Launching and Leading Change Initiatives in Health Care Organizations

DAVID A. SHORE, PhD, is former associate dean of the Harvard School of Public Health and founding director of the Program in Program Management. He is on the faculty of Harvard University and Adjunct Professor of Organizational Development and Change at the University of Monterrey Business School, Mexico. His previous book is Forces of Change: New Strategies for the Evolving Health Care Marketplace (also from Jossey-Bass).

• List of Figures and Tables ixPreface xiAcknowledgments xviiThe Author xixPART 1 Changing Health Care 1Introduction: The Need for Change 2Chapter 1: How Organizations Can Really Change 7A Better Approach 9From “Projects” to Change Events 14Chapter 2: Criteria for an Initiative’s Success 19Failure Rates 20Doing the Right Thing Right 21Appropriate Measures of Success 24Careful Management of Risk 26Chapter 3: Planning: Seeds of Success and Failure 31A Time for Planning 32Learning from Failure 35PART 2 Select the Right Projects 41Introduction: The Crowded Runway 42Chapter 4: Identifying and Creating the Right Initiatives 47Change Initiatives as Strategic Planning 48Where Good Project Ideas Originate 53Developing Project Concepts 55Chapter 5: Selecting, Prioritizing, and MonitoringChange Initiatives 61The Project and Portfolio Management Review Board 63Criteria for Project Selection 66Prioritizing Projects 72Monitoring Projects 78PART 3 Choose the Right People 83Introduction: How Important Are Decisions about People? 84Chapter 6: What You Are Looking For 89Hard and Soft Skills 91Crucial Conversations 94Emotional Intelligence 98Trust 100Chapter 7: Assembling the Individuals for a Change Event 107“Dunbar’s Number” for Change Teams 108The Right Mixtures of People 110Roles on the Team 113The Right Number of Projects 120The Project Management Human Capital Inventory 122Do People Make a Team? 122Chapter 8: Converting Individuals into a Project Implementation Team 125Onboarding a Group 125Beginning the Onboarding Process: Day Zero 127The Next Step: Day One 128Decisions and Tracking 130Passion and Enthusiasm 132Alignment 134Trust 135Chapter 9: The First Mile and Beyond 139Index 145

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