Shifting Paradigms- An Interesting Endeavor

So here I am again talking about shifting paradigms and why that is so critically important at this juncture. Based on my experiences of the last few years, but especially the last few weeks I thought I would share and discuss "the road less traveled".

As my partner brilliantly explained several months ago, a paradigm is how we see things. It represents our "filter" or belief system. As you might suspect it plays a huge impact on how we do our jobs, live our lives, and view change as either a threat or an opportunity.

One of my clients is engaged in paradigms shifts in two fundamental areas that are both very different, yet intertwined. They are involved in the "business" of philanthropy. Actively seeking donations and dollars from people to invest in the infrastructure of health care delivery. I talk about at least two major paradigm shifts because at minimum that is what we are dealing with.

The cost and delivery of health care in the U.S. has reached critical mass. You can debate where the "fault" lies, but at this stage does it really matter? We have millions of under-insured and uninsured in the system. As the economy continues to falter those numbers will increase, not decrease. In addition to the cost dimensions of the crisis we are reaching critical mass in yet another dimension of delivery- the availability of trained health care professionals at every level, from primary care physicians to nurses and other related skills.

We have relied historically on employer and government based systems to provide much of the care. As employers "get out of that role" we will see increased pressure on the government side. Health care organizations are also seeing more patients "present" or access care through the emergency room, the least efficient way for that to occur. It is also the most expensive and providers are being forced to "write off" more and more care. As the economy declines I fear that trend will increase rather than lessen.

The philanthropy model in many cases has the "grateful donor" as its core. The grateful donor is based on care being provided to a loved one or the person themselves and their willingness to give something back. There is also the approach of providing for the less fortunate as a sense of "noblesse oblige". My concern is that neither of these models addresses the root causes of the problem.

Another client, also in the health care "business" is engaged in an effort to address issues like cost management, efficiency, reduced reimbursements, and other issues as well. Like many businesses engaged in such a culture change the tools of benchmarking, cost reduction, lean delivery, and others are being evaluated and implemented.

Next week, I am going to have the opportunity to talk about Web 2.0 or "social networking" with a group of business people and why it is relevant to them.

What ties all of these things together is that each requires a paradigm change, a new way of looking at things. That change is behavioral and emotional, not just systemic.

I have written a great deal about the concept and criticality of engagement over the last few months. Engagement is the art and science of successfully executing a paradigm shift. Done successfully the organization enjoys significant competitive advantages in productivity, profitability, and sustainability. Done unsuccessfully or attempting to execute change without considering engagement and you have a melt down. Can you say Detroit or the financial services debacle?

I had the opportunity to read an interview with Roberto Sebutal, CEO of Itau Unibanco in the McKinsey Quarterly. I am attaching the link for you here: http://www.mckinseyquarterly.com/Organization/Change_Management/Transforming_a_high-performing_company_An_interview_with_Roberto_Setubal_2312

I would suspect that most of you like me, have never heard of him before. He is the CEO of a financial institution that by market capitalization represents one of the top 20 banks in the world.

He may be my new hero. The interview describes his decision to boldly embrace a new paradigm and embrace a change strategy in an organization that was performing well and considered highly successful both internally and externally. Mr. Sebutal was a visionary who saw the need for change and embraced it before his institution was in crisis. His strategy also embraced some things that would bring terror to the average Boardroom, among them:

• Decentralization of decision making to the lowest appropriate level.
• Creating forums for people involved in the decisions to have input and challenge "conventional wisdom" without fear of retaliation.
• Changing the human resource management systems to include; hiring "right", performance management, compensation delivery, and other key behaviors and metrics.
• Making commitment to the new culture mandatory for continued employment and either allowing or encouraging individuals who couldn't or wouldn't make the change pursue other options.
• Building transparency into the decision making processes for both employees and customers.
• Holding himself and his executive team personally accountable for role modeling the appropriate behavior.
• Recognizing it is a journey rather than an event.

When asked where the bank was in the transformation process he responded " we have been at the process for about three years, I see us as being about halfway there."

Mr. Sebutal didn't just execute a change program, he is leading a paradigm shift. The other interesting thing is almost all of the key initiatives he discussed are about people and relationships rather than about systems and numbers. He is creating commitment rather than compliance and building upon a foundation of trust rather than systems.

So my point is that the paradigms we are currently using are going to have to change. The old ones simply aren't relevant and they aren't working.

If you take a look at Sebutal's approach and my Compliance to Commitment model(TM) you might just see some parallels.......