Digital health change & training – the 5 levels of good learning and adoption
These days most digital health programmes, large or small, allow time and resources for training. […]
Effective communication and engagement are critical to any change programme.
What does that mean in practice? And how do we make that happen on large, complex and lengthy change programmes? Here are 5 key steps to ensuring your communications contributes to a successful change programme.
Communications should be delivered in support of transformation – to shape this over the life of a change programme Ideal recommend using the Prosci ADKAR Model.
The Prosci ADKAR Model is an internationally recognised framework for understanding and managing individual change. The elements of the ADKAR Model align well with the phases of a change programme. It suggests that “Change happens at the individual level. In order for a group or organisation to change, all individuals within that group or organisation must change.”
It works well in reminding us how we should begin by raising Awareness of a change, then increasing Desire and Knowledge of the change, finishing off with creating Ability and then, in a post-Go-Live world, we talk about Reinforcing that change.
The ADKAR methodology is fundamental to delivering successful transformation and should underpin all change interventions, including training, change management and communication.
Clear, consistent, targeted communication is vital to enabling change. When starting a large change programme, start by developing a communications and engagement strategy and make this an integral part of the programme. If staff don’t understand and embrace the change, they are unlikely to alter behaviour and adoption will be low.
The Comms and Engagement Strategy should be built upon the following:
Key elements to think about when pulling together a communications and engagement strategy:
It is helpful to hold early workshops with key people involved in the programme to get the communications strategy underway. Collectively agreeing your key messages and key stakeholder groups at an early stage is vitally important.
It is also important to decide who is going to lead and deliver the communications messages throughout the programme. This shouldn’t be the communications team. The key influencers need to lead your communications, as they will have the most impact.
The governance structure needs to be set up as soon as possible. An Oversight Group is needed to sign off messages in a timely way and to continually review the communications approach and plan throughout the life of the programme. As the programme moves towards Go-Live, the frequency of important messaging becomes higher, and quick sign off is essential to keep everything on track.
A stakeholder mapping exercise is a useful tool to force the Programme team to think about where it needs to put most communications effort and the frequency of engagement .
It can also change over the lifecycle of the programme so needs to be regularly reviewed and updated.
There are a few key stakeholder groups to consider:
The Case for Change is a clearly articulated rationale for the change, creating a sense of urgency, feeling of passion, optimism and belief in the future.
Define the change story using the 5Ws framework, to identify key themes that will be used across the organisation to communicate the change vision with one voice:
It is important that managers and the programme team can tell the story of the change so that staff understand it and buy into it. They need to own the story and be confident about sharing it with their teams in a consistent way.
Every time someone on the programme has a chat with someone about the change, whether formally or informally, they are communicating about the programme. Every member of the programme is a communicator in their own right and everybody has a responsibility to communicate.
It follows that everyone needs to be on message, on the same page and saying the same things. What is the case for change? Why are we doing this?
Communications teams can help by providing an elevator pitch to explain the benefits, followed by a five-minute catch-up chat, or a more detailed 10-minute chat for those heavily involved. Also provide managers with FAQs to support discussions with their teams.
The programme can last for a long time, so it a challenge to maintain interest.
Use senior clinical colleagues as key communicators, introduce videos and animations to bring change to life, celebrate staff stories and successes, use virtual platforms for people to ask questions, use feedback, and countdown mechanics to create urgency.
Communication is everybody’s responsibility. It is not possible for the comms team to manage every single communication that comes out of the programme.
A cycle of communication will be created where all the various teams are feeding in updates, issues and requirements which need to be included in the communication outputs. It can become quite complicated to manage as so much is going on.
It is really important that, in the middle of it all, the communications and programme teams are working together to agree what needs to be communicated and when. Everyone needs to pull together to keep the messaging relevant and timely whether it’s training, testing or Go-Live activities.
Create your communications plan early and socialise it with key stakeholders. Frame the conversation with who, what, when, why, how. The plan will need to be flexible and adapt to changes in the programme.
Regular evaluation and feedback will steer the communications content and approach.
Use a combination of surveys, focus groups, 1-2-1 interviews, data and anecdotal evidence to assess the progress of Awareness, Desire, Knowledge, Ability and Reinforcement, from the start of the programme through to Go-Live and beyond.
At regular agreed intervals throughout the programme, further surveys and 1-2-1s should be conducted to review progress.
The communication approach needs to be at the heart of the programme. The role of communications is to help to connect the activity together to tell the story of the change, but everyone in the programme team and organisation also have a role to play in telling this story.
Consistent targeted and engaging comms are vital to enabling change. If staff don’t understand why change is happening and embrace it, they are unlikely to alter behaviour and adopt new ways of working.
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