- Organization-wide vs. Subsystem Change
- Transformational vs. Incremental Change
- Remedial vs. Developmental Change
- Reactive vs. Proactive Change
Organization-wide vs. Subsystem Change
Organization-wide change involves major restructuring or new collaboration
Subsystem change may include adding or removing a product or service, or expanded clinic hours.
Transformational vs. Incremental Change
Transformation or radical change involves changing an organizations' fundamental structure and culture
e.g., moving from a top-down, hierarchical structure to self-directing teams
Incremental change is a series of small, often planned steps that take place over time
e.g., implementation of a new computer system to increase efficiency
Remedial vs. Developmental Change
Remedial change is planned to remedy current situations such as increasing efficiency or reducing burnout.
Remedial change is more focused, urgent and visible because it addresses current major problems
Developmental change is more general and intended to make an effective organization more successful
Developmental change examples include expanding services of products or number of patients served
Reactive vs. Proactive Change
Reactive or unplanned change occurs when a major, sudden event in the organization causes its members to respond in highly disorganized ways.
e.g., a leader's resignation or a major public relations problem
Proactive change occurs when leaders in the organization recognize the need for a major change and organize to accomplish the change
e.g., engaging in strategic planning