Outline

• Word Wall -- what comes to mind when you think of "Adapting to change"?
• Story time -- innovators trying to make a change
  • Washing hands
  • Phacoemulsification
  • in the blindness field
    • 1969 Skit to convince to leaders in blindness field to adopt the long cane
  • in orientation and mobility
• Why is it so hard to adopt good / life-saving ideas?
  • Hard to admit what they've been doing is potentially wrong
  • hard to relinquish power of knowledge
  • Task sharing and task lifting
  • Innovations not shared
  • Resistance to or fear of change / cognitive dissonance
  • Fear that what they've invested in is devalued
  • Need to be cautious about ideas that weren't researched / evaluated
    • Bad ideas that were adopted that should have been researched
      • Street-crossing strategy with vehicles from stop sign
      • Using pole to provide safety monitoring with street crossings
  • Summary of reasons for resistance
  • Characteristics of innovations that make them difficult to adopt
  • Fear of making mistakes
• Systems to study problems, evaluate solutions / innovations and disseminate the good ones
  • Centralized vs. Decentralized diffusion system
    • Which system does O&M use?
    • Advantages / disadvantages of that system
  • How do we evaluate / disseminate innovations?
• Discussion of how we move forward
• Word wall - what comes to mind NOW when you think of "Adapting to change"?