The Total Transformation Management Process (TTMP) is a comprehensive model that integrates six existing change management models into a single process for transforming organizations. [1] It incorporates concepts of working on the entire system and paying attention to the human side of change. [2] The TTMP involves six steps: evaluating need for change, defining the future state, describing the present state, planning and transitioning to the future state, managing the transition process, and using action research to monitor and improve the process. [3] Interventions occur at the individual, group, and organizational levels throughout the process.