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The Florence Prescription for a Culture of Ownership Montana Health Care Association September 23, 2013 Joe Tye, CEO and Head Coach Values Coach Inc. Copyright © 2013, Values Coach Inc.

Montana Health Care Association, The Florence Prescription, presented 9 23-13

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Slides used for a presentation on values, culture, and workplace attitude for the Montana Health Care Association by Values Coach CEO and Head Coach Joe Tye.

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Page 1: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The Florence

Prescription for a

Culture of OwnershipMontana Health Care Association

September 23, 2013

Joe Tye, CEO and Head CoachValues Coach Inc.

Copyright © 2013, Values Coach

Inc.

Page 2: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Comment posted on Allnurses.com, 9-18-12

“As an ER nurse I give you all

the credit in the world. I can

tell when residents receive

loving care, and I feel proud

of the nursing profession

that includes such wonderful,

caring nurses...

Page 3: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Comment posted on Allnurses.com, 9-18-12

“… I can’t do LTC, I don’t

have the personality for it, so

God bless all of you. I really

think you are doing great

work.”

Page 4: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 5: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Self Made Man by Bobbie

Carlyle

Page 6: Montana Health Care Association, The Florence Prescription, presented 9 23-13

6

Key goals for our

morning together

Page 7: Montana Health Care Association, The Florence Prescription, presented 9 23-13

7

Goal #1 – Your Organization

Describe the concept of

Invisible Architecture™

and the why & how of a

culture of ownership

Page 8: Montana Health Care Association, The Florence Prescription, presented 9 23-13

8

Goal #2 – You

Share strategies that

will help you see the

lion in your own mirror

Page 9: Montana Health Care Association, The Florence Prescription, presented 9 23-13

When Sally and I were in the

market for a second home in

Arizona our criteria were:

Spectacular back yard

Low to zero maintenance

Affordable

Page 10: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 11: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And this is our primary

residence, the Solon house

where we lived for the past

20 years and raised our

two children – photo taken

last April 20…

Page 12: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 13: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lessons

Things aren’t what they

seem.

What you really want might

be closer than you think.

You must be willing to

jettison old baggage to move

forward.

There is almost always a way

to create a win-win.

Page 14: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 15: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 16: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Healthcare Crisis

Page 17: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Your

Organiz

ation

Page 18: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 19: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Question #1

When did the

healthcare

crisis begin?

Page 20: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 21: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Question #2

When will the

healthcare

crisis end?

Page 22: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 23: Montana Health Care Association, The Florence Prescription, presented 9 23-13

23

This story…

Page 24: Montana Health Care Association, The Florence Prescription, presented 9 23-13

24

Has a happy

ending!

Page 25: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 26: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The Lady with the

Lamp and the

foundations of

modern healthcare

Page 27: Montana Health Care Association, The Florence Prescription, presented 9 23-13

27

The Crimean War

Page 28: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 29: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 30: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 31: Montana Health Care Association, The Florence Prescription, presented 9 23-13

William Howard Russell

Page 32: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The British Ego

Page 33: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 35: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Surely this is the

Kingdom of Hell.”

Page 36: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“A vast field of suffering and misery”

Reverend Sydney Godolfin Osborne

Page 37: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And we think WE have a healthcare crisis!

Laura Fraser in the

BBC television

program Florence

Nightingale

Page 39: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“By the end of the war, the

Scutari hospitals had been

transformed into efficiently-

organized, smooth-running

operations.”

Mark Bostridge: Florence

Nightingale:

The Making of an Icon

Page 40: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 41: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Florence Nightingale firsts include:• Medical records

• Laundry and housekeeping

• Infection control

• Nutrition service

• Pharmacy

• Materials management

• Patient library

• Medical triage

• Nursing uniforms

• Chaplain service

Page 43: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The first professional

long-term care

administrator

Page 44: Montana Health Care Association, The Florence Prescription, presented 9 23-13

After the war

Page 45: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 46: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 47: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 48: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The [Sidney] Herbert Hospital, 1866

Page 49: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 50: Montana Health Care Association, The Florence Prescription, presented 9 23-13

WWFD – Today?

Page 51: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Nightingale’s

enduring legacy is

socially relevant

because the

profession of nursing

shows signs of losing

its soul; it is in

crisis.”Barbara Montgomery Dossey et al: Florence

Nightingale

Today: Healing, Leadership, Global Action

Page 52: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And it’s not

just

nursing!

Page 53: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 54: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Companies that study

employee engagement*

consistently find:

~ 25% fully engaged

~ 60% not engaged

~ 15% aggressively

disengaged

* e.g. Gallup, HR Solutions, Press Ganey

Page 55: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Engaged: Spark Plugs

55

Page 56: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Not Engaged: Zombies

56

Page 57: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Disengaged: Vampires

57

Page 58: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Disengagement

negatively

effects…

Page 59: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 60: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Clinical

quality

Page 61: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Patient safety

Page 62: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Patient

satisfaction

Page 63: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Productivity

Page 64: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Marketing

image

Page 65: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Turnover (good and bad)

Page 66: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Job security

Page 67: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Disengaged people,

especially disengaged

managers, are a

defect

Page 68: Montana Health Care Association, The Florence Prescription, presented 9 23-13

But what’s

even more

tragic...

Page 69: Montana Health Care Association, The Florence Prescription, presented 9 23-13

It has a life-diminishing

impact on the

disengaged.

Page 70: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Disengagement [is]

one of the chief causes

of underachievement

and depression.”Edward M. Hallowell, M.D. in HBR, 12-10

Page 71: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 72: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 73: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Cynthia Pearsall

Page 74: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Mina Ubbing

Page 75: Montana Health Care Association, The Florence Prescription, presented 9 23-13

CeCe Peters

Page 76: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Let’s take a tour of your organization’s brain…

Page 77: Montana Health Care Association, The Florence Prescription, presented 9 23-13

77

Page 78: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Bean

Cou

nte

rPo

et

Page 79: Montana Health Care Association, The Florence Prescription, presented 9 23-13

79

Management is of the

left brain.

Leadership is of the

right brain.

Page 80: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And in today’s world we need leaders in every corner – not just in the corner office

Page 81: Montana Health Care Association, The Florence Prescription, presented 9 23-13

transactional

Transformational

Page 82: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Rules

Values

Page 83: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Process

Attitude

Page 84: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Plans

Inspires

Page 85: Montana Health Care Association, The Florence Prescription, presented 9 23-13

contracts

Handshakes

Page 86: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Measured

Seen

Page 87: Montana Health Care Association, The Florence Prescription, presented 9 23-13

A Given

A Choice

Page 88: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Inert

Contagious

Page 89: Montana Health Care Association, The Florence Prescription, presented 9 23-13

What you do

Who you are

Page 90: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Boring!

Chaos!

Page 91: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Left Brain Counts beans

Page 92: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Right brain creates

beans

Page 93: Montana Health Care Association, The Florence Prescription, presented 9 23-13

It’s not

accountability (left

brain) OR ownership

(right brain).

Page 94: Montana Health Care Association, The Florence Prescription, presented 9 23-13

It’s how we

interrelate the two

to create a whole

brain culture.

Page 95: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The journey from mere

Accountabilit

y to a culture of

Ownership

Page 96: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Ac

count

able

Page 97: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Accountability

Doing what you are

supposed to do because

someone else expects it of

you. It springs from the

extrinsic motivation of

reward and punishment.

Page 98: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You cannot hold people

“accountable” for the

things that really

matter.

Page 99: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Nobody ever

changes the oil in a

rental car!

Page 100: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Ownership

Doing what needs to be

done because you expect it

of yourself. Ownership

springs from the intrinsic

motivation of personal

pride.

Page 101: Montana Health Care Association, The Florence Prescription, presented 9 23-13

19,734,525 views 80,976– avg 5 stars

Page 102: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“We have hundreds if not thousands of examples…” 816,911

Page 103: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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104

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Page 107: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Invisible

Architectur

e“Invisible Architecture” is a trademark of Values Coach Inc.

Page 108: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 109: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Invisible architecture

is to the soul of your

organization what

physical architecture

is to its body.

Page 110: Montana Health Care Association, The Florence Prescription, presented 9 23-13

3 stages

Page 111: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Th

e F

ou

nd

ati

on

Page 112: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core values

define what

you stand for

and what you

won’t

stand for

Page 113: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 114: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The 3-minute

values clarification

drill…

Page 115: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The values statement on the wall:

Compassion

Advocacy

Respect

Excellence

The cute acronym philosophy for creating values statements

Page 116: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Old version

Compassio

n

Advocacy

Respect

Excellence

New version

Integrity

Enthusiasm

Loyalty

Stewardshi

p

Ownership

Fun

Page 117: Montana Health Care Association, The Florence Prescription, presented 9 23-13

From…

Compassion

Advocacy

Respect

Excellence

To…

Page 118: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Nobody does it

better than...

Page 119: Montana Health Care Association, The Florence Prescription, presented 9 23-13

119

Page 120: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Zappos Family Core Values1. Deliver WOW Through Service

2. Embrace and Drive Change

3. Create Fun and A Little Weirdness

4. Be Adventurous, Creative, and Open-Minded

5. Pursue Growth and Learning

6. Build Open and Honest Relationships With

Communication

7. Build a Positive Team and Family Spirit

8. Do More With Less

9. Be Passionate and Determined

10. Be Humble

Source: Zappos website

Page 121: Montana Health Care Association, The Florence Prescription, presented 9 23-13

1. Deliver Wow Through Service

Core Values Frog thinks anything worth doing is

worth doing with WOW. To WOW, CVF differentiates

himself by doing things in an unconventional and

innovative way. He goes above and beyond the

average level of service to create an

emotional impact on the

receiver and give them a

positive story they can take

with them the rest of their

lives.

Source: Zappos website

Page 122: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The guiding insights

behind our work at Values

Coach…

122

Page 123: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Values are

Personal

Page 124: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 125: Montana Health Care Association, The Florence Prescription, presented 9 23-13

125

“People who are clearest

about their personal

vision and values are

significantly more

committed to their

organizations.”James Kouzes and Barry

Posner:

A Leader's Legacy

Page 126: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Nobody learns

everything they

need to know in

kindergarten!

Page 127: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 128: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Created by Values Trainers at Fillmore County Hospital

Page 129: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Certified Values Trainers – Sidney Regional Medical Center

Page 130: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Fillmore County Hospital

CEO Paul Utemark said

he got a whole new

team and didn’t have to

change any of the

people.

Page 131: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The deepest human

values transcend

political and religious

beliefs, ethnic heritage,

social class, and every

other superficiality.

Page 132: Montana Health Care Association, The Florence Prescription, presented 9 23-13

After all, who

wants to be a

phony?

Core Action Value #1

is Authenticity

Page 133: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And don’t people who

live their values inspire

and influence others?

Core Action Value

#12 is Leadership

Page 134: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Values 1-6:

Laying a Solid

Foundation

Page 135: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #1

AuthenticityThe Cornerstones:

1. Self-Awareness

2. Self-Mastery

3. Self-Belief

4. Self-Truth

Page 136: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #2

IntegrityThe Cornerstones:

1. Honesty

2. Reliability

3. Humility

4. Stewardship

Page 137: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #3

AwarenessThe Cornerstones:

1. Mindfulness

2. Objectivity

3. Empathy

4. Reflection

Page 138: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #4

CourageThe Cornerstones:

1. Confrontation

2. Transformation

3. Action

4. Connection

Page 139: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #5

PerseveranceThe Cornerstones:

1. Preparation

2. Perspective

3. Toughness

4. Learning

Page 140: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #6

Faith The Cornerstones:

1. Gratitude

2. Forgiveness

3. Love

4. Spirituality

Page 141: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Values 7-12:

Taking

Effective Action

Page 142: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #7

PurposeThe Cornerstones:

1. Aspiration

2. Intentionality

3. Selflessness

4. Balance

Page 143: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #8

VisionThe Cornerstones:

1. Attention

2. Imagination

3. Articulation

4. Belief

Page 144: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #9

FocusThe Cornerstones:

1. Target

2. Concentration

3. Speed

4. Momentum

Page 145: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #10

EnthusiasmThe Cornerstones:

1. Attitude

2. Energy

3. Curiosity

4. Humor

Page 146: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #11

ServiceThe Cornerstones:

1. Helpfulness

2. Charity

3. Compassion

4. Renewal

Page 147: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Core Action Value #12

LeadershipThe Cornerstones:

1. Expectations

2. Example

3. Encouragement

4. Celebration

Page 148: Montana Health Care Association, The Florence Prescription, presented 9 23-13

When a critical mass

of people connect

with and act upon

their core values,

they will have a

positive impact on…

Page 149: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Th

e S

up

ers

tru

ctu

re

Page 150: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Culture is to the

organization what

personality and

character are to the

individual.

Page 151: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Which diner is most

likely to earn your

repeat business and

have you recommending

the place to friends and

neighbors?

Page 152: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 153: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Or…

Page 154: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 155: Montana Health Care Association, The Florence Prescription, presented 9 23-13

This is not a trick

question…

It’s the reality of

competing today.

Page 156: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Same business

Different cultures

Page 157: Montana Health Care Association, The Florence Prescription, presented 9 23-13

People pay to

shop at

Costco…

Page 158: Montana Health Care Association, The Florence Prescription, presented 9 23-13

People shop at Wal-

Mart because they

don’t have to dress up

like they do for the

Dollar Store.

Page 159: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Same business

Different cultures

Page 162: Montana Health Care Association, The Florence Prescription, presented 9 23-13

12 Reasons Culture

Eats Strategy for

Lunch

Page 163: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #1

People are loyal

to culture, not

to strategy

Page 164: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Southwest

Airlines didn’t

earn the highest

loyalty in the

industry with its

bags fly free and

fuel price

hedging

strategies

Page 165: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Getting a job at the Zappos

call center is more

competitive than gaining

admission to Harvard

Page 166: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #2

Culture

provides

resilience in

tough times

Page 167: Montana Health Care Association, The Florence Prescription, presented 9 23-13

A resilient culture was more

important than new

strategies in saving

Starbucks

Page 168: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“The only assets we have

as a company [are] our

values, our culture and

guiding principles, and

the reservoir of trust with

our people.”Starbucks CEO Howard Schultz in

Harvard Business Review, July-August

2010

Page 169: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #3

Culture is more

efficient than

strategy

Page 170: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Nordstrom people don’t go

above and beyond the call

of duty because it’s in a

policy…

Page 171: Montana Health Care Association, The Florence Prescription, presented 9 23-13

This is the Nordstrom

policy manual in its

entirety…

Page 172: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #4

Culture creates

competitive

differentiation

Page 173: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Les Schwab sells the same tires

you can buy anywhere else – but no

one can compete with their culture

Page 174: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Advertising is a tax

you pay on having an

unremarkable culture.”

Robert Stephens, Founder of Geek

Squad

Page 175: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Your culture is

your brand!- Tony Hsieh

Page 176: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #5

Culture can

spark a

contrarian

business

strategy

Page 177: Montana Health Care Association, The Florence Prescription, presented 9 23-13

From a Glamour magazine article – NOT a paid ad!

“Celebrities from Kristen Bell to the

Jonas Brothers to Heather Graham

have all pledged to go barefoot

tomorrow -- will you embrace your

inner hippie for a truly worthy cause,

too?”

Page 178: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You cannot buy

publicity like that at

any price – you earn it

with a great mission

and a powerful culture.

Page 179: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #6

A brittle culture

can doom even a

great

organization (or

product)

Page 180: Montana Health Care Association, The Florence Prescription, presented 9 23-13

As witnessed by one

of the most highly

publicized funerals

of our time…

Page 181: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 183: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The fingers are all

pointing in the

wrong direction

Page 185: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #7

When strategy

and culture

collide, culture

will win

Page 186: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Nardelli’s hard-fisted GE

strategies increased

sales, profits, and stock

price…

Page 187: Montana Health Care Association, The Florence Prescription, presented 9 23-13

At the cost of violating its

people-centric values and

ability to compete for the

best talent.

Page 188: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Home Depot’s board

wanted so badly to get

rid of Nardelli that they

paid him a quarter of a

billion dollars just to

make him go away!

Page 189: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #8

Cultural miscues

are more

damaging than

strategic ones

Page 190: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Not fixing Dave Carroll’s

guitar cost United $millions

Page 191: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Not to mention the damage

to the company’s already

bad reputation for

customer service…

Page 192: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And the airline’s already

troubled employee

relations (they are the ones

taking the brunt of

customer ire).

Page 193: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #9

Strategies can be

copied but no one

can copy your

culture

Page 194: Montana Health Care Association, The Florence Prescription, presented 9 23-13

All the major air carriers

copied the Southwest

business model: but they

all failed the culture test.

Page 195: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #10

Culture

provides

greater

discipline than

disciplinary

action does

Page 196: Montana Health Care Association, The Florence Prescription, presented 9 23-13

We don’t need

to tell people

they can’t

smoke in our

buildings or

discipline them

when they do –

coworkers will

take care of that

Page 197: Montana Health Care Association, The Florence Prescription, presented 9 23-13

People too young to remember

these days hardly believe it when

you tell them about it.

Page 198: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #11

Culture provides a

level of risk prevention

that cannot be

attained with strategy

alone.

Page 199: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Wal-Mart’s culture of

low price at any cost

has come at a huge

cost to the company.

Page 200: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Wal-Mart has spent

over $100 million on

the investigation of

bribery and other

ethics scandals.

Page 201: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Sam Walton would

be rolling over in his

grave!

Page 202: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Reason #12

Culture will have a

significant impact on

your future bottom

line.

Page 203: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 204: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Your bottom line next year

will largely be determined

by your current strategies;

your bottom line in the

following years will be

more influenced by your

current culture.

Page 205: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Every organization has a

culture. Unfortunately,

many, if not most,

cultures develop by

happenstance...”

Pamela Bilbrey and Brian Jones: Ordinary

Greatness: It’s Where You Least Expect It...

Everywhere

Page 206: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Your organization has a

strategic plan – but do

you have a culture

plan?

Page 207: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The 6-word

culture

clarification drill

Page 208: Montana Health Care Association, The Florence Prescription, presented 9 23-13

208

Hemingway wrote a

short story in just 6

words

Page 209: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And this guy made a fortune with just 6 words

Page 210: Montana Health Care Association, The Florence Prescription, presented 9 23-13

210

From a large

medical

products

company

Page 211: Montana Health Care Association, The Florence Prescription, presented 9 23-13

211

Version 1

Global company driven

by motivated

individuals

Page 212: Montana Health Care Association, The Florence Prescription, presented 9 23-13

212

Version 2

Great company, often

own worst enemy

Page 213: Montana Health Care Association, The Florence Prescription, presented 9 23-13

213

Version 3

Process driven crisis

management creating

dysfunction

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214

From a large

academic

medical center

Page 215: Montana Health Care Association, The Florence Prescription, presented 9 23-13

215

Version 1

Heartfelt commitment

unifies a dynamic

culture

Page 216: Montana Health Care Association, The Florence Prescription, presented 9 23-13

216

Version 2

Sailing in turbulent

waters rudders

aligned

Page 217: Montana Health Care Association, The Florence Prescription, presented 9 23-13

217

Version 3

Dedicated employees

deflated by

overwhelming obstacles

Page 218: Montana Health Care Association, The Florence Prescription, presented 9 23-13

How can managers working

in the same organization

have such differing

perceptions!?!?

Page 219: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Entrepreneurial small business

We’re tough

We’re focused

We win

Page 220: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Nobody does it

better than...

Page 221: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Southwest Airlines Motto

Servant’s Heart, Warrior

Spirit, Fun-Loving Attitude

Page 222: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The greatest

culture change

story of all time

Page 223: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Are you old enough to

remember these days?

Page 224: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Back then people

smoked everywhere!

Page 225: Montana Health Care Association, The Florence Prescription, presented 9 23-13

When Dr. C. Everett Koop called for a smoke-free society in 1986 it was an “impossible” goal

Page 226: Montana Health Care Association, The Florence Prescription, presented 9 23-13

What happens to

someone who

lights up in a

public place today?

Page 227: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 228: Montana Health Care Association, The Florence Prescription, presented 9 23-13

We don’t need

to tell people

they can’t

smoke in our

buildings or

discipline them

when they do –

coworkers will

take care of that

Page 229: Montana Health Care Association, The Florence Prescription, presented 9 23-13

A Key Point!

You cannot allow

people to opt-out of

positive culture

change!

Page 230: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Culture doesn’t change

unless people change,

and that is

emotional

work!

Page 231: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Th

e

Inte

rior

Page 232: Montana Health Care Association, The Florence Prescription, presented 9 23-13

People don’t care how much

you know until they know

how much you care…

Page 233: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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236

Emotional climate is

determined by what

you expect and what

you tolerate…

Page 237: Montana Health Care Association, The Florence Prescription, presented 9 23-13

237

And over time, what

you tolerate will

dominate over what

you say you expect!

Page 238: Montana Health Care Association, The Florence Prescription, presented 9 23-13

238

A positive workplace

culture begins with

intolerance for toxic

emotional negativity.

Page 239: Montana Health Care Association, The Florence Prescription, presented 9 23-13

239

“One toxically negative

person can drag down

morale and productivity

of an entire work

unit.”

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240

“It is a leadership

responsibility to create a

workplace environment

where toxic emotional

negativity is not

tolerated.”

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245

Harlan County Hospital

Brodstone Memorial Hospital

Page 246: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Alverno Clinical Laboratories

Page 247: Montana Health Care Association, The Florence Prescription, presented 9 23-13

White River Health System

Page 248: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Mr. Pickle Jr.

Values Coach office

Page 249: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Sidney Regional Medical

Center

Page 250: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The Pickle Challenge at Star

Valley Medical Center in Afton,

WY

Page 251: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The pickle party at the Battle

Creek VA Medical Center

Page 252: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Building a

culture of

ownership

Page 253: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Do you have to start with the

right people on the bus?

Page 254: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You can’t always

choose who you

have on the bus!

Page 255: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 256: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You can’t just

throw all the

“wrong” people off

the bus!

Page 257: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 258: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You can create a bus that

everyone wants to ride

Page 259: Montana Health Care Association, The Florence Prescription, presented 9 23-13

It begins with a

shared vision…

Page 260: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 261: Montana Health Care Association, The Florence Prescription, presented 9 23-13

261

Page 262: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Essential

qualities for

promoting a

culture of

ownership

Page 263: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Fairfield Medical Center adopted

the 8 Florence Characteristics

for their employment brand

Page 264: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Commitment

To the values, vision, and

mission of the

organization

Page 265: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Commitment is

most important

when the going

gets tough...

Page 266: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“We need to see

opportunities where others

see barriers. We need to

be cheerleaders when

others are moaning doom-

and-gloom.”

Page 267: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“We need to face problems

with contrarian toughness

because it’s in how we

solve those problems that

we differentiate ourselves

from everyone else.”

Page 268: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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Page 270: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Brick walls are not

there to stop you, they

are there to make you

prove how much you

want something.”

Randy Pausch: The Last Lecture

Page 271: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Engagement

With patients,

coworkers, and with the

work itself

Page 272: Montana Health Care Association, The Florence Prescription, presented 9 23-13

At Best Buy, a 0.1%

increase in employee

engagement generates

a $100,000 increase in

gross store revenue*

* Harvard Business Review, October 2010

Page 273: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 274: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Passion

Enthusiasm, positive

attitude, and joy

reflected in everyday

actions

Page 275: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 276: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 277: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Initiative

Don’t wait around to be

“empowered” –

Proceed Until

Apprehended!

Page 278: Montana Health Care Association, The Florence Prescription, presented 9 23-13

This giant poster greeted me when I

arrived at Star Valley Medical Center for

our course on The Twelve Core Action

Values

Page 279: Montana Health Care Association, The Florence Prescription, presented 9 23-13

279

Can one person

who takes

initiative change

your

organization?

Page 280: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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282

MMFI!

Page 283: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Fellowship

Because (as Mother

Teresa reminded us) we

are all children of the

same God

Page 284: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 285: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 286: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The root of the word

integrity is “integer”

– one unified whole

The incredible

invisible man

Page 287: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 288: Montana Health Care Association, The Florence Prescription, presented 9 23-13

288

Page 289: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Pride

In your organization, in

your profession, in your

work, and in yourself

Page 290: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Pride is reflected in the answer

to that universal icebreaker

question:

What do you do?

Page 291: Montana Health Care Association, The Florence Prescription, presented 9 23-13

What do you do?

Thanks for asking!

I’m good at what I do.

I love what I do.

I’m proud of what I

do. What I do is

important.

Page 292: Montana Health Care Association, The Florence Prescription, presented 9 23-13

What could be more boring than

industrial ventilation systems?

Page 293: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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Page 295: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Part 2 – Seeing

the Lion in

Your Mirror

Page 296: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Breaking through the

invisible ceiling on

the performance

potential of your

people and of your

organization

Page 297: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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Page 300: Montana Health Care Association, The Florence Prescription, presented 9 23-13

1. Reprogramming

negative self-talk

Page 301: Montana Health Care Association, The Florence Prescription, presented 9 23-13

What is the first

word that a

child learns to

say?

Page 302: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 303: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 304: Montana Health Care Association, The Florence Prescription, presented 9 23-13

2. Checking the

emotional baggage

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Page 306: Montana Health Care Association, The Florence Prescription, presented 9 23-13

306

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Page 308: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 309: Montana Health Care Association, The Florence Prescription, presented 9 23-13

3. Defining your

memories of the

future

Page 310: Montana Health Care Association, The Florence Prescription, presented 9 23-13

310

Page 311: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 312: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Joe’s Youroscope

A breakthrough concept

emerges back at the office

today. A great day to

make a difference, make a

friend, and make a

decision and...

Page 313: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Joe’s Youroscope (contd.)

A great new opportunity

will come from out of the

blue, but it will be well-

disguised – so pay

attention and focus, and…

Page 314: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Joe’s Youroscope (contd.)

Call your

Mom

Page 315: Montana Health Care Association, The Florence Prescription, presented 9 23-13
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316

You can remember the

future more clearly and

more accurately than

you can remember the

past.

Page 317: Montana Health Care Association, The Florence Prescription, presented 9 23-13

317

The difference

between wishful

thinking and

positive thinking…

Page 318: Montana Health Care Association, The Florence Prescription, presented 9 23-13

318

Wishful thinking is

hoping for something

and waiting for

someone else to make

it happen.

Page 319: Montana Health Care Association, The Florence Prescription, presented 9 23-13

319

The new American Dream

Page 320: Montana Health Care Association, The Florence Prescription, presented 9 23-13

320

Positive thinking is

expecting something

and working to make it

happen.

Page 321: Montana Health Care Association, The Florence Prescription, presented 9 23-13

321

Wear your Dream next

to your heart

Page 322: Montana Health Care Association, The Florence Prescription, presented 9 23-13

322

Five times every

morning and two things

every day.

Page 323: Montana Health Care Association, The Florence Prescription, presented 9 23-13

323

A Memory of the Future

creates healthy

cognitive dissonance

Page 324: Montana Health Care Association, The Florence Prescription, presented 9 23-13

324

Page 325: Montana Health Care Association, The Florence Prescription, presented 9 23-13

325

Imagination is like any

other muscle – it gets

stronger when you use

it and atrophies when

you don’t

Page 326: Montana Health Care Association, The Florence Prescription, presented 9 23-13

326

The 6-As for

creating

Memories of the

Future

Page 327: Montana Health Care Association, The Florence Prescription, presented 9 23-13

327

1. Aspiration

You gotta want it –

without ambition we

would all still be

hunting and gathering.

Page 328: Montana Health Care Association, The Florence Prescription, presented 9 23-13

328

3. Articulation

You need to describe

your dream in a way

that others can see it.

Page 329: Montana Health Care Association, The Florence Prescription, presented 9 23-13

329

3. Affirmation

Because we dream in

pictures but we worry

in words.

Page 330: Montana Health Care Association, The Florence Prescription, presented 9 23-13

330

4. Asking

The Aladdin Factor is

asking the right

question of the right

person

at the right time.

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331

5. Action

Action transforms fear

into fire; accumulation

of many small actions

yields big results.

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332

6. Adaptation

Because, as von Moltke

said, no plan survives

contact with the

enemy.

Page 333: Montana Health Care Association, The Florence Prescription, presented 9 23-13

333

Every great

accomplishment was once

the “impossible dream” of

a dreamer who simply

refused to quit when

things got tough.

Page 334: Montana Health Care Association, The Florence Prescription, presented 9 23-13

334

Expect a miracle: but

don’t give the universe

a deadline!

Page 335: Montana Health Care Association, The Florence Prescription, presented 9 23-13

4. Overcoming

anxiety, fear, and

worry

Page 336: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Courage is the most

important of all virtues,

because it makes all of

the other virtues

possible.”

Winston Churchill

Page 337: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Courage is all of the

other virtues at the point

at which they are

tested.”

C.S. Lewis

Page 338: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 339: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Can one person

with courage

change the

world?

Page 340: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 341: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The 9/12

difference

Page 342: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Anxiety

Fear

Worry

Page 343: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Anxiety

Page 344: Montana Health Care Association, The Florence Prescription, presented 9 23-13

When you are in the

thrall of anxiety (looking

out through the doom

glasses) you don’t see

the world as it is, you see

it as you are.

Page 345: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Three bad things happen

when you in the thrall of

anxiety…

Page 346: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Bad Thing #1

Memory is distorted:

past successes seem

small and insignificant

while past failures seem

huge and certain to be

repeated.

Page 347: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Bad Thing #2

Perception is distorted:

the dangers facing you

are blown out of

proportion while you

underestimate the

resources you have.

Page 348: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Bad Thing #3

Vision is distorted: you

cannot see the

possibilities for a great

outcome because you are

so fixated on images of

doom.

Page 349: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The Performance-Anxiety Curve

Page 350: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Fear

Page 351: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The absence of fear

is not courage!

Page 352: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The absence of fear

is…

Page 353: Montana Health Care Association, The Florence Prescription, presented 9 23-13

No Fear,

No Courage…

Page 354: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 355: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Worry

Page 357: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 358: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Fear is an ally when...

Page 359: Montana Health Care Association, The Florence Prescription, presented 9 23-13

…it alerts you to the

fact that you are

unprepared or...

Page 360: Montana Health Care Association, The Florence Prescription, presented 9 23-13

…that you are on the

wrong path in life.

Page 361: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Terror or exhilaration?

Page 362: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Are people afraid

of change?

Page 363: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 364: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Give fear a name

and it becomes

just a problem.

Page 365: Montana Health Care Association, The Florence Prescription, presented 9 23-13

It’s easier to solve

problems than it

is

to conquer fear.

Page 366: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Fear is a reaction;

courage is a

decision.

Page 367: Montana Health Care Association, The Florence Prescription, presented 9 23-13

5. Determination to

pursue your goals

and dreams

Page 368: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Perseverance

Page 369: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Perseverance is

making the courage

decision every day.

Page 370: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Success is the ability to

bounce from failure to

failure without loss of

enthusiasm.”

- Winston Churchill

Page 372: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #1

The rain will fall and bad

things will happen to

good people – including

you

Page 373: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #2

Life is a motion picture,

not a snapshot.

Page 374: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #3

You must pass through

the valley of the

shadow.

Page 375: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #4

Falling on your face is

good for your head

Page 376: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #5

Whether it’s the best of

times or the worst of

times is your choice

Page 377: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #6

One door closes, another

door opens

Page 378: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #7

Without the valleys, you

won’t appreciate the

mountains.

Page 379: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #8

There are millions of

others who would love

to have your problems

Page 380: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #9

Dare most when times

are darkest.

Page 381: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Law #10

Don’t forget to laugh.

Page 382: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“Cursed with cancer,

blessed with

friends”

Page 383: Montana Health Care Association, The Florence Prescription, presented 9 23-13

7. Taking the 7

promises of The

Self-Empowerment

Pledge

Page 384: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“I attribute my

success to the fact

that I never gave

or took an excuse.”Florence Nightingale

Page 385: Montana Health Care Association, The Florence Prescription, presented 9 23-13

THE SELF-EMPOWERMENT

PLEDGECopyright © 2010, 2011, Values Coach Inc.

Page 386: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 387: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Seven Simple Promises

That Will Change Your

Life*

* One for each day of the week.

Page 388: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 389: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 390: Montana Health Care Association, The Florence Prescription, presented 9 23-13

If you’ve been

waiting for someone

else to empower

you, you should

know that…

Page 391: Montana Health Care Association, The Florence Prescription, presented 9 23-13

No one can empower you but – YOU – and once you have empowered yourself…No one can take that power away.

Page 392: Montana Health Care Association, The Florence Prescription, presented 9 23-13

The Self-Empowerment

Pledge can give you

that power – but first

you need to invest in

yourself…

Page 393: Montana Health Care Association, The Florence Prescription, presented 9 23-13

365

minute

s

Page 394: Montana Health Care Association, The Florence Prescription, presented 9 23-13

If you knew it would

change your life for the

better – profoundly and

permanently – would

you invest …

Page 395: Montana Health Care Association, The Florence Prescription, presented 9 23-13

A minute a day for the next 365

days

Page 396: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Would you give up one

television commercial

a day for a year to

change your life?

Page 397: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You

bet!If your answer

is yes, here’s

what you

need to do.

Page 398: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Every morning start

your day by making

that day’s promise –

which will take you

about

15 seconds.

Page 399: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Repeat the promise

again in in the middle

of your work day.

Page 400: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Once more before you

leave for home.

I am re

sponsible,

accountable, and

determined!

Page 401: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And one more time

right before you go to

bed.

Page 402: Montana Health Care Association, The Florence Prescription, presented 9 23-13

4 x 15 seconds = 1 minute

Page 403: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Repeat these promises

like you really mean

them!

Page 404: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Read

y?

Page 405: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Let’s take a

look at the

seven

promises…

Page 406: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Monday’s Promise:

Responsibility

Page 407: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 408: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Tuesday’s Promise:

Accountability

Page 409: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 410: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Wednesday’s Promise:

Determination

Page 411: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 412: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Thursday’s Promise:

Contribution

Page 413: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 414: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Friday’s Promise:

Resilience

Page 415: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 416: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Saturday’s Promise:

Perspective

Page 417: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 418: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Sunday’s Promise:

Faith

Page 419: Montana Health Care Association, The Florence Prescription, presented 9 23-13
Page 420: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Here’s WHY it works…

Page 421: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You keep promising yourself that

you will be responsible,

accountable, and determined; make

a contribution, be resilient in the

face of adversity, have a positive

perspective,

and that your faith

will shine through.

Page 422: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Then you catch yourself whining

and complaining, procrastinating,

gossiping, blaming others for your

problems, taking when you should

be giving, and pretending

that you have no power.

Page 423: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You end up with what

psychologists call…

Cognitive Dissonance

Page 424: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Which is trying to

simultaneously hold two

incompatible beliefsI am responsible,

accountable, and

determined! It’s not my fault,

they did it to me,

this is so unfair.

Page 425: Montana Health Care Association, The Florence Prescription, presented 9 23-13

At that point, one of

two things MUST

happen. Either you

take the easy way and

stop making

the promises…

Page 426: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Or you keep making the

promises until you

begin to change your

attitudes and your

behaviors.

Page 427: Montana Health Care Association, The Florence Prescription, presented 9 23-13

And as you do that, you

will begin to achieve

better results in every

dimension of your life.

Page 428: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Read these seven

promises one more

time…

Page 429: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Now ask yourself these

two questions…

Page 430: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Question #1:

If you personally were to take

these seven promises to

heart, would you be better

off than where you are

headed now – personally,

professionally, financially,

and spiritually?

Page 431: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Question #2:

If everyone where you work

made a good faith effort to live

these seven promises, would

you do a better job of serving

customers and of supporting

each other?

Page 432: Montana Health Care Association, The Florence Prescription, presented 9 23-13

If your answer to these

two questions is…

And if you’re

being honest,

that’s what your

answer will be.

Page 433: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Then why wouldn’t you

invest those 365

minutes in yourself?

Do it, because no one

can empower you

but you.

Page 434: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Will you do it? Will

you give up one TV

commercial a day…

To

change

your life?

Page 435: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Key lessons we’ve

learned through

our work on

cultural

transformation…

Page 436: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #1a

Launching a movement is

a lot harder than starting

a program – it is also

much more likely to

achieve a lasting positive

impact

Page 437: Montana Health Care Association, The Florence Prescription, presented 9 23-13

437

Lesson #1b

Achieving critical mass

requires approximately

30% population

commitment

Page 438: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #1c

You need enough people

moving fast enough to

escape negativity,

pessimism, cynicism, and

inertia of the past

Page 439: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #2a

Top down direction and

support

AND

Bottom up passion and

innovation

Page 440: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #2b

People must believe

senior leadership

believes in and is

committed to the

cultural vision

Page 441: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #2c

Middle management’s

mere support is not

enough – they must be

gung ho champions for

change

Page 442: Montana Health Care Association, The Florence Prescription, presented 9 23-13

You are here

Page 443: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #2d

The privileges of being a

manager also entail

certain foregone

freedoms

Page 444: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #3a

Remember what Zig

Ziglar taught us –

everyone listens to the

same radio station:

WIIFM

Page 445: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #3b

The most important

battle isn’t with the

competition, it’s the one

each of us must win

against our own worst

enemies

Page 446: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #3c

The collective self-talk,

self-image, and self-

esteem of your people is

an invisible ceiling on

your organization's

potential

Page 447: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #4a

Embrace the skeptics,

marginalize the cynics,

and plow through

resistance

Page 448: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #4b

Engage potential critics

in a constructive

manner – encourage

them to think like

partners in the change

process

Page 449: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #5a

Avoid identification of

the change process with

any single individual or

“program.”

Page 450: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #5b

Create initiative

coherence by being

clear about how various

projects reinforce one

another

Page 451: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #5

Celebrate successes

through stories

Page 452: Montana Health Care Association, The Florence Prescription, presented 9 23-13

Lesson #6

Proceed until

apprehended

!

Page 453: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“If we each do our

part, we will

change our lives for

the better.”

453

Page 454: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“If we all do our

parts, we will

change our

organizations for

the better.”454

Page 455: Montana Health Care Association, The Florence Prescription, presented 9 23-13

“And in changing our

organizations, we can

change our world for the

better.”

455