Preventive Services ToolKit Module 4: StakeholderAnalysis

1. Preventive Services ToolKitModule 4: StakeholderAnalysis -- Lessons from the fields of organizational development, public administration and political science adapted to clinical and public health settings AAPHP PSTK Advocacy Strategy Seminar

2. Stakeholder • Any person or group who might care enough to support or oppose . . . • Direct • Indirect • Initially invisible AAPHP PSTK Advocacy Strategy Seminar

3. Mindsets in Organizational Settings • Technical/Scientific • Administrative • Policy/Political • Deeply Held Belief/Org. Culture • ** PERSONAL ** AAPHP PSTK Advocacy Strategy Seminar

4. Power • The ability to get others to do what you want them to do • -- Job title • -- the “we be’s” AAPHP PSTK Advocacy Strategy Seminar

5. Leverage • The use of someone more powerful than you to move your agenda forward • Louisiana Clean Drinking Water Program • Monroe County Clean Indoor Air Ordinance AAPHP PSTK Advocacy Strategy Seminar

6. Games People Play • Patterns of behavior - - • Sincere • Well intentioned • Damage the agency AAPHP PSTK Advocacy Strategy Seminar

7. Games People Play–Technical/Scientific • Low priority activities • Academic habits • “Productivity” AAPHP PSTK Advocacy Strategy Seminar

8. Games People Play –Administrative • Doing what looks good on paper • Cut (or pad) budget • Obsession with rules • Reorganization AAPHP PSTK Advocacy Strategy Seminar

9. Games People Play –Policy/Political • Glib assertions easier than hard facts • Simple myths easier than complex reality • Public servant (or staff) portrayed as lazy or undedicated • Health Care Delivery Games • Skimming • Dumping • Inappropriate Utilization AAPHP PSTK Advocacy Strategy Seminar

10. Games People Play – Organizational Culture • “Going with the flow” “getting along” • Reluctance to suggest promising new ideas • Silence in the face of incompetent or inappropriate behavior AAPHP PSTK Advocacy Strategy Seminar

11. The Magic of Stakeholder Analysis • New Ideas • Leverage • Outcomes not otherwise achievable • Support for yet other initiatives AAPHP PSTK Advocacy Strategy Seminar

12. True or False? • There are two sides to every issue • There’s not enough money • Dollars are our most important resource • What is good for me or for my agency is good for the community • Advocacy is always good for continuing employment and advancement AAPHP PSTK Advocacy Strategy Seminar