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Managing change choosing a strategy

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Managing change choosing a strategy

  1. 1. Managing Change – Choosing A Strategy David Stonehouse Senior Lecturer Tel: 01695 657003 E-mail: stonehod@edgehill.ac.uk the University of choice
  2. 2. Change Tools ■ Rosabeth Moss ■ PDSA Cycle Kanter ■ Seven Steps For ■ SWOT Analysis Improvement ■ The Change ■ Gannt Charts Equation ■ Responsibility ■ Process mapping Matrix ■ RAID Model ■ Prince the University of choice
  3. 3. Ten Commandments For Executing Change (Kanter et al, 1992) 1. Analyse the organisation & its need for change 2. Create a shared vision & a common direction 3. Separate from the past 4. Create a sense of urgency 5. Support a strong leader role 6. Line up political sponsorship 7. Craft an implementation plan 8. Develop enabling structures 9. Communicate, involve people & be honest 10. Reinforce & institutionalise change. the University of choice
  4. 4. SWOT Analysis (Mullins, 2010) Strengths Weaknesses Opportunities Threats ■ Analyse the problem ■ Identify priorities for action ■ Consider internal and external factors ■ Consider the consequences of actions the University of choice
  5. 5. The Change Equation Dissatis- First faction X Vision X Capacity X Steps > Resistance •Dissatisfaction: with the present situation •Vision: an understanding of what the change(s) would look like •Capacity: Sufficient resources to make the change happen •First Steps: an appreciation of how the change is to be implemented
  6. 6. Process Mapping What is a process? “A series of connected steps or actions which achieve an outcome.” It has: ■ Start and end point. (this is the scope) ■ A purpose or aim. ■ Rules governing the standard or quality of inputs throughout the process. ■ Can be simple & short, or complex & long. the University of choice
  7. 7. Think about all the different steps you do from getting up out of bed to going out the door to work. WAKE UP DRINK EXIT FOR WALK COLLEGE DOG PREPARE CLEAN EAT GET LUNCH TEETH DRESSED GET KIDS WATCH WASH/ GET KIDS DRESSED T.V. SHOWER UP GET KIDS TALK TO LISTEN TO TOILET FOOD PARTNER RADIO
  8. 8. A Process Map of this could look something like this WASH/ WAKE UP TOILET SHOWER GET KIDS UP GET DRESSED CLEAN TEETH GET KIDS GET KIDS DRINK EAT DRESSED FOOD EXIT HOUSE PREPARE LUNCH
  9. 9. How to Process Map? ■ Get ■ Plan 2 events representatives of - 1st Process all people mapping involved, staff - 2nd Action patients, families, planning external groups. ■ Use Post-it notes ■ Need support. in different colours and flip charts. the University of choice
  10. 10. RAID Model ■ Review: ■ Agree: ■ Implement: ■ Demonstrate: the University of choice
  11. 11. REVIEW ■ Teams gain the patients and families views of the service to capture the quality of services delivered and to hear their suggestions for improvement. the University of choice
  12. 12. AGREE ■ Results of this listening exercise are triangulated with a staff listening exercise and aligned to influence the strategic direction of the organisation. Patients are fed back the findings the University of choice
  13. 13. IMPLEMENT ■ Teams work with patients to implement changes in practice, i.e Patients/carers are involved in audit, process mapping, training, influencing committees, on interview panels. the University of choice
  14. 14. DEMONSTRATE ■ Demonstrate the improvements to both patients and staff/organisation. ■ Does it make a difference? ■ Will benefits continue? ■ Identifying lessons ■ Spreading the message ■ Sharing the learning the University of choice
  15. 15. Model for improvement What are we trying to project aims accomplish? PDSA CYCLE
  16. 16. Model for improvement What are we trying to project aims accomplish? How will we know that a global measurements change is an improvement? PDSA CYCLE
  17. 17. Model for improvement What are we trying to project aims accomplish? global measurements How will we know that a change is an improvement? change principles What changes can we make that will result in the improvements that we seek ? PDSA CYCLE
  18. 18. Model for improvement What are we trying to project aims accomplish? How will we know that a global measurements change is an improvement? What changes can we make that change principles will result in the improvements that we seek ? Plan PDSA CYCLE
  19. 19. Model for improvement What are we trying to project aims accomplish? global measurements How will we know that a change is an improvement? change principles What changes can we make that will result in the improvements that we seek ? Plan PDSA Do CYCLE
  20. 20. Model for improvement What are we trying to project aims accomplish? How will we know that a global measurements change is an improvement? What changes can we make that change principles will result in the improvements that we seek ? Plan PDSA Study Do CYCLE
  21. 21. Model for improvement What are we trying to project aims accomplish? How will we know that a global measurements change is an improvement? What changes can we make that change principles will result in the improvements that we seek ? Act Plan PDSA CYCLE Study Do (NHS Institute For Innovation And Improvement, 2007)
  22. 22. Seven Steps For Improvement Step 1. Step 2. Define the aim for the Consider how you are project: going to know if a change - the group of is an improvement: patients/staff. -what measures are you - your targets. going to use -how are you going to report progress to interested parties
  23. 23. Seven Steps For Improvement Step 3. Step 4. Involve everyone in Investigate all the mapping / analysing the changes that are likely to process: make an improvement in - to really understand the line with the aims set: problems for all parties - talk to other areas, - to start to measure & organisations. create the baselines for your improvements.
  24. 24. Seven Steps For Improvement Step 5. Step 6. Test out the change ideas Implement the changes to see if they actually do that you have identified make improvements: that will make - consider the knock on improvements. effects that making one change will have to that process & other parts of the system or different systems.
  25. 25. Seven Steps For Improvement Step 7. Review changes to ensure improvement & Celebrate success the University of choice
  26. 26. Gantt Charts ■ Are a visual scheduling tool ■ Show dependencies between tasks, personnel, and other resources ■ Helps track progress towards completion. the University of choice
  27. 27. Gantt Charts • List all tasks and milestones along the vertical axis • List time frame along the horizontal axis. the University of choice
  28. 28. Responsibility Matrix ■ Creates accountability by assigning each task to a person. Task Bob John Betty Albert Activity 1. X Activity 2. X X Activity 3. X the University of choice
  29. 29. PRINCE2 PRINCE stands for: Projects IN Controlled Environments Used extensively by the U.K. government the University of choice
  30. 30. PRINCE2 ■ Process based approach to project management. ■ Project is divided into manageable stages. ■ Project plans are focused on delivering results. the University of choice
  31. 31. References Burnes, B. (2000) Managing Change: A Strategic Approach To Organisational Dynamics. Third Edition. Essex: Pearson Education Ltd. Kanter, R.M. (2009) ‘Managing The Human Side Of Change.’ In: Price, D. (ed) The Principles And Practice Of Change. Hampshire: Palgrave MacMillan. Pp 175-183. Kanter, R.M; Stein and Jick (1992) The Challenge of Organizational Change. New York: Free Press. Marquis, B. L. & Huston, C. J. (2009) Leadership Roles and Management Functions in Nursing. Sixth Edition. Philadelphia: Lippincott Williams & Wilkins. the University of choice
  32. 32. References Mullins, L.J. (2010) Management and Organisational Behaviour. Ninth Edition. London:Financial Times Prentice Hall. NHS Institute For Innovation And Improvement (2007) Process Mapping, Analysis And Redesign: General Improvement Skills. Nottingham: NHS. Smith, A. & Langston, A. (1999) Managing Staff in Early Years Settings. London: Routledge. Stonehouse, D. (2011) ‘Management and Leadership For Support Workers.’ British Journal of Healthcare Assistants. October. Vol 05. No 10. the University of choice

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