10 Success Factors for Implementing Healthcare Changes


Change implementation success has been mostly studied in settings other than healthcare

Popular models of successful change implementation are often not relevant to healthcare managers and leaders


  1. CULTURE AND VALUES: Align culture and values between individuals and organization
  2. BUSINESS PROCESSES: Institutionalize change efforts through formal policies, systems and structures
  3. PEOPLE AND ENGAEMENT: Engage people through hiring, training and education. Empower people by rewarding those who perform well
  4. SERVICE QUALITY AND CLIENT SATISFACTION: Satisfy physicians, staff, clients, patients and quality of service and outcome- both financially and operationally
  5. COHERENT PLANNING: Identify and communicate scope of initiative and organization’s direction
  6. FINANCIAL RESOURCES AND ACCOUTNABILIYT: Promote accountability for cost, income, funding, collection, bond rating, budget, and provide assistance
  7. LEADERSHIP: Promote and reward effective leadership characteristics
  8. MARKET FORCES AND EXTERNAL DEMANDS: Develop strategic relationships with other organizations
  9. ACCESS TO IFNORMATION: Retrieve data and use it in decision making. Use reporting to promote accountability and transparency throughout the organization. Provide access to relevant clinical information
  10. COMMUNICATION: Communicate both existing and upcoming strategies and change initiatives, the need for leadership, explain expectations, and define how areas of improvement are identified and measured.

Kash, B. A., Spaulding, A., Johnson, C. E., & Gamm, L. (2014, January/February). Success Factors for Strategic Change Initiatives: A Qualitative Study of Healthcare Administrators’ Perspectives. Journal of Healthcare Management, 59(1), 65-82.