A change-management approach to closing care gaps in a federally qualified health center: A rural Kentucky case study

Angela L. Carman, Robin C. Vanderpool, Lindsay R. Stradtman, Emily A. Edmiston

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Effective organizational change requires intentional planning. We applied Kotter's 8-Step Process for Leading Change model in understanding and evaluating how a federally qualified health center in rural Kentucky implemented a significant organizational change - a proactive office encounter (POE) model - to improve preventive care service delivery, close care gaps, and reduce health disparities among its patients. We completed qualitative interviews with 21 clinic personnel (eg, administrators, physicians, support staff, care coordinators) who were directly involved with POE implementation. We found evidence of steps 1 through 7 of Kotter's 8 steps of change in the POE implementation process. Step 8, anchoring new approaches in the organizational culture, was an area for improvement. Change-management models, such as Kotter's 8-Step Process for Leading Change, provide a systematic guide for health clinics to implement sustainable organizational change aimed at improving patient health outcomes.

Original languageEnglish
Article number180589
JournalPreventing chronic disease
Volume16
Issue number8
DOIs
StatePublished - Aug 1 2019

Bibliographical note

Publisher Copyright:
© 2019 Centers for Disease Control and Prevention (CDC).

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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