ADKAR
Dr.
Vu Le, MD FAPA
• Awareness • Desire • Knowledge • Ability • Reinforcement
Change Management
Awareness
• Understanding of the situation
- #1 Reason for Failure – Lack of awareness for the need to change - What is going on that needs this change - What happens if the situation doesn’t change - What are the risks for the change
• Showcase the importance of communication
Awareness
• Other factors that affects awareness
- Personal view of the current state
- If it is not broken, don’t fix it
- How a person perceives the problem
- What am I don’t that is wrong
- Credibility - Person creating the awareness - Trust - Respect - Institution history for change
Awareness
• Other factors that affects awareness
- What are the rumors and mis-information
- Lack of communication creates the opportunity for mis-information and rumors
- Sometime plan is not fully implemented
- Barriers for the change
- Is change needed
Desire
• Awareness does not equal Desire
• What’s in it for me? (WIIFM)
• Motivation for change
• Organization history for change
• How to change
Knowledge
• Does not equal Awareness
• Does not equal Desire
Knowledge
• How to change - Training/Education - Roles/Responsibilities
• Does not equal Awareness
• Does not equal Desire
Knowledge
• Current level of knowledge
• Capacity to receive the knowledge
• Knowledge resources
- Access to knowledge
- How the knowledge is presented
Ability
• Psychology ability
• Physical ability
• Access to resources to obtain the ability - Time to develop the ability - Time to implement the ability - Financial ability - Tools and material - Mentors and Coaches
Reinforcement
• Recognizes the change that was made
• Prevent return of old processes
• Help change
• Changes the institution narrative
Reinforcement
• Meaningful reinforcement - Private - Public
• Negative Consequences
• Accountability – help sustained change
Applying the Principle
• Awareness • Desire • Knowledge • Ability • Reinforcement