The TOC Thinking Process: The viability of change

This research article presents a Full Thinking Process Analysis (FTPA), along with an in-depth comprehension of changes in healthcare, through a reframing of the Three-Cloud Approach. The reframed Three-Cloud Approach provides useful insights into the change implementation process, as it relates to the construction challenge of a new, 1000-bed hospital. Pertinent documents, formal evidence and interviews reveal multiple types of constraints, their dissolution and the implementation of shared answers to observed problems. Through the lens of the Thinking Process-Three-Cloud Approach, the case study shows how the process of identifying the Core Conflict Cloud is fundamental to implementing ongoing strategic and organizational change. The Three-Cloud Approach allows in-depth analyses of resistances to change and other intra-organisational processes, while it highlights the conditions necessary for underpinning and designing effective tactics for successful change implementation.