{"id":1668,"date":"2010-10-18T14:20:24","date_gmt":"2010-10-18T14:20:24","guid":{"rendered":"http:\/\/www.cerebyte.com\/journal\/?p=1668"},"modified":"2010-10-18T14:20:24","modified_gmt":"2010-10-18T14:20:24","slug":"empower-your-positive-deviants-to-transform-medical-and-social-services-case-management","status":"publish","type":"post","link":"https:\/\/cerebyte.com\/2010\/10\/18\/empower-your-positive-deviants-to-transform-medical-and-social-services-case-management\/","title":{"rendered":"Empower your positive deviants to transform medical and social services case management"},"content":{"rendered":"<p>\t\t\t\t<![CDATA[<strong>By William Seidman<\/strong>\n\nAs much as 50% of hospital emergency department visits may be due to untreated illnesses or situations for patients with multiple, complex, \u201cco-occurring\u201d conditions \u00a0including addictions, mental illness, and\/or homelessness. \u00a0Case management has emerged to guide the development and management of comprehensive, integrated treatment plans that significantly reduce these demands on emergency departments. But\u00a0there are not yet standards or training classes offered to enable hospitals and social service agencies to develop great case managers;\u00a0\u00a0 each healthcare organization has to reinvent case management.\n\nFortunately, recent scientific breakthroughs about human behavior and the importance of modeling best practices after star case managers are changing this scenario for hospitals and social service organizations. Instead of implementing new case management programs only to find very few organizations adopt the desired behavior, hospitals and social service organizations can leverage their best case managers to drive the development of critical attitudinal and behavior development in new personnel. Using this approach, patients get better treatment while hospitals reduce their costs.\n\nThis approach has<strong> four distinct stages:<\/strong>\n\n<strong>\u00a0Stage 1: Set the Bar \u2013 Identify Your Stars<\/strong>\n\nUse your and your partner organizations\u2019 top performing case managers to define the desired attitudes and behaviors.\u00a0\u00a0 These <strong>star players<\/strong> (i.e. the \u201cpositive deviants\u201d) are often the most influential leaders in the local healthcare system because they are highly respected for their history of success and positive attitudes. A critical element of their performance is a commitment to achieving a \u201cgreater social good\u201d for their patients, medical staff, social service agencies and hospitals in ways that invariably align all of their objectives.\n\n<strong>Stage 2: Motivate Change<\/strong>\n\nUtilize a concise, high-energy statement of the positive deviant\u2019s greater social good created by focusing on excellent patient outcomes as the catalyst to engage prospective case managers in the change process. When presented in a particular way, this statement causes these case managers to feel honored to be part of providing patients with extraordinary care experiences and see themselves as critical contributors to the overall success of their local healthcare system.\u00a0 In turn, by generating and writing down personalized, positive images of the statement, case managers are more open to innovative ideas and learn them more quickly even while their natural resistance to change is suppressed. Case managers feel that a profound commitment to their own, the patient\u2019s and the hospitals\u2019 success is their idea, which generates a perception that they are essential for the entire healthcare system.\n\n<strong>Stage 3:\u00a0 Sustain the Change<\/strong>\n\nMotivating employees is a huge success, but <strong>sustaining <\/strong>this motivation is key because human tendency is almost always to quickly resume past attitudes and behaviors.\n\nIntense practice of ideal case manager attitudes and behaviors, particularly when this practice includes frequent application to real situations, causes pathways in the brain to \u201crewire\u201d and the desired functions to rapidly and fully internalize. Because the new capabilities are so completely a part of normal work, everyone quickly comes to perceive that the new way is actually the norm and the change looks and feels grassroots.\n\n\u00a0<strong>Stage 4: Scale the Change<\/strong>\n\nHow does this work if you have a large hospital or healthcare system? You must engage enough people in the shortest amount of time to generate a \u201cbuzz\u201d which ensures that others accept the new program.\u00a0\n\n\u00a0An emerging technology called \u201cpersuasive technology\u201d &#8212; defined as technology designed to \u201cchange what people believe and do\u201d \u2013 enables rapid scaling. The best persuasive technologies create the perception for\u00a0each user that they have a caring personal mentor, and can be accomplished with many people at once. This sense of caring makes people feel that the change is uniquely theirs and that the change is grassroots.\n\n<strong>A Departure from Traditional Sales Practices<\/strong>\n\nNotice that neither executive support nor assessments are a part of this approach. These steps require a minimum of support; the premise is to drive change from within the people most engaged in ensuring excellent case management.]]>\t\t<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\t\t\t\t<![CDATA[]]>\t\t<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[23,412,180,32,66,415,73,78,17,83,38,85,86,403],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Empower your positive deviants to transform medical and social services case management - Cerebyte<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cerebyte.com\/2010\/10\/18\/empower-your-positive-deviants-to-transform-medical-and-social-services-case-management\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Empower your positive deviants to transform medical and social services case management - 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