Building upon the lessons below, learners will also critique assigned articles, participate in discussion boards, compose a comprehensive essay on the subject “Effective Change Management,and participate in a comprehensive evidence-based change management simulation.



Week 1: Surprising, and Not-So-Surprising, Things About Change


Appeal to both the elephant and the rider

High-value care is affordable and achieves quality meaningful outcomes

Implement key evidence-based change management principles


Week 2:  Direct the Rider by Following the Bright Spots


Follow the Bright Spots – Find out what’s working and copy it.

Redesign the financial incentives to reward value

It is foolish to reward A and hope for B


Week 3: Direct the Rider by Scripting the Critical Moves


Eliminate ambiguity by focusing on a few specific behaviors

Never waste a crisis

People are your most important asset


Week 4: Direct the Rider by Pointing to the Destination


Keep reminding people of the goal and why it’s important

Open scheduling to maximize physician efficiency and patient preference

Dispositional affect & Emotional Intelligence are key success factors


Week 5: Motivate the Elephant by Finding the Feeling


Information isn’t enough. Stimulate emotion

Engage patients in decision making

Health insurance improves access to care and a wide range of health outcomes


Week 6: Motivate the Elephant by Shrinking the Change


Break it down so you don’t intimidate the elephant

Integrate behavioral health providers into primary care

Knowing the price is helpful, but may not reduce spending


Week 7: Motivate the Elephant by Growing Your People


Everyone wants to belong and improve

Utilize virtual medicine to augment access and preventive outcomes

No one-size-fits-all healthcare system


Week 8: Shape the Path by Tweaking the Environment


Behavior is adaptive to context. Change the situation and make the journey easier

Healthcare is subject to local socio-political and economic factors

For comparison to end in improvement, reasons for difference must be understood


Week 9: Shape the Path by Building Habits


Habitual behavior takes less energy

Be/Select an accessible and improving healthcare provider


Week 10: Shape the Path by Rallying the Herd


Behavior is contagious. Help it spread

Examples of the ‘contagiousness’ of desirable behavior