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  • Writer's pictureSajeev Varghese

Navigating Organizational Transformation: Lessons from a Medtech Company’s Journey

Updated: Apr 14



In the ever-evolving landscape of business, adaptation isn't just an option; it's a necessity. My journey with a $7 billion global Medtech company led me to a pivotal moment halfway through a digital transformation initiative. As customer preferences shifted and technology advanced, I drove a bold decision for this large company to embark on an AI-first transformation, sending ripples of change throughout the entire enterprise. This meant that I had to become their trusted partner for their enterprise-wide organizational change effort that necessitated efforts distributed across several key areas of change and across a global footprint:


Leadership Enablement: Forging the Path Forward

Leadership, at its core, is about guiding teams through uncharted territory with clarity, vision, and resilience. I recognized that leadership enablement was paramount in navigating this transformative journey. I assembled leaders from cross-functional divisions encompassing sales, service, and engineering, I spearheaded several focus groups that helped craft top-down direction setting, cross-functional re-engineering, and bottom-up performance improvement for the transformation initiative, that laid the foundation for success. Drawing insights from external benchmarking and expert interviews, I embraced humility, acknowledging the vastness of the challenge ahead while instilling a culture of innovation and adaptability essential for our journey forward. This allowed for not only the visioning of the "To-be" organization but also a thorough grasp of the "As-is" organization to build the bridge to the future and lay appropriate foundations for the transformation program.


Stakeholder Management: Cultivating Collaborative Partnerships

In an environment where collaboration reigns supreme, effective stakeholder management becomes the cornerstone of success. I understood that fostering close, long-term partnerships with key stakeholders was key, placing a renewed emphasis on "customer success." We took on the pivotal role of cultivating enduring partnerships with all stakeholders and embarked on a journey to fortify our trust with them. By appointing dedicated customer success managers and realigning key performance indicators to focus on adoption and retention metrics, I demonstrated our reliability and commitment to delivering value at every touchpoint. Our concerted efforts were aimed at honing in on immediate impact to enhance corporate performance swiftly. Moreover, we strategically positioned the organization for sustainable growth by tapping into value pools that promised long-term prosperity.


Over a short period, I believe, we have greatly transformed and evolved many aspects of the company, including the operating model, organizational structure, employee awareness, and corporate culture. However, to achieve sustainable growth, there were many issues that stood in the way of the company becoming a world‐class medical technology company ‐ one that is accepted by all stakeholders including patients. Going forward, we continue with efforts to demonstrate the full potential of the company.


Communication Planning/Execution: Crafting a Cohesive & Compelling Narrative

Communication isn't just about conveying information; it's also about fostering understanding and alignment across diverse teams and departments. As in all transformations, communication planning and execution played a pivotal role in our initiative. Through transparent, timely communication, we ensured that everyone understood the strategic vision and their role in realizing it. Whether through dashboards tracking customer usage or collaborative problem-solving exercises, communication served as the glue binding the organization together.


Embedded within our change management team’s ethos was a profound conviction: storytelling is what captivates, inspires, and resonates, and so demands an intimate grasp of human intricacies – from the depths of emotion to the heights of intellect. We were fervent advocates of this belief for the organization, driven by an unwavering commitment to impart our knowledge and embolden our change agents as storytellers to harness the boundless potential from their change narratives.


In our journey toward fostering healthier, safer, and more fulfilling lives, two-way communication emerged as our vital compass, guiding us through the intricacies of transformation. With patient safety and sustainability at our core, every communication activity echoed our commitment to innovation, growth, and productivity. Whether charting paths for business expansion, orchestrating strategic mergers, enhancing care pathways, or cultivating intelligent medical device ecosystems, our narrative remained steadfast, uniting teams and departments toward a shared vision of sustainable growth and societal impact.


People Risk and Culture Shift: Embracing Change from Within

Change, while inevitable, can often be met with resistance and uncertainty. Yet, we embraced this challenge head-on, driving a culture shift from within. By redefining our target culture to prioritize customer service and empowering employees to proactively address customer needs, we fostered a climate of innovation and agility. No longer content with siloed problem-solving, employees collaborated across functions, embodying the ethos of customer-centricity at every turn. This necessitated the instilling a critical few behaviors that aligned with the organization's "To-be" vision.


Organizational Restructuring: Adapting for Agility

In this rapidly evolving landscape, organizational structures had to be agile and adaptable. We understood this implicitly, restructuring our operations to facilitate seamless collaboration and problem-solving. By authorizing line employees to handle issues at the lowest level possible, we streamlined processes, reducing response times and enhancing customer satisfaction. Every opportunity to incorporate new innovative ways of doing things was vetted properly before incorporating them into the value chain. Then we took a top-down approach to developing the right buckets for form and function with accountability (while keeping the overall structure as flat as possible) and streamlined the organization for necessary governance.


Skills/Talent Requirements and Capability Building: Investing in the Future

In an AI-first world, talent is the currency of success. We recognized this truth, and so made investing in skills development and capability building a top priority to stay ahead of the curve. From enhancing analytics, data science, and data-management skills to fostering a culture of continuous learning, we ensured that the workforce was equipped to thrive in the digital age of AI. We know that a capability is a deeply ingrained ability to do something well in a way that improves business performance. At the core are behaviors: the activities, interactions, and decisions made by a set of individuals in the company who exemplify that capability.


To enable and sustain such behaviors, we defined four underlying components of a capability:

  • Competencies: The skills, knowledge, and beliefs held by employees.

  • Tools: IT, databases, apps, and related systems.

  • Processes: Activities, resources, and responsibilities that govern the way work is divided and done.

  • Governance: Accountability, KPIs, incentives, and reporting structures.


Collectively, these four elements reinforced each other and led to sustainable changes in behaviors with the ultimate objective of helping the company create value.


Key Practices For Systematically Building Capabilities

Systematically fortifying organizational capabilities necessitated a structured approach, anchored in key practices that fostered sustained growth and performance enhancement. At the core of the capability building was a profound understanding of its constituents and their interplay within the organizational ecosystem.


Competencies served as the bedrock, encompassing the skills, knowledge, and beliefs imbued within the workforce. These competencies were complemented by a robust suite of tools, comprising IT infrastructure, databases, applications, and allied systems, essential for streamlining operations and enhancing productivity. Processes delineated the operational framework, encompassing activities, resources, and responsibilities that governed workflow orchestration and execution. In tandem, governance mechanisms were pivotal, enshrining accountability, key performance indicators (KPIs), incentivization frameworks, and reporting structures to ensure alignment with strategic imperatives.


In concert, the four components synergistically reinforced organizational capabilities, engendering sustained behavioral changes that drove value creation and fueled organizational growth. Through a holistic integration of competencies, tools, processes, and governance frameworks, we navigated the complexities of the modern business environment with agility, resilience, and efficacy, positioning us for sustained success and competitive advantage.


In the unfolding narrative of our transformation, a pivotal realization emerged: our focus on transformational outcomes was insufficient. For example. the pricing team didn't merely require access to new products; they needed fortified pricing capabilities, complemented by essential tools. Similarly, the R&D realm sought streamlined processes deeply intertwined with manufacturing, fostering agility and responsiveness. Expanding the breadth of responsibility empowered our engineers to seamlessly integrate insights from developers, designers, marketers, and clients. By intensifying our focus on the critical capabilities underpinning the transformation, we witnessed tangible growth, particularly in premium segment sales, charting a course for sustainable progress.


We stayed on course with the changes ensuring the relentless application of best practices through every stage:

  • Ruthlessly Prioritized Critical Capabilities: In pursuit of transformation, it's essential to pinpoint the core capabilities that will yield the greatest impact. By aligning these capabilities with the transformation goals, we identified the subset that holds the key to success. Prioritization was paramount to avoid spreading resources too thin and to ensure meaningful progress.

  • Assessed Gaps Across All Dimensions: Understanding the gaps between current and target capabilities was fundamental. This entailed evaluating competencies, tools, processes, and governance across the board. Often, companies overlook the multidimensional nature of capabilities, which underscored the importance of a comprehensive gap analysis to guide the effectiveness of the transformation journey we took.

  • Aligned Leaders on Process and Vision: Securing alignment among senior leaders is pivotal for the success of capability building. Leaders had to grasp not only the desired capabilities but also the entire process involved in their development. This entailed a commitment of time and energy, acknowledging the long-term nature of the endeavor. Early alignment efforts set the stage for sustained support throughout the transformation.

  • Designed Comprehensive Capabilities: Each capability was meticulously designed, considering all facets of its definition. Whether it's R&D or any other function, addressing technical expertise, tools, processes, and metrics was imperative. We recognized that the capabilities extend beyond training which underscored the need for a holistic approach and diligence to design.

  • Assembled Cross-Functional Expertise: During the design phase, a cross-functional team ensured comprehensive coverage and diverse perspectives. Drawing expertise from HR, IT, finance, and other relevant departments, this team ensured that critical elements were addressed cohesively. While not always comprehensive, the team composition prioritized the inclusion of key stakeholders and experts.

  • Implemented Rigorous Change Management: Achieving lasting behavioral change demands a rigorous approach to implementation. A robust change-management strategy, anchored in detailed plans, milestones, and KPIs, was essential. We established the right execution team to ensure that the transformation journey remained on course and yielded tangible results. This included a shadow team of members that cascaded across the various divisions who wore multiple hats as change agents, communication leads, and PMO liaisons to ensure execution certainty and people engagement.


Knowledge Transfer and Training: Empowering the Workforce

Knowledge is power, but only when shared and applied effectively. Knowledge of innovative solutions and effective new processes to administer them across the organization consistently required extensive knowledge transfer programs. Through the robust training programs and knowledge-sharing initiatives, we empowered the workforce to embrace change and drive innovation. By democratizing access to information and fostering a culture of curiosity and collaboration, we laid the groundwork for sustained success.


The ongoing enablement program was strategically tailored to equip individuals with essential practical skills vital for navigating the evolving organizational landscape. These skills encompassed a spectrum of competencies, ranging from the technical proficiency required for tasks such as roadmap development, KPI monitoring, and data automation, to the cultivation of collaborative and supportive behaviors conducive to effective teamwork.


Individual-focused skills were meticulously honed to empower employees in their respective roles, enabling them to adeptly navigate tasks and responsibilities. Concurrently, emphasis was placed on nurturing a culture of collaboration and teamwork, characterized by proactive stakeholder engagement, constructive feedback mechanisms, and a commitment to transparency and openness.

By fostering a multifaceted skill set that combined technical acumen with interpersonal proficiency, the enablement program endeavored to fortify organizational resilience and efficacy, empowering individuals to thrive in a dynamic environment while fostering a culture of collective success and innovation.


Conclusion

Our journey served as a testament to the transformative power of visionary leadership, collaborative partnerships, and a relentless commitment to change management. By embracing change from within, investing in talent and capability building, and fostering a culture of continuous learning, we not only weathered the storms of disruption but emerged stronger and more resilient than ever before. As we look to the future, we can draw inspiration from this journey, charting our course toward a brighter, more innovative tomorrow.


To foster healthier, safer, and more fulfilling lives, communication emerged as our vital compass, guiding us through the intricacies of transformation. With patient safety and sustainability at our core, every communication initiative echoed our commitment to innovation, growth, and productivity. Whether charting paths for business expansion, orchestrating strategic mergers, enhancing care pathways, or cultivating intelligent medical device ecosystems, our change narrative remained steadfast, uniting teams and departments toward a shared vision of sustainable growth and societal impact.


Amidst the broader canvas of transformational endeavors, many companies are fixated solely on showcasing outcomes. While understandable, this myopic perspective overlooks the indispensable bedrock of capabilities crucial for both achieving and perpetuating those outcomes. Such singular focuses often lead to eventual shortcomings and failure. Regardless of industry or transformation type, capabilities and optimal communication with storytelling craft serve as the indispensable pillars for augmenting performance and fostering enduring results, ultimately culminating in amplified value creation. By steadfastly concentrating on delineating clear and robust capabilities, bolstered with communication of an engaging and compelling change narrative, we instituted a structured approach to their cultivation and garnered unwavering support from organizational leaders. We navigated the complexities of the transformational journey with resilience and fortitude, successfully surmounting the challenges that lay ahead.

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