I put a bunch of effort into database change management over the years and work on a tool called AliaSQL that is a simple command line database migrator for SQL Server.

Using this tool has led to a dramatic increase in productivity on our team since we really don't have to worry about database changes anymore. I won't waste space here with the details but these links will fill you in if you have any interest.

https://github.com/ClearMeasure/AliaSQL http://sharpcoders.org/post/Introducing-AliaSQL