BUS575_AndayaW8Powerpoint

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Jun 22, 2024

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Strategies for Change Using Kotter’s Model A N G E L A A N DAYA BS N R N M HA M A I N P R E S E N T E R 6/20/24 1
Why do changes happen? For improvement To fully transform into something new An unsuccessful system For a competitive edge More effective strategies To lower costs To keep up with the trends 6/20/24 2
Kotter’s Eight Steps to Successful Change I. Establish a Sense of Urgency II. Form a Powerful Guiding Coalition III. Create a Vision VI. Communicate the Vision V. Empower Others to Act on the Vision IV. Plan for and Create Short- term Wins VII. Consolidate Improvements and Still Produce More Change VIII. Institutionalize New Approaches 6/20/24 3
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The Organization Department of Preventive Medicine (DPM) Epidemiology and Disease Control Nutrition Health Promotion and Wellness Army Public Health Nursing Occupational Health 6/20/24 4
What do we need to change? Microsoft Excel Spreadsheet Microsoft Access Database 6/20/24 5
Kotter’s Model Step 1: Establish a Sense of Urgency Delays in scheduling patient appointments Delays in providing disease intervention Disease is spread further, thereby increasing the number of patients Compliance rates every month are low (Compliance = number of patients provided intervention/number of patients needing intervention) Inefficient use of work hours 6/20/24 6
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Army Public Health Nursing Mission Promote population-focused health and to mitigate disease and injury. - Promotion of health and prevention of disease - 6/20/24 7
Kotter’s Model Step 2: Form a Powerful Guiding Coalition I. Position of Power II. Expertise III. Credibility IV. Leadership 6/20/24 8
I. Position of Power Possess authoritative power Supervisory position/job title Oversees a lot of personnel Placement in the organizational chart 6/20/24 9
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II. Expertise Knowledge of subject matter Experienced in working the system and its processes Competency in using the system 6/20/24 10
III. Credibility Solid reputation Trustworthy Can easily persuade 6/20/24 11
IV. Leadership Leadership skills Management abilities and experiences 6/20/24 12
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Kotter’s Model Step 3: Create a Vision ARMY PUBLIC HEALTH NURSING Epidemiology Section VISION “To provide timely disease intervention to every reported Sexually Transmitted Infection case in Fort Bliss” 6/20/24 13
Quantifying the Change Monthly Compliance Rate = number of patients provided intervention/number of patients needing intervention Monthly Individual Reports = number of patients individual X provided intervention/number of patients assigned to individual X 6/20/24 14
Chief of Preventive Medicine Director of El Paso Health Department Health Systems Specialist of the Clinic Non- commissioned OIC of APHN Officer-in- Charge of Army Public Health Nursing Deputy Chief of Preventive Medicine Kotter’s Model Step 4: Communicate the Vision 6/20/24 15
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Communication Strategy Who : Stakeholders, APHN, and the Epidemiology team What : 2-hour Meeting (Purpose: to discuss the proposed change and persuade stakeholders to agree and support the change) When : Third week of the second pilot month Where : Clinic conference room How : PowerPoint presentation 6/20/24 16
Questionnaire for Stakeholders 6/20/24 17
Structural barriers Barriers of the mind “Boss” barriers Kotter’s Model Step 5: Empower Others to Act on the Vision 6/20/24 18
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Organizational Culture Values Expectations Philosophy Patterns of Behavior Customs 6/20/24 19
Losing interest Resisting the change Discouragement Kotter’s Model Step 6: Plan for and Create Short-term Wins 6/20/24 20
Short-Term Wins Promotions Recognitions Incentives – Monetary or Days-off 6/20/24 21
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Feedback Firsthand Experience Observation Kotter’s Model Step 7: Consolidate Improvements and Still Produce More Change 6/20/24 22
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Align to vision Support of management and leadership Strong organizational culture Effective communication Kotter’s Model Step 8: Institutionalize New Approaches 6/20/24 23
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Feedback and Comments: We will be disseminating feedback sheets. Please leave a feedback, comment, suggestion, or recommendation regarding the presentation and hand it to me in my office or email at the email address below. Thank you for your time! Angela M. Andaya BSN RN MHA Main Presenter Angela.Andaya.rn@aphn.mil 6/20/24 24
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References: Andaya, A. (2022). Strategies for Change Using Kotter’s Model [Unpublished manuscript]. University of Arkansas – Grantham. Hall, B. (2021). Powerful Guiding Coalitions: How to Build and Sustain the Leadership Team in Your PLC at Work®. United States: Solution Tree Press. Kotter, J. P. (2012). Leading Change . United States: Harvard Business Review Press. Kovoor-Misra, S. (2019). Crisis Management: Resilience and Change. United States: SAGE Publications. What is organizational culture? gothamCulture. (2022, February 7). Retrieved March 8, 2022, from https://gothamculture.com/what-is-organizational-culture-definition/ 6/20/24 25
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