When the change initiative changes

I directed communications during the largest single-build implementation of an Epic electronic health record system. We transformed 27 hospitals ranging from small rural facilities to 700-plus-bed medical centers, along with hundreds of clinics, across five states. It was a major upheaval that impacted 70,000 employees/physicians, and we knew it would be challenging – but we […]

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Communication tactics during integration of hospitals and medical groups: Lessons Learned, part II

This is the second installment of my mini-series on what I’ve learned from directing internal communications during integration of hospitals and medical group organizations.  My previous post focused on strategy  – this one tackles tactical components. As integration of employees begins, I create an initial communication with “What’s changing, what’s not.”  We ask managers to deliver it and discuss it […]

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Communications during integration of hospitals and medical groups: Lessons Learned

Here’s what I’ve learned from directing internal communications to manager and all-employee levels during integration of their hospital or medical group organization into our large health care system.  I’ve done two of each. Develop an over-arching communication plan incorporating all HR, IT and other work streams to ensure consistent messaging to impacted populations (theme, tone, […]

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My Top 10 List: Resistance to Organizational or Process Change

Two lists here. First, the top five for implementation of major technology change in a healthcare setting, for physicians and other clinicians. Fear of the unknown Dislike time commitment to get training, practice, become proficient Fear of looking incompetent amidst peers Concern about disruption to operations (patient care) Resistance to standardization (workflows, clinical content, order […]

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When the change initiative changes

About our Epic Implementation at Providence Health & Services: 27 hospitals (ranging from small rural hospitals to 700-plus-bed medical centers) and 350 clinics across five state are moving to a single-build Epic Electronic Health Record system (2012-2014). A seismic change to an organization or to its core operations is hard enough to accomplish, but from […]

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