Working Collaboratively Toward Effective Decision-making

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Working Collaboratively Toward Effective Decision-making. Frances D. Butterfoss, PhD, MSEd James M. Krieger, MD, MPH Michael P. Rosenthal, MD. Democracy. Its not perfect, but its the best way for 280 million people to make a decision.. Process of Building Governance. - PowerPoint PPT Presentation


  • Working Collaboratively Toward Effective Decision-making Frances D. Butterfoss, PhD, MSEdJames M. Krieger, MD, MPHMichael P. Rosenthal, MD

  • DemocracyIts not perfect, but its the best way for 280 million people to make a decision.

  • Process of Building GovernanceDevelop mission & goals

    Integrate ideas from many stakeholders

    Transition from networking to engaging, involving & empowering partners

    Qualitative analyses may provide insight into process

  • Continuum of Decision-making Power


    Coalition develops Coalition itselfrecommendations, buthas final decision-other organization(s)making power has final say

    Wandersman, 1981

  • Shared & Formalized Decision-making in CoalitionsCreates positive coalition environmentEnsures that member benefits outweigh costsEncourages pooling of resources Increases member engagement (commitment to mission & goals, participation in activities, satisfaction with coalition work)Makes effective assessment & planning more likelyButterfoss & Kegler, 2002

  • Models of Decision-making in CoalitionsSteering Committee, coalition chair or lead agency decides

    Voting or majority rule (2/3 rule)


    Combination of models depending on issue

  • Rapid Decision-making ModelsSteering Committee (coalition & committee chairs & key at-large organization members)decides Steering Committee gets input from members via email then decidesStaff decides with input from key leaders & organizationsAction alert vote is sent via email to members

  • Allies Against Asthma Decision- making ModelsCCSASN=294

  • Decision-making ProcessCSASN=294

  • Level of Comfort with Decision-making ProcessCSASN=294

  • Power in Decision-makingCSASN=294

  • Power in Decision-making * Significantly associated with:

    Positive opinion about leadershipAgreement with coalition visionReporting more benefits of participationHigher degrees of support and trust

    * p=< .01

  • Difficult or Controversial DecisionsCSASN=294

  • Examples of Difficult or Controversial DecisionsDecisions about mission, goals & objectivesTransition from asthma campaign to asthma management & research focusDecisions who gets resources & recognitionReferring & coordinating requests for patient education & home assessments fairly among partnersDecisions about power, prestige & influenceCompetition for election to coalition officeDecisions about funding opportunities/grantsCompetition for who leads, who shares

  • Level of Conflict ExpectedCSASN=294

  • Resolving ConflictCSASN=294

  • SummaryDecision-making in coalitions can be potential source of conflict

    Decision-making must be managed in standard, fair & timely manner

    Comfort with decision-making leads to member satisfaction, commitment & participation

    Coalitions that practice good decision-making are more likely to be effective & sustained