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Driving change
management and
adoption processes
David Ryan CIO, Grampians Rural Health Alliance
Telehealth – A case study in
driving change management and
adoption processes
eHealth Conference
Wednesday 23 May 2012
Information doesn’t
change the world.
People Do.
With their ideas.
With their knowledge.
Make everything available.
Help people find it.
Design solutions to be in-the-flow, not above-the-flow.
Don’t design for one size fits all.
Many sizes fits many.
Don’t be afraid to
colour outside the lines.
Keep it simple
Don’t Predict.
Try, Learn and Adjust.
Leadership is about creating change that you believe in.
Put your trust in people.
Not in the technology.
Use it to empower them.
See People.
Listen to them.
Don’t hold a monologue.
Create a conversation.
Help people to connect.
Take the connected people and make change.
Create a ripple effect.
Champions. The Good Example.
Viral Messages.
The first step to change is to dip a toe in.
Its Change.
Get over it…..Just do it!
Everything will change
Forces impacting us…..
The forces of Change The Rate and Speed of Change
Poll Question? Is the
World Changing at a
Comfortable Pace?
There is likely to be more change over the next 3 years than in the last 25 years!
Change is easy Intellectually
Question… Who likes Change?
But …very hard emotionally!
if you had to
change your life patterns
to AVOID DEATH could you do it?
Question? What % of patients conform to a healthy lifestyle
after a heart attack? A)10% B)20% C)30% D)40%
Is it easier to change during a crisis or during good times?
So….
CHANGE IS DIFFICULT
If there’s a lack of urgency, Don’t see it, Are too familiar…. Or; have wrong perception
“It is not the strongest of the species that survives, nor the most intelligent, but the one that is most responsive to change” Charles Darwin
Grampians Rural Health Alliance Using Technology to achieve better patient outcomes
Connect, Communicate, Care
grampianshealth.org.au
The Grampians Region
Who are we?
• 40 Public Health Services
• Includes Community Health Services
• Some remote Bush Nursing Centres
• 160 network connections
• Several customers covering Local government, Community Services, Allied Health, Medical Practices and Imaging providers.
Who are we? • 7,000 staff in the health services across the region
– Serving the care continuum
– Lots of Aged Care
– Significant linkages with community services, education and research
• $750M Gross Operating Revenue
• Ballarat Health Services largest health service – $350M Gross Operating Revenue alone
Rural Health
Metro Health
Distance Choice Staff Diversity Clustering
Rural Impacts
The Role of Hospitals are
Changing
Why a change is needed
• By 2030 65-84 year group will double and over 85 will quadruple
• The need for Residential Aged Care places will double by 2030 • Diabetes costs to increase 436 per cent • One in five people in Australia (3,958,300 or 20.0%) currently
report a disability • Prevalence is growing with Dementia and Alzheimers on the rise • 9% (552,000) admissions avoidable (AIHW), one-third in the 75
years and over • Current cost of $2.32B
The questions our clinical groups are interested in
• How can technology help us to work smarter?
• How can we more effectively support staff across large areas?
• How can we maintain and extend staff skills?
Broadband links for public health Linking more than 40 communities Investment from partners and government
High availability, high bandwidth Wide Area Network
Internet Telephony everywhere
Fixed and Mobile Clinical Video Conferencing
Applications in Shared Services
42 of x David Ryan eHealth Conference @ CeBIT Australia 2012
Wireless gateways
Blended and e-learning programs
High Quality Mobile Clinical Video Conferencing
Linking Education & Health
Operating Theatre conferencing
mobile
• wireless
• tailored design
• located in clinical areas
Education
• e-learning
• peer support
• policies & protocols
expertise
• quality
• access
• record & replay
Technology close to the clinical workface
We now have opportunity today to make what were past dreams into reality – computing power, High bandwidth networks, cloud services, mobility
1910 Paris Exhibition Imagining what life would be like in the Year 2000
Illustrations by Villemard
Making it all work
Force The new cycle of innovation
Force - Social Networking
Who was Time Magazine’s
Person of the Year in 2006?
Who was Time Magazine’s
Person of the Year in 2010?
The Power of
WE!
2006 2010
Egypt Youth Organized
Leveraging Social Media
Force Everything is Connected
Force Net Generation “100% Digital, All the time”
Photo: AlBErto Gottardo/Flickr (Digitally
altered)
Implications on business
and leadership
What are the current challenges in the business environment?
IBM Survey of 1500 CEOs Globally
CEO Survey
Key Findings
Today’s complexity is only expected to rise and more than half the CEO’s surveyed doubt their ability to manage it
“In 10 years 40% of the Fortune 500 will no longer be here” (Babson Lin School of Business, Fast Company April 2011, page 121)
Story of Blockbuster
Physical Stores DVD’s mailed to you Internet Video Streaming
Borders
Different ways of seeing
the same problem
Focus on disruptive innovation 2000 - Kodak vows to lead in digital
2001 – Kodak leads in digital camera sales: Surged 40% to $5.7B Film fell 18%
What Happened?
Low margins on cameras and high margins on film
Crushing profit disappointment
Embrace Social Media
Consider the
possibilities
Leverage successful
initiatives
Thomas Alva Edison
81 of x David Ryan eHealth Conference @ CeBIT Australia 2012
Driving change
management and
adoption processes
David Ryan CIO, Grampians Rural Health Alliance
Telehealth – A case study in
driving change management and
adoption processes
eHealth Conference
Wednesday 23 May 2012
