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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:

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

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  • 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
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  • Building Commitment Through Group Decision Making Aim for Impact and Sustainability Essentials for leaders in rural health Leadership Component 2
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  • To engage: to attract and hold attention; gain support Board Members Providers Patients Staff Partners Network Members
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  • New Topic Decision Point Time Diversity of ideas 5
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  • Only in your dreams! 6
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  • New Topic Decision Point Business as usual can rely on familiar opinions and solutions 7
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  • New Topic Decision Point ? ? ? Diversity of ideas Time 8
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  • New Topic Complex issues with no obvious solutions often require consideration of unfamiliar or unpopular opinions ? No! Dumb! Were wasting time! Were stuck ! 9
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  • New Topic Decision Point Distrust Lack of understanding of the process Unwillingness to support the decision 10
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  • New Topic Decision Point Divergent Phase Convergent Phase 11
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  • 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
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  • New Topic Decision Point Divergent Phase Convergent Phase GROAN ZONE 13
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  • Sticking with it leads to: Confusion Frustration Misunderstandings Feeling a lack of progress; stuck Potential for new solutions (beyond familiar thinking) Breakthroughs 14
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  • 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
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  • 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.
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  • National Rural Health Resource Center 600 East Superior Street, Suite 404 Duluth, MN 55802 (218) 727-9390 ext. (233) [email protected] Nutshell Narrator: Arlene J. Anderson