As technology and organizations continue to increase in complexity, a willingness to implement change management strategies for Internet technology (IT) change initiatives is necessary in a healthcare setting. This multiple case study explored change management strategies that 3 hospital administrators at 3 different hospitals in the southeast region of the United States used to guide organizational IT change activities to avoid waste and increase profits. The conceptual framework for this study was Lewin's organizational change model and Kanter's theory of structural empowerment. Data were collected using semistructured interviews and a review of hospital documentation from the 3 hospitals. The data analysis process was completed by transcribing the interview recordings and coding the data using a codebook and data-management software. Themes that emerged from data analysis included strategies to increase digitization in all areas, improve communication with IT personnel, provide ongoing training, and encourage the gradual adoption of technology. The implications of this study for positive social change include the potential to provide hospital managers with successful strategies related to the use of IT in hospitals to facilitate improved patient care and community well-being.

This thesis presents health care organizations as heterogenic and highly complex in nature with particular normative structures underpinning their formal rational structures. It seeks to explore the evolution of organization structure as applied to a medical corporation in Qatar and to examine the nature of organizational culture and multi professional cohesiveness. In doing so it assesses a range of models on organizational design and change. The three hospitals that compose the corporation are investigated through triangulated interpretative qualitative and quantitative methodologies and the application of the Competing Values Framework. The comprehensive approach of the investigation resulted in a series of conclusions on the evolution of hospital organizational structures, the link between life cycle and structure, forms of organizing health services, characertistics of professional structures, the nature and success of change management strategies, coordination mechanisms, organizational and professional cultures, and health service, organizational and team effectiveness assessment. Findings demonstrated that autonomous and sometimes conflicting professions worked in harmony and cohesiveness as a consequence of shared core values and the human relations focus of health organizations. In examining organizational design it showed that coordination mechanisms were preferred to integration mechanisms with the former playing an important role in conflict resolution and human relations. Finally, findings indicated that when organizational design has shortcomings, the organization substitutes through other mechanisms.

Cloud technology requires a virtualized ubiquitous and scalable environment with shared resources. The general problem in cloud adoption is the absence of standardization across organizations. A standardized approach remained elusive since the inception of the Cloud First mandate. The purpose of this study was to explore leader-initiated change management (LICM) practices in cloud adoption within organizations. The theoretical framework included the classical theories of Kurt Lewin's organization change management, leader-member exchange, intentional change, and appreciative inquiry. A multiple case study design approach facilitated the exploration of LICM-value added practices to identify standardization in cloud adoption practices. Data collection included semistructured interviews from 8 high-level cloud adopters chosen from a resource pool of change management experts including a government chief information officer, academic college professor, military commander, and industry chief executive officer. Each interviewee represented an organization type providing perspectives on strategies for cloud adoption. Secondary data gathering included universal cloud standards and guidance from collaborative professional working groups. Emergent themes were identified after completing Yin's 5 stages of data analysis: LICM approaches for cloud decision-making, change management strategies, leader empowerment in action planning with progressive metrics, and successful learning outcomes in corporate universities. LICM strategies foster cooperative relationships and positive social change. Standardized cloud adoption practices also contribute to positive social change in reducing the environmental footprint through organizational efficiency.