Enhancing Care for Older People - Health Service Executive

Figure 2.3: HSE Change Model (HSE, 2008)
INITIATION
1. Preparing to
Lead the Change
7. Evaluating
and Learning
MAINSTREAMING
6. Making it
“the way we do our
business”
2. Building
commitment
Change model adapted from:
Kolb, D. and Frohman, A. (1970), Huse, E. (1980), Neumann, J. (1989), Kotter, J.P. (1995)
and Ackerman Anderson, L. and Anderson, D. (2001).
The implementation of change through the use of PD is a systematic and structured
approach to move from one situation to another, in order to change the culture and context
of care provision. The processes and structures used in PD are similar to the HSE Change
Model as identified in Improving Our Services: a Users’ Guide to Managing Change in the
Health Service Executive (HSE, 2008).
The approach referred to in PD and the HSE 2008 model promotes a collaborative and
supportive approach and involves:
• Paying particular attention to the people involved and cultural aspects of change.
• Involving service users in all aspects of the process.
PLANNING
3. Determining
the Detail of the
Change
4. Developing
the Implementation
Plan
IMPLEMENTATION
5. Implementing
Change
• Focusing on the connections, relationships and dependencies between different parts
of the system.
• Prioritising long-term sustainable change and improved organisational effectiveness.
• Paying attention to the transfer of knowledge and skills so that the system equips itself
to manage change in the future.
• Supporting the values of participation and development and placing a strong emphasis
on human resource practices and team work.
• Promoting processes of regular feedback and evaluation at all stages of the change
journey.
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