How to Lead Change Initiatives

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.

According to a Bain survey, 65% of initiatives fail because they require significant behavioral change. Making business changes stick long-term is one of the greatest challenges leaders face. Here’s how to overcome this hurdle: 1. Clarify Objectives: Without crystal-clear objectives, your team will struggle to understand the "why" behind the change. Define the goals in simple, actionable terms that resonate with every level of the organization. 2. Reinforce Behavioral Change: Behavioral change isn't a one-time effort. It requires consistent reinforcement. Regularly communicate the importance of new behaviors, and celebrate small wins that align with the change. 3. Support Commitment to the Goal: Leaders must visibly commit to the change. This commitment builds trust and signals to the team that the initiative is not just another passing trend but a core part of the company's future. 4. Ensure Accountability: Accountability is critical. Assign clear ownership for each part of the initiative. Use metrics to track progress, and hold individuals and teams responsible for meeting their targets. 5. Combat the Swirl of the Day Job: One of the biggest obstacles to lasting change is the day-to-day swirl of existing responsibilities. Prioritize the change by integrating it into daily routines and making it part of the fabric of the organization. During a recent corporate carveout, we faced the challenge of transitioning from a legacy culture to a more agile, entrepreneurial mindset. The real hurdle wasn't just setting new strategies but ensuring everyone aligned with the new way of thinking. By focusing on these key areas—especially reinforcing new behaviors and combating the daily distractions—we successfully embedded the changes into the company’s DNA, turning a potential roadblock into a stepping stone for growth. Remember, the real problem often isn't the change itself but our collective unawareness of what truly needs to be done to make it stick. Focus on these key areas to ensure that your business changes become lasting improvements rather than temporary adjustments. #Leadership #ChangeManagement #BusinessTransformation #Carveout

"If you have to force change, you've already failed." This became painfully clear when I learned why the majority of organizational transformations collapse… Last week, in a workshop with Tamsen Webster, MA, MBA, I learned a term that fundamentally altered how I view organizational psychology: Reactance. I now call it "The Corporate Immune System" - and it's quietly destroying your change initiatives. Here's the counterintuitive truth most leaders miss: The harder you push for change, the stronger the organizational antibodies become against it. Consider this paradox: When you mandate transformation, you simultaneously create its greatest obstacle. When you force evolution, you guarantee devolution. When you demand innovation, you breed stagnation. HARD TRUTH: Your brain has a freedom detector. And when it senses a threat, it doesn't just resist - it architects elaborate systems of opposition. 𝗧𝗵𝗲 𝗦𝗰𝗶𝗲𝗻𝗰𝗲 𝗼𝗳 𝗦𝘂𝗰𝗰𝗲𝘀𝘀𝗳𝘂𝗹 𝗖𝗵𝗮𝗻𝗴𝗲: 1. The Autonomy Principle "Don't push the boulder. Build the slope." * Every forced change creates an equal and opposite resistance * The energy you spend overcoming resistance could have been spent creating momentum * Psychological safety isn't a buzzword - it's the foundation of transformation 𝟮. 𝗧𝗵𝗲 𝗣𝗮𝗿𝘁𝗶𝗰𝗶𝗽𝗮𝘁𝗶𝗼𝗻 𝗣𝗮𝗿𝗮𝗱𝗼𝘅 "𝗧𝗵𝗲 𝘀𝗹𝗼𝘄𝗲𝘀𝘁 𝘄𝗮𝘆 𝘁𝗼 𝗰𝗵𝗮𝗻𝗴𝗲 𝗶𝘀 𝘁𝗼 𝗳𝗼𝗿𝗰𝗲 𝗶𝘁" * Speed of implementation ≠ Speed of integration * Involvement beats compliance by a factor of 4 * The time you "waste" in collaboration is recovered tenfold in execution 𝟯. 𝗧𝗵𝗲 𝗟𝗲𝗮𝗱𝗲𝗿𝘀𝗵𝗶𝗽 𝗟𝗲𝘃𝗲𝗿𝗮𝗴𝗲 𝗣𝗼𝗶𝗻𝘁 "𝗖𝗵𝗮𝗻𝗴𝗲 𝗵𝗮𝗽𝗽𝗲𝗻𝘀 𝗮𝘁 𝘁𝗵𝗲 𝘀𝗽𝗲𝗲𝗱 𝗼𝗳 𝘁𝗿𝘂𝘀𝘁, 𝗻𝗼𝘁 𝘁𝗵𝗲 𝘀𝗽𝗲𝗲𝗱 𝗼𝗳 𝗳𝗼𝗿𝗰𝗲" * Trust is the hidden multiplier in all transformation equations * Authority can mandate behavior but never belief * The best change strategies make resistance harder than adoption Here's what the research shows: * 70% of change programs fail to meet their objectives (McKinsey) * Projects with excellent change management are 6x more likely to succeed (Prosci) * Organizations with effective change management practices report 143% higher ROI compared to those with minimal change management (Prosci) Intellectual humility moment: I had to unlearn a decade of "best practices" to understand this fundamental truth - the most effective change feels chosen, not imposed. What conventional wisdom about change leadership do you need to unlearn? #OrganizationalPsychology #ChangeManagement #LeadershipScience Tamsen Webster - Your reactance framework revolutionized my approach to change.

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.