Appreciative Inquiry

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Appreciative Inquiry
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Appreciative Check-in

• What went well today?
• A fantastic presentation on rounds
• My patient got all the diagnostic tests she
  needed
• Someone said thank you
• My son hit a home run
• (and I was there to see it )

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Appreciative Inquiry

• A model for organizational change
• Analyze the Positive Core
• David Cooperrider 1980s
• Case Western
• Apply the Appreciative Eye to business model

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AI in a Nutshell

• Finding what is best in your organization
• Figuring out how to get more of it

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Organizational Problem Solving

• What to fix
• Solutions, action plans, interventions
• Breaks things down
• Fragmented response
• Slow resolution
• Mandates behavior change

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The Medical Model

• Chief Complaint
• What is the problem?
• Differential Diagnosis What is the
  worst thing that could happen?
• Interventions
• How do I prevent / fix it?
• If I cant fix it, then what?

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The Medical Model

• Break it down
• Labs
• X-rays
• Procedures
• Diagnosis The Problem
• Action Plan Often includes behavior
  modification

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Appreciative Approach

• What is working?
• What do you value about your job?
• Assumes there is an IDEAL
• Expands the vision of a preferred future
• Creativity imagination

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Guiding Principles

• Constructionist Principle
• We create our reality
• Our interactions with others determine who we are
• Poetic Principle
• Everything is open to interpretation
• We choose what we see

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See things differently..
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Guiding Principles

• Simultaneity Principle
• Change begins with the question
• Positive Principle
• Were more creative better able to solve
  problems when were happy

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Guiding Principles

• Anticipatory Principle
• Our image of the future guides our present
  actions
• Pictures images are more powerful than words

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Anticipatory Principle (contd)

• If you want to build a ship, dont drum up the
  people to gather the wood, divide the work, and
  give orders. Instead, teach them to yearn for
  the vast and endless sea.
• -- Antoine de Saint Exupery

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The Process
Cooperrider Whitney, Appreciative Inquiry A
positive revolution in change.
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DiscoveryAsking the Question

• Unconditional positive question
• Asking the question influences the answer
• Setting the Tone
• What are the problems?
• Tell me about something you are really proud of.

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Example of Stories
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Why AI Works

• Doesnt focus on changing people
• Positive, energizing focus
• Building the organization you want to be a part
  of
• Builds a future with roots in the present

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Why AI Works

• Creates a shared vision
• Statements are grounded in real experience
• People know how ( want to) repeat their success

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Rose-Colored Glasses ?

• Doesnt ignore problems
• Uses collective wisdom of group to move forward
• Identifies core values and strengths as a basis
  for growth

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Projects in Process

• Neurology - Value of Clinical work
• PICU - Environment of Care
• Family Medicine - Magic of Teaching Students
• SNMA - Success of Minority Faculty Students
• Patient Safety
• Center for Organizational Development

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Resources

• AI at UVA Listserv
• appreciate_at_virginia.edu
• Appreciative Inquiry at UVA
• AI at UVA Website
• Appreciative Inquiry Commons
• http//appreciativeinquiry.case.edu/

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Opportunities

• AI Quarterly Luncheons
• Appreciative Approach Awards
• Discover Dream
• Design
• Up to 5000/ Award

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Feeding the Good Wolf
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