Feb 23, 2024 LDR 615 Topic 3 DQ 2 What is “disruptive change,” and how is this different from “incremental change?
LDR 615 Topic 3 DQ 2 What is “disruptive change,” and how is this different from “incremental change?”
LDR 615 Topic 3 DQ 2 What is disruptive change, and how is this different from incremental change?
What is “disruptive change,” and how is this different from “incremental change?” How does disruptive change affect an organization? Provide an example.
Disruptive change consists of large changes that normally occur rather abruptly. If this change occurs too quickly then the members of the organization can overreach and become threatened (Gilbert & Bower, 2022). If the change is seen as beneficial by the team members, then the change is more likely to be accepted and embraced (Gilbert & Bower, 2022). This change is both positive and negative for organizations. Many times, quick and large changes are extremely necessary to maintain safety and efficiency. In my healthcare organization, our unit finds ourselves constantly adapting to new evidence-based practices that are constantly occurring. Only a few weeks ago, the process in which fluids are changed was completely transformed due to a few recent unexplained hospitals acquired infections. This was a difficult change to accept since it seemed that changes were being made without any clear reason. The infections were occurring but there was no clear cause.
Incremental change or incremental innovation consists of a company expanding a company based on a small improvement to processes that are already in place (Masschallenge, 2021). The goal of incremental change is to grow sales and profit, enhance current business models, and create new models without having to start completely over (Masschallenge, 2021). This approach is difficult for disruptive change as it enhances what is already in place rather than initiating a new change. This approach can be extremely beneficial in various situations. Both should be utilized in organizations.
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Topic 3 Summary
Hello Class,
Our discussions regarding the role of leaders during change initiatives and the organizational impact of disruptive change were deeply enlightening! I believe the following quote by Christensen and Overdorf (2000) provides an excellent summary of Topic 3:
Despite beliefs spawned by popular change-management and reengineering programs, processes are not nearly as flexible or adaptable as resources are and values are even less so. So whether addressing sustaining or disruptive innovations, when an organization needs new processes and values – because it needs new capabilities – managers must create a new organizational space where those capabilities can be developed (pg. 72).
The solutions offered by Christensen and Overdorf (2000) include creating new boundaries for existing organizational structures which facilitate new and enhanced processes or acquiring a new organization altogether which better facilitates new processes as a result of the change. Notice that their solutions are mostly process focused and not people-centered. In our discussions, we also brought up the importance of not losing sight of “people” and employee buy-in during times of change as well.
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Disruptive change is a non-localized future irreversible and change in the organization that affects a portion of the healthcare industry/organization that does not affect a localized area but rather the entire valued network/organization (Smith, 2014). Disruptive change is one that is powerful, abrupt, and can lead to concerns when an organization does not choose to follow suit, and in result they may be left behind (Day, n.d.). The response of how the organization handles the disruptive change will affect the team members involved within the unprepared abrupt changes that are occurring.
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Incremental change is when change occurs at a slower pace over time, less drastic and gradually develops changes/plans within the organization (Day, n.d.). Incremental change can improve efficiency, gives understanding, and build stronger rapport and moral within the organization.
Disruptive changes occur every day in our lives; however, the COVID-19 pandemic has caused an increase in disruption. The Covid-19 pandemic placed disruptive change, crisis mode, on many aspects of my organization from available resources, chain supply, staff, visitor policies, technology, and elective surgical cases being canceled, to list a few. With the changes that have occurred within my organization will/has affected the whole organization. An example of disruptive change that is currently occurring at my organization is the need to have to cancel elective surgeries either the night before, morning of, and in some cases when the patient arrives at the hospital due to not having enough hospital beds and/or staff at that very moment. With my hospital needing to cancel elective surgeries and if other hospitals are not needing to, it can cause our organization to lose patients to another organization especially when they are being canceled on the spot of arrival. Another example of disruptive change during the pandemic is technology and the use of telehealth/telemedicine visits. This has been a challenge for many patients since many may not have the technology tools to complete these visits, not educated clearly on how to use the tools and/or financially unable. Abrupt technology has caused patients difficulty in accessing their electronic health record portals and communicating to their provider through them. “A lot of the changes are so gradual that they don’t even qualify as news, or even as interesting: they’re so mundane that we just take them for granted. But history shows that it’s the mundane changes that are more important than the dramatic ‘newsworthy’ events”-Robert D Kaplan (Fingerprint for Success, n.d.).
References
Day, J. (n.d.). Incremental change vs disruptive innovation: What’s the difference? https://ideascale.com/what-is-the-difference-between-an-incremental-change-and-disruption/
Fingerprint for Success. (n.d.). Incremental change. https://www.fingerprintforsuccess.com/traits/incremental-change
Smith, C. (2014). Meeting the challenge of disruptive change. https://change.walkme.com/meeting-the-challenge-of-disruptive-change/
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The disruptions that we are seeing in healthcare are changing daily with impacts we never could have planned for. Changing policies and procedures weekly, sometimes more than once peer week based on the circumstances we have at that particular moment. We are facing supply chain issues, staffing issues, bed availability issues some all at the same time, having to prioritize them more than once throughout the day. The concerns for those learning to deal with the changing telemedicine technology, especially when they may be isolating themselves from their family and friends who they rely on for help, is a large concern. With incremental changes we could educate and demonstrate how telemedicine works and allow them to slowly get used to this technology. The pandemic did not allow for that learning curve. We are seeing patients waiting to seek treatment for illnesses being much sicker than normal when they are seeking care and seeing and later diagnosed cancers. While we continue to fight the pandemic, we need to also be working toward getting routine care routine again.
Disruptive change occurs when the business model of an organization is completely changed or reinvented (Day, 2023). This type of change affects many as it reimages the organization’s process, products, and services. This type of change is driven by various factors such as technology or global events, significantly impacting organizations and creating both opportunities and challenges (Day, 2023). An example of disruptive change is COVID; the world was impacted, and change occurred overnight. Some of the changes became permanent and others were temporary, but changes weren’t easy as they occurred so fast. Disruptive change can create chaos and confusion negatively impacting the organization but, absolutely needed for change that needs to happen immediately. One of the disruptive changes that happened at my facility during COVID was the hold on surgeries. All cases had been canceled until further notice and only those deemed an emergency would have surgery. The process of prepping for surgery, intubating, and recovery has completely changed for the safety of the patient and the healthcare team. Education and adaptability happened rather quickly as there wasn’t much time to prepare for the change.
Incremental change occurs over time at a slow pace, it develops gradually develops change within an organization (Day, 2023). It helps to improve efficiency, provides understanding, and builds organizational morale. The focus here is on continuous improvement and building on current practices versus completely changing everything. An example of Incremental change is a transition to new software and charting systems, for instance, EPIC. My organization decided to change over from Cerner to EPIC last year and it was well well-thought-out process. There was notification and information about the change followed by education and training. The facility held events to celebrate the change and gave the staff time to see the new equipment, ask questions, and become more familiar with the product. At go live there was extra support and help available to make the transition seamless. Both styles create change and can impact an organization either positively or negatively, it is important to keep patient safety as the highest priority when making changes (Net Health, 2021).
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