1. North Dakota Action Coalition April 3, 2013 Jamestown, ND

2. National Update Laura Thornhill, JD Policy Research Senior Analyst Center to Champion Nursing in America

3. IOM Report Review IOM Report Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts IOM Report Recommendation 7: Prepare and enable nurses to lead change to advance health. North Dakota Action Coalition Goal: Increase development of leadership challenge skills through seven model statewide leadership programs: nursing students, front-line nurses, community nurses, advanced practice nurses, chief nursing officers, nurse researchers and professional nursing organizations

4. North Dakota Action Coalition Purpose Statement Develop leadership capacity among nursing professionals to be effective members and leaders of collaborative teams in order to promote high quality healthcare.

5. Five Campaign Imperatives In the activation phase, to survive and succeed over the next two years, Action Coalitions: 1.Must move beyond nursing. 2.Must deliver short term results in the next 18 months even as you develop long term plans. 3.Must have courage to place the right leaders at the helm or remove weak, ineffective leaders. 4.Must have funding to sustain this work. 5.Must not ignore diverse stakeholders critical to our success.

6. Introductions Briefly go around the room and introduce self and organization

7. Liberating Structures can be used “back home” in your AC to: Develop ways to work together that spark more innovation and solutions Develop ways to work together that spark more innovation and solutions Individually make progress on challenges you face Individually make progress on challenges you face Help you work more effectively across functions and boundaries Help you work more effectively across functions and boundaries Learn methods to generate ownership of change efforts Learn methods to generate ownership of change efforts

9. Who are you? Why are you here? What do you want to accomplish? Find a partner…2 minutes sharing… then find another partner… then find another.

10. Brief review of workgroup plans by chairs and data collected by Patricia Nursing Students Chief Nursing Officers/Executive Leadership Community Nurses Front Line Nurses Advanced Practice Nurses Academic and Research Review Where We Are

11. Henri Lipmanowicz & Keith McCandless Open Space Technology

12. Henri Lipmanowicz & Keith McCandless Freedom Responsibility Open Space Boosts Freedom AND Responsibility

13. Henri Lipmanowicz & Keith McCandless Open Space Theme Structure: What leadership topics/groups/ideas do we want to discuss? Structure: What leadership topics/groups/ideas do we want to discuss?

14. Henri Lipmanowicz & Keith McCandless Four Principles and One Law Be prepared to be surprised; and, let your passion guide you Law of Two Feet go to where you are learning or contributinggo to where you are learning or contributing Principles of Open Space Whoever comes is the right peopleWhoever comes is the right people Whatever happens is the only thing that could haveWhatever happens is the only thing that could have Whenever it starts is the right timeWhenever it starts is the right time When it is over it is overWhen it is over it is over Law of Two Feet go to where you are learning or contributinggo to where you are learning or contributing Principles of Open Space Whoever comes is the right peopleWhoever comes is the right people Whatever happens is the only thing that could haveWhatever happens is the only thing that could have Whenever it starts is the right timeWhenever it starts is the right time When it is over it is overWhen it is over it is over

15. Open Space Debrief 1. What? Conveners briefly report what each group discussed 2. Now What? Start thinking about how we will move forward.

16. Lunch 30 Minutes

17. What Will Be Different ! Liberating Structures Acting Our Way Into New Thinking by Including and Unleashing Everyone Develop shared understanding of next steps and strategy Attract more diverse people to the work Restore hope for change by igniting bold action

19. Henri Lipmanowicz & Keith McCandless Open Space Technology Meet in New Groups to Plan for the Future

20. structure lack of engagement 2. Where are we starting, really? 5. How are we breaking away from the current state toward the future? This Week Next Month Next Quarter Next Year Wrote draft agenda for April meeting. Email chairs to inform them what was learned at national summit. April 3 rd Meeting: Ask workgroup chairs to review what they have done. Restructure for efficiency and quality. Planning state summit. Convene newly structured groups for project developme nt. Identify funding sources. Launch leadership projects developed from AC groups. Current status: Limited funding $9,ooo plus effort Current status: 65 people of 16,000 people divided among 6 workgroups same 10 people Reformatted April 3 rd Action Coalition meeting to: 1)Focus on formalizing a purpose statement 2)Restructuring workgroups GOAL 3 Develop advisory council for Action Coalition. 1)Discuss at April meeting. 2)Identify viable members 3)Identify partnerships for funding. Exploring nurse/physician conversation. Discuss at April 3 rd meeting. Campaign for Action Strategy NORTH DAKOTA G A M E P L A N GOAL 1 1. What is happening around us that demands adaptation? GOAL 2 3. Given our purpose, what seems possible now? 4.What is at stake if we do not change? Current status: Partial workgroup plans Data from workgroup surveys and interviews with CEOs/CMOs GOAL 4 Plan first annual state leadership summit for October. North Dakota Action Coalition Representatives: Patricia Moulton Barbra Brown Billie Madler

21. 1. Operating Environment What is happening around us that demands adaptation? In our operating environment, something we are learning to live with is… An uncertainty we must creatively adapt to is… Strategy Safari G A M E P L A N

22. 2. Current State Where are we starting, really? What I find challenging in our current situation is… A courageous conversation we are not having about where we are now is… Strategy Safari G A M E P L A N

23. 3. Vision Given our purpose, what seems possible now? What first inspired me in this work is… What I hope can happen for us in this work is… A big innovation opportunity I see for us is… Strategy Safari G A M E P L A N

24. 4. Stake What is at stake if we do not change? –If we do nothing, the worst thing that can happen for us is… –Something I will never go back to is… Strategy Safari G A M E P L A N

25. 5. Strategic Action How are we breaking away from the current state toward the future? –Something we must stop doing (divest) is… –Something we should start doing (invest in) is… –One innovative project that gives me confidence we are transforming now is… Strategy Safari G A M E P L A N

26. Balance Balance among the elements makes a big difference. Pitfalls to avoid: Blue Sky Dreaminess: ignoring the current state and operating environment Bad-Road Inertia: despairing over the current state; fearing what is at stake Jumping Over the Moon: moving to action without including others in conversations or agreements Strategy Safari G A M E P L A N

27. New Groups Debrief New Group leaders briefly review plans using Game Plan.

28. 25 Will Get You 10 Crowd Sourcing On index cards, each participant writes: What is your boldest idea to facilitate the Action Coalition’s purpose? A first step to act on your idea. No names Write legibly

29. Henri Lipmanowicz & Keith McCandless 25/10 Steps

30. Advisory Stakeholder Group

31. $$$$$$Funding $$$$$$

32. Wrap-up Plans for Leadership Summit October 4, 2013 When does our entire North Dakota Action Coalition need to meet again? In person?

33. Liberating Structures –Plexus Institute www.plexusinstitute.orgwww.plexusinstitute.org –LS website www.liberatingstructures.comwww.liberatingstructures.com –Book: Liberating Structures: Including and Unleashing Everyone (in progress) –keith@liberatingstructures.com henri@liberatingstructures.comkeith@liberatingstructures.com henri@liberatingstructures.com