{"id":1176,"date":"2019-04-02T18:30:53","date_gmt":"2019-04-02T18:30:53","guid":{"rendered":"https:\/\/www.consultecca.org\/?p=1176"},"modified":"2020-03-26T20:23:42","modified_gmt":"2020-03-26T20:23:42","slug":"the-wisdom-of-change-management-strategy-in-health-care-organisation","status":"publish","type":"post","link":"https:\/\/www.consultecca.org\/en\/the-wisdom-of-change-management-strategy-in-health-care-organisation\/","title":{"rendered":"The Wisdom of Change Management Strategy  in Health Care Organisation"},"content":{"rendered":"<h5><em>The Secret of Change is to Focus all of Your Energy, Not on Fighting the Old, But on Building the New.<\/em><\/h5>\n<h5>Socrates<\/h5>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-1232 size-full\" src=\"https:\/\/www.consultecca.org\/mapristupab\/wp-content\/uploads\/2019\/04\/The-wisdom-of-strategic-change-management_ENGL.jpg\" alt=\"\" width=\"3402\" height=\"4536\" \/><\/p>\n<h2><\/h2>\n<h2><strong>Supporting clients in implementation of valuable and efficient changes\u00a0<\/strong><strong>in health care system.<\/strong><\/h2>\n<p>Every day we are witnessing the increasing speed of change management, especially in medicine. However, sometimes it seems that is not the same speed of the change management in the hospital organisation vs the speed of medicine progress.\u00a0The wisdom of change management is a fundamental competency for managers and supervisors, employees and leaders and include special knowledge and skills. The base of change management is strategy. Strategy can be separated to the two different parts: strategy planning and strategy managing. The both part are very close in the practice and they both really depend on each other.\u00a0The questions are: what is wisdom and why needs wisdom for strategy?<\/p>\n<p><!--more--><\/p>\n<h4><strong>Wisdom<\/strong><\/h4>\n<p><strong>Wisdom\u00a0<\/strong>is combination of knowledge and also rational intellectual practice and mental process.<sup>1\u00a0<\/sup>Humans are trying to make sense to the world around them with limited knowledge. (McKenna and David, 2005). In classical times, wisdom was listed among the four principal virtues: justice, moderation or self- control, courage and wisdom.\u00a0 (Rowley, 2006;\u00a0Rowley\u00a0 and\u00a0 Slack, 2008)<sup>1\u00a0<\/sup>However, the focus is on the wisdom in leadership. Leadership\u00b4s wisdom have four attitudes.\u00a0Wise leader must be capable in complex environments of cognitive complexity and coping with complex events.The leader must deeply and rational think, understand questions and situation.\u00a0He\/she should be capable for creative thinking, to discover and to use logic, make decision rely to instinct, non-rational process in judgment.\u00a0Finally, the leader have to have capacity for a long-term vision, long-term prosperity for humanity. (McKenna, 2009)<sup>1<\/sup><\/p>\n<p><!--more--><\/p>\n<h4><strong>Change Management<\/strong><\/h4>\n<p><strong>Change Management\u00a0<\/strong>is the term that is used to refer to the change or transitioning people, groups, companies and projects from one status to another.\u00a0 For success, it is important to have strategy plan, which includes suitable plan of action. Change management is process and takes time, needs expertise, dedication and a lot of effort in implementation. It requires the involvement professional expert, commitment management, executive staff and enthusiastic staff, which can being affected by changes too. The important thing is that organisation and people must figure out why it needs the change management approach and how will the changes benefit it.<sup>2,3\u00a0<\/sup>Organisational change management are divided into three smaller stages: unfreeze, change and refreeze according to Lewin&#8217;s model. Management and organization must unfreeze current situation, be aware that change needs and make decision to go forward in new process. \u00a0The teamwork approach is necessary, because with these can be avoided some obstacle or challenges. Time to implement changes is next step.\u00a0Effective change requires clear and constant communication across all affected channels and organisational level.\u00a0Finally step is refreeze. After continues evaluation and modification some steps in the change process and achievement strategic goals. Teams and organizations need to move away from an old to new one organisational model or process. <sup>2,3<\/sup><\/p>\n<p><!--more--><\/p>\n<h4><strong>Lewin&#8217;s Change Management Model<\/strong><\/h4>\n<p>It is very simple to understanding Kurt Lewin&#8217;s Change Management Model: Unfreeze \u2013 Change \u2013 Refreeze (Lewin, 1940). If you have a large cube of ice (figure organization model\/process) it must to make amenable to change (unfreeze). The iced water you must mold to shape you want (change). The last stage is to solidify the new shape (refreeze). <sup>4,5 \u00a0<\/sup><\/p>\n<p>Figure 1.Lewin\u2019s Change Model<sup>5\u00a0<\/sup><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-1155\" src=\"https:\/\/www.consultecca.org\/mapristupab\/wp-content\/uploads\/2019\/03\/Lewin\u2019s-Change-Model--300x108.png\" alt=\"\" width=\"300\" height=\"108\" srcset=\"https:\/\/www.consultecca.org\/mapristupab\/wp-content\/uploads\/2019\/03\/Lewin\u2019s-Change-Model--300x108.png 300w, https:\/\/www.consultecca.org\/mapristupab\/wp-content\/uploads\/2019\/03\/Lewin\u2019s-Change-Model--600x217.png 600w, https:\/\/www.consultecca.org\/mapristupab\/wp-content\/uploads\/2019\/03\/Lewin\u2019s-Change-Model-.png 614w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><!--more--><\/p>\n<h4><strong>Strategy<\/strong><\/h4>\n<p>Strategy includes two part, <strong>strategic planning<\/strong>and <strong>strategic management<\/strong>. Each effective change management have to include the strategy planning process.<\/p>\n<h3><\/h3>\n<h3><strong>Strategy planning<\/strong><\/h3>\n<p><strong>Strategy planning\u00a0<\/strong>includes <strong>vision\u00a0<\/strong>and <strong>mission<\/strong>,\u00a0<strong>goals\u00a0<\/strong>and <strong>objectives<\/strong>.<\/p>\n<p>For develop new strategy must have SWAT analyse of the old process. The SWAT analyse should use for new planning and new goals. To help in process strategy planning is important to have answer on the questions below:<\/p>\n<ul>\n<li><strong>Where are we?<br \/>\n<\/strong>&#8211; Situation analysing of strategic assessment including internal and external analysis<\/li>\n<li><strong>Where should we be?<br \/>\n<\/strong>\u2013 Possible future situation<\/li>\n<li><strong>Where do we want to go?<br \/>\n<\/strong>\u2013 Future vision 2 to 5 years. Consider SMART goals<\/li>\n<li><strong>How do we get there?<br \/>\n<\/strong>\u2013 Strategies<\/li>\n<li><strong>How do we get there?<br \/>\n<\/strong>\u2013 Implementation and tactics<\/li>\n<li><strong>Are we getting there?<br \/>\n<\/strong>\u2013 Assessment and metrics<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<h3><\/h3>\n<h4><strong>Strategy management\u00a0<\/strong><\/h4>\n<p>To accept the <strong>strategy management\u00a0<\/strong>helps to plan strategy and new organisation future. There are three parts:\u00a0<b>organising<\/b>, <strong>leading\u00a0<\/strong>and <strong>controlling<\/strong>.<\/p>\n<h4><\/h4>\n<h4><b>Organising<\/b><strong>\u00a0<\/strong><\/h4>\n<p>The organising engaged by strategic management includes incorporative organisation design, organisational culture and networking, effective communication.<\/p>\n<p><!--more--><\/p>\n<p><b>Organisational<\/b><strong>\u00a0culture<\/strong><\/p>\n<p>From some recent research we can find different definition of organisational culture.\u00a0Organisational\u00a0culture includes an organisation\u2019s expectations, experiences, philosophy, as well as the values that guide member behaviour, and is expressed in member self-image, inner workings, interactions with the outside world, and future expectations. <sup>6,7\u00a0 <\/sup>Culture is based on shared attitudes, beliefs, customs, and written and unwritten rules that have been developed over time and are considered valid (The Business Dictionary).<sup>6,7 \u00a0\u00a0<\/sup>Culture also includes the organization\u2019s vision, values, norms, systems, symbols, language, assumptions, beliefs, and habits (Needle, 2004).<sup>6,7\u00a0 <\/sup>To summarize important of this part is to be aware of the facts that organisational culture can influence on the outcomes such as productivity, employee engagement and commitment. To care and to establish corporative culture is essence of effective change management process.<sup>6,7\u00a0<\/sup><\/p>\n<p><!--more--><\/p>\n<h4><strong>Leading<\/strong><\/h4>\n<p>Implementing and using leadership methods for leading\u00a0change process are predict of success. To lead, to be a part of teamwork, to respect other partners in evolution process can result with positive outcome. Clearly and open communication and behaviour that encourages different opinion and innovation predict a healthy culture at the workplace. Using organizational culture to inspire and to motivate employees can be very effective in the whole process of change management. <sup>8,9\u00a0 <\/sup><\/p>\n<p><!--more--><\/p>\n<h4><strong>Controlling<\/strong><\/h4>\n<p>Continuous evaluation and annual SWOT analysing process is Condicio sine qua non<sup>10\u00a0<\/sup>for success.\u00a0Evaluation and modification some actions if the results of SWOT analysis is needed \u00a0to achieve \u00a0goals. Measuring and analysing all process lead to valid results and achieving strategic goals.This is controlling\u00a0and the last part of strategic management.<\/p>\n<h5><em>If you need help to identify exactly what the problem is, and to prescribe strategy to solve the problem, help in the process of strategy change management, not theoretical solution, but solution based on the experience and practical skills and knowledge, contact us.<\/em><\/h5>\n<p><!--more--><\/p>\n<h4><strong>Key words:<\/strong><\/h4>\n<p>Wisdom, Change management, Lewin, Strategy, Strategy planning, Management Strategy , Organizational culture<!--more--><\/p>\n<h6><\/h6>\n<h6><strong>Reference:<\/strong><\/h6>\n<h6><\/h6>\n<p>1. Asl\u0131 K\u00fc\u00e7\u00fc kaslan Ekmek\u00e7i et al. (2014) Wisdom and management: a conceptual study on wisdom management, <em>Procedia &#8211; Social and Behavioral Sciences<\/em>150:1199 \u2013 1204<\/p>\n<p>2. Lucidchart Content Team (2018), 4 Fundamental Change Management Models <a href=\"https:\/\/www.lucidchart.com\/blog\/four-fundamental-change-management-models\">https:\/\/www.lucidchart.com\/blog\/four-fundamental-change-management-models<\/a><\/p>\n<p>3. Cleverism, Anastasia (2015), Major Approaches &amp; Models of Change Management <a href=\"https:\/\/www.cleverism.com\/major-approaches-models-of-change-management\/\">https:\/\/www.cleverism.com\/major-approaches-models-of-change-management\/<\/a><\/p>\n<p>4. Lewin&#8217;s Change Management Model, Understanding the Three Stages of Change <a href=\"https:\/\/www.mindtools.com\/pages\/article\/newPPM_94.htm\">https:\/\/www.mindtools.com\/pages\/article\/newPPM_94.htm<\/a><\/p>\n<p>5. Lewin\u2019s Change Model PowerPoint Template <a href=\"https:\/\/slidemodel.com\/templates\/lewins-change-model-powerpoint-template\/\">https:\/\/slidemodel.com\/templates\/lewins-change-model-powerpoint-template\/<\/a><\/p>\n<p>6. What is Organizational Culture? Organizational Culture Definition and Characteristics, <a href=\"https:\/\/gothamculture.com\/what-is-organizational-culture-definition\/\">https:\/\/gothamculture.com\/what-is-organizational-culture-definition\/<\/a><\/p>\n<p>7. Martins E.C. (2013) Building organisational culture that stimulates creativity and innovation <a href=\"https:\/\/www.emeraldinsight.com\/doi\/abs\/10.1108\/14601060310456337\">https:\/\/www.emeraldinsight.com\/doi\/abs\/10.1108\/14601060310456337<\/a><\/p>\n<p>8. Prachi Juneja, MSG Content (2019) Role of Communication and Relationship for a Healthy Organization Culture, <a href=\"https:\/\/www.managementstudyguide.com\/setbacks-of-organization-culture.htm\">https:\/\/www.managementstudyguide.com\/setbacks-of-organization-culture.htm<\/a><\/p>\n<p>9. Alex Malouf A. (2017) Why Organizational Culture (And Employee Communications) Should Matter To You <a href=\"https:\/\/www.entrepreneur.com\/article\/294820\">https:\/\/www.entrepreneur.com\/article\/294820<\/a><\/p>\n<p>10. <span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/www.cambridge.org\/\">Cambridge University Press<\/a><\/span>\u00a0<a href=\"https:\/\/dictionary.cambridge.org\/dictionary\/english\/sine-qua-non\">https:\/\/dictionary.cambridge.org\/dictionary\/english\/sine-qua-non<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Secret of Change is to Focus all of Your Energy, Not on Fighting the Old, But on Building the New. Socrates Supporting clients in implementation of valuable and efficient changes\u00a0in health care system. Every day we are witnessing the increasing speed of change management, especially in medicine. However, sometimes it seems that is not<\/p>\n","protected":false},"author":2,"featured_media":1135,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[52,58],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.1.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The Wisdom of Change Management Strategy in Health Care Organisation - Consultecca<\/title>\n<meta name=\"description\" content=\"The wisdom of change management is a fundamental competency for managers and supervisors, employees and leaders and include special knowledge and skills.\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.consultecca.org\/en\/the-wisdom-of-change-management-strategy-in-health-care-organisation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Wisdom of Change Management Strategy in Health Care Organisation - 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