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Change Management
The Secret to a Successful SAS® Implementation
Greg Nelson, CPHIMS, MMCi
Your Presenter
Greg Nelson, CPHIMS, MMCi
President and CEO – ThotWave Technologies
• Recovering Social PsychologistturnedClinical Informaticist
(Duke University)
• Prolific writer/ presenter (175+ publications/ presentations).
• 25+ year SAS Expert and certified in SAS (Grid Computing, Data
Mining),
• Healthcare Industry Leader
• Six Sigma, Balanced Scorecard, Strategy, Change Management
• Passionate about developingthe next generation of data
champions
5
Copyright	2016,	ThotWave	Technologies,	
LLC.
Why should we care about “change”
Best Practices for Leading change
Troubleshooting change
1
2
3
Examples of Change: Technology
Copyright	2016,	ThotWave	Technologies,	
LLC.
Source: Accenture, Counting on Analytical Talent, 2010
Analytics Project
Analytics Group
Solid line indicates a direct line of authority
Dotted line indicates a a partial lien of authority or funding
Corporate
Centralized Decentralized
Function
Corporate Corporate Corporate Corporate
Center of excellence Consulting Functional
Business
Unit
Function Business
Unit
Function Business
Unit
Function Business
Unit
Function Business
Unit
COECOE
Examples of Change: Structure
Change Management:  The Secret to a Successful SAS® Implementation
Why should we
care about
change
1
If you want to make enemies,
try to change something…“ Woodrow Wilson
People
Process
Technology
Current State Desired Future State
§ Analytical roles are dispersed throughout the organization
§ Focus of people is on creating reports
§ Scant talent possessing sophisticated analytical and consultative skills
§ Perspective of the “Have’s” and “Have-nots” across different departments
§ Analytics “mindset” is spread across clinical, operational, financial, strategic
perspectives
§ Leadership advances the analytical mindset across the value chain
§ Analytics Centers of Excellence (COE) possess analytical competencies in modeling,
data integrity, storytelling, critical thinking and consulting
§ Organizations recognize the importance of the “data pipeline” but it is not a part of
strategic planning
§ Analytics strategy is not universally known/ no sense of urgency
§ Some/ no Master Data Management abilities across limited domains
§ Data governance limited or non-existent
§ Establishing well defined disciplines across the organization relating to:
§ Data acquisition, Data warehousing, Master data management, Data governance,
Analytical planning
§ Organizational imperative for analytics and its contribution to the Learning Health
System
§ Data Warehouse is in place
§ Spread marts are abundant
§ Pockets of analytical “brilliance” propped up by heroes
§ Some ad hoc modeling
§ Sophisticated data integration & warehousing environment
§ Advanced modeling capabilities for predictive analytics and resource optimization
§ Automated standard reporting environment
§ Actionable data – “three clicks to action” environment
Some Hindsight
Limited Insight
Nearly 20/20 Hindsight
Actionable Insight
Realizing Foresight
Examples of Change: Improved Capabilities
SharedPurpose
2
1Explore 4 Measure
Impact
Prioritize
5
Demonstrate
3
Create
Knowledge
6
Analytics is a Journey Not a Destination
Technology	Change Potential	Impact
Examples of Change: SAS Technology
Replacing	or	upgrading	the	operating	system • SAS	specific	 OS	coding	changes
• File	system	changes
• Managing	files
• Auditing,	 Versioning	 &	Monitoring
• Security/	authentication
• Service management
• Third	party	tools
• Data	impact
Old:	SAS	Display	Manager	
New:	SAS	Enterprise	Guide	(or	SAS	Studio)
• File	system	changes	
• Operating	system	changes
• Nuances	of	the	tool
Old:	SAS	Foundation	
New:	SAS	Data	Management	(data	integration,	data	
quality,	master	data	management,	data	governance)
• Metadata
• Process	flows	
• Roles	and	responsibilities
• Data	stewardship
• Governance	processes
Emotional Responses to Change
Knows that change
is coming
Has a high level
awareness of what is
driving the change
the broad vision of
change
Awareness
Understands what
the overall future
state (change
solution) looks like
Understands how
new ways of working
will impact them
Understanding
Is the change in his
or her area in order
to try out the change
and become familiar
with its implications
Conveys message
that new ways of
working are soon to
be reality
Adoption
Articulates the
change as the new
status quo and ‘the
way things are done
around here’
Demonstrates
personal ownership
and alignment with
the change
Commitment
Individual Change
COMMITMENT
TIME
Each stakeholder group will be moved along the commitment curve at the rate most appropriate and
critical for them.
AWARENESS
UNDERSTANDING
COMMITMENT4
3
2
1
44
3 3
2 2
1 1
Impacted Stakeholders,
(End Users)
Change Network
(Agents)
Project Team &
Sponsors
1
2
3
4
Reinforcing
Leaders
(Champions)
ADOPTION
Commitment
Time
Awareness
Understanding
Adoption
Commitment
Unaware
Confusion
Decision not to
adopt Capability
Terminated
Risk to
change
program if
stakeholder
poorly led
and engaged
throughout
the process.
Managed Change
Best Practices for
Leading Change
2
ThotWave’s Best Practice Areas
Change	Management	Best	Practice	Areas
v Create a shared change purpose
v Establish a visible and engaged leadership coalition
v Enable engagement and communication
v Support strong individual performance
v Build a supportive organization and culture
v Create a measurement strategy
1. Create a shared change purpose
2. Establish a visible and engaged leadership
coalition
Conventional
Wisdom
Transform the masses!
Tipping Point
Leadership
Transform the extremes: the
people, acts, and activities that
exercise a disproportionate
influence on performance.
Prepare Deliver Reinforce/Sustain/Improve
Awareness
Competencies
Skills
Knowledge & Attitudes
Implementation Evaluation
Video
Introduction
Communication
W
TH
Tell - Awareness
— Articles
— Intranet
— Meeting minutes
— Factsheets
— Email summaries
— Posters
— Infographic
— Newsletter
Sell - Understandi ng
— Open forum (event)
— Intranet listening post
— Brochures
— E mail
— Seminars
— Lunch n Learns
— FAQs
TM
Deliver – Action
— Manager guides
— Help line
— Staff Training
— FAQs
— Cheat Sheets
— Usage Guides
CommunicationCommunication
Learning Portal
Skills Development based on role
Skills Integration
ILT
Mentoring/ Expert Network
HyC
MTA
Consult – Engagement
— Briefings
— 1:1 discussions
— Informal networks
— Workshops
— Focus Groups
— Feedback loops
— Open Space
— Microblog
— Posters
Communication
Demonstrations
SG
Sem
TL
Q
Sim
Community of Practice/ Peer-
to-peer learning
Pr
PbL
T
CS
An
P
KC
P
D
Ex
W
ILvT
3. Enable engagement and communication
Comm Events
Overview
Architecture Overview
Elevator Speech/
Comms Update
Poster
™ TM Newsflash
—
Training Invites
Training (ELT/CBT)
Training Reminders
Go-Live Announce
Participant Survey
Focus Group
:
ë
G
?
”
*
&
š Email
¸ XXX Demo
Readiness Assess2
On-Boarding
Change Agent Mtgs
Newsletters2
?
”&
&
&
2
2
*
2 2 2
— — —
———
”
U
U
Roadshows/
Lunch and Learn
2
:
ë
¸
One-on-One
*
G
Change Agent
Updates
Tips and Tricks
2
Coaches/
AssistantsLeaders
PilotMgrs/
EmployeesNon-Pilot
Change
Network
1 1
1
q
q q q q q
—
— —
&
š
š
U
š
—
ë
:
::
:
G
*
¸š
™ ™
™2
š
š™
2
”
š™
?
—
U
U
q q
2
”
?
š
2
*
1
4
4
4 Job Aid
¸
Communication Events
5/5 5/12 5/19 5/26 6/2 6/9 6/16 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25
Sep -
Oct9/1
4. Support strong individual performance
Understanding the
knowledge, skills and abilities
required for success
Training
Focus on performance
management and training
interventions most likely to be
effective and deliver change
benefits
Knowledge Management
Faster time to competency:
employees more quickly able
to perform in new jobs, use
new systems etc.
Culture/Leadership
Supportive mindset and
organizational incentives
designed to realize the benefits
of investing in human capital
Talent management
5. Build a supportive organization and culture
• How should we arrange ourselves – our structure, processes and systems –
to support the change?
• What values, attitudes and behaviors we want to collectively embody?
6. Create a measurement strategy
• What is the best way to track, report and realize the benefits intended?
Audience Span of
Change
Depth of
Change
Rationale for Ratings Overall
Assessment
Stakeholder Group X 3 3 All Client-related activities completed by x will change. They will no longer x Extensive
Stakeholder Group X 2 3 No longer responsible for x. Focus will shift to making minor interventions
based on local intelligence and ensuring x
High
Stakeholder Group X 3 2 Much greater focus on x High
Stakeholder Group X 2 3 Manual data entry into x currently a large part of role. This will be replaced
by increased reporting requirements
High
Stakeholder Group X 3 2 New accountability for x High
Stakeholder Group X 1 3 Relationship with Client and the activities undertaken on their behalf will
change significantly
Medium
Stakeholder Group X 1 3 Relationship with Client and the activities undertaken on their behalf will
change significantly
Medium
Stakeholder Group X 1 3 Little direct impact to own day to day role, but major change for those he
oversees and the way in which new x operations are established in future
Medium
Stakeholder Group X 2 2 x will remain responsible for x but will do so using a new method and have a
greater number of tools to help them do so
Medium
Stakeholder Group X 2 2 x will remain responsible for x but will do so using a new method and have a
greater number of tools to help them do so
Medium
Troubleshooting
Change
3
Right-Size the Change Management Effort
Breadth of
proposed
change
Depth of
proposed
change
Impact of
proposed
change
Criticality of
proposed
change
Components of a change strategy
Vision Skills Incentive Resources Action Plan+ + + + = Results/Change
adapted	from	Ambrose,	Managing	Complex	Change
What happens when a component is missing?
Vision Skills Incentive Resources Action Plan+ + + + = Results/Change
Vision Skills Incentive Resources Action Plan+ + + + = Confusion
Vision Skills Incentive Resources Action Plan+ + + + = Anxiety
Vision Skills Incentive Resources Action Plan+ + + + = Resistance
Vision Skills Incentive Resources Action Plan+ + + + = Frustration
Vision Skills Incentive Resources Action Plan+ + + + = False start
adapted	from	Ambrose,	Managing	Complex	Change
Vision
Vision	=	A	compelling	future	state	which	provides	direction	and	
a	sense	of	unity	- What	is	the	vision?
Lack	of	Vision	= Leaves	people	feeling	confused
“Why?”
“What	are	they	thinking?”
“Here	we	go	again!”
Vision Skills Incentive Resources Action Plan+ + + + = Confusion
Skills
Skills = The ability to do something well and with a level of
expertise - Does the team have those skills?
Lack of Skills or Training = Without the skills, or the promise of
skills from a source we trust,we will feel anxiety…
“I can’t!”
“I don’t know how.”
“Will there be a place for me?”
Vision Skills Incentive Resources Action Plan+ + + + = Anxiety
Incentive
Incentive	=	A	thing	that	motivates	or	encourages	one	to	do	
something	- What’s	in	it	for	me?
Lack	of	Incentive	= Why	do	the	work	if	there	is	no	value,	no	
consensus	is	built.
“Don’t	waste	our	time!”
“I	just	want	to	do	the	job,	not	deal	with	all	this…”
Vision Skills Incentive Resources Action Plan+ + + + = Resistance
Resources
Resources	=		A	stock	or	supply	of	money,	materials,	staff	or	
other	assets	that	can	be	drawn	on	by	a	person	or	organization	
in	order	to	function	effectively	- What	do	I	have	to	work	with?
Lack	of	Resources	= Without	the	physical	and	emotional	
resources	to	accomplish	the	change	people	will	be	frustrated
“They	ask	the	world	and	give	us	nothing	to	work	with.”
“How	can	they	expect	us	to	do…?”
Vision Skills Incentive Resources Action Plan+ + + + = Frustration
Action Plan
Plan	=		A	detailed	proposal	for	doing	or	achieving	something-
Do	we	have	a	clear,	manageable,	measurable	plan?
Lack	of	a	Plan	= Without	a	plan	it	is	impossible	to	gain	traction
“We	keep	talking	but	nothing	is	happening”
“We	are	going	in	circles.”
Vision Skills Incentive Resources Action Plan+ + + + = False start
@healthcare_bi
linkedin.com/in/thotwave
greg@thotwave.com
919.931.4736
Contact
www.thotwave.com
Gregory S. Nelson, MMCi, CPHIMS
ThotWave Technologies, LLC.
Copyright	2016,	ThotWave	Technologies,	
LLC.
we are
we create thinking data®

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Change Management: The Secret to a Successful SAS® Implementation

  • 1. we create thinking data® Change Management The Secret to a Successful SAS® Implementation Greg Nelson, CPHIMS, MMCi
  • 2. Your Presenter Greg Nelson, CPHIMS, MMCi President and CEO – ThotWave Technologies • Recovering Social PsychologistturnedClinical Informaticist (Duke University) • Prolific writer/ presenter (175+ publications/ presentations). • 25+ year SAS Expert and certified in SAS (Grid Computing, Data Mining), • Healthcare Industry Leader • Six Sigma, Balanced Scorecard, Strategy, Change Management • Passionate about developingthe next generation of data champions 5 Copyright 2016, ThotWave Technologies, LLC.
  • 3. Why should we care about “change” Best Practices for Leading change Troubleshooting change 1 2 3
  • 4. Examples of Change: Technology Copyright 2016, ThotWave Technologies, LLC.
  • 5. Source: Accenture, Counting on Analytical Talent, 2010 Analytics Project Analytics Group Solid line indicates a direct line of authority Dotted line indicates a a partial lien of authority or funding Corporate Centralized Decentralized Function Corporate Corporate Corporate Corporate Center of excellence Consulting Functional Business Unit Function Business Unit Function Business Unit Function Business Unit Function Business Unit COECOE Examples of Change: Structure
  • 7. Why should we care about change 1
  • 8. If you want to make enemies, try to change something…“ Woodrow Wilson
  • 9. People Process Technology Current State Desired Future State § Analytical roles are dispersed throughout the organization § Focus of people is on creating reports § Scant talent possessing sophisticated analytical and consultative skills § Perspective of the “Have’s” and “Have-nots” across different departments § Analytics “mindset” is spread across clinical, operational, financial, strategic perspectives § Leadership advances the analytical mindset across the value chain § Analytics Centers of Excellence (COE) possess analytical competencies in modeling, data integrity, storytelling, critical thinking and consulting § Organizations recognize the importance of the “data pipeline” but it is not a part of strategic planning § Analytics strategy is not universally known/ no sense of urgency § Some/ no Master Data Management abilities across limited domains § Data governance limited or non-existent § Establishing well defined disciplines across the organization relating to: § Data acquisition, Data warehousing, Master data management, Data governance, Analytical planning § Organizational imperative for analytics and its contribution to the Learning Health System § Data Warehouse is in place § Spread marts are abundant § Pockets of analytical “brilliance” propped up by heroes § Some ad hoc modeling § Sophisticated data integration & warehousing environment § Advanced modeling capabilities for predictive analytics and resource optimization § Automated standard reporting environment § Actionable data – “three clicks to action” environment Some Hindsight Limited Insight Nearly 20/20 Hindsight Actionable Insight Realizing Foresight Examples of Change: Improved Capabilities
  • 11. Technology Change Potential Impact Examples of Change: SAS Technology Replacing or upgrading the operating system • SAS specific OS coding changes • File system changes • Managing files • Auditing, Versioning & Monitoring • Security/ authentication • Service management • Third party tools • Data impact Old: SAS Display Manager New: SAS Enterprise Guide (or SAS Studio) • File system changes • Operating system changes • Nuances of the tool Old: SAS Foundation New: SAS Data Management (data integration, data quality, master data management, data governance) • Metadata • Process flows • Roles and responsibilities • Data stewardship • Governance processes
  • 12. Emotional Responses to Change Knows that change is coming Has a high level awareness of what is driving the change the broad vision of change Awareness Understands what the overall future state (change solution) looks like Understands how new ways of working will impact them Understanding Is the change in his or her area in order to try out the change and become familiar with its implications Conveys message that new ways of working are soon to be reality Adoption Articulates the change as the new status quo and ‘the way things are done around here’ Demonstrates personal ownership and alignment with the change Commitment
  • 13. Individual Change COMMITMENT TIME Each stakeholder group will be moved along the commitment curve at the rate most appropriate and critical for them. AWARENESS UNDERSTANDING COMMITMENT4 3 2 1 44 3 3 2 2 1 1 Impacted Stakeholders, (End Users) Change Network (Agents) Project Team & Sponsors 1 2 3 4 Reinforcing Leaders (Champions) ADOPTION
  • 14. Commitment Time Awareness Understanding Adoption Commitment Unaware Confusion Decision not to adopt Capability Terminated Risk to change program if stakeholder poorly led and engaged throughout the process. Managed Change
  • 16. ThotWave’s Best Practice Areas Change Management Best Practice Areas v Create a shared change purpose v Establish a visible and engaged leadership coalition v Enable engagement and communication v Support strong individual performance v Build a supportive organization and culture v Create a measurement strategy
  • 17. 1. Create a shared change purpose
  • 18. 2. Establish a visible and engaged leadership coalition Conventional Wisdom Transform the masses! Tipping Point Leadership Transform the extremes: the people, acts, and activities that exercise a disproportionate influence on performance.
  • 19. Prepare Deliver Reinforce/Sustain/Improve Awareness Competencies Skills Knowledge & Attitudes Implementation Evaluation Video Introduction Communication W TH Tell - Awareness — Articles — Intranet — Meeting minutes — Factsheets — Email summaries — Posters — Infographic — Newsletter Sell - Understandi ng — Open forum (event) — Intranet listening post — Brochures — E mail — Seminars — Lunch n Learns — FAQs TM Deliver – Action — Manager guides — Help line — Staff Training — FAQs — Cheat Sheets — Usage Guides CommunicationCommunication Learning Portal Skills Development based on role Skills Integration ILT Mentoring/ Expert Network HyC MTA Consult – Engagement — Briefings — 1:1 discussions — Informal networks — Workshops — Focus Groups — Feedback loops — Open Space — Microblog — Posters Communication Demonstrations SG Sem TL Q Sim Community of Practice/ Peer- to-peer learning Pr PbL T CS An P KC P D Ex W ILvT 3. Enable engagement and communication
  • 20. Comm Events Overview Architecture Overview Elevator Speech/ Comms Update Poster ™ TM Newsflash — Training Invites Training (ELT/CBT) Training Reminders Go-Live Announce Participant Survey Focus Group : ë G ? ” * & š Email ¸ XXX Demo Readiness Assess2 On-Boarding Change Agent Mtgs Newsletters2 ? ”& & & 2 2 * 2 2 2 — — — ——— ” U U Roadshows/ Lunch and Learn 2 : ë ¸ One-on-One * G Change Agent Updates Tips and Tricks 2 Coaches/ AssistantsLeaders PilotMgrs/ EmployeesNon-Pilot Change Network 1 1 1 q q q q q q — — — & š š U š — ë : :: : G * ¸š ™ ™ ™2 š š™ 2 ” š™ ? — U U q q 2 ” ? š 2 * 1 4 4 4 Job Aid ¸ Communication Events 5/5 5/12 5/19 5/26 6/2 6/9 6/16 6/23 6/30 7/7 7/14 7/21 7/28 8/4 8/11 8/18 8/25 Sep - Oct9/1
  • 21. 4. Support strong individual performance Understanding the knowledge, skills and abilities required for success Training Focus on performance management and training interventions most likely to be effective and deliver change benefits Knowledge Management Faster time to competency: employees more quickly able to perform in new jobs, use new systems etc. Culture/Leadership Supportive mindset and organizational incentives designed to realize the benefits of investing in human capital Talent management
  • 22. 5. Build a supportive organization and culture • How should we arrange ourselves – our structure, processes and systems – to support the change? • What values, attitudes and behaviors we want to collectively embody?
  • 23. 6. Create a measurement strategy • What is the best way to track, report and realize the benefits intended? Audience Span of Change Depth of Change Rationale for Ratings Overall Assessment Stakeholder Group X 3 3 All Client-related activities completed by x will change. They will no longer x Extensive Stakeholder Group X 2 3 No longer responsible for x. Focus will shift to making minor interventions based on local intelligence and ensuring x High Stakeholder Group X 3 2 Much greater focus on x High Stakeholder Group X 2 3 Manual data entry into x currently a large part of role. This will be replaced by increased reporting requirements High Stakeholder Group X 3 2 New accountability for x High Stakeholder Group X 1 3 Relationship with Client and the activities undertaken on their behalf will change significantly Medium Stakeholder Group X 1 3 Relationship with Client and the activities undertaken on their behalf will change significantly Medium Stakeholder Group X 1 3 Little direct impact to own day to day role, but major change for those he oversees and the way in which new x operations are established in future Medium Stakeholder Group X 2 2 x will remain responsible for x but will do so using a new method and have a greater number of tools to help them do so Medium Stakeholder Group X 2 2 x will remain responsible for x but will do so using a new method and have a greater number of tools to help them do so Medium
  • 25. Right-Size the Change Management Effort Breadth of proposed change Depth of proposed change Impact of proposed change Criticality of proposed change
  • 26. Components of a change strategy Vision Skills Incentive Resources Action Plan+ + + + = Results/Change adapted from Ambrose, Managing Complex Change
  • 27. What happens when a component is missing? Vision Skills Incentive Resources Action Plan+ + + + = Results/Change Vision Skills Incentive Resources Action Plan+ + + + = Confusion Vision Skills Incentive Resources Action Plan+ + + + = Anxiety Vision Skills Incentive Resources Action Plan+ + + + = Resistance Vision Skills Incentive Resources Action Plan+ + + + = Frustration Vision Skills Incentive Resources Action Plan+ + + + = False start adapted from Ambrose, Managing Complex Change
  • 29. Skills Skills = The ability to do something well and with a level of expertise - Does the team have those skills? Lack of Skills or Training = Without the skills, or the promise of skills from a source we trust,we will feel anxiety… “I can’t!” “I don’t know how.” “Will there be a place for me?” Vision Skills Incentive Resources Action Plan+ + + + = Anxiety
  • 33. @healthcare_bi linkedin.com/in/thotwave greg@thotwave.com 919.931.4736 Contact www.thotwave.com Gregory S. Nelson, MMCi, CPHIMS ThotWave Technologies, LLC. Copyright 2016, ThotWave Technologies, LLC.
  • 34. we are we create thinking data®