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Digital Transformation Lessons Learned from Failures in an Urban Hospital Network Cover

Digital Transformation Lessons Learned from Failures in an Urban Hospital Network

Open Access
|Dec 2025

Figures & Tables

Phases and Steps adopted by Kotter’s model

PhaseKotter StepKey Integration/FrameworksActionLeadershipEmployee EngagementSystems Requirements
11. Create a Sense of UrgencyPESTLEAnalyze current state, identify compelling opportunities/threats, and consult IT experts.Top leadership must acknowledge the need for change.Openly communicate the 'burning platform' and the transformation benefits.Consult IT experts for system analysis.
12. Form a Powerful Guiding CoalitionSaldanhaAssemble a cross-functional team with authority and influence to drive the transformation.Team must have strong leadership, credibility, and a shared commitment to the vision.Continue communications to all stakeholders.Establish a clear governance structure and communication channels for the coalition.
13. Create a Vision and StrategyMcKinsey 7-S (Strategy, Structure, Skills)Develop a clear, compelling future vision and the strategy to achieve it.Vision must be articulated by the CEO and other senior leaders.Seek initial feedback from stakeholders.Vision should inform the high-level systems architecture and technology roadmap.
24. Communic ate the VisionMcKinsey 7-S (Shared Values)Broadcast the vision and strategy throughout the organization using multiple channels.Leaders must consistently model new behaviors and reinforce the vision.Create a two-way communication process for feedback and questions.Continuously refine and improve new systems
25. Empower Broad-Based ActionMcKinsey 7-S (Systems)Remove obstacles and encourage employees to take initiative.Managers must be trained to coach and support their teams through the change.Managers should continue open communicationReview/adjust systems (e.g., performance management) and implement new tools/processes to empower employees.
26. Generate Short-Term WinsSaldanha (Middle Managers)Plan for and celebrate early, visible successes.Leaders align wins to overall change goalsPublicly recognize and reward teams/individuals, especially middle managers.Establish clear metrics and dashboards to track progress and report on wins.
27. Consolidat e Gains and Produce More ChangeMcKinsey 7-S (Staff, Style)Use credibility from wins to tackle more complex issues; continue collaboration.The guiding coalition must remain active and focused on long-term goals.Share successes and continue open communication for teams.Continuously refine and improve new systems and training based on feedback and performance data.
38. Anchor New Approache s in the CultureSaldanha, McKinsey 7-S (Shared Values, Systems, Style)Make the new behaviors and practices part of the day-to-day operations and culture.CEO and senior leaders must champion the new culture and hold people accountable.Incorporate transformation success stories into onboarding and training programs.Ensure Systems reinforce the new Shared Values and Style of leadership.
DOI: https://doi.org/10.2478/bsaft-2025-0026 | Journal eISSN: 3100-5098 | Journal ISSN: 3100-508X
Language: English
Page range: 267 - 276
Published on: Dec 16, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2025 KerriLaine PRUNELLA, published by Nicolae Balcescu Land Forces Academy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.