Monday, April 22, 2019

Why is the hospital behind the wave of change management?

This is not the 80/20 rule

Everyone in the management consulting field seems to know that 80% of the change efforts have failed in the sun. What I rarely hear is the reason for 20% success. As a change management consultant, he started his career, with some of the best independent OD professionals on the planet, I have my own opinion. In this short article, I will take the hospital industry as an example.

Why the hospital failed to change efforts

My wife is in her third hospital and they have implemented an electronic chart. The first two, Detroit Medical Center and Garden City Hospital, canceled their electronic charting system and returned to the pen and paper chart. why? Because the consulting firm that builds the system uses the "expert model" to build the system.

If the MBA wants to interview you, please grab your wallet

When building the system, they include the FEW of the nurse as much as possible. Finally, they built a system that was not feasible for nurses because they spent more time on the computer than taking care of the patients.

Participation - a simple and missing component

So what happened? Well, in the DMC case, they paid Coopers&Lybrand $50M for the system now in the toilet. That's right. They were wasting $50 million. The problem is that they hired a group of popular MBA students who thought they knew everything. They interviewed the nurses and squeezed the information they thought they needed. Once they think they are enough, they will cut off the relationship with the focus group and then design the system themselves.

InvolveEveryone.com

Sounds cool, right? Ok, I bought a domain name but haven't used it yet. However, this is the answer. You can easily use electronic surveys, standing focus groups, committees, and six other methods that involve nurses from the beginning to the end.

In short, people support what they help create. If you let everyone participate from beginning to end, it is their baby. No one claims that his child is ugly. Everyone will do everything they can to help their children succeed.




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