Module 6: Creating Awareness

Action Plan

Background

  • Initiatives that require people to change their behavior often fail because change is hard!
  • This is, in part, because we tend to focus our energy on communicating the desired change.  
  • Communication is important.  But not enough.
  • You need to create a movement:
    • Communication is something you do to people.
    • A movement is something people choose to do.
      • A movement is a coordinated group action focused on a desired change.
        • Movements have larger communal, social, and cultural impacts.
        • The movement inspires people to become part of something bigger than the change itself.
        • It transcends the project, becoming more about people than the initiative. 
    • Movements arise, not from a call to action but from an emotion.
      • It starts with dissatisfaction with the current state and the belief that the current structures will not address the problem.
      • Then, you need to provide a positive vision and path forward that’s tangible and achievable.
      • Typically start small with a passionate group of enthusiasts who provide some short-term wins to demonstrate the change.  This brings in influencers who can further grow the movement. (leadership lessons from a dancing guy).
  • Inspire Movement
    • Frame the issue in a way that incites action and stirs emotion.
    • This starts with a sense of urgency, but this is typically short lived. 
    • You must tie it back to their purpose so that they feel a deep desire and even a responsibility to change.

  • Public launch of the program
    • There needs to be an official start to your program.  The more amorphous the start is the less likely it is to command people’s attention.
    • We realize you’ve been doing work in this area.  That’s great.  But this is the launch of your program!
    • And it must be an event!
    • The public launch allows for the public decree of support from leader’s, frontline and executives—this helps as a show of support.
    • Inspire people using your sense of urgency, purpose, and vision. 
    • Embrace symbols.
      • Symbols create a sense of identity (I’m on a team) and feeling of solidarity (with others). 
  • Visibly share the path forward
    • Share how you’ll achieve the goals, what you need others to do.
    • This should have enough detail that people can see the path, but not so much that they get overwhelmed by the work.

  • Consistent Communication
    • Ripple effect—starts with some communication that becomes contagious and grows. Consider using a symbol and guerilla marketing. This diffuses the message from the innovators and early adopters to the late adopters. 
    • Advocacy—Should be fueled by people who believe in it strongly enough to volunteer their advocacy.  These are your Johnny’s and Sarah’s
    • Sustainable chatter—movement’s chatter must continue beyond the original passing interest.  It may ebb and flow, but it doesn’t die out.
      • You must communicate at least 10 different ways, 100s of times!
    • Novel Communication strategies
      • People are relatively immune to emails, posters, announcements, etc. 
      • Work to come up with memorable ways to communicate about your program.
      • Consider Guerilla marketing. 
        • The use of novel or unconventional methods to attract interest and gain buy-in to an initiative.
        • These methods are often low- or no-cost and involve the widespread use of more personal interactions or through viral social media messaging.
        • Example:
          • When United Airlines was launching their new low-cost carrier, called TED, they took out ads that said ‘Knock knock. Who’s there? Ted.

Billboard showing United Ted campaign

  • A guy named ‘Ted’ paid for lunch at diners around the country. 
  • Fields were mowed to spell out ‘Ted.’
  • People with signs that said ‘Ted’ walked around downtown Denver and at Nuggets basketball games. 
  • The people doing this were paid to do it but didn’t know why. 
  • Only later did United announce what TED actually was.
  • United was using guerilla marketing to drum up interest prior to the formal launch. 
  • Example: Diagnostic Excellence
    • Poster in non-patient hospitalist common areas (e.g., work room) with ‘6,918 (9/9/24)’—i.e., the number of patients impacted by diagnostic errors at your site—just the number and the Launch Date.
    • Poster with ‘7% (9/9/24)’--number of deaths that had an error contribute—just the number and Launch Date
    • Poster with ‘$34,100,562 (9/9/24)—cost to the organization of diagnostic errors and the Launch Date.
    • Poster with just the Launch Date.
  • Flash Mobs
    • 1-2 times per month.
    • Either can send email the morning of or make it a set date/time (e.g., 3rd Wednesday of the month at 2pm).
    • These should be 30 minutes, have coffee/tea/food, and a prompt for discussion.  The discussion should meaningfully increase your understanding of an issue.
    • Prompts can include things like how can we address xxx issue that’s come up in our case review, etc. Or, why do you think this yyy is happening.
  • Develop a tracking board
    • This should be prominently displayed in a common space for your providers.
    • Should include number of cases reviewed, benchmarked data and references to interventions sparked by your learnings.
  • Swag
    • People like getting tangible items.
    • Mugs, pens, badge wheels, pins, stickers, etc.
  • Celebrations
    • See Celebrations Module and below.
  • This celebration begins to bring in the late majority who are sympathetic but also skeptical.  Showing them positive momentum can bring them into the movement.
  • These wins emphasize the behavior you want to see and the outcomes you intend to grow. It allows people to experience the change they want. 
  • Celebrations
    • Excellence in Diagnosis (Ex Dx, Great Catch, etc.) Awards
      • This is an awards program that should encourage people to highlight the great work of others in diagnosis. 
      • These should be sent out via email to the entire group with the nominating person.
      • The goal is to generate at least one of these per week.
      • See celebration module for more information.
    • Milestones
      • For example: 10th case review, 50th case review, first intervention based on findings from case review.

Pro Tips


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