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A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study
Effective organizational change requires intentional planning. We applied Kotter’s 8-Step Process for Leading Change model in understanding and evaluating how a federally qualified health center in rural Kentucky implemented a significant organizational change — a proactive office encounter (POE) mo...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Centers for Disease Control and Prevention
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716404/ https://www.ncbi.nlm.nih.gov/pubmed/31400097 http://dx.doi.org/10.5888/pcd16.180589 |
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author | Carman, Angela L. Vanderpool, Robin C. Stradtman, Lindsay R. Edmiston, Emily A. |
author_facet | Carman, Angela L. Vanderpool, Robin C. Stradtman, Lindsay R. Edmiston, Emily A. |
author_sort | Carman, Angela L. |
collection | PubMed |
description | Effective organizational change requires intentional planning. We applied Kotter’s 8-Step Process for Leading Change model in understanding and evaluating how a federally qualified health center in rural Kentucky implemented a significant organizational change — a proactive office encounter (POE) model — to improve preventive care service delivery, close care gaps, and reduce health disparities among its patients. We completed qualitative interviews with 21 clinic personnel (eg, administrators, physicians, support staff, care coordinators) who were directly involved with POE implementation. We found evidence of steps 1 through 7 of Kotter’s 8 steps of change in the POE implementation process. Step 8, anchoring new approaches in the organizational culture, was an area for improvement. Change-management models, such as Kotter’s 8-Step Process for Leading Change, provide a systematic guide for health clinics to implement sustainable organizational change aimed at improving patient health outcomes. |
format | Online Article Text |
id | pubmed-6716404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Centers for Disease Control and Prevention |
record_format | MEDLINE/PubMed |
spelling | pubmed-67164042019-09-06 A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study Carman, Angela L. Vanderpool, Robin C. Stradtman, Lindsay R. Edmiston, Emily A. Prev Chronic Dis Program Evaluation Brief Effective organizational change requires intentional planning. We applied Kotter’s 8-Step Process for Leading Change model in understanding and evaluating how a federally qualified health center in rural Kentucky implemented a significant organizational change — a proactive office encounter (POE) model — to improve preventive care service delivery, close care gaps, and reduce health disparities among its patients. We completed qualitative interviews with 21 clinic personnel (eg, administrators, physicians, support staff, care coordinators) who were directly involved with POE implementation. We found evidence of steps 1 through 7 of Kotter’s 8 steps of change in the POE implementation process. Step 8, anchoring new approaches in the organizational culture, was an area for improvement. Change-management models, such as Kotter’s 8-Step Process for Leading Change, provide a systematic guide for health clinics to implement sustainable organizational change aimed at improving patient health outcomes. Centers for Disease Control and Prevention 2019-08-08 /pmc/articles/PMC6716404/ /pubmed/31400097 http://dx.doi.org/10.5888/pcd16.180589 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited. |
spellingShingle | Program Evaluation Brief Carman, Angela L. Vanderpool, Robin C. Stradtman, Lindsay R. Edmiston, Emily A. A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study |
title | A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study |
title_full | A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study |
title_fullStr | A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study |
title_full_unstemmed | A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study |
title_short | A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study |
title_sort | change-management approach to closing care gaps in a federally qualified health center: a rural kentucky case study |
topic | Program Evaluation Brief |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716404/ https://www.ncbi.nlm.nih.gov/pubmed/31400097 http://dx.doi.org/10.5888/pcd16.180589 |
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