Managing Change in Medical Practices

For Organization and People Effectiveness

By Kay Wakeham, May 31, 2015 2

How Do You Handle Change? I can’t get my team to

“buy-in” to change. I wish I knew how.

With change knowledge, I can lead my team by involving them in the initiative.

Why is it important?

Source: Center for Creative Leadership. (2011). Addressing the leadership gap in healthcare: what’s needed when it comes to leader talent.

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Key Leadership Competencies in Healthcare – What’s Needed?Top Five Leadership

Competencies: Leadership Effectiveness

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Understanding Change - Overview

Definition of Change

Rothwell W.J, Stavros J.M, Sullivan RL., Sullivan A., “Practicing Organization Development: A Guide for Leading Change”.

Definition, Drivers and Types of Change

Drivers of Change in Medical Practices

Ten Types of Change

Which types is your practice experiencing?

Resistance to Change

Why Is Change So Hard?Roger’s Innovation Adoption Curve Model

Who are you innovators and early adopters?

Personal Change Response Cycle Dr. Karl Albrecht -

Organizational Performance Author

Change Models

Action Research Model

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Input Planning

•Preliminary diagnosis•Data gathering•Feedback of results•Action planning

TransformationAction

•Learning processes•Action planning•Action steps

OutputResults

•Changes in behavior•Data gathering for evaluation•Measurement

Moving Change

UnfreezeRefreeze

Assumes there is illness

Appreciative Inquiry - Modern Assumes healthy but can

improve

Steps to Change

Diagnosing the Ailment(s)What’s causing physician stress?

Action Planning: Writing the RX Plan

Implementing – Administer Treatment

Managing – Getting Well

Staying Healthy

Examples for ICD-10 & EHR

ICD-10 Implementation – Ready or Not?

Source: hcrs-inc.com

Case Study – EHR Implementation

Next Steps

Some Next Steps for You … Identify a need for change in your practice Call 210.492.2400 for a complimentary diagnosis Chose a change model (Action Research or AI) Plan your change initiative Implement your change initiative Follow steps for managing the change Measure and celebrate success! Questions?

About Wakeham & Associates We are Organization Development (OD) and Leadership Consultants What is OD?

An Organization Development practitioner is to an organization as “a physician is to a human body”.

The practitioner "diagnoses" (or discovers) the most important priorities to address in the organization, suggests a change-management plan, and then guides the organization through the necessary change.

Larger healthcare organizations are hiring OD expertise to create more effective organizations (i.e. Baylor Scott & White, CHRISTUS, and HCA)

We focus on small to mid-size organizations and augment larger ones Seven years’ experience in organization diagnoses, planning, implementation and

managing change (MBA degree and SHPHR certification) Completing a M.S. degree in Organization Development and Leadership

Resources For You May, N., Becker, D., Frankel, R., Haizlip, J. Harmon, R., Plews-Ogan,

M. (2011). Appreciative Inquiry in Healthcare: Positive Questions to Bring Out the Best.

Cassiday, B. (2013) Keep Your Staff Informed During ICD-10 Planning https://ehrintelligence.com/2013/01/15/bonnie-cassidy-keep-your-staff-informed-during-icd-10-planning/

Change Management in EHR Implementation. (2013). http://www.healthit.gov/sites/default/files/tools/nlc_changemanagementprimer.pdf

Healthcare Resolutions Services: ICD-10 Planning & Implementation Services.http://hcrs-inc.com/home/services/focus/ICD-10-implementation

Wolf J., Hanson H., Moir M.J. (2011.) Organization Development in Healthcare: A Guide for Leaders.