Steps For Creating A Change Management Plan

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.

Too often sales managers and VP's 'Set Expectations' but then are SHOCKED when people don't follow through. More often than not it's because they skipped some VERY important steps when it comes to rolling out anything new. So for change management to really occur, any new process, these are the steps you have to follow. 1. Sell vs Tell - Sell WHAT you want done. Tell the story. Tell the impact. Sell the WHAT, not just tell it. 2. Explain the how - Aka WGLL (wiggle aka what good looks like) - Here is what good looks like. 3. Teach and Train - Don't just assume people know how to do it! You have to actually teach it step by step. 4. Get Agreement and Commitment - You need direct agreement back saying 'yes I will do this thing and I feel confident i can do this thing' 5. Do it together - The first few weeks/iterations ideally are done as a group. Get the momentum going, get the questions out of the way, etc. 6. Inspect and Follow Up - Don't let weeks go by and THEN check in. That needs to be done before something is due AND after. Don't wait for the miss. 7. The 4 R's - Recognize (If they did it, recognize them for it!) Reward (same idea, what does it unlock) Repercussion (If they didn't what are the repercussions) Repeat/Repetition (Keep it going. Review, Update, etc) This is change management. So if there are certain things your team is supposed to be doing but arent... Go to these 7 steps. Did you miss something?

Successful organizational change requires a solid strategy. Here’s how I help organizations make it stick: 👇 1️⃣ 𝐀𝐬𝐬𝐞𝐬𝐬 𝐭𝐡𝐞 𝐠𝐚𝐩. Where are you now? Where do you need to be? Without a clear understanding, you’re guessing, not leading. 2️⃣ 𝐁𝐮𝐢𝐥𝐝 𝐚 𝐫𝐞𝐚𝐥 𝐬𝐭𝐫𝐚𝐭𝐞𝐠𝐲. A change management plan isn’t optional. It aligns teams, removes confusion, and sets the foundation for success. 3️⃣ 𝐄𝐧𝐠𝐚𝐠𝐞 𝐛𝐨𝐭𝐡 𝐜𝐡𝐚𝐦𝐩𝐢𝐨𝐧𝐬 & 𝐬𝐤𝐞𝐩𝐭𝐢𝐜𝐬. The biggest mistake? Only listening to supporters. Skeptics reveal blind spots you can’t afford to ignore. 4️⃣ 𝐄𝐱𝐞𝐜𝐮𝐭𝐞 𝐤𝐞𝐲 𝐦𝐢𝐥𝐞𝐬𝐭𝐨𝐧𝐞𝐬. Success happens in phases. If you don’t focus on critical moments, change loses momentum. 5️⃣ 𝐑𝐞𝐜𝐨𝐠𝐧𝐢𝐳𝐞 & 𝐫𝐞𝐰𝐚𝐫𝐝 𝐞𝐚𝐫𝐥𝐲. Change is hard—celebrate wins, big or small. Recognition fuels momentum. 6️⃣ 𝐌𝐚𝐤𝐞 𝐢𝐭 𝐬𝐭𝐢𝐜𝐤. Set new KPIs to track progress. Ensure the change becomes part of your culture, not just a temporary shift. Change isn’t an announcement. It’s a process. And the companies that do it right don’t just survive. They lead.