CHAPTER 6

Leading Change in a Clinical Environment

The best-designed systems in the world will fail to effect change if they cannot be implemented. But implementing change in healthcare is no simple undertaking: it is complicated by the need to change clinicians’ and patients’ behavior. A redesigned operating system usually requires that the individuals doing the work do something differently voluntarily. It is not enough to simply present an improved operating system as a fait accompli to a group of highly trained, independent-minded professionals. A successful change program usually requires involving staff in the redesign process and then leading them through a process of change.

Healthcare delivery organizations responding to cost and quality ...

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