Best Practices: Overcoming Implementation Challenges and Barriers

1. Best Practices: Overcoming Implementation Challenges and Barriers Nancy Borkowski, DBA, CPA, FACHE, FHMA Clinical Associate Professor Florida International University Healthcare MBA

2. What is Change Management? • Source: ExperiencePoint, Toronto, ON, Canada

3. Unfreezing:Driving and Restraining Forces

4. Organizational Level External & Internal Driving Forces Restraining Forces ? • Increased demands for higher quality and levels of customer service • Greater competition • Higher cost of inputs • Legislation & increased regulation • Political interests • Ethics & social values • A general sense that the organization could “do better” • Desire to increase profitability • Increase efficiency • Conflict between departments • The need for greater flexibility in organizational structures

5. Change Management is about People! • Source: ExperiencePoint, Toronto, ON, Canada

6. Kotter's 8-Step Change Model Kotter's model details a process whereby managers may initiate, direct, implement, and foster organizational change via employee engagement.

7. Kotter’s 8-Steps • Increase urgency • Build the guiding team • Get the vision right • Communicate for buy-in • Empower action • Create short-term wins • Don't let up • Make change stick Source: Boundless

8. #1 Increase Urgency The organization inspires people to move, make objectives real and relevant, and further their desire to make change happen.

9. #2 - Build the Guiding Team The organization gets the right people in place as leaders with the right emotional commitment and understanding, and the right mix of skills and levels.

10. #3 - Get the Vision Right The organization gets the team to establish a simple vision and strategy, and then focus on the emotional and creative aspects necessary to drive service and efficiency.

11. #4 - Communicate for Buy-in • The organization involves as many people as possible, communicates the essentials, and appeals and responds to people's needs. • The organization de-clutters and streamlines processes, policies, technology, communications, etc., making it efficient rather than overwhelming for employees.

12. #5 - Empower Action The organization removes obstacles, enables constructive feedback and lots of support from leaders, and rewards and recognizes progress and achievements.

13. #6 - Create Short-Term Wins • The organization sets aims that are easy to achieve in manageable chunks, manages the number of initiatives taking place at once, and finishes current stages before starting new ones. • Celebrate short term wins while working toward an overall goal of change.

14. #7 - Don't Let Up The organization fosters and encourages determination, persistence, and ongoing progress reporting. This can be done by highlighting achieved and future milestones.

15. #8 - Make Change Stick • The organization reinforces the value of successful change via recruitment, promotion, and new change leaders. • The organization makes change a fundamental part of the culture so people do not consider it as foreign.

16. Best Practices: Overcoming Implementation Challenges and Barriers Much Success in Your Change Initiative!