Embarking on Equitable Change in Turbulent Times
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Transcript of Embarking on Equitable Change in Turbulent Times
Embarking on Equitable Embarking on Equitable Change in Turbulent TimesChange in Turbulent Times
A Study on Enabling Conditions for A Study on Enabling Conditions for Dialogic Organizational Dialogic Organizational DevelopmentDevelopment
Rachael BanksRachael BanksJune 9, 2012June 9, 2012
Social Inequities in Public Service
Persistent health inequities
Unjust
Costly
Preventable
Many Organizational Development (OD) Efforts Underway
Previous efforts partially successful Bounded, distinct efforts Separate programs
Organizational complexity increasing Increased Need Wicked Challenges Environment transforming
Two Types of OD Diagnostic
Problem identification Diagnosis Time limited
Dialogic Solutions oriented Inquiry overlaps with
intervention Continuous and
cyclical
OD Methods out of Touch
Dialogic seems better for complexity and turbulence Literature
EMPA coursework
Organizational experience
Research QuestionResearch Question
What conditions must be in place to What conditions must be in place to initiate dialogic OD approach that initiate dialogic OD approach that can address wicked challenges like can address wicked challenges like health inequities?health inequities?
Are there different enabling conditions Are there different enabling conditions for the two types of OD?for the two types of OD?
Literature ReviewLiterature Review
Literature on Diagnostic OD, Literature on Diagnostic OD, enabling conditionsenabling conditions Need and urgencyNeed and urgency Top management commitmentTop management commitment Multi-level involvementMulti-level involvement Resource allocationResource allocation Openness to learningOpenness to learning A planA plan
o Gap in Dialogic enabling conditionsGap in Dialogic enabling conditions
Research MethodologyName Position Agency
Jeanine Beatrice Project Manager Oregon Health Authority
Kristin Chung-Mei Lensen
Owner Kristin Lensen Consulting
Deborah Cockrell Clinic Manager Multnomah County Health Department
Christopher Hamilton
Program Analyst Oregon Health Authority (OHA)
Alana Heines Owner Heines Consulting
James Mason Director Culturally Competent Care
Providence Health and Services
Selena Mason Administrative Director
Western States Center
Angela Mitchell Patient Advocacy Coordinator
Providence Medical Group
Paul Potter Project Director Oregon OD Network, OHA
Data AnalysisData Analysis
Wicked?
Yes No
Dialogic?
YesNo
(Diagnostic)
Dialogic +
Wicked
New dialogic preconditions?
diagnostic & dialogic (hybrid)?
Phase 1: Determine wickedness using wicked scale
Phase 2: Identify wicked challenges that used dialogic OD
Phase 3: Determine pre-conditions for dialogic changes that addressed
wicked challenges
Study LimitationsStudy Limitations
Small, convenience sampleSmall, convenience sample
Varying OD content areasVarying OD content areas
Limited generalizabilityLimited generalizability
Preliminary studyPreliminary study
Does not control for all variablesDoes not control for all variables
Findings
Dialogic used for wicked challenges
Health inequities are wicked challenges
Findings Dialogic Pre-conditions not
in literature Committed to disrupt status quo
Empowerment-focused
Strengths-based
Reflective Culture
Dialogic pre-conditions are different than diagnostic Hybrid
Implications
If working with wicked challenges: Consider using Dialogic OD Enabling conditions Tools
Agencies sponsoring OD efforts: Assess pre-conditions Learn dialogic approach Recruit people with dialogic skills,
experience
Future Study
Develop method to assess enabling conditions
Solidify Dialogic OD competencies
Study enabling conditions and link to OD outcomes
Discussion