3. Empower smaller groups to make decisions
The organizations that tend to be effective in all environments tend to be ones that decentralize some of the efforts at strategic change, says Van Horssen.
"What we've seen [that is] effective in some smaller innovations are those that recognize the need to create small teams and small governing boards," he says. "That's where the entrepreneurial environment thrives."
That means that if you're trying to take your board of 27 members through smaller decision-making processes such as how each service line should contact and keep up with patients' follow-up care, or even if that inpatient patient care group needs to coordinate with outside follow-up providers, there is inherent resistance to moving quickly and effectively.
"Give the execution team of 5-7 board members the ability to make decisions on how to operationalize it," he says.
That's taking a page out of what you would see in typical venture-backed or high-growth environments, where success is measured by how well the solution solves the problem, not whether all potential stakeholders have been satisfied that they've had their say.
"There's no question there's a political aspect to any organization, but the entrepreneurial organization is more focused on results and outcomes with smaller management teams. There, politics typically plays less of a role."