1. Changing Organizational Culture through Effective Training, Education, and Awareness March 11, 2004 Tom Walsh, CISSP President, Tom Walsh Consulting, LLC

2. Copyright © 2004, Tom Walsh Consulting, LLC 2 Protecting Confidential Information Providing our patients with quality healthcare includes protecting their confidential information.

3. Copyright © 2004, Tom Walsh Consulting, LLC 3 Tom Walsh, CISSP President, Tom Walsh Consulting, LLC Certified Information Systems Security Professional (CISSP) Co-authored a book on HIPAA Security Former information security manager for large healthcare system in Kansas City, MO DOE-certified safeguards and security instructor A little nerdy, but overall, a nice guy

4. Copyright © 2004, Tom Walsh Consulting, LLC 4 Let’s Get Acquainted! Age and Weight Marital Status Sexually Transmitted Disease? –If “Yes” then Names of All Partners Drug or Alcohol Problems? Amount of Money Earned Last Year Name and Job Title

5. Copyright © 2004, Tom Walsh Consulting, LLC 5 Discuss how values and organizational culture influence behaviors Create positive approaches and methods for cultural and behavioral changes that align individual's goals with organizational goals Discuss ideas on how to effectively deliver training, education, and awareness that achieves lasting cultural and behavioral change Session Objectives

8. Copyright © 2004, Tom Walsh Consulting, LLC 8 “Implementation of the security and privacy regulations of the Health Insurance and Portability and Accountability Act (HIPAA) is about cultural transformation more than technology and compliance programs.” June 12, 2001 Lauri Ingram META Group HIPAA

9. Copyright © 2004, Tom Walsh Consulting, LLC 9 Culture of Healthcare “I’m in healthcare, not computers or security. That’s your job.” “I’ve decided to go back to a paper system so I won’t have to comply.” “HIPAA will never be enforced.” “Healthcare has survived for thousands of years without HIPAA.” (HIPAA-critic oath)

10. Copyright © 2004, Tom Walsh Consulting, LLC 10 Culture of Healthcare Slow to adapt standards –Law passed in 1996; still not compliant Cost without benefits –“Full Employment Act for Lawyers” Just one more compliance issue Wait and see attitude –“The government is fickle.” –“What’s the rush?”

11. Copyright © 2004, Tom Walsh Consulting, LLC 11 “HIPAA - What, me worry?” Culture of Healthcare

12. Copyright © 2004, Tom Walsh Consulting, LLC 12 Culture of Healthcare Caring is sharing Humans are curious by nature In some cases, healthcare workers have become desensitized to patient privacy HIPAA requirements alone cannot change the behaviors of healthcare workers

13. Copyright © 2004, Tom Walsh Consulting, LLC 13 Father’s Day Card Dad, there were things that you said when I was growing up that didn’t make sense to me. Now that I have (three teenage) children of my own… “Because I said so,” makes perfect sense. Legislation alone will not change behaviors!

15. Copyright © 2004, Tom Walsh Consulting, LLC 15 Change “The only people who like change are babies with dirty diapers.” Kay Weir Volunteer Coordinator Saint Luke’s Hospital of Kansas City

16. Copyright © 2004, Tom Walsh Consulting, LLC 16 Changing Behaviors The goal of training is to change behavior People only adopt new patterns of behavior when... the old are no longer effective Three concepts about human behavior to note:

17. Copyright © 2004, Tom Walsh Consulting, LLC 17 Changing Behaviors 1. People’s behavior is based upon their principles and their values 2. An effective training program helps the workforce adopt the organization’s principles and values 3.A message is persuasive when the addresser selects information that the addressee perceives as relevant in terms of his or her values

18. Copyright © 2004, Tom Walsh Consulting, LLC 18 Changing Behaviors Knowledge does not guarantee a change in behavior. “We’ll just create some new policies.” What are the fallacies of policy? “We just send everyone to training.”

19. Copyright © 2004, Tom Walsh Consulting, LLC 19 Changing Behaviors The Hawthorne Effect The Hawthorne Studies were conducted from 1927 to 1932 at the Western Electric Hawthorne Works in Chicago, where Harvard Business School professor Elton Mayo examined productivity and work conditions

20. Copyright © 2004, Tom Walsh Consulting, LLC 20 Changing Culture

21. Copyright © 2004, Tom Walsh Consulting, LLC 21 Culture Change Training, Education, and Awareness TEA

23. Copyright © 2004, Tom Walsh Consulting, LLC 23 TEA - What is the Difference? Training Education Awareness All work together, but are different.

24. Copyright © 2004, Tom Walsh Consulting, LLC 24 Training - “Hands on” Education - Imparting Knowledge Awareness - “Top of Mind” TEA - What is the Difference? The goal of TEA - Changing Behaviors

25. Copyright © 2004, Tom Walsh Consulting, LLC 25 Building a Training Program AnalyzeDesignDevelopDeliver

26. Copyright © 2004, Tom Walsh Consulting, LLC 26 Analyze A Needs Assessment determines: 1. Who needs TEA? (Audience) 2. What TEA do they need? (Content) 3. How will their TEA be served? (Delivery)

27. Copyright © 2004, Tom Walsh Consulting, LLC 27 Design Who? (Audience) What? (Content) How? (Delivery) The audience will determine the content, method of delivery and length.

28. Copyright © 2004, Tom Walsh Consulting, LLC 28 Training is...

29. Copyright © 2004, Tom Walsh Consulting, LLC 29 How People Learn 10% by Hearing 40% by Seeing 50% by Doing “What I hear, I forget. What I see, I remember. What I do, I understand.” - Confucius 451 BC

30. Copyright © 2004, Tom Walsh Consulting, LLC 30 Involvement To change culture and behaviors we need involvement from those who will be most impacted by the change WII-FM: What’s In It For Me? People like to be included Your ideas for involvement?

31. Copyright © 2004, Tom Walsh Consulting, LLC 31 Involvement Uncommon Methods

32. Copyright © 2004, Tom Walsh Consulting, LLC 32 Involvement  Host special events  Look for “teachable moments”  Develop security “champions”  Leverage a “negative event”  Use the “Grapevine”

33. Copyright © 2004, Tom Walsh Consulting, LLC 33 Deliver Think about training classes, seminars or presentations you really liked and ones you disliked. What made the classes good or bad? What do you remember?

34. Copyright © 2004, Tom Walsh Consulting, LLC 34 Barriers to Effectiveness  Failure to establish a rapport with the audience  Technical material is dry and boring  Efficient versus Effective –The “all-in-one” refresher training session

35. Welcome to the Annual... Bloodborne Pathogens, Hazardous Chemicals, Tuberculosis Prevention, Fire and Electrical Safety, Sexual Harassment, Ethics, and Privacy and Information Security Training

36. Copyright © 2004, Tom Walsh Consulting, LLC 36 Barriers to Effectiveness  Failure to establish a rapport with the audience.  Technical material is dry and boring.  Efficient versus Effective –The “all-in-one” refresher training session. Ourselves

37. Copyright © 2004, Tom Walsh Consulting, LLC 37 Barriers to Effectiveness Mission, vision, and goal Passion Perseverance Character Much of the overall success of the training program and culture change will depend upon the trainer’s:

38. Copyright © 2004, Tom Walsh Consulting, LLC 38 Wayne’s World 21 Professional seasons More than 60 NHL records 4 Stanley Cups 9 Most Valuable Player (MVP) 2-time playoff MVP 11 Scoring titles 4 Lady Bling Awards (for gentlemanly play) “The Great One”

41. Copyright © 2004, Tom Walsh Consulting, LLC 41 Conclusion Values and organizational culture influence behaviors Aligning individuals’ goals with organizational goals will result in cultural changes Effectively deliver training, education, and awareness that achieves lasting cultural and behavioral change requires involvement

42. Copyright © 2004, Tom Walsh Consulting, LLC 42

43. Tom Walsh, CISSP twalshconsulting@aol.com 913-696-1573