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Following a proven path to success.

Article Excerpt
If you leave one component out of a chemical process, you are likely to get a different result than the one you anticipate.

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If you leave a step out of a healing process, such as rehabilitation, you are also likely to get a different result than the one you desire.

Similarly, if you leave a key component out of a change process, you will typically get outcomes that are different than the ones you hope for.

As noted in a prior edition of this column, change is difficult and failure rates for change initiatives are high, often exceeding 65 percent. (2) Health care is no exception, and the cost of unsuccessful initiatives--such as patient safety, physician relations, new information technology--may well be beyond our ability to pay in either dollars or lives.

While there is no single right approach to tackling change, following a systematic, sequential process developed by others who have effectively traveled through similar territory increases your likelihood of success. Attention to three components is essential....

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