2. Building Commitment Through Group Decision Making A Nutshell Presentation 600 East Superior Street, Suite 404 I Duluth, MN 55802 I Ph. 800.997.6685 or 218.727.9390 I www.ruralcenter.org 1 Instructions for starting Nutshell presentation with audio: A.Select Slide Show from the menu ribbon and click From Beginning OR B.Select Slide Show icon in lower right of powerpoint screen C. THEN in slide show mode: Click here to start audio and continue presentationClick here to start audio and continue presentation

3. Building Commitment Through Group Decision Making Aim for Impact and Sustainability Essentials for leaders in rural health Leadership Component 2

5. To engage: to attract and hold attention; gain support Board Members Providers Patients Staff Partners Network Members

6. New Topic Decision Point Time Diversity of ideas 5

7. Only in your dreams! 6

8. New Topic Decision Point “Business as usual” can rely on familiar opinions and solutions 7

9. New Topic Decision Point ? ? ? Diversity of ideas Time 8

10. New Topic Complex issues with no obvious solutions often require consideration of unfamiliar or unpopular opinions ? No! Dumb! We’re wasting time! We’re stuck ! 9

11. New Topic Decision Point Distrust Lack of understanding of the process Unwillingness to support the decision 10

12. New Topic Decision Point Divergent Phase Convergent Phase 11

13. Generate alternatives Free-for-all discussion Gathering diverse points of view Unpacking the logic of a problem Evaluate alternatives Summarize key points Sorting ideas into categories Arriving at a general conclusion 12

14. New Topic Decision Point Divergent Phase Convergent Phase GROAN ZONE 13

15. “ Sticking with it” leads to: Confusion Frustration Misunderstandings Feeling a lack of progress; “stuck” Potential for new solutions (beyond familiar thinking) Breakthroughs 14

16. Divergent Phase: (drawing people out) Types of structured Go-Arounds Individual work, then group work Unrepresented perspectives Un-discuss-ables Exaggerations Groan Zone Phase: Reframing Role-storming Focus on what is going well Sort and categorize ideas Strengthen relationships Changing Perspectives Convergent Phase: (finding agreement on solutions) Clarify evaluation criteria Continuum of Agreement Decision Rule Decision Point

17. A good way to engage (gain the support of) your stakeholders during decision making: 1.There are three phases in group decision making: divergence, “groan zone”, and convergence. 2.Use the methods described on the worksheet to engage your stakeholders in each phase.

18. National Rural Health Resource Center 600 East Superior Street, Suite 404 Duluth, MN 55802 (218) 727-9390 ext. (233) rhitnd@ruralcenter.org “Nutshell” Narrator: Arlene J. Anderson