achieving change in complex systems - aap.org · james whitcomb riley hospital for children...
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Achieving Change in Complex Systems
Jeff Sperring, MD
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What are you trying to achieve?
• Alternative Change
• Progressive Change
• Transformative Change
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James Whitcomb Riley Hospital for Children
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Hospital for Crippled ChildrenHospital for Crippled ChildrenHospital for Crippled ChildrenHospital for Crippled Children
1924192419241924
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Riley Hospital for Children
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Family Centered CareFamily Centered CareFamily Centered CareFamily Centered Care
2015201520152015
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What Will the Next 90 Years Bring?
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Personal Experiences with Change
• Hospitalist – what’s a Hospitalist?
• Reducing Length of Stay
• Expanding a brand outside the comfort zone
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Pediatric Hospitalists:Pediatric Hospitalists:Pediatric Hospitalists:Pediatric Hospitalists:Is This the Future of Inpatient Pediatrics?Is This the Future of Inpatient Pediatrics?Is This the Future of Inpatient Pediatrics?Is This the Future of Inpatient Pediatrics?
Jeff Sperring, MD, FAAP
Assistant Professor of Clinical Pediatrics
Director, Pediatric Hospitalist Program
Department of Pediatrics
Indiana University School of Medicine
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The Length of Stay Project
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Riley Physicians
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Clinical Practice Change
• Clinical Pathways
• VIP – Improvement Networks
• Top 10 Articles at SHM
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Pediatric Grand Rounds
September 8, 2004
Key Controversies in Pediatric Hospital Medicine
� Treatment of Bronchiolitis
� Urinary Tract Infections
� Follow-up cultures
� Timing/Need for Imaging Studies
� Rule-Out Sepsis/Fever in Infants
� Emerging Pathogens
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Transformation within in an Industry
Curve 1Curve 1Curve 1Curve 1 Curve 2Curve 2Curve 2Curve 2
*Morrison, Ian “The Future of the Healthcare Marketplace” www.ianmorrison.com
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Transformation within in an Industry
Curve 1
Print Photography
Curve 2
Digital Photography
*Morrison, Ian “The Future of the Healthcare Marketplace” www.ianmorrison.com
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Transformation within in an Industry
Curve 1
Hardware-based Solutions
Curve 2
Software-based Solutions
*Morrison, Ian “The Future of the Healthcare Marketplace” www.ianmorrison.com
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Adapting to a new Health Care Market
Curve 1
Hospital Volume Based
Curve 2
Population Health
*Morrison, Ian “The Future of the Healthcare Marketplace” www.ianmorrison.com
“Riding the Wave”
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Kotter’s 8 Steps to Successful Change
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Group/System Change isn’t linear
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Job Security
Job Security
Job Security
Job Security
Job Security Job Security
CHANGECHANGECHANGECHANGE
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Group/System Change isn’t linear
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Job Security
I Created This
Loss of Control
Don’t Believe the Data
Financial Security Don’t Like Risk
CHANGECHANGECHANGECHANGE
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QRS of Transformation
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Current State
I’ve Broken It!
We’re Unstoppable
Future State
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The Rogers Adoption Model
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“Crossing the Chasm” by Scott Ambler
http://www.drdobbs.com/architecture-and-design/crossing-the-chasm/187200223
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Impact on Spread and Sustainability
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https://markabouzeid.wordpress.com/2011/11/28/technology-adoption-lifecycle-revisited/
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Crossing the Chasm
• Building a coalition
• Don’t make the change about you
• THE FIRST FOLLOWER
– Derek Sivers
– First Follower: Leadership Lessons from Dancing Guy
– https://www.youtube.com/watch?v=fW8amMCVAJQ
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Real Change is Bigger than You
• You are just a piece of the change
• You may never see or benefit from the change
• It must sustain beyond your work and your effort
• But sustainable change still starts with a first step
– HOW WOLVES CHANGE RIVERS
– https://www.youtube.com/watch?v=ysa5OBhXz-Q
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