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In the situation you describe, you would benefit from creating a partnership between the project sponsor, project manager, and a change manager. The PM and CM need to work closely with the sponsor to identify the stakeholders, with the sponsor identifying the critical stakeholders. You'll need to take multiple approaches. The sponsor should champion the project to the other leaders and communicate the "What" of what is changing. Managers may need some training to help the end-users understand the "How" of what is changing and should work with their direct reports to help them understand how they are impacted by the change.
The PM should focus on the work and the schedule. The CM should focus on creating awareness, communication, training, and identifying and managing resistance, among other things. The Sponsor should focus on making sure leaders across the geographical locations support the change.
This is more than a little high level, but does it make sense?
It is not as simple as just choosing a particular stakeholder. You need to do stakeholder analysis to understand their level of:
a) Influence - ability to change perceptions
b) Power - authority to change behaviors
Only then will you know who to focus on and how to focus on them. It is a common mistake to focus on management because they are management.
Power and influence are seen from the same perspective when determining your approach.
High power/influence and high interest - Manage them closely
High power/influence and Low interest - Keep them satisfied
Low Power/Influence and High Interest - Keep them informed
Low Power/Influence and Low Interest - Monitor them
You will definitely need strong change management support from both a change leadership perspective (e.g. developing a change strategy, creating a sense of urgency at the senior leadership level) but also having change champions within all affected areas. Those change champions should come from a healthcare background so that they will be seen as credible by the clinical staff they will be working with.
Sustainability will be one of the biggest challenges to ensure that old habits don't re-emerge.
Perhaps this helps you (I hope):
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