Plenary Presentations - Helen Bevan
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Transcript of Plenary Presentations - Helen Bevan
Organisational energy:
the fuel of high performance
Helen Bevan
“Energy, not time or resources,
is the fuel of high performance”
Loehr J and Schwartz T, 2003
One of the most important
leadership tasks in the era of
quality and cost improvement is
to manage our own energies and
those of the people around us
What is “organisational energy”?
the “activation” of the organisation’s
human forces
“The extent to which the leaders of an
organisation or system are able to put
things in motion (change, core initiatives,
innovations etc) that mobilise the
intellectual, emotional, and behavioural
potential of the people in the system to
pursue its goals”
Bruch and Vogel (2011) Fully charged: how great leaders boost their
organisation’s energy and ignite high performance
What happens to large scale
change efforts in reality?
In order of frequency:
1. the effort effectively “runs out of energy” and simply fades away
2. the change hits a plateau at some level and no longer attracts new supporters
3. the change becomes reasonably well established; several levels across the system have changed to accommodate or support it in a sustainable way.
Source: Leading Large Scale Change:
a practical guide (2011), NHS Institute
Source: Bernard Crump/Helen Bevan
Anatomy of change Physiology of change
Definition The shape and structure of
the system; detailed
analysis; how the components fit together.
The vitality and life-giving forces that
enable the system to develop, grow and change.
Focus Processes and structures to
deliver health and
healthcare.
Energy/fuel for change.
Leadership
activities
measurement and
evidence
improving clinical
systems
reducing waste and
variation in healthcare
processes
redesigning pathways
creating a higher purpose and
deeper meaning for the change
process
building commitment to change
connecting with values
creating hope and optimism about
the future
calling to action
“You can’t impose anything
on anyone and expect them
to be committed to it”Edgar Schein, Professor Emeritus
MIT Sloan School
Source: Helen Bevan
From
Compliance
States a minimum
performance standard that
everyone must achieve
Uses hierarchy, systems and
standard procedures for co-
ordination and control
Threat of penalties/
sanctions/ shame creates
momentum for delivery
From the old world to the new world
To
Commitment
States a collective goal that
everyone can aspire to
Based on shared goals,
values and sense of purpose
for co-ordination and control
Commitment to a common
purpose creates energy for
delivery
Energy generators
Connection
How far someone sees and feels a connection
between what matters to them and what matters to
the organisation
Content
How far the actual role, job, task that someone does
is enjoyable to them and challenges them
Context
How far the way that the organisation operates and
the physical conditions within which someone works
makes them feel supported
Climate
How far “the way we do things around here”
encourages individuals and teams to give of their
best
Source: Stanton Marris
• Which of these four Cs
generates the most
energy for the
healthcare workforce?
• Which C is the most
energy sapping?
“The source of energy at work is
not in control, it is in connection to
purpose”Don Berwick, 28th February 2012
“Large scale change is fuelled by
the passion that comes from the
fundamental belief that there is
something very different and better
that is worth striving for”
Leading Large Scale Change (2011)
NHS Institute for Innovation and Improvement
“Money incentives do not create
energy for change; the energy
comes from connection to
meaningful goals”
Ann-Charlott Norman, Talking about improvements:
discursive patterns and their conditions for learning,
March 2012
Discretionary effort
is contractual
is personal
Four sources of energy
Energy Description
Intellectual Energy of analysis, logic, thinking, rationality.
Drives curiosity, planning and focus
Emotional Energy of human connection and
relationships. Essential for teamwork,
partnership, alignment and collaboration
Spiritual Energy of vitality, passion, the future and
sense of possibility. Brings hope and
optimism and helps people feel more ready
and confident to build the future
Physical Energy of action, making things happen and
getting them done. Key part of vitality,
maintaining concentration and commitment
Source: adapted from Steve Radcliffe
• Tendency to focus on intellectual energy
– connecting intellect to intellect keeps us in our
comfort zone
– it isn’t transformational
• We will achieve greater results if we link
physical energy to emotional and spiritual
energy
Conclusions about energies for
quality and cost improvement in healthcare
“Society becomes more wholesome, more serene, and spiritually healthier, if it knows that its citizens have at the back of their consciousness the knowledge that not only themselves, but all their fellows, have access, when ill, to the best that medical skill can provide.”
Aneurin Bevan, founder of the NHS
Who understood the
importance of spiritual energy?
Leadership styles matter
Style Primary objective
Directive Immediate compliance
Visionary Providing long-term direction and vision for
employees
Affiliative Creating harmony among employees and
between the leader and employees
Participative Building commitment among employees and
generating new ideas
Pacesetting Accomplishing tasks to high standards of
excellence
Coaching Long-term professional development of
employees
“[as leaders]we hold ourselves
accountable for the ways that we
manage our time and…our money.
We must learn to hold ourselves at
least equally accountable for how
we manage our energy: physically,
emotionally, mentally and
spiritually”Loehr and Schwartz
High
Low
Low High
Quantum(how much is
there?)
Direction(how focused is it?)
Stanton Marris Energy Index™
Dimensions of organisational energy
INTENSITY: extent to which the
organisation has activated its emotional,
intellectual and behavioural potential
QUALITY: extent to which the energy is
focused on, and aligned with,
organisational goals and shared purpose
Source: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
High
Low
Negative Positive
Quality ( how aligned?)
The energy matrix
Source: Bruch and Vogel
Inte
nsit
y (
ho
w m
uch
?)
The complacency trap
Highly energetic and successful teams and
organisations become complacent or inert or
lose their ability to change and re-energise
Lulled by their success, they stop questioning
the status quo and lose their alertness, passion
and readiness to go to the limits and instead get
overly satisfied, lazy or arrogant
Source: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
Escaping the complacency
trap
• Identify and define a threat to the organisation
AND/OR
• Identify and define an opportunity for the organisation
• Create a common sense of urgency
• Strengthen collective confidence that the organisation
can deal with the threat or rise to meet the opportunity
• Strengthen collective confidence in the ability to meet
the threat/opportunity
Focus on threat or opportunity?
Source: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
The corrosion trap
The underlying energy gets eaten away by
negative competition between divisions or units
or different parts of the system, and by internal
rivalries and corrosive relationships within senior
leadership teams
This means that peoples’ discretionary effort,
emotions, intellectual capabilities and vast
reserves of human potential, don’t get directed to
ignite and sustain the change effort Source: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
Escaping the corrosion
trap
Energetic refocusing
• Phase one: phase down negativity
– Name the “elephant in the room”
– Destructive brainstorming
– Identify and support “toxic handlers”
• Phase two: build a strong organisational identity
– Refocus joint goals
– Create collective commitment
– Build and rebuild prideSource: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
The acceleration trap
Too many activities are initiated, localised
projects are not sufficiently connected to
corporate goals, people don’t feel conviction
about, or meaning in, the change process
and are left exhausted and highly stressed
by change
And the likely result? Underachievement of
goals and difficulty in sustaining any changes
made in the longer termSource: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
Escaping the
acceleration trap
• Detect acceleration
– Overloading (too much to do)
– Multiloading (too many activities)
– Perpetual loading (monotonous, continuous work)
• Stop the action
– Ask teams what we can stop doing (“reverse innovation”)
– Initiate “spring cleaning”
– Create new systems for prioritising and managing projects
– Take time-outs
– Slow down to speed up
– Build feedback systems Source: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
SUSTAINING ENERGY for
the long haul
• Proactively manage energy
– Assess and benchmark energy
– Set goals around leveraging the energy
– Role model within your own team
– Show that you value the overall organisational purpose
above your own agenda
• Mobilise around distinctive challenges and opportunities
• Forcefully cut corrosion
• Decelerate energy when needed
• Build energised leadersSource: Bruch and Vogel
Corrosive
energy
Productive
energy
Resigned
inertia
Comfortable
energy
There has never been a time in the
history of healthcare when this
perspective has been more pertinent
“Leadership is not about making
clever decisions and doing bigger
deals. It is about helping release the
positive energy that exists naturally
within people”Henry Mintzberg
If we want people to take action, we have
to connect with their emotions through
values
action
values
emotion
Source: Marshall Ganz
“You don’t need an engine when you
have wind in your sails”
Paul Bate