Navigating Strategic Change Process in Healthcare Organizations During Unexpected Crisis Change Process in Healthcare Organizations During Crisis

Main Article Content

Jijo Paul, Ph.D., M.Phil., E.MBA, M.S.

Abstract

The Radiation Oncology (RO) clinical department is a significant healthcare facility in university hospitals dedicated to treating cancer patients using radiation. Radiation oncology has undergone significant workflow changes, patient appointments, patient scheduling, treatment flow, medical care, and many more to continuously treat cancer patients safely in healthcare facilities during the pandemic crisis. The present study examined the decision-making, change initiatives, implementation process, and post-transition review of these changes in the department of a major university hospital.


 


In contrast to the usual change initiatives, the executive level made all the crucial decisions with the support of a network of teams and then passed them on to the lower-level employees for quick implementation in the crisis. formulated quickly implemented the formulated decisions, sending the essential communications through various electronic methods. The department performed well in this change initiative/ process, allowing patients to continue radiation treatments by taking the necessary steps to tackle the crisis effectively. The department revenue was reduced over the period, and no employee lost their job due to the effective involvement of the management from the beginning of the crisis. Many employees were allowed to work from home, implemented telehealth programs for patient consultations, and provided patients with specific appointment times for radiation treatments. These steps considerably reduced department traffic to control viral spread issues successfully.

Keywords: Strategic Change Process in Healthcare Organizations, Strategic Change Process in Healthcare Organizations During Unexpected Crisis

Article Details

How to Cite
PAUL, Jijo. Navigating Strategic Change Process in Healthcare Organizations During Unexpected Crisis. Medical Research Archives, [S.l.], v. 12, n. 3, mar. 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5213>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.18103/mra.v12i3.5213.
Section
Review Articles

References

1. Barnett ML, Mehrotra A, Landon BE. COVID-19 and the upcoming financial crisis in health care. NEJM Catalyst. 2020;383:1483-1488

2. Filip R, Puscaselu RG, Anchidin-Norocel L, et al. Global challenges to public health care systems during the COVID-19 pandemic: A review of pandemic measures and problems. J Pers Med. 2022; 12(8): 1295.

3. Thom KA, Kleinberg M, Roghmann MC. Infection prevention in the cancer center. Clin Infect Dis. 2013; 57:579-585.

4. American Society of Therapeutic Radiation Oncology (ASTRO). COVID-19 pandemic has led to more advanced-stage cancer diagnoses, physician survey finds. ASTRO 2021. https://www.astro.org/News-and-Publications/News-and-Media-Center/News-Releases/2021/COVID-19-pandemic-has-led-to-more-advanced-stage-c#:~:text=Radiation%20therapy%20clinics%20continue%20to,to%20the%20COVID%2D19%20pandemic.

5. Shirke MM, Shaikh SA, Harky A. Implications of telemedicine in oncology during the COVID-19 pandemic. Acta Biomed. 2020; 91(3): e2020022

6. Bertholet J, Aznara MC, Garibaldi C, et al. Professional practice changes in radiotherapy physics during the COVID-19 pandemic. Physics and Imaging in Radiation Oncology. 2021; 19: 25–32

7. Rivera A, Ohri N, Thomas E, et al. The impact of COVID-19 on radiation oncology clinics and patients with cancer in the United States. Advances in Radiation Oncology, 2020; 5: 538-543

8. Wakefield DV, Sanders T, Wilson E, et al. Initial impact and operational responses to the COVID-19 pandemic by American Radiation Oncology Practices. Int J Radiat Oncol Biol Phys. 2020; 108: 356-361.

9. Slotman BJ, Lievens Y, Poortmans P, et al. Effect of COVID-19 pandemic on practice in European radiation oncology centers. Radiother Oncol., 2020; 150: 40-42.

10. Rush University Medical Center (RUMC), Chicago, Illinois, USA. 2023. http://catalog.rush.edu/content.php?catoid=9&navoid=670#rush-university-medical-center-mission,-vision-and-values

11. Moynihan R, Sanders S, Michaleff ZA, et al. Impact of COVID-19 pandemic on utilization of healthcare services: a systematic review. BMJ Open. 2021;11: e045343

12. Higgins D, Bourne PA. Implementing change in an organization: A general overview. Journal of Psychology and Behavioral Sciences, 2018. DOI: 10.32474/SJ PBS.2018.01.000102

13. Nohria N, Beer M. Cracking the code of change. Harvard Business Review (HBR) 2000. https://hbr.org/2000/05/cracking-the-code-of-change#:~:text=The%20brutal%20fact%20is%20that,an%20alphabet%20soup%20of%20initiatives.

14. Naike B, Ágnes K, Éva C, et al. The role of power in health care conflict: Recommendations for shifting toward constructive approaches. Academic Medicine 96(1): 134-141.

15. Restivo V, Minutolo G, Battaglini A, et al. Leadership effectiveness in healthcare settings: A systematic review and meta-analysis of cross-sectional and before–after studies.

16. Heifetz R, Linsky M. Change management. A survival guide for leaders. Harvard Business Review. 2002. https://hbr.org/2002/06/a-survival-guide-for-leaders

17. Farkas CM, Wetlaufer S. The ways chief executive officer's lead. Harvard Business Review (HBR) 1996. https://hbr.org/1996/05/the-ways-chief-executive-officers-lead

18. Woods P. Authority, power, and distributed leadership. Management in education. 2016; 30 (4):155-160

19. Gilmartin HM, Connelly B, Hebbe A, et al. Assessing the impact of remote work during COVID-19 on clinical and translational scientists and staff in Colorado. J Clin Transl Sci. 2021; 5(1): e71.

20. Burnes B. The origins of Lewin's three-step model of change. The Journal of Applied Behavioral Science. 2019. https://doi.org/10.1177/0021886319892685

21. Nilsen P, seeing I, Ericsson C, et al. Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses. BMC Health Serv Res. 2020; 20: 147.

22. Laukka E, Huhtakangas, M, Heponiemi T. Identifying the roles of healthcare leaders in HIT implementation: A scoping review of the quantitative and qualitative evidence. Int J Environ Res Public Health. 2020; 17(8): 2865.

23. Bishop TF, Press MJ, Mendelsohn JL, et al. Electronic communication improves access, but barriers to its widespread adoption remain. Health Aff. 2023. DOI: 10.1377/hlthaff.2012.1151

24. Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources for Health (2020) 18:2

25. Qin X, Wang B, Zhao J, et al. Learn from the best hospitals: a comparison of the mission, vision and values. BMC Health Serv Res. 2023; 23: 792.

26. Hussain ST, Lei S, Akram T, et al. Kurt Lewin's change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge. (2018);3:123–127

27. Bobocea L, Spiridon ST, Petrescu L, et al. The management of external marketing communication instruments in health care services. J Med Life. 2016; 9(2): 137–140.

28. Ahmed T, Lycan T, Dothard A, et al. Performance status and age as predictors of immunotherapy outcomes in advanced non-small cell lung cancer. Clin Lung Cancer. 2020; 21(4): e286–e293.

29. Berry LL, Yadav, MS, Hole, MK, et al. Reclaiming healthcare’s healing mission for a sustainable future. Sage - Journal of Service Research. https://doi.org/10.1177/10946705231198024

30. Braun S, Wesche, JS, Frey D, et al. Effectiveness of mission statements in organizations – A review. Journal of Management & Organization. 2012; 18 (4): 430-444.