The Productive Series Follow-up Webinar 29 April 2014
Change.. Is a process, not an event Is made by individuals, then organizations Is a highly personal experience for those involved Involves gradual growth in feelings and skills
A challenge to change it is not essentially about logic There is a duality inherent in each of us ie; the Planner and the Doer Id and the superego (Freud) Elephant and the Rider (J. Haidt, The Happiness Hypothesis)
Rider Elephant Path The Rider is Much Smaller Than the Elephant
Our Emotional Side is an Elephant Our emotional and rational minds compete for control, both must be appealed to in order to create effective change.
Both have strengths and weaknesses but the elephant is just plain bigger The Elephant looks for immediate gratification, but also has the energy and drive to get things done. The Rider has the ability to think for the longterm and to plan for the future, but also a tendency to spin his/her wheels overanalyze and overthink.
Find the Bright Spots Direct the Rider Investigate what s working and clone it Script the Critical Moves Don t think big picture, think in terms of specific behaviours Point to the Destination Change is easier when you know where you re going and why it s worth it
Quick wins
Find the Feeling Motivate the Elephant Knowing something isn t enough to cause change. Make people feel something (marketing, branding EBD & patient stories Lutton Hx)) Shrink the Change Breakdown the change until it no longer spooks the Elephant Grow your People Cultivate a sense of identity and instill the growth mindset
Shape the Path Tweak the Environment When the situation changes, the behaviour changes. So change the situation. Build Habits When behaviour is habitual, it s free it doesn t take the rider. Look for ways to encourage habits. Catch people doing things right and reinforce Rally the Herd Behaviour is contagious. Help it spread.
Bendigo SOP & Checklist
Diabetes Care Pathway Client Profile Category 3 Category 2 Category 1 Type 2 Diabetes unstable Type 2 on insulin Stable Type 1 Diabetes Mild hypoglycaemia Co-morbidities eg. renal Newly Diagnosed Type 2 Diet Controlled Type 2 Diabetes Stable Type 2 Diabetes Post pregnancy gestational follow up Pre-diabetes Newly diagnosed Type 1 Diabetes(adults and children) Moderate - Severe Hypoglycaemia Initial Gestational on insulin Pumps Gestational on insulin Initial diagnosis of Gestational diabetes (Dietitian & Diabetes Educator only) Licence approval (ONLY if GP refers) Length of Usual Care 6-8 weeks Up to 6 months 6-12 months Initial Contact Group Within 4weeks Nurse Educator +/- Dietitian,podiatrist appointment +/- Group 2-4 weeks Nurse Educator +/- Dietitian, podiatrist appointment Consultation with Physician/ Endocrinologist 1 2 weeks Telephone Follow up 2-3 daily (2-3 weeks) for insulin adjustment 2-3 daily (2-3 weeks) for insulin adjustment Review Review Dietitian & Nurse Educator 4-6 weeks Dietitian & Nurse Educator 4-6 weeks Dietitian Review 3 months Planned discharge Following 1 st Review Following 2 nd Review Appointment Dietitian & Nurse Educator 2-4 weeks Diabetes Educator/ Dietitian 3 months 12 months for adults ongoing care for paediatric clients
Shape the Path Tweak the Environment When the situation changes, the behaviour changes. So change the situation. Build Habits When behaviour is habitual, it s free it doesn t take the rider. Look for ways to encourage habits. Catch people doing things right and reinforce Rally the Herd Behaviour is contagious. Help it spread.
Guiding your elephant to a new destination Direct the Rider Set imaginable goals Find bright spots Script the moves Motivate the Elephant Capture feelings Shrink the change Identify with the change Shape the Path Make right easiest Use checklist triggers Display progress publicly
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