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Testing the Big Idea
| Date post: | 13-Jan-2016 |
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Testing the Big Idea
Today’s presentation is brought to you by: David Waller BSc MBA MBCS CEng CITP
NHS Benefits AssignmentsElectronic Patient RecordPACS networked storageDiabetes Contact CentreChoose & Book (ERS)ePrescribingSummary Care RecordOutpatient AccessOrder CommsElective CareMental HealthTelecareIMT National HelpdeskAmbulance Service RestructureDiagnosticsLong Term ConditionsTheatre ManagementWorking Time DirectiveChild HealthGP ServicesPalliative CarePayment by Results
Over 250 NHS people introduced to Benefits Management Resources Created
Benefits Management ManualTraining courses from Introduction to Train the TrainerTools and templatesWorked examples300+ Benefits Dependency Network diagrams1Gb library of reference material
NetworkRun NHS Networks BM group (200+ members)Facilitator LGA Knowledge Hub PPM group (1600+ members)Mentor Yorkshire BM Network since 2006
My Job
• Benefits Management is the best application of scarce resources to select and deliver appropriate benefits to identified stakeholders
“It’s not rocket science…”
Idea Test
1. Set the scene 2. Choose to change
3. First filter - test the Hypothesis
4. Turn the Hypothesis into a Goal5. Optimise the value of the Goal
6. Second filter - test the Goal against the benefits
7. Plan to realise the Ends
8. Third filter - test the Benefits against the plan
Start with the end in mind
Why did Nye Bevan create the NHS?
It’s not only what you do, it’s also why you choose to do it
B) Ensure a healthy workforce for the nationalised industries
A) A comprehensive health service designed to secure improvement in the physical and mental health of the people
C) Find his indolent nephew a job
Answer: A (if you didn’t pick A you are not taking this seriously)
Endgame
• The game ends when:
a) You are checkmated, or
b) My King is in g3, my Queen is in c5, etc….
Which Direction?
• Patients• Partnership• Pride• Performance
ENDS (what we
want)
• Clinical Effectiveness• Clinical Efficiency• Start / Stop / Improve Processes
WAYS (what we
do)
• Scheduling• Record to hand• Standard Forms• …
MEANS (what we
have)
STRATEGICTop-down
TACTICALBottom-up
Idea Test
1. Set the scene 2. Choose to change
3. First filter - test the Hypothesis
4. Turn the Hypothesis into a Goal5. Optimise the value of the Goal
6. Second filter - test the Goal against the benefits
7. Plan to realise the Ends
8. Third filter - test the Benefits against the plan
The measurable improvement resulting from an outcome perceived as an advantage by one or more stakeholders, which contributes towards one or more organisational objective(s).
APMG Managing Benefits 2012
A benefit is a result that a stakeholder perceives to be of value.
What is a benefit?
• Improve• Increase• Reduce• Eliminate• Stop
Features, Outcomes and Benefits
• Feature - my car is painted ‘Police Car’ white
• Outcome - people move over for me on the motorway so I get home for 6 pm
• Benefit - I get to watch The Simpsons on TV
Means – what you useWays – what you doEnds – What you want
Benefits Dependency
Picking the right benefits
Tactical benefits – getting the donkey to move
Picking the right benefitsStrategic benefits – a cart full of valuable cargo
Key stakeholders’ benefits
Same project, different intentions
POWER, CONTROL!
LOOT, DRINK!
This is manageable
This is not
Idea Test
1. Set the scene 2. Choose to change
3. First filter - test the Hypothesis
4. Turn the Hypothesis into a Goal5. Optimise the value of the Goal
6. Second filter - test the Goal against the benefits
7. Plan to realise the Ends
8. Third filter - test the Benefits against the plan
Pre-Mortem
A way to assess your risks• Set the scene, “It’s a year from now, we
ran the project and it all went wrong”.• Describe how and why it went wrong• See what you can do now to prevent this
happening.
Original idea by Gary Klein, quoted in Thinking Fast and Slow, Daniel Kahneman
Call to Action
• What’s pushing you to change?• What do you want to achieve?• What must you fix?
• How will you measure your progress?
Yorks BM Network
Two requests• Send your people to the Network• Listen to them when they come back
To join the Network please contact:
Ruth Evans - Teaching Fellow, Yorkshire Centre for Health Informatics [email protected]
David Waller - Managing Director, Keldale Business Services Ltd [email protected]
Benefits Management – why bother?
“What is becoming clear however is that we have found a robust, rational framework for setting objectives, managing projects, shaping communications and defining success that works for us. Furthermore it is an approach which, once mastered, can be applied to almost any key business decision, giving us the benefit of foresight rather than hindsight.”
• Bob Sunley Yorkshire Ambulance Service (HSJ Good Management Oct 07)
David Waller
07780 533876
www.keldale.com
www.goalmodelling.com
www.hivemindnetwork.com
