title: Paving the road to hell: why change programs ultimately fail.
abstract: A successful change program must have clearly delineated and honestly defined goals. Change requires conviction, money, and effort and the willingness to invest all three. Change programs fail when any of these requirements are lacking. Many health care executives have the conviction, but are unwilling to spend the money or expend the effort. Some lack conviction, despite having money; the effort is merely spinning wheels with no forward motion. Often all three are lacking, despite an outward appearance to the contrary--the result of management delusions. Employees are quick to see through misleading and insincere schemes. It is much easier to foster trust from the outset than to rebuild it after it has been violated.
authors.affiliation: rusin003@tc.umn.edu
authors.forename: D A
authors.initials: DA
authors.lastname: Rivera
mesh_terms: D001291:Attitude of Health Personnel; D004059:Diffusion of Innovation; D006801:Humans; D007400:Interprofessional Relations; D009042:Motivation; D015279:Organizational Culture; D009936:Organizational Innovation; D009937:Organizational Objectives; D008486:Physician Executives; D011216:Practice Management, Medical / Q000458:organization & administration; D012945:Social Values; D017749:Total Quality Management