# Presentation: 022772

## Revolutions in Care: Founding a New Freedom TrailAnnual Training Conference of the Association for Ambulatory Behavioral Healthcare August 11, 2004

**Revolutions in Care: ****Founding a *****New***** Freedom Trail****Annual Training Conference of the ****Association for Ambulatory Behavioral Healthcare*** A***ugust 11, 2004**

**A. Kathryn Power, M.Ed., Director**
**Center for Mental Health Services**

## Defining Transformation

**transformation**\ *n* (15c) from the Latin roots to change TRANS (across) and FORMA (shape) 1:  a change in form, appearance, nature or character  2:  the process of doing so
*The New Freedom Commission described transformation as a vision, **a process, and an outcome.*

## Defining Transformation

*... **a continuous process, without end...meant to create or anticipate the future  *
*...**identifies, leverages, and even creates new underlying principles for the way things are done*
*...**identifies and leverages new sources of power  *
*...**once the process is begun, a profoundly different organization emerges, including changes in structure, culture, policy, and programs*
**	****	*****Retired Vice Admiral Arthur Cebrowski***
***	******Special Assistant for Transformation, U.S. Department of Defense****** ***

## The Transformation Equation

**The Transformation Equation**

**T = (V + B + A) ******** (CQI)****2**

**Transformation ******** **
**(Vision ******** Belief ******** Action) ******** (Continuous Quality Improvement)****2**

## 
Vision–direction for our work  
Belief–guides our work  
Action–makes our vision and beliefs a reality
Continuous Quality Improvement–ensures our actions reflect the wishes and needs of the community

**The Transformation Equation**

**V****ision****–***direction for our work  *
**B****elief****–***guides our work  *
**A****ction****–***makes our vision and beliefs a reality*
**C****ontinuous ****Q****uality ****I****mprovement****–***ensures our actions reflect the wishes and needs of the community*

**T = (V + B + A) ******** (CQI)****2**

## Federal Partners

- DEPARTMENT OF HEALTH 	     OTHER
-     & HUMAN SERVICES	             PARTNERS
- AoA		NIH/NIDA	Department of Education
- ACF		NIH/NIMH	Department of Housing
- AHRQ 	HHS/OS        and Urban Development
- CDC		 - ASPE 	Department of Justice
- CMS 		 - OCR 	Department of Labor
- HRSA 	 - OD 		Social Security Administration
- IHS		 - OPHS 	Department of Veterans Affairs 	 	SAMHSA

**Federal Partners**

## Building a New Freedom Trail

**Building a *****New***** ****Freedom Trail**

**Collaboration**

***Revolutions in Care: ***
***Founding A ****New**** Freedom Trail***

## Building a New Freedom Trail

**Building a *****New***** ****Freedom Trail**

**Collaboration**

***Revolutions in Care: ***
***Founding A ****New**** Freedom Trail***

**Recovery**

## Recovery refers to...

**the process by which people are able to live, work, learn, and participate fully in their communities**
**the ability to live a fulfilling and productive life despite a disability **
**a reduction or complete remission of symptoms **
**the ability to make important decisions affecting one’s own life**

## Building a New Freedom Trail

**Building a *****New***** ****Freedom Trail**

**Collaboration**

***Revolutions in Care: ***
***Founding A ****New**** Freedom Trail***

**Recovery**

**Cross-discipline Care**

## Building a New Freedom Trail

**Building a *****New***** ****Freedom Trail**

**Collaboration**

***Revolutions in Care: ***
***Founding A ****New**** Freedom Trail***

**Recovery**

**Cross-discipline Care**

**Trauma-informed Care**

## Building a New Freedom Trail

**Building a *****New***** ****Freedom Trail**

**Collaboration**

***Revolutions in Care: ***
***Founding A ****New**** Freedom Trail***

**Evidence-based Treatment**

**Recovery**

**Cross-discipline Care**

**Trauma-informed Care**

## Building a New Freedom Trail

**Building a *****New***** ****Freedom Trail**

**Collaboration**

***Revolutions in Care: ***
***Founding A ****New**** Freedom Trail***

**Prevention**

**Recovery**

**Cross-discipline Care**

**Trauma-informed Care**

**Evidence-based Treatment**

## Ten Lessons from the Battlefield

**Lesson 2.**** ****	****Sometimes it is better to experiment than to plan.**
**Lesson 3.**** ****	****Pay close attention to the timing of change.**
**Lesson 4.**** ****	****When the need to remove people becomes clear, ****	****do not put off the inevitable.**
**Lesson 5.**** ****	****You cannot succeed without a senior team that ****	****thinks and acts as a team. **
**Lesson 6.**** ****	****Enlist your board of directors as active partners ****	****in change.**

**Ten Lessons from the Battlefield**

## Ten Lessons from the Battlefield

**Lesson 8.**** ****	****Even though the content of change may be ****	****radical, the building process must be methodical. **
**Lesson 9.**** ****	****Think of change as a [fluid and dynamic] ****	****campaign that must be waged simultaneously on ****	****a variety of fronts.**
**Lesson 10.**** This race may not have any finish line, so keep ****	****looking for reasons to stop and celebrate along ****	****the way.**** **
- David Lawrence
- Former CEO, Kaiser-Permanente Health Care System

**Ten Lessons from the Battlefield**

## Ten Lessons from the Battlefield

**Sometimes it is better to experiment than to plan.**

**Ten Lessons from the Battlefield**

## Ten Lessons from the Battlefield

**Give coherence to the change process by clearly articulating a central mission and a consistent set of themes.**

**Ten Lessons from the Battlefield**

## Recovery

**Recovery**

**–*****The Anatomy of Hope***
**Jerome Groopman, M.D.**

## “The dogmas of the quiet past are inadequate to the stormy present. The occasion is piled high with difficulty, and we must rise with the occasion. As our case is new, so we must think anew, and act anew.” 

-  Second Annual Message to Congress
- December 1, 1862

- “The dogmas of the quiet past are inadequate to the stormy present. The occasion is piled high with difficulty, and we must rise with the occasion. As our case is new, so we must think anew, and act anew.”