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Combining the Viable System Model and Kotter’s 8 Steps for Multidepartment Integration in Hospitals

Author

Listed:
  • Guillaume Lamé

    (LGI - Laboratoire Génie Industriel - EA 2606 - CentraleSupélec)

  • Oualid Jouini

    (LGI - Laboratoire Génie Industriel - EA 2606 - CentraleSupélec)

  • Julie Stal-Le Cardinal

    (LGI - Laboratoire Génie Industriel - EA 2606 - CentraleSupélec)

Abstract

Integration between different departments is a major challenge for hospitals. It is considered as a key step towards greater efficiency. Yet research in industrial engineering does not provide satisfactory answers to this issue. Multi-departments issues are under-investigated and the implementation of recommendations is scarce. In this article, we focus on the first phases of a change program aiming at the better integration of a hospital sub-system. We propose an original methodological combination: Stafford Beer's Viable System Model, an organizational cybernetics model, is coupled with John Kotter's 8 steps for leading change, a change management method. We implement this approach in an action-research project in a French hospital's outpatient chemotherapy sub-system. The method allows us to diagnose structural issues in the system, to build a change program and to launch its implementation effectively. The first elements of an integrated vision are already present in the hospital.

Suggested Citation

  • Guillaume Lamé & Oualid Jouini & Julie Stal-Le Cardinal, 2017. "Combining the Viable System Model and Kotter’s 8 Steps for Multidepartment Integration in Hospitals," Post-Print hal-01519593, HAL.
    • Handle: RePEc:hal:journl:hal-01519593
    Note: View the original document on HAL open archive server: https://hal.science/hal-01519593
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    References listed on IDEAS

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    1. Guillaume Lamé & Oualid Jouini & Julie Stal-Le Cardinal, 2016. "Outpatient Chemotherapy Planning: a Literature Review with Insights from a Case Study," Post-Print hal-01324488, HAL.
    2. J B Jun & S H Jacobson & J R Swisher, 1999. "Application of discrete-event simulation in health care clinics: A survey," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(2), pages 109-123, February.
    3. Lega, Federico & DePietro, Carlo, 2005. "Converging patterns in hospital organization: beyond the professional bureaucracy," Health Policy, Elsevier, vol. 74(3), pages 261-281, November.
    4. Hendy, Jane & Barlow, James, 2012. "The role of the organizational champion in achieving health system change," Social Science & Medicine, Elsevier, vol. 74(3), pages 348-355.
    5. K Kotiadis & J Mingers, 2006. "Combining PSMs with hard OR methods: the philosophical and practical challenges," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 57(7), pages 856-867, July.
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    Cited by:

    1. Maren Berge Vik & Hanne Finnestrand & Robert L. Flood, 2022. "Systemic Problem Structuring in a Complex Hospital Environment using Viable System Diagnosis – Keeping the Blood Flowing," Systemic Practice and Action Research, Springer, vol. 35(2), pages 203-226, April.

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