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#27 Emergent change: a journey of fifteen years and more.

Emergence; a swarm of starlings

Besides audit, coaching and training I have been active in research. My research started around 2005, when I wanted to know more about the effects of the phenomenon accreditation. That led to the doctoral thesis Certification, Accreditation and the Professional and to my PhD at Rotterdam School of Management, Erasmus University in 2009. Certification and accreditation often do not support the establishment of a quality culture, but what does? A few years later in 2013, working in Ghana, and trying to support the creation of a quality culture in a healthcare institute, I started wondering if one could actually plan such an achievement. I started questioning the PDCA-cycle, the holy grail of quality management, wherein planning and goal setting are crucial elements. My ideas got some recommendations, but much resistance. However, can we create an innovation or e.g. a quality culture? At least I found that there is no one way, there is not one best solution. A solution fit for Europe can be different from the one in Africa or the Caribbean as I wrote in Quality Progress. What the best solution is, depends on the context.  And each context has its own mindset. Together with Dutch colleagues from the Dutch Academy for Quality we held a dialogue, initiated by Huub Vinkenburg on the schools or paradigms of quality. That brought prof.dr.ing. T.W. Hardjono and me to four paradigms. We explored them in our 2019 article Twenty First Century TQM: the Emergence Paradigm in TQM Journal.  Spring next year our book on the subject will be published in English by de GoudseSchool.  Especially the Emergence Paradigm triggers me. We see it in a swarm of starlings or the creation of an ant hill. But, also innovations (novelty) often occur, especially in complex environments, when it is not planned, not expected and unpredictable. I decided to do a concept analysis on the concept of emergence, that is recently published. I am still on the journey and intend to explore the concept further. For now, it at least helps me to reflect on the nature of organisational change.

Anyone who wants to contribute is welcome.

SYNERGY

SYNERGY is the emergent leadership network of healthcare institutions in the Caribbean. For the partners of the network Person Centered Healthcare is the core of the experience the patients or residents have.  The purpose of SYNERGY is to learn from other partners in the network in order to improve the quality of life of the people that are served and of those who work within the organisation. The target group of the network, the leaders, can be Board members, directors, management team members, quality managers. The following organisations partner in SYNERGY:  White and Yellow Cross Sint Maarten (president), Sint Maarten Medical Center, Saba Cares, Public Health Saba, Sint Eustatius Health Care Foundation, Sint Eustatius Auxiliary Home, The Department of Public Health St Eustatius (Maatschappij en Welzijn), Turning Point Foundation, MentalHealth Foundation stMaarten, Mental Health Caribbean. Van Kemenade ACT acts as secretary of the SYNERGY network. Members can log in here to the member page!

Seventh SYNERGY meeting planned: 27th  of March 2023

The seventh SYNERGY meeting will take place on StMaarten March 27th 2023. The topic of the meeting , besides exchange of experience, will be ‘change management’.

Sixth SYNERGY meeting, 24th  of October 2022

The sixth SYNERGY meeting took place on StMaarten October 24th 2022. The topic of the meeting , besides exchange of experience, was ‘Client Centred Care’.  It was a fruitful day, although less participants (10) than expected were present.

 

Fifth SYNERGY meeting  and the SYNERGY VIRTUAL SUMMIT, 21st of January 2021

 

 

All SYNERGY members are invited to a webinar on the prevention and treatment of Breast Cancer in times of COVID-19. Thursday 22nd of October 7.00 PM

The keynote speaker is  Dr. Jane E. Mendez, Chief of Breast Surgery at Miami Cancer Institute, a part of Baptist Health South Florida.

REGISTER BY CLICKING HERE: BAPTH.LT/BHI-JCS

 

#4  Fourth SYNERGY meeting on PREVENTION, 15th of November on St Maarten was a great success!! See the press release by SMMC.

Fourth SYNERGY meeting on PREVENTION , 15th of November on St Maarten

On the 15th of March SMMC will host the fourth SYNERGY meeting on Saba. The agenda has been set, 26 participants have registered, just like for the fourth meeting. The theme of the day is Prevention.

After registration Kees Klarenbeek, director of SMMC will  will open the day. Thereafter Eric Gertner,  will address a keynote speech on the topic.

The member organisations of SYNERGY will all contribute by giving  presentations. Thereafter a World Cafe session will be organised. The end of the day benchmarking will be on the agenda. We are looking forward to a fruitful day!!!

 

#3 Third SYNERGY meeting on SAFETY, 15th of March on Saba

On the 15th of March Saba Health Care Foundation and Benevolent Foundation Saba will host the third SYNERGY meeting on Saba. The agenda has been set, 26 participants have registered. Saba, here we come!!! The location will be Queen’s Gardens Resort in The Bottom.

After registration and a welcome by Pieter van Amsterdam, Director Benevolent Foundation Saba, Bregje Boetekees, SYNERGY president will open the day.

Everard van Kemenade will give a short introduction on the concept of the day: Safety. Thereafter Koen Hulshof, GGD doctor Saba and Head of Public Health Department Saba Government, will hold a keynote speech on the topic.

The ten member organisations of SYNERGY will all contribute by giving short or larger presentations. Tammie Papada will present safety at SMMC, Gisele Codrington at Mental Health Sint Maarten, Claudette Rijff at White and Yellow Cross Care Foundation. At the end of the day there is an opportunity for networking at a reception. We expect a success at least as much as last time!

 

#2 Second SYNERGY meeting 5th of November on Statia

The second SYNERGY meeting took place on Sint Eustatius at the Caribbean Netherlands Science Institute (CNSI).  It has been organised in close cooperation with Queen Beatrix Medical Centre and it was again an interesting event. Twenty two participants from 9 different organisations from three Caribbean islands participated. The theme of the day was Quality.  Carol Jack, director of Maatschappij en Welzijn of the so called ‘Openbaar Lichaam Sint Eustatius’, held the keynote speech on “Quality improvement of health care in the Caribbean”.  A small workshop was held to measure the quality in the organisation of the participants, using the brand new R2E2-Model © for Total Quality Management. Everyone had the opportunity to pick up and bring information (“halen en brengen” in Dutch). Four members of SYNERGY  presented in a fifteen minutes pitch a best practice in the area of quality management.  Here you find the agenda and current membership list. Soon you will find a copy of all presentations of the meeting here below:

The program was concluded with a network meeting at Old Gin House.  Participants were very satisfied with the day. A more detailed evaluation you can find here. The topic for next meeting, the 15th of March 2019 on Saba, will be Safety.  The minutes of the meeting you can find here.

 

# 1 Launch

On the 16th of March 2018 the SYNERGY network has been launched at White and Yellow Cross on Sint Maarten with a one day meeting. The opening speech was given by Emil Lee, Minister of Labor, Health and Social Development of Sint Maarten. The main purpose of the day was to exchange experiences and start creating actual activities within the network. Each organisation presented their strengths and challenges. You can find the presentations here, Sint Maarten Medical Centre presented verbally.

White and Yellow Cross Sint Maarten,  Saba Healthcare Foundation and the Benevolent Foundation Saba, Sint Eustatius Health Care Foundation, Sint Eustatius Auxiliary Home, Mental Health Foundation stMaarten, Mental Health Caribbean .

The day was very successful and the 15 participants rated the day 8.2 on a ten point scale. The possibility for networking was rated even 8.7. The participants were motivated to come next time (8.3). The idea is to organise a second meeting on Statia, proposed date 5 November 2018 and a third on Saba 15th of March 2019. In between the members keep in contact for bi- or trilateral projects and on this website.

You can apply for participation in SYNERGY or receive more information by sending an email to everard@onsnet.nu.

Continue reading “SYNERGY”

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#1

Without a preset plan on the way to a new horizon

Healthcare Organisations are continuously developing. They developed their focus from control, through continuous improvement towards commitment in a quality culture. However, I’d like to pose here, breakthrough  change in healthcare as well as education institutes is still needed.

More and more this change will be unplanned, emergent. McKinsey and Company did research under 2200 managers in healthcare. Seventy  % of these indicate that their strategic planning failed. And the same goes for other sectors.

Trompenaars and Hampden-Turner state that there is more and more proof that Western  sequential planning processes  are less effective in rapidly changing contexts. Does the Plan-Do-Check-Act-cycle work well enough in cases like that? And what else do we need?