Change Management

Overview

• Change Management Described

• Reasons for Change
• Barriers to Change
• Process for Change Management
• Strategies
• Follow-up
 Change Management

Change management is the process,

tools and techniques to manage
the people side of change to achieve the
required outcome.
 Reasons for Change

• New leadership at the helm of the company or

within its departments
• Shifts in the organizational team structure
• The implementation of new technology
• The adoption of new business models
Why we need change management
in our center ?
And why now ?
 Barriers to Change
Famous one-liners:
• In my previous unit we did it like this.
• My last unit was awesome.
• I don’t want to train a new boss.
• The new leader thinks they know everything.
• This is how we do it.
• I was taught to do it like this.
• We never had that problem before.
 Process for Change

Monitor Performance

Change Management

Current Transition Future

 Strategies for Change (cont.)

How leaders get the “buy in” from everyone?

• Prepare
• “A-B-C”
• Reinforce commitment to change
 Strategies for Change (cont.)

Example of Change Management using the

7 step Problem Solving Process

Situation: In your current organization, mid-grade

leaders are having problems getting other staff to
follow their instructions.
 Strategies for Change (cont.)

1. Problem
Employees do not follow the policies and procedures,
which leads to mistakes
 Strategies for Change (cont.)

2. Gather Facts and Make Assumptions

The facts are:
• We have a frequent number of errors that threaten the
safety of patients

The assumptions are:

• Staff are not being trained to standards.
• Mid-level supervisors are not monitoring staff.
• Shortcuts are being done within the workplace and
policies are not being followed.
 Strategies for Change (cont.)

3. Define End States and Establish Criteria

End state
Priority 1 * Eliminate all future errors that affect
patient safety.

Priority 2 * Establishing a strong mechanism to

monitor the quality of work performance.
 Strategies for Change (cont.)
4. Develop Possible Solutions
Priority 1* (Possible Solutions)
• Re-train all employees on patients safety goals
• Make all high risk areas supervised (treatment rooms , ER
rooms)
• Train supervisors & senior Dr. to monitor the performance
• Assigned experts monitor employees for safety violations

Priority 2* (Possible Solutions)

• Regular Auditing
• Conduct regular meetings with staff
• Update staff on any new policy , workflow
• OVR
 Strategies for Change (cont.)
5. Analyze and Compare Possible Solutions
Priority 1* Patients Safety
• Re-train all employees on patients safety goals ( can be
done)
• Make all high risk areas supervised (treatment rooms ,
ER rooms) ( can be done)
• Train supervisors & senior Dr. to monitor the
performance( can be done)
• Assigned experts monitor employees for safety
violations(costly & it need decision)
 Strategies for Change (cont.)
Priority 2* Mechanism to monitor the quality of work
performance.

• Regular Auditing ( can be done)

• Conduct regular meetings with staff( can be done)
• Update staff on any new policy , workflow( can be done)
• OVR( can be done)
 Strategies for Change (cont.)
6. Select and Implement Solution
Priority 1* Patients Safety
• Identify if new safety equipment is needed (if yes, purchase new
equipment when possible)
• Ensure supervisors are monitoring staff
• Re-train all employees on safety procedures
• Discuss all errors with the staff
• Ensure senior leadership is present during any training
• Ensure all members are aware of the increased error

Priority 2* Mechanism to monitor the quality of work

performance.
• Reward employees with good performance.
• Establish tools to monitor staff
• Announce for center KPI’s monthly results
 Strategies for Change (cont.)
7. Analyze Solution for Effectiveness
Priority 1* Safety
• Review the safety mishaps, check for improvements or if
additional modifications must be implemented.

Priority 2* Mechanism to monitor the quality of

work performance.
• Review the output of services to determine if mechanism
worked.
• Benchmarked with other accredited centers
 Follow-up

Conduct follow-ups to ensure success:

•Face to face
•Observations
•Surveys
 Summary

• Change Management Described

• Reasons for Change
• Barriers to Change
• Process for Change Management
• Strategies
• Follow-up