| This is not the 80/20 rule | | | | they were spending more time on the computers than |
| Everyone under the sun in the management consulting | | | | they were caring for the patients. |
| world seems to know that 80% of all change efforts | | | | Involvement - a simple, yet miss ingredient |
| fail. What I rarely hear ever is why is it that the 20% | | | | So, what happened? Well, in the DMC case, they |
| succeed. As a change management consultant who | | | | paid Coopers & Lybrand 50M dollars for the system |
| began his career carrying around the bags of some of | | | | that is now in the toilet. That's right. They wasted |
| the best independent OD professionals on the planet, I | | | | 50M dollars. The problem was they hired a bunch of |
| have my opinions. In this brief article, I will use the | | | | hot shot MBAs who came in and thought they knew |
| hospital industry as an example. | | | | everything. They interviewed the nurses to squeeze |
| Why hospital change efforts fail | | | | out of them the information they thought needed. |
| My wife is on her 3rd hospital where they have | | | | Once they thought hey had enough, they cut off |
| implemented e-charting. The first 2, the Detroit | | | | relations with their focus group, then designed the |
| Medical Center and Garden City Hospital, both | | | | system themselves. |
| scrapped their e-charting systems and went back to | | | | Sounds pretty cool, huh? Well, I bought the domain, |
| paper-pencil charting. Why? Because the consulting | | | | but have not used it yet. It is the answer, however. |
| firms that built the systems used the 'expert model' to | | | | You can easily use a mixture of electronic surveys, |
| build the systems. | | | | standing focus groups, committees, and a half dozen |
| If an MBA wants to interview you, hold on to your | | | | other methods of involving nurses from the very |
| wallet | | | | beginning to the very end. |
| They included as FEW of the nurses as possible | | | | In conclusion, people support what they help create. If |
| when building the system. In the end, they built a | | | | you involve everyone from start to finish, it is THEIR |
| system that was unworkable to the nurses because | | | | baby. Nobody calls their own baby ugly. |