Transcript AARP CCNA Summit - ND Center for Nursing

North Dakota Action Coalition
April 3, 2013
Jamestown, ND
National Update
Laura Thornhill, JD
Policy Research Senior Analyst
Center to Champion Nursing in America
IOM Report Review
• IOM Report Recommendation 2:
Expand opportunities for nurses to
lead and diffuse collaborative
improvement efforts
• IOM Report Recommendation 7:
Prepare and enable nurses to lead
change to advance health.
• North Dakota Action Coalition Goal:
Increase development of leadership
challenge skills through seven model
statewide leadership programs:
nursing students, front-line nurses,
community nurses, advanced
practice nurses, chief nursing
officers, nurse researchers and
professional nursing organizations
North Dakota Action
Coalition Purpose
Statement
Develop leadership
capacity among nursing
professionals to be
effective members and
leaders of collaborative
teams in order to
promote high quality
healthcare.
Five Campaign Imperatives
In the activation phase, to survive and succeed over the next two years, Action Coalitions:
1.
2.
3.
4.
5.
Must move beyond nursing.
Must deliver short term results in
the next 18 months even as you
develop long term plans.
Must have courage to place the
right leaders at the helm or
remove weak, ineffective
leaders.
Must have funding to sustain this
work.
Must not ignore diverse
stakeholders critical to our
success.
Introductions
Briefly go around the room and
introduce self and organization
Liberating Structures
can be used “back home” in your AC to:
• Develop ways to
work together that
spark more
innovation and
solutions
• Individually make
progress on
challenges you
face
• Help you work
more effectively
across functions
and boundaries
• Learn methods to
generate
ownership of
change efforts
Impromptu Networking
Power of loose connections,
small things can make a big difference
Who are you?
Why are you here?
What do you want to accomplish?
Find a partner…2 minutes sharing…
then find another partner… then find another.
Review Where We Are
Brief review of workgroup plans
by chairs and data collected by
Patricia
Nursing Students
Chief Nursing
Officers/Executive Leadership
Community Nurses
Front Line Nurses
Advanced Practice Nurses
Academic and Research
Open Space
Technology
Henri Lipmanowicz & Keith McCandless
Open Space Boosts Freedom AND Responsibility
Freedom
Responsibility
Henri Lipmanowicz & Keith McCandless
Open Space Theme
Structure:
What leadership
topics/groups/ideas do we
want to discuss?
Henri Lipmanowicz & Keith McCandless
Four Principles and One Law
Be prepared to be surprised; and,
let your passion guide you
Law of Two Feet
• go to where you are learning or contributing
Principles of Open Space
• Whoever comes is the right people
• Whatever happens is the only thing that could have
• Whenever it starts is the right time
• When it is over it is over
Henri Lipmanowicz & Keith McCandless
Open Space Debrief
1. What?
Conveners briefly report what each group discussed
2. Now What? Start thinking about how we will move forward.
Lunch
30 Minutes
What Will Be Different!
Develop shared
understanding
of next steps
and strategy
Restore hope
for change by
igniting bold
Attract more
diverse people
to the work
action
Liberating Structures
Acting Our Way Into New Thinking by Including and Unleashing Everyone
What Next?
How should we
be organized?
Open Space
Technology
Meet in New
Groups to Plan for
the Future
Henri Lipmanowicz & Keith McCandless
Campaign for Action Strategy NORTH DAKOTA G A M E P L A N
1. What is
happening
around us
that demands
adaptation?
This
Week
• structure
• lack of
engagement
• same 10
people
• Wrote draft
agenda for
April
meeting.
• Email
chairs to
inform
them what
was
learned at
national
summit.
Next
Quarter
Next
Month
April 3rd
Meeting:
Ask
workgroup
chairs to
review
what they
have done.
• Restructure
for
efficiency
and quality.
4. •What is
•
at stake
if we
do not
change?
•
North Dakota Action Coalition
Representatives:
Patricia Moulton
Barbra Brown
Billie Madler
3. Given our purpose,
what seems possible
now?
5. How are we breaking
away from the current
state toward the future?
Next
Year
Reformatted April 3rd Action
Coalition meeting to:
1) Focus on formalizing a
purpose statement
2) Restructuring
workgroups
Launch
leadership
projects
developed
from AC
groups.
Planning
state
summit.
• Convene
newly
structured
groups for
project
developme
nt.
• Identify
funding
sources.
•
GOAL 1
GOAL 2
Exploring nurse/physician
conversation. Discuss at
April 3rd meeting.
GOAL 3
Develop advisory council for
Action Coalition.
1) Discuss at April
meeting.
2) Identify viable members
3) Identify partnerships for
funding.
•
•
GOAL 4
•
2. Where are we starting, really?
• Current status:
• Limited funding
$9,ooo plus
effort
• Current status:
• 65 people of 16,000
people divided
among 6 workgroups
Plan first annual state
leadership summit for
October.
• Current status:
• Partial workgroup plans
• Data from workgroup surveys and
interviews with CEOs/CMOs
Strategy Safari
GAMEPLAN
1. Operating Environment
• What is happening around us that
demands adaptation?
• In our operating environment, something we are
learning to live with is…
• An uncertainty we must creatively adapt to is…
Strategy Safari
GAMEPLAN
2. Current State
• Where are we starting, really?
• What I find challenging in our current situation is…
• A courageous conversation we are not having
about where we are now is…
Strategy Safari
GAMEPLAN
3. Vision
• Given our purpose, what seems
possible now?
• What first inspired me in this work is…
• What I hope can happen for us in this work is…
• A big innovation opportunity I see for us is…
Strategy Safari
GAMEPLAN
4. Stake
• What is at stake if we do not
change?
– If we do nothing, the worst thing that can
happen for us is…
– Something I will never go back to is…
Strategy Safari
GAMEPLAN
5. Strategic Action
• How are we breaking away from the
current state toward the future?
– Something we must stop doing (divest) is…
– Something we should start doing (invest in) is…
– One innovative project that gives me confidence
we are transforming now is…
Strategy Safari
GAMEPLAN
Balance
• Balance among the elements makes a big
difference.
• Pitfalls to avoid:
• Blue Sky Dreaminess: ignoring the current state
and operating environment
• Bad-Road Inertia: despairing over the current state;
fearing what is at stake
• Jumping Over the Moon: moving to action without
including others in conversations or agreements
New Groups Debrief
New Group leaders briefly review
plans using Game Plan.
25 Will Get
You 10
Crowd
Sourcing
On index cards, each
participant writes:
What is your
boldest idea to
facilitate the
Action Coalition’s
purpose?
A first step to act
on your idea.
No names
Write legibly
25/10 Steps
•
•
•
•
•
•
•
Pass cards around while milling
5 rounds
Rate from 1 = ho-mum to 5 = fabulous
Put rating on the back of the card
Decide before looking at other scores
Add all the scores after the last round
Read your card as the countdown rolls on
25…24…23… 22…
Henri Lipmanowicz & Keith McCandless
Advisory Stakeholder Group
$$$$$$Funding $$$$$$
Wrap-up
Plans for Leadership Summit October 4, 2013
When does our entire North Dakota Action
Coalition need to meet again? In person?
Liberating Structures
– Plexus Institute www.plexusinstitute.org
– LS website www.liberatingstructures.com
– Book: Liberating Structures: Including and
Unleashing Everyone (in progress)
– [email protected]
[email protected]