emergency department directors academy phase iii spring ... · paradox of loftygoals simultaneously...

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Emergency Department Directors Academy Phase III Spring 2020 Negotiating Skills DESCRIPTION It has been said, “You don’t get what you deserve; you get what you negotiate.” Negotiations, formal or informal, are part of the daily life of the ED leader. This course will sharpen skills with fundamental principles central to negotiating and practice. The facilitator will lead the participants through critical negotiating principles and techniques that can be used in our professional and personal lives to get what we want and deserve. OBJECTIVES Describe components of successful negotiation. Develop a successful negotiating strategies, starting points, concession and compromise. Overcome hurdles, ploys and deadlocks. Utilize “Principled Negotiation”. Demonstrate power skills of expertise, higher authority, competition. Develop a personal style. 2/4/2020, 1:00 PM - 3:00 PM; 3:15 PM - 5:15 PM FACULTY: Robert W. Strauss, Jr., MD, FACEP DISCLOSURE: (+) No significant financial relationships to disclose

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Page 1: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Emergency Department Directors Academy Phase III Spring 2020 Negotiating Skills DESCRIPTION It has been said, “You don’t get what you deserve; you get what you negotiate.” Negotiations, formal or informal, are part of the daily life of the ED leader. This course will sharpen skills with fundamental principles central to negotiating and practice. The facilitator will lead the participants through critical negotiating principles and techniques that can be used in our professional and personal lives to get what we want and deserve. OBJECTIVES

• Describe components of successful negotiation. • Develop a successful negotiating strategies, starting points, concession and compromise. • Overcome hurdles, ploys and deadlocks. • Utilize “Principled Negotiation”. • Demonstrate power skills of expertise, higher authority, competition. • Develop a personal style.

2/4/2020, 1:00 PM - 3:00 PM; 3:15 PM - 5:15 PM FACULTY: Robert W. Strauss, Jr., MD, FACEP DISCLOSURE: (+) No significant financial relationships to disclose

Page 2: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Negotiation SkillsPrinciples for Success

Robert W. Strauss, M.D., FACEP ED Directors Academy – Phase I

Dallas, 2018

Page 3: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“Everything we want … is under the control of… someone else.”

Roger Dawson

Page 4: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“The first offeris never

the final offer.”Edward Levin

Page 5: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Successful negotiationis a mutually acceptable

resolution of a conflict.

Page 6: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Classic views of Negotiation Negotiation is DistastefulTo some because:

Ø The Tijuana Syndrome –Haggling that cheapens allinvolved.

Ø The International Treaty –Expertise unobtainable by a mere amateur.

Page 7: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Concession BehaviorSoviet View

Concessions are a sign of weakness.

Ask for more!!

Page 8: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Negotiation is

Knowing and Caring

about what you want!

Page 9: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Components of Success

Ø AttitudeØ InformationØ TimeØ PowerØ and…

Page 10: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Planning(Among Inexperienced)

90% of planning occurs just before the negotiation . . .

10% occurs afterwards!

Page 11: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

PlanningLike a wedding, good negotiations

are well orchestrated events.

Among novices, preparation is the most frequently ignored

component of negotiations

Page 12: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Create an Environment of Trust

”Seek first to hear, then to be heard”Steven Covey

“We will bury you!”Nikita Khrushchev

Learn to control your emotions.Emotional negotiations harbor resentment.

Page 13: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“Facts are a stupid thing!”

Ronald Reagan

Page 14: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“I worked for a menial’s hire,

only to learn dismayed,that any wage I’d asked of life,

life would have paid.”

Jessie B. Rittenhouse

Page 15: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“If you get too much, you can give some

of it back later”

Aileen K. Strauss

Page 16: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

The Harvard Experiment

Dean Fouraker

Page 17: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“People who expect more,earn more.”

Dean Fouraker

Page 18: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Paradox of LOFTY Goals

SimultaneouslyWin More

Lose More

Page 19: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

How do you respond to:

NO!!“Open your mind”

Be willing to accept “NO”

Page 20: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Aspiration=

Success

Page 21: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“A Study of the Relationship of Negotiator Skill and Power as

Determinants of Negotiation Outcome.”

Page 22: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Higher aspirations

lead to higher awards.

Negotiators project

their own aspirations.

Page 23: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“He is well paid, who is well satisfied.”

William Shakespeare

Fair and reasonable to Me are Not necessarily fair

and reasonable to You

Page 24: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Time / DeadlineØ Greatest concessions occur at

the last minuteØ Easy settlements don’t achieve the

greatest concessionsØ What happens if you go beyond

the deadline…

Page 25: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

. .

I . . ..... .·-"f-i - ....s·.O 0 ,,Ill. . . .'

Page 26: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

D E A D L I N EDetermine:

Ø Their deadline.Ø Is yours real?Ø Can it be extended?

Page 27: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

PowerMost people believe,

the other side has more.

Page 28: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“The dumber one appears to be, the more relaxed and vulnerable the other side will be.”

Roger Dawson

Page 29: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Weak = Strong Dumb = Smart

Page 30: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

The Power of:Ø WeaknessØ CompetitionØ Limited Authority

Page 31: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Competition Solutions

If you are one of several options, they compete for you.

If you appear desperate, you compete for them.

Page 32: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Ø Gain informationØ Describe your uniquenessØ Develop your own options

Competition Solutions

Page 33: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Ø Establish authority earlyØ Play on prideØ Gain commitmentØ Invent your own authority

Limited Authority

Page 34: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

NegotiationsHow do you:Ø StartØ ConcedeØ Overcome Obstacles

Page 35: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to
Page 36: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Hoveland’s

Experiment

A, B, . . . . . . X . . . Y, Z

Page 37: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Creating Vision

If you want to move people along a continuum,

you’ve go to show them what is beyond where you want them to go.

RWS

Page 38: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

The

Incremental Natureof

ConcessionsGuccione – Penthouse Boardwalk Casino Republican Debates – Eminent Domain

Page 39: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Karass on ConcessionsWinners

Ø SmallConcessions

Ø LastConcessions

Ø Decreasetoward deadline

LosersØ Large ConcessionsØ First ConcessionsØ Increase at deadline

Page 40: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“…but this swift business I must uneasy make,

lest too light winning make the prize light.”

The Tempest

Shakespeare

Page 41: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

The “Too Easy”Win

The used car… a GREAT deal?

Page 42: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

The “Too Easy”Win

Ø I could have done betterØ Is there something wrongØ I don’t trust them

Page 43: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

The Theory of Yes

Just say“YES”

Definitely Not Nancy Reagan

Page 44: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Negotiating Ploys

“The greatest cunning is to have none at all.”

Carl Sandburg

Page 45: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Negotiating PloysØ Bait and Switch

Ø Good Guy / Bad Guy

Ø Higher Authority

Ø Funny Money

Ø False Reluctance

Ø End Run

Ø Puppy Dog

Ø Nibble

Ø Abuse

Ø Flinch

Page 46: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Focus on interests, not positions.

Getting to Yes Fisher and Ury

Page 47: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

Satisfaction is not necessarily linked

to outcome.

Page 48: Emergency Department Directors Academy Phase III Spring ... · Paradox of LOFTYGoals Simultaneously WinMore LoseMore. How do you respondto: NO!! “Open yourmind” Be willing to

“Michael,I am more proud of how you handle your success than I am of your success.”

Kirk Douglas