You never change things by fighting the existing reality. To change something, build a new model that makes the existing model obsolete.

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• You never change things by fighting the existing
  reality. To change something, build a new model
  that makes the existing model obsolete.
• R Buckminster Fuller

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From Data to Knowledge
A Continuous
Process
What are your decisions based on?
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• When the facts change, I change my mind. What
  do you do, sir?
• John Maynard Keynes

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Classical contracts explicit documents that are
in the form of long term, legal agreements which
contain detailed provisions as to how dealings
between the parties will evolve as events unfold
Relational contracts implicit documents that
are expressions of strategies for playing a
repeated game, with provisions that are only
partly specified and are enforced, not by a legal
process, but rather by the need of parties to
have to go on doing business with each other
John Kay Behaviours of contracting
Contracts must be agreed on time and reflect the
needs of the whole health economy, including
efficiency savings, with penalties and sanctions
activated when the terms of contracts are not
being met. Operating Plan 2011/12, para 1.10
John Kay (1993)
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• Events dear boy, events
• Harold Macmillan,
• when asked what shaped his political strategy

Times, 16 March 2011
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Deliberate and Emergent Strategies
Intended strategy
Deliberate strategy
Unrealised strategy
Realised strategy
Emergent strategy
Mintzberg (1994)
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Monitoring progress against strategy
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Meetings

• One either meets or one works. One cannot do
  both at the same time.
• Peter Drucker
• Essay Know your time, 1966

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• If at first you dont succeed, try again. Then
  quit no use being a damn fool about it.
• WC Fields

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Six stages of change management

1. Wild enthusiasm
2. Total disillusionment
3. Absolute panic
4. Search for the guilty
5. Punishment of the innocent
6. Promotion of the non-participants

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• It is amazing what you can accomplish if you do
  not care who gets the credit.
• President Harry S Truman

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John Deffenbaugh Director Frontline
Consultants john.deffenbaugh_at_frontlinemc.com Mobil
e 07788 746550 www.frontline-consultants.com