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A product of
Welcome!
Sit anywhere --
With people with whom you don’t usually work
4 per table
Experiential Learning
Experience
Reflect
Bridge
ApplyEvaluate
A product of
The Game Play
Steps Each Hour
Arrivals
Exits
Closure?
Staffing?
Paperwork
Extra Paperwork: Emergency Dept
# Extra Paramedic Patients Accepted
Add a checkbox:
Later, subtract from total Paramedic Turnaways
Calculate Scores…and Stretch
Team Dialogue
1. What felt real?
2. What drove your behavior?
3. Core strategies for improvement?
Real…
Drivers…
Strategies…
Process Flow Diagram
E
S
CCSD
Where to intervene to improve performance?
Collaboration Ladder
Minimal CommunicationMinimal Communication
High
Low
Jointly PlanJointly Plan
Treat Peers as CustomersTreat Peers as Customers
Communicate Needed InfoCommunicate Needed Info
Share ResponsibilityShare Responsibility
Innovation
Do we want people to challenge rules?
What is OK and what is not OK to challenge?
Rule Origin & Rationale
Benefit to Eliminate
or Modify?
Adverse Consequences
to Others?
Strategies…
Collaboration
Innovation
Data-driven decisions
Elements of Structure
Physical layout & environment Performance measures Reporting relationships Reward systems Information flows Policies, procedures Practices, norms Language
Structure Drives Behavior
Q: How to identify organizational structure that produces specific behaviors?
A: Simplest method is Force Field Analysis
Sample Force Field Analysis
COLLABORATION
DRIVING RESTRAINING
• Need to
coordinate
hand-offs to
meet efficiency
goals
• Pressure to be
a team player
• Desire to satisfy
customer
• Performance measures linked to dept. budgets
• No feedback re: impact of local decisions on others
• Culture glorifies individual achievement
Does your organization promote or (unintentionally) inhibit collaboration?
Force Field Instructions
1. Make a T-grid, naming the desired behavior on top.
2. Brainstorm drivers and list them on the left. (Be clear and concrete.)
3. Brainstorm constraints and list them on the right. (Be clear and concrete.)
4. Go back to consolidate duplicates, make sure they are explicit.
5. Go back and circle the top 2 on each list.
Final Questions
Personal What personal insight did you gain from the
simulation experience or the discussion?
Organizational What important issues surfaced that should be
formally followed up?