Journal of General Internal Medicine

, Volume 25, Supplement 1, pp 50–55

Are You Ready? How Health Professionals Can Comprehensively Conceptualize Readiness for Change

  • Daniel T. Holt
  • Christian D. Helfrich
  • Carmen G. Hall
  • Bryan J. Weiner

DOI: 10.1007/s11606-009-1112-8

Cite this article as:
Holt, D.T., Helfrich, C.D., Hall, C.G. et al. J GEN INTERN MED (2010) 25(Suppl 1): 50. doi:10.1007/s11606-009-1112-8


One important factor influencing the successful implementation of system-wide change is initial readiness. Readiness is defined as the degree to which those involved are individually and collectively primed, motivated, and technically capable of executing the change. We present a conceptual framework that highlights three broad areas to be considered if health-care professionals are to comprehensively evaluate readiness that includes psychological factors (i.e., characteristics of those being asked to change), structural factors (i.e., circumstances under which the change is occurring) as well as the level of analysis (i.e., individual and organizational levels). We also describe more specific dimensions within each of these broad categories that have both empirical and theoretical support, presenting several valid and reliable survey instruments that measure key dimensions of readiness quantitatively.


organizational change change readiness measuring readiness for change implementation 

Copyright information

© Society of General Internal Medicine 2009

Authors and Affiliations

  • Daniel T. Holt
    • 1
  • Christian D. Helfrich
    • 2
  • Carmen G. Hall
    • 3
  • Bryan J. Weiner
    • 4
  1. 1.Department of Systems and Engineering ManagementAir Force Institute of Technology, AFIT/ENVWright PattersonUSA
  2. 2.Ischemic Heart Disease QUERIVA Puget Sound Health Care SystemSeattleUSA
  3. 3.Polytrauma and Blast-Related Injuries-QUERIVA Minneapolis Health Care SystemMinneapolisUSA
  4. 4.University of North CarolinaChapel HillUSA

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