Change presentation.

Identify a change that is required in your organisation working in a health care in Australia.

• Why is the change necessary? What will happen if the change is not implemented? What
characteristics of the change make it innovative?

Identifies, discusses, analyses, and critiques the reason for the change and the characteristics that
make it innovative.

The change process chosen would be the implementation of telemedicine service in the health care
that I am working in as health care setting which lacks capability in the sector. Telemedicine helps
individuals to provide consultation and treatment remotely(Corbett et al., 2020). The telemedicine
change is innovative since it uses modern technology and uses that technology to abridge
geographical barriers and helps improve the health outcome through proper monitoring and
consultations(Oborn et al., 2021).

There is a very uneven distribution of health care in terms of access which is specifically faced by
individual in regional Australia as mentioned in the book “Welfare bushed”(Cheers, 2019).
Telemedicine can help abridge that gaps and helps promote equity in terms of healthcare across
Australia. Another reason for the implementation of this change would be to save cost if the health
care is keen on expansion. The health care can extend its influence without building physical
infrastructure or incurring additional overhead charges like staffing which is also an important
rationale for change(López Seguí et al., 2020).

Tele medicine can save lives as people in remote arears can have far reaching impact so if the change
is not implemented it is possible that the target population in regional area targeted by the health
care might not have access to timely and quality care. Also, individuals might have to travel long
distances to receive necessary medical procedures(López Seguí et al., 2020). In addition, these
regional population may be at risk in case of emergency.

• Which models will be used? Why? (You need to strongly argue whey they are the appropriate
models).

The Lewin’s three step change model will be used for the change implementation which constitute of
three steps:

 Unfreezing.
 Implementing the change.
 Refreezing.

This model will be used since the most significant advantage it gives is the gradual change which is a
step-by-step change(Bakari et al., 2017). This will help health care grow sustainably and the health
care can divert if there are many challenges which the health care is not able to handle. In addition
to this the health care can focus on this sector without diverting many resources as it will slowly add
resources as per the progress of the change. This model is simple to use as well, and it leads to
lasting change(Burnes, 2020).
The Prosci Adkar model will not be used since it has limited focus which might overlook coordination
amongst departments and overlook the significance of stakeholders engagement(Chen et al., 2018).
Additionally, Adkar model is usually not associated with technological changes due to its limited
guidance in technology integration(Vdovichenko, 2015).

Kotters eight step mode is an com prehensive model, but it would not be used either because of
many steps and the complexity in implementing the model(Spear, 2016). Another important aspect
to not consider this model is due to its lack in individual focus as one of the purposes of telemedicine
is to consult on one on one basis(Page & Schoder, 2018).

• What skills will the leaders and change agents require?

Change management is an framework which is used by leaders and change agents to for leading
people side of change so that the outcome that is desired is achieved(Hayes, 2022). So, to implement
this change there are various skills that are needed. In the above context the skills that might be
needed is discussed as:

 Communication is a key aspect of which a leader and change agent should posses to bring
forth the change. The leaders should be adept at communicating with various stakeholders
so that there is an smooth flow if information which helps in the change process(Cameron &
Green, 2019).
 Emotional intelligence is another key skill that a leader and change agent should have to
make the change possible. When one have high emotional intelligence than one has high
empathy and can connect with other people building trust amidst them pushing for change
on that basis(Kanesan & Fauzan, 2019).
 There are other skills also that befits leaders and change agents to bring change like
stakeholder management, agile thinking, persistence etc.

• How will change be communicated to stakeholders? How will you determine if this communication
has been effective?

The change will be communicated as mentioned below:

 By Creating a communication strategy that includes a timeframe, communication routes,

target stakeholders, and key messaging(van Ruler, 2021).
 To emphasise benefits, answer concerns, and describe the implementation process, use clear
and consistent communications.
 To successfully contact stakeholders, make use of a variety of communication methods,
including emails, conferences, webinars, and specialised platforms.
 Recruit leaders and change agents to support and promote the change.
 Encourage conversation and input from stakeholders to promote two-way communication.
 Create training and education opportunities to give stakeholders the know-how and abilities
they need for telemedicine services.

The determination of if the communication was effective below process will be followed:
  Survey the stakeholders to get their opinions on the communication messages' relevancy,
clarity, and satisfaction.
 Keep track of how frequently patients and medical professionals use telemedicine services.
 To gauge engagement and involvement, keep track of the amount and kind of stakeholder
enquiries and feedback.
 Conduct knowledge evaluations to gauge how well stakeholders comprehend and use the
knowledge.

• What are the anticipated barriers and enablers?

Barriers:

 Technological Infrastructure: The deployment of telemedicine might be hampered by

inadequate technological infrastructure as can be seen in the implementation of
telemedicine in Kenya(Onsongo et al., 2023). Improve infrastructure to guarantee
dependability.
 Resistance to Change: Adoption can be hampered by stakeholder resistance brought about
by concerns about job security, disruptions to workflow, or lack of experience with new
technologies(Helms-Mills et al., 2008). Communicate with stakeholders, provide training, and
address their issues.
 Regulation and Legal Considerations: It might be difficult to comply with privacy and
healthcare legislation(Gajarawala & Pelkowski, 2021). Develop strict privacy procedures,
work with legal teams, and stay informed.

Enablers:

 Support for the leadership: Effective leadership support is essential. Leaders should support
the change, allot funds, and promote a culture of innovation.
 Personnel Education and Training: Thorough training provides personnel with the skills they
need. Create educational programmes that encompass telemedicine's technological and
clinical facets.
 Patient Education and Engagement: To encourage acceptance and usage, educate and
involve patients to offer patient education resources.

• How will the change process be evaluated? What are the indicators of successful/unsuccessful
change?

Numerous techniques and indicators are used to assess the change process in the implementation of
telemedicine. Here are some typical methods and measures to assess if the change was successful or
unsuccessful:
  Rates of Adoption and Use: Track the rates at which patients and medical professionals use
telemedicine services. Higher rates signify more effective adoption.
 Feedback from Stakeholders: Collect opinions from patients, employees, and healthcare
professionals via surveys, focus groups, or interviews(Duthiers, 2023). Positive feedback that
shows contentment, acceptance, and perceived advantages is a sign that a change has been
effective.
 Quality of Care: Consider how telemedicine has affected the standard of the services
provided. Evaluation of patient outcomes, satisfaction, and clinical indicators will reveal if the
adjustment has enhanced or degraded the quality of care.
 Cost Effectiveness: Consider how much it will cost to deploy telemedicine. Analyse cost
reductions and decreased healthcare.

References

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