In addition to being team-focused, the objectives set should be patient-focused. At present, the patient is not the focus of any particular individual or group, although they are perfectly willing to invoke the patient to justify a roadblock to change. Motivators are key to implementing organizational change as they orient the actions of the individuals within the organization.

Kotter and Schlesinger (2008) outline the four main points of resistance to change: "a desire not to lose something of value, a misunderstanding of the change and its complications, a belief that the change does not make sense for the organization, and a low tolerance for change in general." To this I would add a fifth reason -- that the change is genuinely bad. Given the questionable quality of management, there may have been past change programs that failed miserably, stoking resistance to this change. No matter the reason, the way to...
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