Bernard Mohr Innovation Partners International
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1 Integrative Governance for Adaptive Work Systems: A Strengths Based, Socio-Technical Design Approach Bernard Mohr Innovation Partners International Presented At STS Roundtable Conference, Sept. 13, 2012, Canterbury, UK 1
2 Overall Purpose Of This Session Creative exploration of the theme: What s humane got to do with STS today? To contribute to the ongoing development of STS as theory and practice. Specifically. Exploring the meaning of and connection between adaptive work systems and Integration Rethinking what governance and governance design means in the context of Integration requirements at the team, organization, network and eco-system levels And by examining the possibilities and meaning of strengths based design of strengths based governance 2
3 4 Concepts and Some Stories Concepts 1. Adaptive Work Systems 2. Governance What, Where? Why? Who? 3. Integration why care? 4. Strength Based Socio-Technical Design 3
4 Adaptive Work Systems The Adaptive Work System is a type of organizational network that is configured to operate as a work system at multiple levels of global, enterprise or unit levels of design. Performance characteristics such as agility, speed, flexibility and re-configurability are typically delivered by the adaptive work system. S. Winby, Sapience Network 4
5 ORGANIZATIONAL GOVERNANCE? Dimension Emphasis (Goal) Key Actors Focus Orientation Traditional View of Governance Controlling or preventing behavior that is illegal, unethical, or detrimental to the interests of shareholders. The board of directors as the key actors Board activities such as senior management selection and compensation, advising senior management, and reviewing accuracy of financial reporting and adequacy of compliance efforts. Begins with a problem-prevention point of view and is advocacy driven. 5
6 RETHINKING GOVERNANCE Goal Attainment Long-Term Sustainability Adapting through Innovating 6
7 What is Integration*? ( A Socio-Technical Perspective) The management of interdependencies between work/tasks (technical) The management of interdependencies between people (social) * Based on conversations with Jody Hoffer-Gittell and ideas from High Performance HealthCare by Jody Hoffer-Gittell, MIGraw Hlll publishers,
8 Patient Care : An Integration Challenge Nurses Case Managers Attending Physicians Nursing Assistants Social Workers Patient Referring Physicians Residents Technicians Physical Therapists 8
9 Governance Re-Imagined. The structures, practices, and processes that mobilize human capability in support of Goal Attainment, Adaptation, Long Term Sustainability and particularly INTEGRATION 9
10 Why Is Integration So Important? (A Health Care Context) Quality of Outcomes Task Integration And People Integration Cost Patient Experience Joy of Practice 10
11 Why Is Integration So Important? (A Health Care Context) Sample Governance Design Variables Selection Process Measures and Rewards Quality of Outcomes Role Design Boundary Placement & Mngt Care Maps/Pathways Information Access & Display Patient Round Participation Supplier Relations Goal Setting Processes Leadership Development Task Integration And People Integration Cost Patient Experience Joy of Practice 11
12 What s humane got to do with STS today? I am led to conclude that an organization s structure (governance) can be moral or immoral in and of itself. Thus I realize that consciously constructing an organization that, by its design, impairs people s health is ultimately no different than willfully using asbestos in the construction of a brick-andmortar building when we know that the material is likely to compromise the health of the buildings inhabitants. Jerry Harvey, PhD., Professor Emeritus of Management Science at The George Washington University. Author of The Abilene Paradox. 12
13 Why Strength Based Design? The ageless task of leadership is to create an alignment of strengths in ways that make the system s weaknesses irrelevant. - Peter Drucker Study after study shows that high performance teams play to their strengths while managing around their weaknesses - Marcus Buckingham 13
14 Why Strength Based Design? Valuing and learning from our past is an imperative but also a choiceful activity B. Mohr, IPI Human systems move in the direction of the questions they consistently ask D. Cooperidder, CWRU Study after study shows that high performance teams play to their strengths while managing around their weaknesses - Marcus Buckingham, Gallup 14
15 Select Most Promising Option Deliver & Evolve Stress Test and Iterate Design the Deliver- Evolve Processes Use New System Review and Reconfigure Mobilize Imagine Mobilize Envision multiple IG potentialities (roles, processes, structures) Model deliberations and decision rights for selected potentialities Deliver and Evolve Imagine Connect/ Explore Discover and document existing Integrative Governance (IG) competencies, capabilities, AND Design Requirements (ie future opportunities and aspirations) Draft transcendent purpose for new IG system Connect-Explore 15
16 Contact Informtion Bernard Mohr: Innovation Partners International (office) 16
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