Showing posts with label participation. Show all posts
Showing posts with label participation. Show all posts

Thursday, 18 November 2010

eLearning 3: 5 Resources for effective online conferences

With the bans of travel and other cost reductions in place, eConferencing is on the up. Unfortunatley, this is iften paralled with a signficiant reduction in value for the participants. eConferencing is more than ticking the box that you've "run an event".

Let's look at what not to do in a video conference:



Other resources

Monday, 1 November 2010

Productive 6: Are Patients Productive?

This is the sixth note in the the Productivity series by Sarah Fraser. You can find the earlier notes here.

Mark Russell commented on the first in this series and he got me thinking. Healthcare is different from being a consumer of say a car dealership. We know that. We can learn from techniques used in industry and we can apply them to our services to gain some benefits.  But I wonder whether we are too focused on programs such as Lean, or too focused on seeing the patient as someone with whom we need to engage?

The car dealership or company with be thinking about their customers constantly. It feels to me they spend time in empathy mode, figuring out how to make things easier for the customer. This ease translates into more sales (yes, I know I am reducing an entire academic discipline into two sentences.) They may even run focus groups.

When it comes to patients and productivity I am thinking the relationship is more than one of engagement. As a patient I am not seeking to be engaged with my local healthcare providers. I am expecting the provision to help me be a productive member of society. This means, for example, I don't' want to take an entire day off work so I can have an 8 minute blood test. Equally, I am prepared to to help the providers be productive by being an efficient and responsible patient - but I may need help to do so. If I have a chronic disease, then help me learn how best to manage it so everyone benefits from this productivity.

When the patient's interface with the provider is not productive for either party, then we have work to do.

Monday, 13 September 2010

Productive Partnering self assessment tool

The NHS Institute, working with PriceWaterhouseCoopers, developed a self assessment tool to help English Primary Care Trusts to figure out how best to create and maintain multi-sector partnerships.

The self assessment is the result of a program that aimed to reduce health inequalities which involved multiple different stakeholders coming together for the purpose of the project. The tool is aimed at groups who need to work together to deliver complex health orientated outcomes.

Getting evidence into practice is difficult enough. Doing this when there are multiple stakeholders is even more complex, risky and prone to non-delivery.  This tool goes some way to helping groups figure out how best to work with each other, with a health outcome in mind.

Friday, 24 April 2009

Alignment or attunement for large scale change?


(Photo by Goodshoot Photos)

The term "alignment" is often heard in leadership groups, team meeting and in programme documents. Do we mean alignment when we use it?

I came to this question of alignment vs attunement on reading a review on the book "Enterprise-Wide Change; superior results through systems thinking" http://eu.wiley.com/WileyCDA/WileyTitle/productCd-0787971464.html and the review is here: http://articles.directorym.net/Business_Alignment_and_Attunement-a1128711.html

Most of us working in the Public Sector and in healthcare will recognise that we are working within living systems. The nature of people interacting, interfacing, creating and constantly altering interdependencies - all creates a perpetually shifting culture - with the consequence of perpetually shifting performance.

Dictionaries suggest the meaning of "alignment" is to arrange to in a straight line or in parallel lines. It is a term that comes from a mechanical and industrial age and is an important one in engineering.

In contrast, "attunement" means to bring into a responsive or harmonious relationship. I like this term. For your large scale change or mechanism to spread good practice, are you conducting a quartet, a 12 piece orchestra, a 120 piece orchestra or even a series of large orchestras all required to play the same tune in different places at the same time? Imagine helping each member of this orchestra to perform their best. They are professionals and know how to tune their instruments, the great music will come from arranging their performance in a way that it harmonious.

How do we lead professional individuals and teams so they use their skills and capabilities to their maximum, yet do so in harmony with others around them? I like to think of the attuning process as including:
  • future orientation; you may call this a vision, it may be a picture of what the future looks like, it may be taking time to feel what the end results needs to be like. An orchestra may listen to a previously recorded version. A programme team may visit a place where similar results have been achieved. It is about creating a collective sense of possibility
  • a high level plan; for the orchestra this is the score. This may look like detail though there will also be a high level interpretation of the score by the conductor. The leader cannot do the playing for someone else, they can only guide their interactions with others, to create the overall result
  • using individual excellence and surrendering this to the collective experience. By this I mean that it is essential for individuals to do their best, to work at their optimum, yet do so as a servant to the group. An individual may have a soloist part, though this is a contribution to the whole and is not the result in itself. In my experience we have many soloists playing well and being praised for their individual achievement with little leadership effort placed on containing these performances

When I am working with individuals, teams, organisations and systems in enabling large scale change my focus is not on seeing them in organised rows, neatly lined up. Instead my aim is to help them identify their tune, make conscious their personal capabilities and to discover ways to build responsive relationships and work in a harmonious way.

Monday, 6 April 2009

Presentations to watch; 2009 Quality & Safety in Healthcare - Berlin

Part of sharing good practice and enabling others is about just that - sharing. I was unable to attend the International Forum on Quality & Safety in Healthcare, run by the IHI and the BMJ, held in Berlin in March 2009. However, I can watch the plenaries and check out the posters. I can also contribute to ongoing discussion. It is really good to see what used to be "closed" and only for those who could afford to attend, is now more available and creative in the ways messages can be sent out and conversations continued.

Plenaries: http://www.axisto.com/webcasting/bmj/berlin-2009/
Plenary 1 — What patient-centered care really means
Plenary 2 — Medical success leads to medical error: how health professionals accept responsibility for safety
Plenary 3 — Transforming whole systems: in search of theory and method

For all poster details and other resources: http://internationalforum.bmj.com/multimedia/multimedia-resources

To discuss the plenaries and posters: http://doc2doc.bmj.com/forums.html?slPage=overview&slGroupKey=f1ee0d38-22c5-450d-9f33-40bf110975f7

Thursday, 22 January 2009

Using Twitter in Healthcare

If you need to get a message out quickly and provide receivers with the mechanism to comment and to spread the message onwards, then www.twitter.com may be useful for you. Maybe you want fresh links to medical journal highlights, healthcare policy changes, knowledge management, patient opinion - whatever - there is a raft of formal organisations on Twitter as well as 3 million+ other users. Twitter is a free micro-blogging system that allows its users to send and read other users' updates (otherwise known as tweets), which are text-based messages of up to 140 characters in length.

Another blogger has created an excellent list of 140 things to do with Twitter in healthcare. To see Phil Baumann's list go to http://tinyurl.com/8tzwvz

If you have an example of Twitter in Healthcare then please leave a comment in this blog.

Monday, 1 September 2008

Methods for involving people in large scale change

Every now and then I come across a really useful website with content that presses all the right buttons. If you're interested in the topic of large scale change or spreading good practice and are looking for participative methods that involve the users, consumers, clients and population base - then have a look here:

http://www.peopleandparticipation.net/display/Methods/Browse+Methods

This is a UK government funded site called peopleandparticipation.net and needs to be congratulated for its simplicity and focus.