Skip Navigation LinksHome > April/June 2008 - Volume 33 - Issue 2 > Implementing strategic change in a health care system: The i...
Health Care Management Review:
doi: 10.1097/01.HMR.0000304501.82061.e0

Implementing strategic change in a health care system: The importance of leadership and change readiness

Caldwell, David F.; Chatman, Jennifer; O'Reilly, Charles A. III; Ormiston, Margaret; Lapiz, Margaret

Collapse Box


Background: Shifts in the environment can compel health care organizations to change their strategies. However strategic change frequently fails because individuals do not adopt the behaviors necessary to successfully implement the new strategy.

Purpose: This study explores how three variables-agreement with new strategy, leaders' actions, and groups' general orientation toward change-can influence members of physician teams to take actions supporting a strategic shift aimed at improving patient satisfaction.

Methodology: Physicians in 37 specialty departments in a large health care organization were surveyed regarding their support for a new customer service initiative, the actions of department leaders, and generalized norms supporting change. The results of the survey were linked to changes in patient satisfaction for the department.

Results: Normative support for the specific strategic change was directly related to increased patient satisfaction 1 year later. The interaction between norms supporting change readiness and the quality of leadership was positively related to change in patient satisfaction.

Practice Implications: Successfully implementing a strategic change often requires getting individuals to change their behaviors. Leaders can enhance the results of the change by working to develop general norms such as teamwork and tolerance for mistakes that increase general readiness for change with the group.

© 2008 Lippincott Williams & Wilkins, Inc.


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.