In a message dated 4/6/03 6:56:22 AM, [email protected] writes:

<< Two of the participants work in a large (private)
Hospital and Healthcare system and were saying how difficult it is to
engage people in any process that is 'open' without predetermined agendas,
outcomes... >>

I've worked a bit in the health care system in the US and Canada, with
results ranging from modest to diasastrous.  This was some years ago, before
I was working with OS.

What I observe is that people in health care systems are stressed by a lot of
changes in their system over the last 20 years, by the fact that hospitals
are often understaffed, and by the nature of their work, which can be
physically and emotionally challenging.  They work within the scientific
paradigm, and many have no desire to explore other possibile approaches,
which they feel are inferior.

With any client, I try to learn a little about the language they use, the
proper names for things and terms to avoid.  I probe a bit to discover
whether they have had bad experiences in the past with consultants brought in
for workshops or meetings. I search for metaphors from their realm to convey
the concepts I want to introduce.  I always give some rationale when asking
them to work in a way that may feel unfamiliar or weird.

Health care in the western world is a constant battle to put the unruly
forces of nature under control, and they do not easily step away from this
modus operandi to processes which appear to be out of control.

I did discover that hospitals are systems which use and respect a wide
variety of specialists, and are used to other people having expertise in
their specialty.  So I do not pretend to give advice about their areas of
expertise, but I assume that they have hired me because I know something
about meeting design and organizational dynamics.

Laurel Doersam has done some good Open Space work with hospitals and health
care systems, I believe Michelle Cooper has as well, and Lisa Heft works
quite a bit with health care providers.  I think that the on-list discussion
you are thinking about was in response to a question from Doug Germann
[email protected]  if that helps you locate the earlier conversation.

Greetings from rainy Washington State.  Had lunch with Brian B.
yesterday--the world is smaller than it used to be!

Joelle

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