This presentation is 
        This presentation is 
                 for you if…..
                 for you if…..
       1) You are a nutrition 
       1) You are a nutrition 
           manager getting ready 
           manager getting ready 
           to implement NCP at 
           to implement NCP at 
           your facility
           your facility
       2) You are a member of an 
       2) You are a member of an 
           NCP implementation 
           NCP implementation 
           team
           team
 © 2006 American Dietetic Association ADA)
      Change is a challenge but 
      Change is a challenge but 
          the rewards are great!
          the rewards are great!
        Effective application of Kotter’s 8 
        Effective application of Kotter’s 8 
      step change management process 
      step change management process 
      can enable your team to  successfully 
      can enable your team to  successfully 
      implement the Nutrition Care Process 
      implement the Nutrition Care Process 
      Model and Standardized Language 
      Model and Standardized Language 
      while minimizing the barriers usually 
      while minimizing the barriers usually 
      associated with change.
      associated with change.
 © 2006 American Dietetic Association ADA)
      8 Stage Process of Major 
      8 Stage Process of Major 
                             Change
                             Change
         (Listed in Chronological 
         Order)
     1.   Create sense of urgency
     1.   Create sense of urgency
     2.   Develop leadership team
     2.   Develop leadership team
     3.   Create shared vision and strategy
     3.   Create shared vision and strategy
     4.   Communicate vision and strategy
     4.   Communicate vision and strategy
     5.   Empower broad action and align 
     5.   Empower broad action and align 
          organization
          organization
     6.   Celebrate short term gains
     6.   Celebrate short term gains
     7.   Consolidate short term gains and create 
     7.   Consolidate short term gains and create 
          opportunity
          opportunity
     8.   Institutiona‘lize change
     8.   Institutionalize change
      Leading Change' by John P. Kotter, Harvard 
      Leading Change' by John P. Kotter, Harvard 
      School Press 1996
      School Press 1996
 © 2006 American Dietetic Association ADA)
     Your Role as Change 
     Your Role as Change 
     Agent
     Agent
     1. Establishing a sense of urgency 
     1. Establishing a sense of urgency 
     2. Creating the leadership group 
     2. Creating the leadership group 
     3. Developing a vision and strategy 
     3. Developing a vision and strategy 
     4. Communicating the change vision
     4. Communicating the change vision
     5. Empowering broad-based action or aligning the 
     5. Empowering broad-based action or aligning the 
        organization
        organization
     6. Generating short-term wins
     6. Generating short-term wins
     7. Consolidating gains and producing more change 
     7. Consolidating gains and producing more change 
     8. Institutionalizing new approaches in the culture
     8. Institutionalizing new approaches in the culture
     Leading Change' by John P. Kotter, Harvard School Press 1996 
     Leading Change' by John P. Kotter, Harvard School Press 1996 
     Handout with Steps to help you assess your progress
     Handout with Steps to help you assess your progress
 © 2006 American Dietetic Association ADA)
      Stage 1: Creating Sense of 
       Stage 1: Creating Sense of 
                          Urgency
                          Urgency
      What is relevant to your institution? 
       What is relevant to your institution? 
         Do Students/interns  know more than their 
          Do Students/interns  know more than their 
          preceptors about NCP?
          preceptors about NCP?
         Regulatory agencies are beginning to ask how NCP 
          Regulatory agencies are beginning to ask how NCP 
          is integrated into patient care
          is integrated into patient care
         Evidenced based care-requirement for clinical 
          Evidenced based care-requirement for clinical 
          practice
          practice
         Lead the charge verses lagging behind
          Lead the charge verses lagging behind
         Recruitment edge for new RDs- how you differ from 
          Recruitment edge for new RDs- how you differ from 
          your competitors
          your competitors
         Need to justify staffing- NCP provides a systematic 
          Need to justify staffing- NCP provides a systematic 
          way to collect outcome data on impact on nutrition 
          way to collect outcome data on impact on nutrition 
          care.
          care.
 © 2006 American Dietetic Association ADA)