CHANGE:
"It is not the strongest of the species that survive, nor the most intelligent, but the one most ________
responsive to change.
CHANGE:
"_______ is impossible without change, and those who cannot change their minds cannot _______
-Progress
-change anything.
CHANGE:
"Change is the ________. And those who look only to the past and present are certain to miss the _______.
-law of life
-future
CHANGE:
"Never doubt that a small group of ________ and _______, citizens can change the world. Indeed, it is the only thing that ever has.
-thoughtful
-committed
CHANGE:
"The only way to make sense out of change is to (3)
-plunge into it
-move with it
-and join the dance.
The Butterfly Effect
"a situation in which an ______ or ______ that does not seem _______ has a very ________, especially in other places or around the world
-action
-change
-important
-large effect
Chaos theory
-relies on the idea of the "butterfly effect," that even _______ in starting conditions lead to huge final variations in _______ because of the _______ of the system.
-slight imbalances
-outcome
-fundamental instability
Complexity theory:
-The study of _______ and ______ systems and how ______, _______, and _______ car arise from them
complex
-chaotic
-order
-pattern
-structure
Complexity theory:
-The theory that processes having a _______ number of seemingly ________ agents can spontaneously order themselves into a _________
-large
-independent
-coherent system.
Complex adaptive systems
-A system such as a business or other organization that consists of many ________ which should ________ as _________ in order to succeed
-connected parts
-change
-conditions change
Complex adaptive systems are _______ and ______; they continually ______ to _________
-open
-dynamic
-adapt
-new developments
Hospitals As Complex Adaptive Systems:
"Many connected parts" includes
ER, OR, Inpatient Units, ICUs, Radiology, Lab, Therapy Services, Food Service, EVS, Security, Supply Chain, Administration, Billing, Records, Human Resources, etc.
Hospitals As Complex Adaptive Systems:
"should change as conditions change" includes (3)
-Staffing
-supplies
-technology
Hospitals As Complex Adaptive Systems:
"open and dynamic" includes (3)
-Admissions
-service lines
-procedures
Hospitals As Complex Adaptive Systems:
"continually adapt to new developments" includes (5)
-Community growth
-major catastrophic events
-mass casualty events
-economic conditions
-global pandemics
Change: Planned And Unplanned
-Both kinds of change are
a part of life
Change: Planned And Unplanned
-Each kind of change within a healthcare system requires
special Leadership
Planned change:
-Ability to (3)
-plan
-persuade
-produce
Unplanned change: Ability to (4)
-adjust
-adapt
-inspire
-restore homeostasis
Kurt Lewin's Change Theory:
Unfreezing:
-The change agent convinces members of the group to ______ or ______, ________ or _______ are elicited.
-change
-guilt
-anxiety
-concern
Kurt Lewin's Change Theory:
Movement:
-The change agent _______, _______, and ________ appropriate strategies, ensuring that ________ forces exceed ______ forces.
-identifies
-plans
-implements
-driving
-restraining
Kurt Lewin's Change Theory:
Refreezing:
-The change agent assists in ________ the system change so that it becomes _______ into the ______
-stabilizing
-integrated
-status quo.
Lewin's Driving And Restraining Forces:
-Driving (facilitators) : forces that _________
push the system toward change
Lewin's Driving And Restraining Forces:
-Restraining (barriers): forces that _________
pull the system away from change
Driving And Restraining Forces Example:Returning To School
-Forces driving to reach the goal (5)
-Opportunity for advancement
-Status, social gratification
-Enhanced self esteem
-Family supportive of efforts
-Pay increase
Driving And Restraining Forces Example:Returning To School
-Forces restraining from reaching goal (4)
-Low energy level
-Limited financial resources
-Unreliable transportation
-Limited time with family
Lewin's Rules For Implementing Change:
-Change should only be implemented for _________
good reasons
Lewin's Rules For Implementing Change:
-Change should always be _______
gradual
Lewin's Rules For Implementing Change:
-All change should be ______ and not _______ or _______
-planned
-sporadic
-sudden
Lewin's Rules For Implementing Change:
-All individuals who may be ________ should be involved in _________
-affected by the change
-planning for the change
Suited To Lead Change: Quantum Leaders:
-This leader can anticipate "_______" and lead teams toward them
-They are _______ and ________
-potential realities
-predictive
-adaptive
Suited To Lead Change: Quantum Leaders:
-This leader ______ change, and _______
-embraces
-leans into it
Suited To Lead Change: Quantum Leaders:
-This leader isn't ______ by ________
-rattled
-unplanned change
Suited To Lead Change: Quantum Leaders:
-This leader seems to be grounded by ______
faith
Suited To Lead Change: Quantum Leaders:
-This leader has a "_______" presence
calm in the storm
Suited To Lead Change: Quantum Leaders:
-This leader recognizes the ________ of people to be _______ and _______
-deep needs
-appreciated
-needed
Wanted: Quantum Leaders
-God doesn't ______, he _______
-call the equipped
-equips the called.