Organizations are as alike and unique as human beings. Similarly, group processes can be as straightforward or as complex as the individuals who make up the organization. It is vital to successfully launching a new program that the leaders understand the strengths, weaknesses, and idiosyncrasies of the organization or system in which they operate. Try to anticipate barriers to implementation so that you can develop strategies to minimize their impact or avoid them altogether. The following list of common barriers can be used to help your leadership team identify potential obstacles. The list of essential elements for change can help the team brainstorm possible solutions. The lists are a good starting point for a planning session that will be most effective if it also takes into account the organization's unique characteristics (Institute for Health Improvement).
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For more information about the TriCentral Palliative Care Toolkit visit www.growthhouse.org/palliative/. All content is Copyright © 2002, 2003 by Richard D. Brumley, M.D. All rights reserved. No part of this toolkit may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without written permission from the publishers. This guide to developing home-based outpatient palliative care services was developed through a grant to the Kaiser Permanente TriCentral Service Area from The Project on Death In America. The Kaiser Permanente TriCentral Palliative Care Program is a Sustaining Member of the Inter-Institutional Collaborating Network On End-of-life Care (IICN) which links major organizations internationally.