Tuesday, March 22, 2011

Visualizing Scenario Thinking

In April I'll make a presentation to the Joint Meeting of the Groups on Business Affairs and Institutional Planning in Philadelphia. The topic will be the progress to date on three-pronged project at the Brody School of Medicine that we are calling "Strategic Conversations." The portion posted below is on the work we've done with scenario thinking.

In late 2009 the Dean sent me a review of Scenarios: The Art of Strategic Conversation by Kees van der Heijden. His note said simply “A different form of visioning?” I was still relatively new, and I wondered what his intent was, but I decided I better get a copy and read it.

The approach advocated was stunning, in part because the rationale merged many things I had learned in other disciplines. The principles of systems thinking, visual language and Appreciative Inquiry were coming together although not necessarily explicitly. Overall, the strong argument for emergent practice and participative approach resonated.

“The formal planning process cannot in itself produce change. More is required……..most of the decision making takes place through informal contacts in which most of the strategic conversation takes place.”

“The main purpose of creating a planning system in the organization is to create a conversational process around these issues, mobilizing the totality of the organizational knowledge toward an emerging solution to this complex optimization problem.”

While reading Strategic Conversations, I was aware that BSOM “had a strategic plan,” but I was also aware that the Dean, having been here just two years, was already thinking differently. In many ways he was in a mindset of Ackoff’s Idealized Design. Wouldn’t it be great if we had a few more people to think along with him? Engaging with Scenarios would allow us to map the current system and the trends in the external context. One thought led to another until a white board was filled; a snapshot is shown here.

The vice-dean and I brought the dean in to present this as planning approach. Characteristically, he asked to just study it on his own for a few minutes. He then turned to us and said “What do you need from me?"

To assure relevancy in the scenarios we began with one-on-one interviews of 26 of the leaders in our BSOM community –faculty, chairs, administrators, board members and hospital executives. The protocol was designed to elicit what they were thinking about and paying attention to. Handwritten interview notes were then transcribed into mindmaps, and these were then separated into external and internal subject matter, with the internal being those over which we can exercise some control. The external issues were organized by the themes that seemed to emerge from the interviews. This was done by a qualitative analysis using the mind maps to explore relevancies. After informally testing these for reasonableness with a few individuals, a report was compiled for distribution to the scenario team.

To assemble the team, the Dean emailed a vague invitation to 25 people who were good thinkers and who collectively represented a cross-section of the school. Using the “Hidden Gorilla” video to set the tone, these individuals were asked to notify us if they chose to participate.

Another component of van der Heijden's process is The Business Idea, typically a visual depiction of a positive reinforcing loop that describes what we believe is actually happening when we perform well; it also translates into a simple narrative. Transcending static statements of values and vision, it portrays a living “engine of success” as we see it. One way of testing the accuracy of a Business Idea is to ask “Is it reflective of how we think and act as an organization?” An accurate depiction is useful in that it can be compared to the scenarios and adjustments made accordingly. It’s highest and best use, however, is in stimulating conversations about the relationship between thinking and acting.

The Business Idea here was shared in a short workshop with the department chairs. In small teams we had them converse about the depiction and the questions it raises.
At the end we asked for a “fist vote” of how well it represents our thinking. Although there was confusion about the Business Idea versus a business model (and even a vision) we seemed to be fairly well on target.

Until this point all of the analysis, preparation and distribution had been done by just me; now it was time to turn it over to the Scenario Team. Contrary to the norm, the first workshop did not begin with presentation and debate about the findings to date. We stipulated in advance that the material must be read before the workshop, and we began processing it with a focused conversation designed to see what people were thinking without the need to get to any kind of agreement.

Working in small groups, the team was tasked with a process of working with the 11 themes in the report and deriving the Critical Uncertainties that should be considered in our stories. These then were the material for a second workshop in which we invited John Prescott to come in as our “outsider” and comment on the Critical Uncertainties. John stayed and worked with us as we identifies important drivers of the future, their polar outcomes and ultimately the two dimension around which we would develop four scenarios.

As we reached this point close to the holidays, writing the scenarios took three separate workshops. Our first was a “beta” with just a few of us to test the methodology. One of the things we discovered was that visual tools helped the necessary conversations take off really fast.

The next two scenarios were written in a Monday morning workshop just a few days before Christmas. We helped two small groups through a process wherein they first developed an end state, and then they crafted a narrative around how it would come about. To capture their narratives without bogging down over writing, we had a videographer come in at the end of the meeting to capture the stories as they were verbally presented using the graphic material on the tables.

The last scenario was written in a bar. In an effort to get people together quickly after Christmas, I offered to buy the beer; I was also curious about the interaction of alcohol and creativity. In some ways, this evening produced an especially crisp view of the future.

This work grabs some but not others. The interviews with the leadership were almost all lengthy and intense, with the leaders energetically engaged. The initial workshop with the scenario team was also a high engagement event; however, only two thirds of that team stayed with us for the duration.

The energy in these conversations about the outside world suggest that although it’s not the school’s usual subject matter we are constantly thinking about it. Naming the four scenarios seemed to help have more presence in our interactions.

The workshops themselves were carefully scripted, but the actual work was carried out by self-organizing teams. They were quick to grasp the intent, and willing to work hard. We found that we really can interact in forms other than debate, and that there is a higher than expected tolerance for ambiguity.

Doing this work as visually as possible seemed to be a real help. Graphic templates made the more complicated components easily manageable by the teams. Visual tools like Visual Explorer and Leadership Metaphor Explorer seemed to actually productively jump-start conversations.

The final narratives were posted on a website along with details of the process. Attention is being called to them in arenas such as the full faculty meeting and the Dean’s Blog.

Since their completion, they have served as the launch point for a strategy initiative that will focus initially on the creation of Premium Partnerships for the School. It is anticipated that the Business Idea will resurface as a framework for new directions.

Sunday, October 3, 2010

Confessions of a Bibliophile

I wonder sometimes just what so much reading has to do with visual practice. The two are inadvertently contrasted in one of the works I came back with: two brothers, both of whom go into medicine, one notes that medicine is a verbal curriculum while the other from an early age carries around a copy of Gray’s Anatomy and draws incessantly. You’ll have to read the book to see which one emerges as “special.”

The purpose of the trip was to sit in on a Systems Thinking workshop conducted by my friend and mentor Jean Tully. We've been talking about how we might make her approach more visual without reverting to a dependency on causal loop diagrams. I left home with:

  • Thinking in Systems, by Donella Meadows
  • Inviting Everyone: Healing Healthcare through Positive Deviance by the Plexus Institute
  • The First Captain: The Story of John Paul Jones, by Gerald W. Johnson
In RDU there is a used book store called 2nd Edition that I always visit if I can. Sometimes I take one away, but this time there were three:
  • Nelson in the Caribbean, by Joseph Callo (His Lordship is a hobby of mine)
  • Billy Ruffian: The Bellerophon and the Downfall of Napoleon, by David Cordingly
  • The Universe and the Teacup: The Mathematics of Truth and Beauty, by K. C. Cole
In the Rock Ridge area I was pointed toward Pegasus New and Used Books. I like serendipity: in Greek mythology Pegasus was tamed by Bellerophon. Three more books went into the stack:
  • Shamans of the World, by Connor Kelly
  • Six Thinking Hats, by Edward De Bono
  • Magical Fabric Art, by Sandra McCraw Scarpa (for my quiltmaking spouse)
Jean and I stayed at the home of her friends Phil and Wendy where we talked about our reading. To my surprise and delight Wendy went out and bought me a copy of a book she had just read, Cutting for Stone by Abraham Verghesse. That one was fascinating enough to be the only one opened on the trip back. "But then you also get...," as they say on TV, Wendy shared a stack of titles with me that she thought would help with things I'm working on:
  • Awareness to Action, by Geoge Tallon and Maria Sikora
  • Mastery, by George Leonard
  • Coaching: Evoking excellence in Others, by James Flaherty
  • Fierce Conversations, by Susan Scott
Over the last 6 or 7 years my reading has been growing and growing. I can thank my friend Bob Thompson for that, and he's probably aware of the Edward Morgan quote on the card that Wendy gave me with the book: Reading is one of the few havens where your mind can get both provocation and privacy.

Tuesday, September 21, 2010

Expanding Visual Practice with Architects

While working at the TJCOG event described below, the Executive Director of AIANC, David Crawford, introduced himself and asked about my background. The encounter resulted in an invitation to make a presentation about my work at this year’s state conference, held last week in Asheville. As a few years have passed since the practice of architecture was my chosen modality for design I felt initially like the prodigal son. The warm reception I received helped me get over that pretty quickly.

To see the presentation's images, click on the Vimeo screen here.

Using this blog’s name as the title, my content went through a progression:
• Some history on how I came to be there
• Examples of work by others in our field
• A synopsis of the history of graphic recording and graphic facilitating, beginning with the work of architects
• An overview of its applications
• My own thoughts about what I’m learning
• Potential applications that would be useful to architects

There were three things that happened that were particularly enjoyable for me:

1. They agreed to participate in a short “Graphic Jam” like what we do at IFVP. They were given one minute to draw a metaphor for each word, and a few of their images are shown below.

All of their drawings can be seen by clicking on these links:
a. Analysis
b. Bio-Diversity
c. Intrusive
d. Clean Air
e. Combos
2. They used Leadership Metaphor Explorer as a way to have images inspire conversations
3. Most of the questions asked were about finding ways to have creative conversations at a deeper level, with clients in particular. Yes, they commented on the visual tools, but their real interest seemed to be relational.

There were a couple of things heard in other sessions that got my attention, and one was from Matthew Frederick, author of 101 Things I Learned in Architecture School. He quoted Marshall Berman: “The crumbling of social relationships, not materials, turns structures into ruins.”


Most throttling of all was a conversation I had with Harry Harrison and Darin Waters about the Young Men’s Institute in Asheville. Initially conceived as an African-American YMCA during the time of the Vanderbilts, it was the resourcefulness of the almost invisible African-American communityin Asheville that made it a success. Darin described finding three letters written by his grandfather in the Vanderbilt archives, and commented that “History is about identity.” That made me twitch a bit, considering that sometimes we do not want to be constrained or pigeon-holed by the past.

Later in the talk they quoted one of the early leaders’ confidence in the face of doubts about the viability of the center: “The verdict has not been written.” That’s more the way I like to think, but I asked about the seeming conflict between the two statements. What we ultimately determined is that our histories are never final, but always works in progress.

Sunday, August 15, 2010

M1's Can Draw!


This past week the Brody School of Medicine's Class of 2014 arrived for orientation. Dr. Randy Renegar and I hosted a World Cafe in which these budding physicians thought through "Aspirations of Professionalism." The slideset above is a collection of their table graphics - I hope they're still drawing like that ten years from now! The Harvest graphic is below.

Monday, August 9, 2010

A Cool Tool: Prezi

Last week I gave a 10-minute presentation on what I've been doing at the Brody School of Medicine. Rather than the usual ppt slides, I used Prezi, an online tool.

Thursday, August 5, 2010

Wednesday, August 4, 2010