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Peter J. Weiss, MD
Adventist Health SystemFebruary 29, 2012
Self Leadership andMore Health/Less Care
Agenda
Healthcare todayWhy are we sick?Self Leadership - How to change
Take aways:EnvironmentEmotions
There’s a Pill for Everything !
Healthcare Crisis or Health Crisis ?
70% care is for preventable illness1/3 of care is useless or harmful
30%70% 20%20%
10%
all care care for nonpreventableconditions
necessary carefor non preventable
conditions
Healthcare Crisis or Health Crisis ?
$$$
$
Time
Overall Health
Healthca
re Spending
What Happened to Us?
InternalGeneticsCharacter / Moral FiberChoices
External (the environment)Portion SizesKinds of FoodsElectronic Activities / EntertainmentAffluence
It’s the Environment !
What Should We Do ?
Personal Issue Social IssueVS.
Public HealthPersonal Health
Willpower Environment
VS.
VS.
Let’s Do It All !
Yes to social change
Yes to personal change
What should I do ? – Self Leadership
Everyone thinks of changing the world, but no one thinks of changing himself. – Leo Tolstoy
How We Change
Readiness
Design
Implementation
Readiness Preventers
Laziness ?DenialCan’t envision success
o Lack of familiarityo Learned helplessnesso Low self esteem / low emotional health
It’s all about emotions!Always bear in mind that your own
resolution to succeed is more important than any one thing. Abraham Lincoln
What’s Happening Here ?
What’s Happening Here ?
Are You Ready ?
Design – One Size Fits None
Design
One size fits none ! Own your planStructure your environment to help
youStop “trying harder” at what didn’t
work before (willpower)Be open to new ideas
Goals vs. directionSmall steps vs. all at once
Mix and match – Create and Discover
How Our Environment Affects Us
The Behavioral Effect of Our Environment
Apparent / OvertDirect interactionAdvertising
Indirect but not out of mindSocial Movements or Fads
Pervasive but often underappreciatedCultureWorldview
The Environment Doesn’t Care About You
How Should You Live ?
What is “normal” that is not good for you ?
How did it become your normal?What could be a new normal ?
Foods / Supplements / MedicationsAlcohol / TobaccoJobs / Hobbies / Leisure pursuits Relationships / Friends / GroupsExercise
How Do You Do It ?
Environmental approach vs. willpowerHow would you do quality improvement at
work?
Limit ChoicesNo TV cable serviceHealthy foods in the houseSupportive friendsDining out?
Implementation
Start !Allow for setbacksHave a support team / system
It’s all about the emotionsKeep learningMake adjustmentsJust keep at it
Understanding Emotions
…emotions lead to action while reason leads to conclusions – Donald Caine
Do you agree that emotions drive behavior?What about negative behavior?
Where do emotions come from?
Can you control your emotions? How?
Let’s Get Started
Pete’s Self Leadership bottom line
Remember…
EnvironmentEmotions
You can do it!
And let me know if I can help - Pete
