Saturday, November 28, 2015

Week Two - A632.2.3.RB - Sheena Lyengar: How to Make Choosing Easier

-      Theodore Roosevelt


Week two, and I am still out of my comfort zone and loving it. This week we discussed how DSS systems can complement expertise during decision making to encourage more favorable outcomes. As our chapter demonstrated this week, “by carefully combining human experts, statistical models, and new data-mining tools, we can improve the quality of…decisions” (Hoch, Kunreuther, & Gunther, 2001, p. 101) and work towards identifying ways to achieve more favorable outcomes. 

Additionally, I can also see how a DSS can help leaders avoid areas of “…the choice overload problem” that plague leaders and everyday people (Iyengar, 2011). Watching Iyengar’s video, however, gives me hope that I can learn to become a more calm and calculated decision maker with practice.

Out of the four ways to improve my decision making, I enjoyed learning the metrics surrounding categorization and conditioning for complexity, versus cutting and concretizing. Although I can see where doing more with less, is helpful, overall this is not a strategy that would work in my current capacity within a healthcare environment. We have too many variables to simultaneously balance for mutual gratification.

Additionally, concretizing, a very valid point, works when you are dealing with things, not necessarily people/ patients, I am struggling how our decisions could be improved considering everything we do is patient centered decision making to begin with. I will admit that I had a small laugh when Sheena discussed ATM purchases. My husband uses his ATM card like crazy and has no idea how much is spent on eating out. When we go out to eat, it is habit, not need, which drives his decision process. He orders from appetizers to desserts but doesn’t scale down his spending habits at restaurants and evaluate how much food and money goes to waste. I would prefer to pay cash for our dining experiences, to prevent wasting so much food and money; the fact that we don’t see our funds going down doesn’t slow our spending and increase our savings. Concretizing would encourage us to make better decisions on how much we spend eating out if the cash was slowly disappearing out of our wallets.

Moreover, in the business office I am confronted by a multitude of decision where I have to balance patient satisfaction, net revenue impacts, legal and compliance constraints, as well as various operational impacts. In order for me to improve my decision making process, it will help me to practice categorization of these areas and quickly resolve what is in the best interest of many, versus the best interest of only one. As Iyengar mentions, categories allows us to compartmentalize the variety of options in which we have to choose from (Iyengar, 2011). However, the categories must make sense to the person choosing, not the “…choice maker…” (Iyengar, 2011). Therefore, I must represent the options impacting each department in a way that makes the most sense to gather input and then collectively arrive at the best conclusion for our organization. .
I also believe that the most impactful way I can improve my decision making is learning to do so by managing and conditioning myself, and others, for complexity. Because of the various departments in which are impacted by our business office, coaching others to become engaged members of the decision making process will improve organizational efficiencies, as well as empower my overall team.

In order to move towards this type of culture, it would be best to start off with having them become involved with smaller daily operation decisions in which will prime them towards offering different perspectives towards larger, more impactful, decisions down the line. As a leader, it will not only complement my participative leadership style, but also welcome the development of critical thinking skills with my team.

As our video discusses, conditioning for complexity allows the decision maker to practice making smaller decisions, and then gradually increase the complexity of our decisions over time, not all at once (Iyengar, 2011). Iyengar’s low choice to high choice model has proven that “less is more” and allows us to remain engaged by learning how to choose in a focused manner based upon practice, comfort, and the familiarity of making decisions (Iyengar, 2011).

Our decision quality and satisfaction improves by remaining engaged and learning to make more complex decisions over time with practice. Overall, Sheena Iyengar is one of my favorite TED speakers; her simple yet effective approaches to common decision-making barriers are broken down easily and demonstrate that we can learn to be “be choosy about choosing” (Iyengar, 2011).
Until we blog again!

References

Hoch, S. J., Kunreuther, H. C., & Gunther, R. E. (2001). Wharton On Making Decisions. New York: John Wiley & Sons, Inc.
Iyengar, S. (2011, November). How to make choosing easier. Retrieved from TED.com: http://www.ted.com/talks/sheena_iyengar_choosing_what_to_choose



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