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Healthcare administrationPresentationChange management

Develop a change model presentation: a planning guide

The model has to be yours. Six principles have to be visible in the diagram, and the closing question rests on a statistic that does not survive checking.

Editorial process

Last reviewed · August 10, 2026

01

What does this change model assignment require?

The word that decides this assignment is create. You are asked to investigate the change models now in use, evaluate them, and then create a model appropriate to your field and your organisation's culture. Reproducing Kotter's eight steps with your organisation's name in the header is not creating a model; it is applying one, and the rubric is written to catch the difference. What creation looks like in practice is a defensible synthesis: take the elements that fit your setting, discard the ones that do not, add whatever your culture demands that none of the published models supply, and be explicit about each of those three decisions. The evaluation you did is what licenses the model you built, so show it. A slide comparing three or four models against the constraints of your organisation is the cheapest way to demonstrate that the synthesis was reasoned.

The published models are worth knowing properly rather than in summary, because the differences between them are where your justification will come from. Lewin's unfreeze, change, refreeze is short and its central claim is about reversion: change decays back to the prior state unless the new state is deliberately consolidated. Kotter's eight steps front-load urgency, coalition and vision, and back-load consolidation. A systematic review of change management models in healthcare found both dominating the field, found programmes aligned more closely with Kotter reported as successful more often, and, importantly, declined to name any model as preferred. Its conclusion was that having a guiding framework with room to adapt mattered more than which framework it was. That finding is the strongest possible support for an assignment that asks you to build your own, and it is worth quoting on the evaluation slide, because it turns your synthesis from a student exercise into the thing the evidence actually recommends.

Six principles are named as the things your model will be evaluated on, and every one of them has to be visible in the diagram rather than only in the narration. Methods for determining whether a modification is required means your model needs a front end that senses a problem, not just a response to one somebody else identified. Criteria for selecting individuals or teams means naming how people are chosen, not that they are. Methods of communication, strategies for securing stakeholder support and overcoming opposition, strategies for implementation, and strategies for longevity complete the list. Draw the model, then check each of the six against it with a finger, and if any of them is not represented as a step, a loop or a gate, the model is incomplete regardless of how good it looks.

The graphic organiser is a real deliverable and its form should follow the argument. A flow chart suits a model whose sequence is the point, and a concept map suits one whose relationships are the point. Two features are worth building in whichever you choose. The first is at least one loop, because a linear diagram cannot express the sensing function the first principle requires, nor the reassessment that longevity depends on. The second is a decision point with a stated criterion, since overcoming opposition and selecting teams are both decisions rather than activities. A model that is a straight line of boxes will satisfy nobody, because it describes a project rather than a way of handling change, and the assignment asks for the latter. Label every arrow, too, since an unlabelled arrow in a change model is where the reader is expected to supply the mechanism you were asked to design.

The closing question is the interesting one and it contains a trap. Explain why this paradigm will result in long-term change when most change programmes fail. The premise, usually quoted as a seventy per cent failure rate, is far weaker than its ubiquity suggests. It traces back to an unscientific estimate in a 1993 management book, and the academic work that followed the citation trail found no valid empirical basis for it, with each source citing another that also had none. You can handle this two ways and both are strong. Answer the question as posed while noting the figure's provenance, or reframe it: change efforts fail for identifiable reasons, and your model should answer those reasons rather than a percentage. Either way, do not repeat the statistic as established fact. Checking a number that everybody quotes, and saying what you found, is the kind of thing that reads as graduate-level work in a deck that otherwise looks like every other deck.

On deliverables and format, count them before you build. A visual model in a graphic organiser of your choosing, a fifteen to twenty slide PowerPoint presenting that model and demonstrating its fit to your organisation's culture, and an explanation of why it produces long-term change. APA formatting, no abstract. Fifteen to twenty slides across six principles plus context, evaluation and justification is roughly two slides per principle, which is enough for a statement and an example and nothing more, so write the speaker notes rather than crowding the slides. One last thing the brief tells you and it changes how you should build: this change model will be used in your final paper. Make it something you would be willing to defend at more length later, which in practice means keeping the number of steps small enough to explain in a paragraph and specific enough that somebody could follow them.

Likely learning objectives

Inferred from the brief — check these against your own rubric.

  • 01
    Create a synthesised model rather than apply a published one.
  • 02
    Justify the synthesis from an explicit evaluation of existing models.
  • 03
    Represent all six required principles in the diagram itself.
  • 04
    Choose a graphic organiser whose form matches the argument.
  • 05
    Build in a feedback loop and a decision point with a stated criterion.
  • 06
    Handle the change failure statistic critically rather than repeating it.
Assignment instructionsQuoted verbatim

Read the full question

Review every instruction before using the planning guidance that follows.

Description Investigate the many change models now in use by businesses. Create a change model that is appropriate for your field and works within your organization’s culture after evaluating these models. This model should be used to build a strategy process that will assist your business in integrating change and responding to internal and external variables that influence organizational success. Using a graphic organizer of your choice, create a visual representation of your model (flow chart, concept map, etc.). Based on a rigorous investigation of your organization’s culture and behavior, the design of your model will be unique and relevant to it. Your model, on the other hand, must show the steps that must be taken in order for a realistic implementation to take place. The level of strategic implementation you design, the support you provide for your model, and the inclusion of the following principles will all be considered when evaluating your model: Methods for determining whether or not a modification is required Approach and criteria for selecting individuals or teams for a change endeavor are required. Methods of communication Strategies for securing stakeholder support and overcoming opposition Strategies for implementation Strategies for Longevity Prepare a 15-20 slide PowerPoint presentation to show your model and demonstrate how it is relevant to your firm and why it will perform well within its culture once you’ve completed it. Finally, explain why this paradigm will result in long-term change when most change programs fail. This change model will be used in your final paper. Prepare this work in accordance with the APA Style Guide, which may be found in the Student Success Center. It is not necessary to submit an abstract.
02

The model, the diagram and the slide deck

  1. 01
    An investigation and evaluation of change models currently in use.
  2. 02
    A change model created for your field and your organization's culture.
  3. 03
    A visual representation of the model using a graphic organizer of your choice.
  4. 04
    Methods for determining whether a modification is required.
  5. 05
    An approach and criteria for selecting individuals or teams for a change effort.
  6. 06
    Methods of communication.
  7. 07
    Strategies for securing stakeholder support and overcoming opposition.
  8. 08
    Strategies for implementation.
  9. 09
    Strategies for longevity.
  10. 10
    A 15 to 20 slide PowerPoint presentation showing the model and its fit to the organization.
  11. 11
    An explanation of why the model will produce long-term change.
  12. 12
    APA formatting, with no abstract required.
03

Evaluate, synthesise, draw, justify

01

The organization and its culture

Describe the setting concretely enough that a model can be judged as fitting it or not.

02

Evaluating existing models

Compare the main published models against your setting's constraints and say what each gets right and wrong for you.

03

The model itself

Present the graphic organizer and walk each of the six principles to its place in it.

04

Why it fits this culture

Argue the fit element by element, including what you removed from the published models and why.

05

Why change lasts here

Explain the longevity mechanism, addressing why change efforts fail without leaning on an unsupported statistic.

04

Where the change model evidence sits

Recommended databases

  • PubMed Central for systematic reviews of change management models in healthcare
  • Journal of Change Management and organizational behaviour literature for the models themselves
  • Implementation science literature, for the sustainability and longevity evidence
  • Your organization's own documents, for the culture description the model must fit

Search sequence

  1. 1.
    Read a systematic review first, so you know the field before comparing individual models.
  2. 2.
    Read Lewin and Kotter in a primary or near-primary source rather than in a summary table.
  3. 3.
    Search for what the evidence says about sustaining change after implementation, which is the weakest part of most models.
  4. 4.
    Check the provenance of any failure-rate statistic before quoting it.
  5. 5.
    Write the six principles down as a checklist and design the model against them, not the other way round.
05

Reference shortlist

These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.

Nothing here is cleared for citation until you have read it.

  1. 01

    Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare

    Journal of Healthcare Leadership · 2021

    Found no single model preferable and concluded that an adaptable guiding framework matters more than which one. The strongest justification for building your own.

  2. 02

    Change management for services redesign in healthcare: a conceptual framework

    PubMed Central · 2024

    A worked example of somebody constructing a framework rather than applying one, which is a useful model for how to present your synthesis.

  3. 03

    What models of change can be used to implement change in postgraduate medical education?

    Perspectives on Medical Education · 2018

    Compares several models against a specific setting's constraints. A template for the evaluation slide that has to precede your own model.

  4. 04

    A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study

    PubMed Central · 2019

    A single-site application with enough operational detail to borrow for your communication, selection and implementation strategies.

06

Review before submission

Common mistakes

  • Renaming an existing model instead of creating one.
  • Presenting the model with no evidence that other models were evaluated.
  • Leaving one or more of the six principles out of the diagram.
  • Drawing a straight line of boxes, which describes a project rather than a change capability.
  • Naming that teams are selected without stating the criteria.
  • Repeating the 70 per cent failure statistic as established fact.
  • Crowding fifteen slides with text instead of using speaker notes.
  • Building a model too thin to carry into the final paper, where it will be reused.

Submission checklist

  • The model is a synthesis, and the additions and omissions are stated.
  • An evaluation of existing models appears in the deck.
  • All six principles are traceable to a feature of the diagram.
  • The diagram contains at least one loop.
  • At least one decision point carries a stated criterion.
  • The organization's culture is described, and the fit argued from it.
  • The long-term change argument does not rest on an unsourced failure rate.
  • Slide count falls between 15 and 20.
  • APA formatting is used and no abstract is included.

Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by

Aaron Bishop

MA, Education

assignment interpretation and research-methods coaching across disciplines

Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by

Dr. Nathan Cole

PhD, Rhetoric & Composition

Argumentation and thesis development

Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.

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