The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG

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The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
See the Problem You Don’t See:
 The Art of Helping People Change

Jason Woo, MD, MPH, FACOG
Senior Consultant, Healthcare Solutions

AKPhA 2020
The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
WHAT WE DON’T SEE

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                      COPYRIGHT © 2018 Arbinger Properties, LLC.
The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
VIENNA GENERAL HOSPITAL 1840s

                     COPYRIGHT © 2018 Arbinger Properties, LLC.
The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
CHILDBED FEVER
Mortality Rates in Two
                         1/50
Maternity Wards
                         1/10

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The Art of Helping People Change - See the Problem You Don't See: Jason Woo, MD, MPH, FACOG
IGNAZ
SEMMELWEIS

Analyzed and Equalized Differences

Turns out, that the maternity wards
weren’t identical at all

                            COPYRIGHT © 2018 Arbinger Properties, LLC.
COPYRIGHT © 2018 Arbinger Properties, LLC.
CHILDBED FEVER
Mortality Rates in Two
                         1/50
Maternity Wards
                         1/10

                                COPYRIGHT © 2018 Arbinger Properties, LLC.
CHILDBED FEVER
Mortality Rates in Two
                         1/50
Maternity Wards
                         1/100

                                 COPYRIGHT © 2018 Arbinger Properties, LLC.
IGNAZ
SEMMELWEIS

Father of Hand Hygiene

1861
Published “Etiology, Concept and
Prophylaxis of Childbed Fever”

1864
Committed to an asylum and died 2
weeks later
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CHIP HUTH
Major & Former SWAT Sergeant
Kansas City Police Department
Inward vs. Outward

                INWARD MINDSET
                                                    Others are
Others                                             OBJECTS       Vehicles that I use
DON’T                              My objectives

MATTER
                                 & behaviors are
                                    self-focused
                                                                 Obstacles that I blame

like I matter                                                    Irrelevancies that I ignore

                                                                                               3
Inward vs. Outward

                INWARD MINDSET
                                                     Others are
Others                                              OBJECTS
DON’T                               My objectives

MATTER
                                  & behaviors are
                                     self-focused

like I matter
                OUTWARD MINDSET

                                                     Others are
                                                    PEOPLE        Their needs,
Others                                                            objectives &
MATTER                                                            challenges
like I matter                                                     matter to me

                                                                                 3
REAL MADRID
How do you see mindset at play here?
What the research shows

INWARD      Where individuals rate   Where individuals   OUTWARD
MINDSET    their organizations       rate themselves      MINDSET

                                                                    3
Does an inward mindset mean hard behavior,
and does outward mindset mean soft behavior?
INWARD                  When others are objects to us, we might engage in:

      HARD BEHAVIORS                                   SOFT BEHAVIORS

Vehicles         Obstacles       Irrelevancies   Vehicles              Obstacles   Irrelevancies

•   Manipulate   •   Criticize   •   Ignore      •   Indulge           •   Cope    •   Engage in
                                                                                       token niceties
•   Threaten     •   Blame       •   Exclude     •   Pander            •   Avoid
•   Control      •   Punish      •   Belittle    •   Try to be liked   •   Leave   •   Offer little
                                                                                       feedback

      What behaviors best describe how you act when you are inward?

                                                                                                        3
OUTWARD                       When others are people to us, we might engage in:

      HARD BEHAVIORS                                      SOFT BEHAVIORS

•   Set high         •   Give helpful correction    •   Listen & learn   •   Show genuine appreciation
    expectations     •   Give direct feedback       •   Offer help       •   Acknowledge mistakes
•   Give real        •   Have necessary difficult   •   Involve others   •   Take correction easily
    responsibility       conversations
•   Challenge

          When has someone corrected you with an outward mindset?

                                                                                                         3
What do you think an inward mindset invites in others?

                      My Objectives    Objectives
                     & behaviors are   & behaviors are
                       self-focused    self-focused
What if we just train Chip to behave and act
       like someone who is outward?
CHIP HUTH
Major & Former SWAT Sergeant
Kansas City Police Department
KCPD 1910 SWAT Squad Before and After
                                             BEFORE                   AFTER
               KEY INDICATORS              Implementing Mindset   Implementing Mindset
                                            Change (1996-2006)     Change (2007-2017)

 Complaints filed against squad annually                    36

 Average cost per complaint                         $70,000

 Annual cost                                    $2,520,000

 Total cost over ten years                    $25,200,000

 Total illegal guns recovered                               “x”

 Total illegal drugs recovered                              “y”
MINDSET-CHANGE TOOL

           INFLUENCE
                  PYRAMID
                        TM

                             8-9
The Only Way to Invite Change in Others

                     Objectives   Objectives
                & behaviors are   & behaviors are
                   self-focused   self-focused

          ME                                 OTHERS

                                                      8-9
The Only Way to Invite Change in Others

               Objectives         Objectives
               & behaviors take   & behaviors are
               others into        self-focused
               account

          ME                                 OTHERS

                                                      8-9
Dealing with things

                                                        LESSONS OF THE PYRAMID
  that go wrong
                                  Correct

                                Teach &
                              Communicate
                                                        1   WORK BOTTOM UP
                                                            Most time and effort should be spent at the
                              Listen & Learn                lower levels of the pyramid.
  Helping things
     go right
                          Build the Relationship        2   WHEN STUCK, GO LOWER
                                                            The solution to a problem at one level of the
                                                            pyramid is always below that level.
                      Build Relationships with Others
                            Who Have Influence
                                                        3   MINDSET MATTERS MOST
                                                            Ultimately, my effectiveness at each level of

                      Turn Outward
                                                            the pyramid depends on the lowest level of the
                                                            pyramid—my mindset.
                         improve my mindset

                                                                                                             8-9
Mindset and the Pyramid

                    Correct

                  Teach &
                                             What do you
                Communicate
                                          suppose an inward
                Listen & Learn
                                          mindset does to the
            Build the Relationship
                                              pyramid?
        Build Relationships with Others
              Who Have Influence

                                                                8-9
With a partner, do the following:

1   Think of someone you think needs to
    change in some way

2   Identify the levels of the pyramid at which
    you have been weakest in this situation.

3   Brainstorm things you might do in these
    and other levels of the pyramid to improve
    this situation. (Write these ideas on the
    lines to the right of the pyramid.)

4   Of the ideas you discussed, circle the
    things you will do

                                                  8-9
Applying the Pyramid to Organizational Change

                                                                           DESIRED
                                                                           RESULTS

What do we need to correct/change as an organization?                        Correct

                                                                           Teach &
Who do we need to communicate with, train, or teach, and how?            Communicate

Who do we need to listen to and learn from? Who needs a voice?           Listen & Learn

How could we strengthen our relationship with these people?          Build the Relationship

                                                                 Build Relationships with Others
What other stakeholders will influence those involved?                 Who Have Influence

Do we really understand the needs, challenges, and objectives
of everyone who is impacted? Do we see them as people?              MINDSET

                                                                                                   2
Organizations that identify and address
pervasive mindsets at the outset are
four times more likely to succeed in
organizational-change efforts than are
companies that overlook this stage.

Nate Boaz and Erica Ariel Fox
“Change Leader, Change Thyself,” McKinsey Quarterly, March 2014

                                                                  2-3
Ways to engage or go deeper

 Onsite speech or                     Self-study and
                    Public workshop
    workshop                          complimentary
                                        resources
INVITATIONS

Put your Influence Pyramid plan into action.

For the rest of the day, concentrate on seeing every person you
interact with as a person.

See what happens.
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