Enrollment_form – The New Agreements for Leaders

Application - New Agreements in Healthcare Train-the-Trainer Certification Program

We will be forming a group of 12 participants who will be beta testing the new online New Agreements in Healthcare Train-the-Trainer Certification Program. There will be no cost for participants to take the program and graduates will be fully certified to facilitate implementation of this systems-based transformational model in healthcare. It is required of each participant to commit to being fully engaged in taking the program and providing inputs in how the course can be improved to better prepare graduates to facilitate the work. With only 12 seats in the program, we want to include those who are most attracted to the work and who can assist in some way in taking the work more mainstream to healthcare. Anyone who applies to be part of the Beta Group but is not chosen to participate will be afforded a significant discount on the Program when it goes live in Q1 2021. It is currently estimated that the Beta group will start the Program in mid-late January 2021. Please fill out the following Application to participate in the beta program. Please feel free to contact David Dibble (david@thenewagreements.com) if you have questions. Thank you for your commitment to the transformation of healthcare.

Name *

First

Last

Address: Street *

City *

State *

ZIP *

Email *

Phone *

Linkedin URL (if any)

Website (if any)

How did you hear about the New Agreements in healthcare work? *

Why are you attracted to be a facilitator of healthcare transformation? *

Why are you attracted to New Agreements in healthcare work? *

Have you done any of the following: Read The New Agreements for Leaders book? *

Watched the webinar? *

Read through the Core Story? *

Read through the Outcomes Report? *

If you could wave your magic wand and have anything happen for you out of you completing this Program, what would that be? Explain: *

How best do you think you might contribute to creating a movement of this work into mainstream healthcare in the US and around the world? *

What do you do currently for work? Do you want to continue doing what you are doing currently? If no, what would you like to be doing going forward? Please explain: *

Current Employer *

Your Title *

Job Description *

Your Preferred Work Going Forward (if any) *

Outline of the New Agreements in Healthcare Train-the-Trainer Certification Program (TT-Beta)

What’s included?

– Orientation, 6 Modules, Completion

– Downloadable Action Guides/Workbooks/Exercises

-1 Certification

– 1 Pre TT and 1 Post TT Personal Assessment

– Videos

– PDFs

– Audios

– 1 Webinar/Movie

– eBook

– Live Weekly Group Support

Each Module has a downloadable Action Guide (workbook), where you will keep most of your work. Each lesson has either a video or audio you will watch/listen to and follow along in your Action Guide, completing exercises in the Action Guide as we

go. At the completion of each Module, you will be asked to check off boxes indicating you have completed everything in the

Module before you will be able to move on to the next Module. As beta testers, as we go through the course together, you will

be asked to email directly to David Dibble: david@thenewagreements.com questions and/or comments on what’s working and

not working for you and thoughts on how the course can be improved. Also bring your questions or comments to the weekly

group coaching call, which will be recorded for any who can’t make the call. We will go through the course as a team and it is

estimated it will take approximately two months for the team to complete the course, probably allocating 2-3 hours/week for

the course work.

Course Outline

01 – TT- Orientation

Orientation: Preparing to Take the Course; Welcome to the Course – Course Orientation and Introduction (download & print)

Audio 07:15

02 – Module 1 – Building a Strong Foundation for Your Facilitation

Download and print out the Action Guide entitled: TT – Action Guide Module 1 – The Foundation of the New Agreements.

With your Action Guide in front of you and following along, listen to the audio – TT – Module 1 Action Guide – Audio 13:32

Why Healthcare Has Been Unable to Genuinely Transform and How We’re Transcending Those Limitations, Audio 02:27

TT- Module 1- Introduction – 02:27 – NAL Book

Lesson 1 – Exercise 1 – 12:34

Lesson 2 – 02:43 – Webinar Healthcare foundation – 52:45

Lesson 3 – The 4 Game Changers! In Healthcare – 01:55

Lesson 4 – The Four Facilitation Keys and the Four Facilitation Pitfalls – 02:14

03 – Module 2- Preparing to Train/Facilitate in Healthcare Using the 7 Tools

TT – Module 2 Action Guide (download & print)

Lesson 1 – Bringing the 7 Tools to Your Hospital or Organization – 05:56

Lesson 2 – Determining Where to Work – 09:39

Lesson 3 – Forming a Team – 07:12

Lesson 4 – Preparing for a Team Meeting – 03:46

Lesson 5 – Kicking off the First Meeting – 12:16

Lesson 6 – Facilitating Virtual Meetings – 05:10

04 – Module 3 – The New Agreements Cycle/3D (Tools 1-3)

TT – Module 3 Action Guide – The New Agreements Cycle/3D (download & print)

Lesson 1 – Facilitating The New Agreements Cycle/3D (Tools 1-3) 19:21

Lesson 2 – Tool 1 – Disruptive Discovery 09:30

Lesson 3 – Tool 2 – Distillation 06:51

Lesson 4 – Tool 3 – 80/20 Ranking/Define 08:25

05 – Module 4 – Advanced Facilitation Techniques

TT – Module 4 – Action Guide – Advanced Facilitation Techniques (download and print) 13:44

Lesson 1 – Using Questions 05:20

Lesson 2 – Using Regulators 04:03

Lesson 3 – Using Movement 05:36

Lesson 4 – Pulling With Soft Eyes 02:57

06 – Module 5 – Taking Right Action – Facilitating Tools 4-6

TT – Module 5 Action Guide – Taking Right Action (download & print)

Lesson 1 – Getting to Right Action 26:08

Lesson 2 – Getting Alignment on Team Projects 05:54

Lesson 3 – Facilitating Right Action 14:16

Lesson 4 – Facilitating Sequencing of Right Actions 01:41

Lesson 5 – Real Time Reporting 05:44

Lesson 6 – Right Measurement – Determining What to Measure and How to Measure 05:42

07 – Module 6 – Facilitation – Putting It All Together

TT – Module 6 Action Guide – Facilitation – Putting It All Together (download & print) 07:41

Demonstration 1 – Live Discovery 09:23

Demonstration 2 – Live Distillation 13:12

Demonstration 3 – Live 80/20 Ranking/Defining 12:03

08 – Final Exam – 40 Questions

09 – Completion

TT- Action Guide Graduation (download and print) 04:58

Completion 1- Celebrating Your Growth 04:26

Completion 2 – Certificate of Certification

Completion 3 – Your Course Evaluation 02:10