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Implementing strategic change in a health care system: The ...

Implementing strategic change in ahealth care system: The importance ofleadership and change readinessDavid F. CaldwellJennifer ChatmanCharles A. O Reilly IIIM argaret OrmistonMargaret LapizBackground:Shifts in the environment can compel health care organizations to change their strategies. Howeverstrategic change frequently fails because individuals do not adopt the behaviors necessary to successfullyimplement the new :This study explores how three variables agreement with new strategy, leaders actions, and groups general orientation toward change can influence members of physician teams to take actions supporting astrategic shift aimed at improving patient :Physicians in 37 specialty departments in a large health care organization were surveyedregarding their support for a new custom

highest when the group supports the strategic change and the leader reinforces it. We use this logic to hypothesize three additive interactions: Hypothesis 4: The interaction between high levels of support for the strategic change and the leader’s effectiveness in supporting the change will en-hance the positive outcome of the change.

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