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

Healthcare 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