Report link: https://healthcarereimagined.net/wp-content/uploads/2019/01/leading-agile-transformation.pdf
By Aaron De Smet, Michael Lurie, and Andrew St. George

To build and lead an agile organization, it’s crucial that senior leaders develop new mind-sets and capabilities to transform themselves, their teams, and the organization.
For many organizations, surviving and thriving in today’s environment depends on making a fundamental transformation to become more agile. Those making the transition successfully are achieving substantive performance and health improvements: enhanced growth, profitability, customer satisfaction, and employee engagement.
More than any other factor, the key to a successful agile transformation is for leaders, particularly senior leaders, to develop substantially new mind-sets and capabilities. This article summarizes our guide, Leading agile transformation: The new capabilities leaders need to build 21st-century organizations (PDF–765KB), to readying leaders for agile transformations.
Before we dive deep, it’s useful to take a broader view of agile, and particularly what sets agile organizations apart from traditional ones.
Simply put, the dominant traditional organization model evolved primarily for stability in a well-known environment. It is based on the idea of an organization as a machine, with a static, siloed, structural hierarchy that operates through linear planning and control to execute one or very few business models.
Agile1 organizations, viewed as living systems, have evolved to thrive in an unpredictable, rapidly changing environment. These organizations are both stable and dynamic. They focus on customers, fluidly adapt to environmental changes, and are open, inclusive, and nonhierarchical; they evolve continually and embrace uncertainty and ambiguity. Such organizations, we believe, are far better equipped than traditional ones for the future.
While there are many different forms of enterprise agility, they share some common trademarks. We have identified and enumerated these in a related article, “The five trademarks of agile organizations.”
This new kind of agile organization requires a fundamentally different kind of leadership. Recent research confirms that leadership and how leadership shapes culture are the biggest barriers to—and the biggest enablers of—successful agile transformations.
Organizations must therefore begin by both extending and transcending the competencies that made their leaders successful in the past. Leaders need three new sets of capabilities for agile transformations. First, they must transform themselves to evolve new personal mind-sets and behaviors. Second, they need to transform their teams to work in new ways. Third, it’s essential to build the capabilities to transform the organization by building agility into the design and culture of the whole enterprise.
To fully transform yourself, several shifts will be necessary—and leaders will need to make these changes in a disciplined way.
Changing our mind-set—or adjusting it to the new context—is no easy task, but developing this “inner agility” is essential in releasing our potential to lead an agile transformation.
Reactive, or socialized, mind-sets are an outside-in way of experiencing the world based on reacting to circumstances and other people. Creative, or self-authoring, mind-sets are an inside-out way of experiencing the world based on creating our reality through tapping into our authentic selves, our core passion and purpose.
Research shows that most adults spend most time “in the reactive,” particularly when challenged, and as a result, traditional organizations are designed to run on the reactive.2 To build and lead agile organizations, however, leaders must make a personal shift to run primarily “in the creative.”
There are three fundamental reactive-to-creative mind-set shifts we have found critical to foster the culture of innovation, collaboration, and value creation at the heart of agile organizations:
While these mind-set shifts might be new and require a significant “letting go” of old beliefs and paradigms, collectively, they form a very disciplined approach to leadership. And because of inherent autonomy and freedom, leadership in agile organizations comes from a self-disciplined approach—leading not in fear of punishment or sanction but in service of purpose and passion.
Next, it’s important to learn how to help teams work in new and more effective ways.
How might leaders help teams work in new and more agile ways? And what does this new way of working require of leaders? There are three essential leadership requirements that follow from all agile ways of working.
First, leaders must learn to build teams that are small, diverse, empowered, and connected. Second, leaders must allow and encourage agile teams to work in rapid cycles to enable them to deliver greater value more efficiently and more quickly. Third, leaders must keep agile teams focused on the external or internal customer and on creating value for customers, by understanding and addressing their unmet, and potentially even unrecognized, needs.
We have found that in addition to being able to lead in this new agile way of working, it is important for leaders to understand the key elements of two other relatively new disciplines: design thinking and business-model innovation.
Originating in industrial and other forms of design, design thinking is a powerful approach to developing innovative customer solutions, business models, and other types of systems. This begins with understanding the entire customer experience at each stage of the customer journey.
In organizations that are agile, each team is viewed as a value-creating unit, or as a “business.” These teams pursue business-model innovation at every opportunity, seeking new ways to meet the needs of their internal or external customers and deliver more value to employees, investors, partners, and other stakeholders.
Here, leaders must learn how to cocreate an agile organization purpose, design, and culture.
The first distinctive organization-level skill leaders need to develop is the ability to distill a clear, shared, and compelling purpose—a north star—for their organization. Rather than the traditional executive-team exercise, in agile organizations, leaders must learn to sense and draw out the organization’s purpose in conversation with people across the enterprise.
The second organization-level skill leaders need to develop is the ability to design the strategy and operating model of the organization based on agile-organization principles and practices. Most senior leaders of traditional companies have a well-honed skill set in this area that reflects traditional organization design as a relatively concentrated, static system: one or a very limited number of major businesses, each with a long-established business model, typically coexisting somewhat uneasily with a set of corporate functions.
To design and build an agile organization, leaders need a different set of skills based on a different understanding of organizations. They must learn to design their organization as a distributed, continually evolving system. Such an organization comprises a network of smaller empowered units, with fewer layers, greater transparency, and leaner governance than a traditional model. More specifically, leaders must learn how to disaggregate existing large businesses into a more granular portfolio; transform corporate functions into a lean, enabling backbone; and attract a wide range of partners into a powerful ecosystem.
The third organization-level skill leaders need to develop is the ability to shape a new culture across the organization, based on the creative mind-sets of discovery, partnership, and abundance and their associated behaviors.
Given the openness and freedom people experience in an agile organization, culture arguably plays an even more important role here than in traditional organizations. To shape this culture, leaders must learn how to undertake a multifaceted culture-transformation effort that centers on their own capabilities and behaviors. This includes the following steps:
Many organizations start their agile pilots in discrete pockets. Initially, at least, they can build agile-leadership capabilities there. But to scale agility through an organization successfully, top leaders must embrace its precepts and be willing to enhance their own capabilities significantly. Eventually, a full agile transformation will need to encompass building the mind-sets and capabilities of the entire senior leadership across the enterprise. To do this in an agile way, five elements are essential:
Agile transformation is a high priority for an increasing number of organizations. More than any other factor, the key enabler to a successful agile transformation is to help leaders, particularly senior leaders, develop new mind-sets and capabilities. Doing so in an agile way will enable the organization to move faster, drive innovation, and both adapt to and shape its changing environment.
Download Leading agile transformation: The new capabilities leaders need to build 21st-century organizations, the full report on which this article is based (PDF–765KB).
Written by Juli Dixon, Andrew Mason, and Ben Marglin

Managing change means understanding what it is—and isn’t
Successful IT modernization initiatives are often more dependent on an organization’s culture and ability to absorb change than they are on the selection and implementation of the right technology. Yet, some federal organizations think of change management initiatives almost as an afterthought to technical delivery. A comprehensive change management strategy should be an integral part of any IT modernization effort—it’s a critical part of the overall culture and vision of any modernization plan.
Here are five key myths about organizational change management in IT modernization efforts—and the reality.
Myth No. 1: We focus all our change management efforts on the end users. They’re the ones who need it most.
The Reality: Change management efforts should address the entire stakeholder community. From your delivery teams and business units to your IT group, anyone who’s helping execute the work should be part of your change management strategy. They all need to work together to ensure proper adoption of new technology and ultimate success of the IT modernization initiative.
Myth No. 2: We don’t need executive leadership to help drive our IT modernization initiatives. We can handle this on our own.
The Reality: A change champion gives your IT modernization initiative the vital authority and support it needs to succeed. From communicating a vision to connecting the IT modernization efforts to the mission, an executive sponsor should be actively engaged—articulating just how important the initiative is to the greater stakeholder community. Without an executive champion, your change management initiatives may not be prioritized effectively, resulting in implementation breakdown.
Myth No. 3: Change management means communications and training, plain and simple.
The Reality: Change management involves a variety of activities—including training and communications—but also many others. Stakeholder analysis, performance management, policy development, business process reengineering, marketing efforts, workforce impacts, and organization analysis are all vital capabilities to ensure the IT modernization effort is successful.
Myth No. 4: We engage once the technical team is ready to deploy, and once we’ve completed that, our job is done. External agencies now own it and are responsible for their own activities associated with the new application.
The Reality: Change management starts with initial planning of an IT modernization initiative and goes throughout (and likely beyond) the full lifecycle of technical delivery—it takes a sustained effort over time. For IT modernization efforts that affect a large stakeholder community, you should engage with change management workstreams all along the way, from initial planning to post-implementation.
Myth No. 5: It’s difficult to measure the success of your change management activities during an IT modernization effort. It’s a lot of “soft” stuff that’s hard to measure and understand if it has been helpful.
The Reality: Leaders and teams are quick to claim victory in the deployment of solutions without taking the time to find out what’s working and what’s not. There are lots of ways to approach performance management to identify how and where the change efforts are impacting an IT modernization initiative, and ultimately the mission or business of the agency itself. Measures and metrics should be established and used to help with data-driven decision making around the success of change management. Common examples are user adoption of new technology, but other examples include measuring the success of communications, business process and/or workforce adjustments, stakeholder feedback, and many others.
The Bottom Line
As federal agencies look to move forward with IT modernization initiatives, they should build in change management as a key component to their plans. All too often, it’s an overlooked piece of the puzzle, or agencies feel that they don’t need to invest in change management (or the first to get cut when budgets are tight). Agencies are making large investments in new technology to drive their missions forward, and they should also look to invest (a relatively small amount) in change management to drive to successful outcomes.
Article link: https://www.boozallen.com/s/insight/blog/5-myths-of-change-management-for-it-modernization.html
During a discussion of virtual health and the Military Health System (MHS VH) at #AMSUS2018, current virtual health activities in federal health were mapped out to show where duplication of efforts make the MHS VH non-standardized and less efficient.

AMSUS link: https://twitter.com/AMSUS/status/1080466651018158080/photo/1