5 Strategies for Leading Change Twitter @drjoshuatepper

Start With Quality Safe Effective Patient-Centred Timely Efficient Equitable If this is how we define quality Institute of Medicine

Leading Change is Hard Start with Why

5 Energies Psychological Physical Spiritual Social Intellectual http://www.slideshare.net/NHSChangeDay/unleashing-energy-for-change-helen-bevan

New Power “We all have an inalienable right to participate… Today, people increasingly expect to actively shape or create many aspects of their lives.” Heimans, Timms Understanding “New Power” HBR Dec. 2014

Cultural Change

Leading change means disappointing people’s expectations at a rate they can tolerate.

Leading change means disappointing people’s expectations (that things will stay the same) at a rate they can tolerate. (and not ignore you or try to silence you or resist in infinitely creative ways )

Titrate the Pace of Change Productive Range Threshold of learning Limit of tolerance Time Tension of change Distress Distress Based on R. Heifetz and M. Linsky. Leadership on the Line, Harvard Business School Press, Boston, MA,2002, pg. 108. 9 9

Leading Change: Stretch the Productive Zone Limit of tolerance Tension of change MAKE THE PRODUCTIVE RANGE AS LARGE AS POSSIBLE Threshold of learning Time Based on R. Heifetz and M. Linsky. Leadership on the Line, Harvard Business School Press, Boston, MA,2002, pg. 108. 10

Its Not All About The Leader www.HQOntario.ca

Quality Titrate the Start With Pace Why 5 Use new power Energies First Follower Use new power Titrate the Pace Quality

“Dream no small dreams for they have no power to move the hearts of men.” Johann Wolfgang von Goethe