Friday, July 31, 2009

Organizational Change Management Should Be A Core Capability for Healthcare Transformation

There's a lot in the news right now about the need for healthcare transformation, both in the U.S. and the UK. While there are differences in the current state and the future vision depending on the country, healthcare transformation won't be successful without significant attention being paid to the implementation of these changes.

Naturally, there is focus on healthcare IT, including electronic medical records and other technology improvements, and attention on healthcare business process improvement, there's a lot less discussion on healthcare change management. How do you get adoption and behavior change in a complex organization structure involving nurses, physicians, technicians and a variety of healthcare professionals who have important work to do? Work disruption created by significant organizational change can impact quality of patient care, patient satisfaction, and patient outcomes.

If you are concerned about how to manage resistance to change (yes, it is inevitable) and how to accelerate healthcare business changes, you have to develop internal capability across the organization. Organizational change management consulting has to be focused not on doing it for you, but on how you can do it better for yourself.

These changes are not going to end anytime soon, so your organization best be prepared with a systematic and systemic approach for implementing healthcare transformation that can be repeated for the programmatic changes you will continue to experience. If you can unite in using a common framework like IMA's Accelerating Implementation Methodology (AIM) to build change agent capacity, if you can use a common language, and common deliverables across all the healthcare transformation changes you will gain acceleration and reduce the human casualties of organizational change.

We do have examples of success that we can point to in the healthcare environment where change management best practices have been applied. For example, in Australia, the New South Wales Health organization has been using IMA's AIM methodology for a variety of clinical transformations, including electronic medical records. IMA's role in institutionalizing the AIM methodology has been to provide organizational change management consulting focused on teaching change agents and sponsors involved in a variety of healthcare transformation activities how to tactically apply change management principles that will improve change readiness, sponsorship, communications and behavioral change reinforcements.

Healthcare transformation and organizational change management must be considered together in order to achieve implementation success and project return on investment.

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  7. What IMA Worldwide Emphasizes
    Their core message is simple and powerful: success in organizational change comes down to structured execution married with people-first thinking—not just strategy documents or slide decks. Their signature AIM (Accelerating Implementation Methodology) centers on behavior-led, sponsor-driven change that really takes hold in the organization
    IMA Worldwide
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    Key elements include:

    Co-creating plans with teams to make initiatives practical and grounded.

    Securing sponsor commitment—not just passive approval, but visible leadership modeling new behaviors.

    Building feedback loops to catch resistance early and iterate fast.

    Driving behavior change through reinforcement, not just instruction.

    Emphasis on tracking real outcomes across time, budget, technical delivery, business results, and adoption
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    ✅ Highlights That Stand Out
    Execution over theory — They steer clear of superficial frameworks and checklists, instead stressing implementation rooted in real-world action and measurement
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    Active sponsorship — Not all change efforts fail due to poor plans; many fail because leaders don’t visibly lead them. AIM tackles this head-on by emphasizing sponsor behavior as the linchpin
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    Resistance as opportunity — Instead of treating pushback as a setback, they incorporate mechanisms to surface and address resistance early—building trust and engagement along the way
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    Sustainable adoption — The sharp distinction between “installation” (initial rollout) and “reinforcement” (longer-term behavior change) helps ensure the change sticks, not fades after launch
    IMA Worldwide
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    🤔 What Could Be Expanded
    Real-world stories: While many testimonials praise the approach, short case studies or client stories—especially about unexpected challenges—would help bring the model to life.

    Adaptation to different cultures/scales: Though they work globally, I'd love more on how AIM adjusts in diverse cultural or highly agile environments.

    Integration with other models: Comparing AIM with established frameworks like Kotter’s 8‑Step, ADKAR, or PDCA could offer useful context to practitioners choosing between approaches
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    🌟 Final Thoughts
    IMA Worldwide presents a compelling, action‑oriented approach to change management that keeps people at the center of every step. Their AIM framework is more than catchy branding—it’s a behavior‑based methodology that demands active leadership sponsorship, early feedback, and real measurement. That aligns strongly with modern OCM best practices advocating transparent communication, stakeholder involvement, training, and continuous monitoring
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    If I were giving feedback on the blog, I'd suggest weaving in a few illustrative transformation journeys—showing how AIM handled real resistance, pivoted midstream, and secured long‑term adoption. Overall, it's a rock-solid exposition of change as a measurable, human-centered discipline.

    Would you like a quick comparison between AIM and other popular models like Kotter or ADKAR next?"




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  8. Here’s a thoughtful and professional **comment** you could post in response to the article:

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    This is an important and often overlooked perspective. As the healthcare sector undergoes rapid transformation — whether through digitization, new care models, or policy reform — **technical solutions alone are not enough**. Without robust organizational change management (OCM), even the most promising innovations risk failure due to poor adoption, burnout, and resistance from frontline staff.

    Healthcare is unique in its complexity: it's not just about systems and workflows, but about **people delivering care under pressure**. If we don't systematically equip organizations with the tools to manage change — from executive sponsorship down to frontline engagement — the human and financial costs will be significant.

    The emphasis on building **internal OCM capability** rather than relying solely on external consultants is especially critical. Frameworks like IMA’s AIM can provide the structure and consistency needed to scale change efforts across large healthcare systems.

    Ultimately, healthcare transformation without a strategic approach to change management is like prescribing treatment without a plan for patient compliance. Change needs to be **led, supported, reinforced, and measured** — otherwise we risk undermining both clinical and operational goals.

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    Would you like a more concise, technical, or emotionally resonant version of the comment?
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