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

doi:10.5888/pcd16.180589

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

Health, Behavior, and Society

Research output: Contribution to journal › Article › peer-review

3 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 language	English
Article number	180589
Journal	Preventing chronic disease
Volume	16
Issue number	8
DOIs	https://doi.org/10.5888/pcd16.180589
State	Published - Aug 1 2019

Bibliographical note

Funding Information:
The authors thank Dr Aasha Hoogland, Ms Stephanie Moore, and the federally qualified health center staff members for their contributions to this project. This article is a product of a Health Promotion and Disease Prevention Research Center supported by cooperative agreement no. 5 U48DP005014–05 from the Centers for Disease Control and Prevention. No copyrighted material, surveys, instruments, or tools were used in this article.

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

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.5888/pcd16.180589

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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.",

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

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

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