tag:blogger.com,1999:blog-733074358901582680.post533789571338089621..comments2024-03-23T05:28:35.472-04:00Comments on Healthcare Standards: The making of sausages and standardsKeith W. Boonehttp://www.blogger.com/profile/16883038460949909300noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-733074358901582680.post-14804987923666376382008-08-15T16:28:00.000-04:002008-08-15T16:28:00.000-04:00I bet between the two of us an a few other usual s...I bet between the two of us an a few other usual suspects we could figure it out. Maybe over beer in Chicago next month...Gila Pykehttps://www.blogger.com/profile/06167811366497062273noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-79118665014442719622008-08-15T13:00:00.000-04:002008-08-15T13:00:00.000-04:00What I find interesting is mapping these six varia...What I find interesting is mapping these six variations into different kinds of games described in game theory. Win-lose games (called zero-sum games), have a number of different strategies which can be applied, based on what you know or don't know about the choices of other game players. Win-win solutions don't exist in a zero-sum game, you have to look to different kinds of game play. What makes this interesting is that HITSP chooses standards, and so it would appear to be the case, almost always, that you have to play a zero-sum game. But its real role is to harmonize standards, and thats where we need to figure out how to change the game that is being played.Keith W. Boonehttps://www.blogger.com/profile/16883038460949909300noreply@blogger.comtag:blogger.com,1999:blog-733074358901582680.post-11275012340170994342008-08-15T10:55:00.000-04:002008-08-15T10:55:00.000-04:00Keith, as I listen to your voice on the HITSP Lead...Keith, as I listen to your voice on the HITSP Leadership call, I'm extremely conscious of the fact that you've come by this knowledge in the best and rarest way -- by fighting your way to becoming a strong, communicative leader.<BR/><BR/>Everything you've posted here is correct, acessible and extremely important and I profoundly hope that an awful lot of people read it and understand just how true it is.<BR/><BR/>I have an arsenal of key terms and tools that might enhance the message, but I don't know that they're necessary. <BR/><BR/>For example: When you talk of the three ways to deal with difference, I'd suggest that there are in fact six and that they exist in four quadrants along the X-axis of "how many people win" and Y-axis of "directive vs collaborative"-- and here are the alternate words for them:<BR/><BR/>1. Lose-lose, but situation is resolved collaboratively: Compromise (everyone loses something and no one gets what they really want)<BR/>2. Lose-lose, but situation is resolved non-collaboratively: Failure. Funding is pulled and project is restarted with a different set of premises.<BR/>3. Win-lose, non-collaborative: "Direction" Someone with authority decides what the best path going forward is. Some people win, others lose, and the battle will rage again next time the topic is breached, but at least the project can be finished.<BR/>4. Win-lose, collaborative: "Picking your battles" - Some people give up what they want so that other people can win, and hopefully their sacrifice is recognized and other people later on are willing to give things up in turn. <BR/>5. Win-lose, semi-collaborative: <BR/>"Bulldogging" Some really persistent people carry on the battle until they win. We both know quite a number of people who use this tactic and it IS effective in the short term -- but damaging in the long-term and requires a great deal of emotional and communication maturity to pull off without adversely affecting collaboration.<BR/>6. Win-win, collaborative: Consensus. All parties set aside their differences and work together to find an entirely new solution that meets needs creatively. <BR/><BR/>That last one is generally considered an ideal in that it is rare enough that few people believe it is possible, but also so completely effective in the short AND long term that it is worth working towards.<BR/><BR/>Personally, I know that consensus is possible and frankly I believe that you have the raw skills necessary to drive consensus. The techniques required are easy to learn and frankly you've outlined the basic and intermediate knowledge required in your post.<BR/><BR/>If you ever want some detail on the advanced ones -- let me know and I can bring you some of my toys when I see you next. It's not rocket science, it just takes the sincere dedication to collaboration.Gila Pykehttps://www.blogger.com/profile/06167811366497062273noreply@blogger.com