Beware of “Merger of Equals”Beware of “Merger of Equals”
25. Final ThoughtsFinal Thoughts
Assess Readiness for ChangeAssess Readiness for Change
Be Clear Where You Are Taking PeopleBe Clear Where You Are Taking People
and Whyand Why
Walk Your TalkWalk Your Talk
Barriers to Change Are POWERFULBarriers to Change Are POWERFUL
Leadership Requires Disturbing People,Leadership Requires Disturbing People,
But at a Rate They Can Absorb.But at a Rate They Can Absorb.
Change is Ongoing, Endless, and ForeverChange is Ongoing, Endless, and Forever
26. Final ThoughtsFinal Thoughts
Management Transformation of HealthManagement Transformation of Health
Care Hasn’t Sufficiently Reduced Costs,Care Hasn’t Sufficiently Reduced Costs,
Enhanced Quality or Improved AccessEnhanced Quality or Improved Access
Current System of Health Care DeliveryCurrent System of Health Care Delivery
and Financing isand Financing is NOTNOT SustainableSustainable
Profound and Wrenching CulturalProfound and Wrenching Cultural
Changes Yet To ComeChanges Yet To Come
Transformational Leaders Needed!Transformational Leaders Needed!
Notes de l'éditeur
Retrospective look at 25 years of culture change experience, during which I witnessed, practiced, and studied culture change. I’ve been the Acquirer, and I’ve been acquired. The former condition is a lot more fun. I will share what I believe to be some enduring lessons with you tonight. An appreciation for the dynamics of culture change generally occurs in the trenches, not in the classroom. It’s not that you can’t teach culture change to the uninitiated—you can. It’s just that the topic gets a better reception after you’ve had some real world experience. My journey began in 1981: New job with LHS in North Dakota (turnaround); doing everything that made me successful up to that time; yet having major job frustrations. At the same time, I was serving as a Kellogg National Fellow 1980-83. Prep for Colombia trip; Importance of honoring Colombia’s culture; Proverbial light went on; I was not paying much attention to LHS culture, and when I did, it was to overpower it: led to lifelong fascination and study Latest Revision: Thursday, January 10, 2008