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.
With the incremental change process, the changes occur in small, efficient, and sustainable amounts that can be witnessed and measured with a cumulative benefit over time (Wenger & Lewis, 2021). This type of change is more predictable and provides safeguards to the integrity of the current model. Incremental change strategies can be structured successfully for maintenance and reinforcement. Still, these types of change are not capable of creating a large amount of change immediately, if needed, which would be a disruptive change.
An article by Wenger and Lewis (2021) best describes how disruptive change is different from incremental change and how those changes impact an organization. The COVID-19 (C19) pandemic is an excellent example of how disruptive change differs from incremental change and how the healthcare system was affected. Evidence-based research (EBR) is the cornerstone of how and why interventions are performed to help others and improve health outcomes. The rapid onset of C19 and its devastating mortality rate led to shockwaves throughout the EBR community in the form of disruptive change. Usually, the healthcare community has time to mount a calculated defense, but that was not the case with C19. The research community was pushed for scientific answers before formulating integral answers. Furthermore, mainstream media outlets tainted peer-reviewed research, creating distrust in the professional community and leading to providers conducting their own private research (Wenger et al., 2021).
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Topic 3 Summary
Hello Class,
Our discussions about the role of leaders during change initiatives and the organizational impact of disruptive change were extremely informative! The following quote from Christensen and Overdorf (2000), in my opinion, provides an excellent summary of Topic 3:
Contrary to popular change-management and reengineering programs, processes are not nearly as flexible or adaptable as resources, and values are even less so. So, whether addressing sustaining or disruptive innovations, managers must create a new organizational space where those capabilities can be developed when an organization requires new processes and values (pg. 72).
Christensen and Overdorf (2000) propose solutions such as creating new boundaries for existing organizational structures to facilitate new and improved processes or acquiring a new organization entirely to better facilitate new processes as a result of the change. It is worth noting that their solutions are primarily process-focused rather than people-centered. We also discussed the importance of not losing sight of “people” and employee buy-in during times of change in our discussions.
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Disruptive change is a non-localized future irreversible and change in the organization that affects a portion of the healthcare
LDR 615 Topic 3 DQ 2 What is disruptive change, and how is this different from incremental change
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.
LDR 615 Topic 3 DQ 2 What is “disruptive change,” and how is this different from “incremental change?
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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Daily, the healthcare upheavals we’re witnessing are evolving and having effects we never could have anticipated. Changing policies and procedures on a weekly, if not daily, basis, depending on the current situation. We’re dealing with challenges with the supply chain, human resources, and the availability of beds, and we’re forced to juggle these concerns on a daily basis. Many people are worried about those who are learning to use the new telemedicine technology and may find themselves cut off from the loved ones they rely on for support as a result. The gradual introduction of telemedicine could help patients learn how it works and help them adapt to it. The epidemic did not allow for a gradual learning curve. We’re seeing patients who’ve been putting off seeking medical attention become more sicker than usual once they finally do, only to be diagnosed with cancer. The pandemic needs to be dealt with at the same time as we seek to bring routine health care back on the table for everyone.
Disruptive change is often referred to as transformational change, it is strategic and aims for significant improvements in effectiveness and cost savings (Breul 2005). Breul 2005 describes incremental change as more evolutionary, focused on tactical moves and modest improvements leading to gains in efficiency. Both types of change can be effective; however, an organization must weigh the pros and cons and apply the best tactic for the type of change that is required. With disruptive change, new processes are created; it is most common in large-scale change, and the change is most often sustained. Disruptive change is often fundamental, system-wide, and distinct. Incremental change is a more tactical, small, short-term, partial change that may not be sustained.
An example of a disruptive change would be a substantial change in structure, such as the change made in my hospital 13 years ago. We combined our newborn nursery unit with our postpartum care unit to provide a different type of care. This was a large-scale change that was strategic and profoundly changed our patient care operations. This change affected nearly every aspect of our women’s care organization, from leadership to nursing and support staff. There was a substantial amount of push-back with this change, as there often is with disruptive change. Due to a strong leadership team and great change mentors, we overcame all barriers to this change, and it was successful and sustainable. Disruptive change can be transformative, and it is possible to make this type of change and keep stakeholders on board (Smedley, 2010).
Disruptive change is defined as a significant transformation that takes place within an organization or industry. This type of change can be attributed to a number of different factors like technological advancement (ex., use of smartphones, smart assistants, robotics, machine learning in the workplace) up to changes in the political landscape (ex., electronic counting machines for official vote ballots). This change happens when profoundly established or ineradicable business models are subject to criticism, altered, and reinvented (Gilbert, 2014). On the other hand, Incremental change is the term used to describe efficiency and sustainability enhancements made to the operation of the business, supply networks, and procedures while maintaining its current business model.
The disruptive change has affected the organization through technological enhancements in the way of disseminating communication among employees like the use of fast and reliable unlimited internet for web browsing, data access from home or other sites using Anydesk: use of Viper app.; use of telemedicine and robots for medical clinics and hospitals, etc.
A good example of disruptive change in a long-term care hospital is the introduction of telemedicine and remote patient monitoring. This enables the clients/patients to reduce or limit the need for in-person visits and later increase access to healthcare by allowing patients to get medical consultations, physician’s monitoring from the convenience of their homes and easy access to healthcare (Hess et al., 2020)
References:
Gilbert, C. (2014, August 1). Disruptive change: when trying harder is part of the problem. Harvard Business Review. https://hbr.org/2002/05/disruptive-change-when-trying-harder-is-part-of-the-problem
Hess, R., Mao, J. Z., Rho, K., Khan, A., Levy, E., Pollina, J., & Mullin, J. P. (2020). Letter to the Editor: Embracing Disruptive Change During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic. World neurosurgery, 139, 726–727. https://doi.org/10.1016/j.wneu.2020.05.048
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