Change Management Frameworks That Actually Work

Most change initiatives fail. And I learned it the hard way. I thought a good idea, purpose, and persistence  were enough to transform mental healthcare in Montana. I was wrong. When launching Montana's first psychiatry  residency program and first EmPATH unit,  I discovered what true change requires. This framework would have saved me years of struggle: 1. Establish urgency ↳ The status quo is more dangerous than change ↳ 75% of managers must feel this truth 2. Build a powerful coalition ↳ Assemble people with shared commitment ↳ Work outside normal hierarchy 3. Create a clear vision ↳ Simple enough to explain in five minutes ↳ Strategies that make the vision tangible 4. Communicate relentlessly ↳ Use every possible channel ↳ Model the behaviors you seek 5. Empower others ↳ Remove structural barriers ↳ Reward risk-taking and new ideas 6. Generate short-term wins ↳ Plan visible improvements ↳ Recognize those who contribute 7. Consolidate and build momentum ↳ Change the systems undermining progress ↳ Develop people who embody the vision 8. Anchor new approaches ↳ Connect changes to organizational success ↳ Ensure leadership embodies the transformation The hard truth about leading change? It's not about your brilliant idea. It's about how you systematically  dismantle resistance to that idea. Change happens in stages, not events. And skipping steps only creates  the illusion of progress. ==================== ⁉️ Which step do leaders most often skip? ♻️ Share if you're leading change in healthcare. 👉 Follow me (Eric Arzubi, MD) for more like this. ♥️ Post inspired by John P. Kotter's teachings.

I keep returning to Damon Centola’s research on how #change spreads. Not because it’s clever. Because it’s true. Centola found that change doesn’t move like information. You can’t push it through announcements or clever messaging. It spreads through behavior, #trust, and networks. He calls it complex contagion, and it tracks with what I see inside organizations every day. People don’t change because someone at the top says so. They change when they see people they trust doing something new. Then they see it again. Then maybe one more time. That’s when it starts to feel real. That’s when it moves. Here’s what Centola’s research shows actually makes change stick: - Multiple exposures. Once isn’t enough. People need to encounter the new behavior several times from different people. - Trusted messengers. It’s not about role or rank. It’s about credibility in the day-to-day. - Strong ties. Close, high-trust relationships are where change actually moves. - Visible behavior. People need to see it being done, not just hear about it. - Reinforcement over time. Real change takes repetition. One wave won’t do it. This flips most #ChangeManagement upside down. It’s not about the rollout or coms plan. It’s about reinforcing new behaviors inside the real social structure of the organization. So, if you are a part of change, ask your team and self: 1. Who are the people others watch? 2. Where are the trusted connections? 3. Is the behavior visible and repeated? 4. Are you designing for reinforcement or just awareness? Change isn’t a #communication problem. It’s a network pattern. That’s the shift. That’s the work. And that’s what I help teams build.

🚨 𝟲𝟬% 𝗼𝗳 𝗳𝗶𝗻𝗮𝗻𝗰𝗲 𝘁𝗿𝗮𝗻𝘀𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻𝘀 𝗙𝗔𝗜𝗟 𝗮𝗳𝘁𝗲𝗿 𝗣𝗘 𝗮𝗰𝗾𝘂𝗶𝘀𝗶𝘁𝗶𝗼𝗻. 𝗡𝗼𝘁 𝗯𝗲𝗰𝗮𝘂𝘀𝗲 𝗼𝗳 𝘁𝗲𝗰𝗵𝗻𝗼𝗹𝗼𝗴𝘆. Because CFOs forget that spreadsheets don't resist change—people do. Your AP clerk isn't afraid of new software. She's afraid of becoming irrelevant. Your controller isn't resisting month-end acceleration. He's overwhelmed by expectations he doesn't understand. The 𝗔𝗗𝗞𝗔𝗥 framework is the tool that I recommend to use when integrating the finance/accounting for an acquisition. ✅ 𝗔𝗪𝗔𝗥𝗘𝗡𝗘𝗦𝗦: "Why must we change?" (Not just "the PE firm says so") ✅ 𝗗𝗘𝗦𝗜𝗥𝗘: "What's in it for me personally?" ✅ 𝗞𝗡𝗢𝗪𝗟𝗘𝗗𝗚𝗘: Role-specific skill building ✅ 𝗔𝗕𝗜𝗟𝗜𝗧𝗬: Tools and authority to actually perform ✅ 𝗥𝗘𝗜𝗡𝗙𝗢𝗥𝗖𝗘𝗠𝗘𝗡𝗧: Systems that sustain new behaviors One family manufacturer that I integrated into a PE portfolio: 15-day close to 5-day close in 6 months. Zero turnover. 𝗧𝗵𝗲 𝗱𝗶𝗳𝗳𝗲𝗿𝗲𝗻𝗰𝗲? 𝗧𝗿𝗲𝗮𝘁𝗶𝗻𝗴 𝗽𝗲𝗼𝗽𝗹𝗲 𝗹𝗶𝗸𝗲 𝗵𝘂𝗺𝗮𝗻𝘀, 𝗻𝗼𝘁 𝗼𝗯𝘀𝘁𝗮𝗰𝗹𝗲𝘀. 𝗖𝗙𝗢𝘀 𝗮𝗻𝗱 𝗣𝗘 𝗽𝗮𝗿𝘁𝗻𝗲𝗿𝘀: 𝗬𝗼𝘂𝗿 𝗻𝗲𝘅𝘁 𝗱𝗲𝗮𝗹'𝘀 𝘀𝘂𝗰𝗰𝗲𝘀𝘀 𝗱𝗲𝗽𝗲𝗻𝗱𝘀 𝗺𝗼𝗿𝗲 𝗼𝗻 𝗰𝗵𝗮𝗻𝗴𝗲 𝗺𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝘁𝗵𝗮𝗻 𝗱𝘂𝗲 𝗱𝗶𝗹𝗶𝗴𝗲𝗻𝗰𝗲. Full framework in article ⬇️ #PrivateEquity #CFO #FinanceTransformation #ChangeManagement