Based on the scenario that you chose for your Final Project, explain what change management model you would implement for internal and external stakeholders. What change management theory would you use and how would you apply it through IT implementation? Outline specific change and innovation management strategies given your scenario, using best practices in the private sector.

Long-Term Care - STEP I

Problem statement:

The electronic health record (EHR) is a digital version of a person's overall clinical history. EHRs are maintained with the aid of one provider but can be shared with professionals and different medical caregivers when needed to preserve accurate information. All critical medical information that applies to the improvement of a treatment plan is maintained in this one file.

Bethany Place is a 40-bed independent long-term care facility that has existed for over 50 years in the Pacific Northwest. Bethany's place has a reliable financial team that has grown over the years. This long term care facility is planning to execute a capital strategy that includes expanding their 40-bed facility to purchase a nearby residential facility and expand into rehabilitative care, that will hold another 30 beds. The problem is Bethany's place has no electronic medical record.

The benefit of the usage of electronic health documents is that they provide a higher degree of accuracy. Information may additionally consist of development or interview notes, medicines being taken, a history of clinical appointments, and even demographic information. Instead of relying on word-of-mouth information, carriers can immediately access the file to decide what has occurred over time to the health of a patient. Making use of information technology in the healthcare environment brings about change, and change generates flexibility. However, change is not new in the healthcare world. The medical profession was based on mythology and lacked a systematic approach to diagnosis and treatment until the late 19th century. Then the components of scientific methods and experimental evidence were introduced to medicine, and the exceptional progress has changed the course of history since then (Barry, 2005).

Scope of the HIT solution to be acquired

Currently, Bethany Place is using a third-party service to scan and send electronic claims to Medicare and private insurers. Health information technology (health IT) entails the exchange of health data in a digital environment. Extensive use of health IT within the health care enterprise will enhance the excellence of health care, forestall medical errors, decrease health care costs, amplify administrative efficiencies, reduce paperwork, and extend access to lower-priced health care. Bethany place recently contracted A local desktop IT services company to provide managed services to and provides the website email and local desktop applications for staff. The lack of an electronic health record at Bethany place has created quality problems and risk administration issues associated explicitly with medicine reconciliation with patient transfers. It is integral that the privateness and protection of electronic health information be ensured as this data is maintained and transmitted electronically. So as a part of this initiative a sturdy new IT network plan was carried out for both Bethany place and the expected rehabilitation facility.

Stakeholders analysis

Consumers

Even though each visit may require different documentation, the EHR makes it possible to cease records loss by presenting reminders of what needs to be done. Patients have higher access to their scientific records.

Healthcare Providers

With an electronic health records initiative, many healthcare providers have created online portals. These portals enable patients to get the right of entry to their medical records every time they want as long as they have secure information or internet connection. This lets in each patient to reference a treatment design or understand how their health practitioner sees their current state of health at any time.

Policies Makers/Government

Healthcare providers who computerize their typical data with a certified EHR, provide the essential demonstration of meaningful use that the US authorities require. That permits them to attain or proceed to receive the financial incentives that Medicare or Medicaid offer. Government has mandated the encouragement of the use of an EHR to make patient care more efficient

Stakeholder	Interest	Influence /Power
Consumers	Access, quality and, affordable healthcare	Purchasing power, Decision to choose healthcare facility
Healthcare Providers	Favorable working conditions	Volume control
Policies Makers/Government	Quality of services	Set rules and guidelines
Inhouse regulators	Safety	Accountability

Inhouse regulators

Most electronic health record systems make it viable to create templates. Those templates direct caregivers to enter unique notes or files for every patient, making it feasible to precisely record required data on a patient-to-patient basis.

Proper records are less complicated to documentation giving rise to safety and accountability.

Risk Analysis

Risk administration is a systematic strategy for identifying, analyzing, and responding to risks, maximizing the likelihood and penalties of practical events, minimizing the likelihood and consequences of harmful activities (PMI, 2003). There are many ways to approach Risk, and these strategies range by analyzing each threat and opportunity financially, technically, legally, ethically, and operationally. Information Technology is nearly a new phrase in the healthcare industry. Traditionally, healthcare experts and the healthcare care enterprise have put a significant emphasis on the practitioners expertise and abilities to serve ethically. Collaborative use of fact systems and systematic enterprise administration of original health records is incredibly threatening to the traditions of clinical practice.

According to A Guide to the Project Management Body of Knowledge (PMBOK Guide) (PMI, 2003), Risk is an unsure event or situation that, if it materializes, can have a tremendous or an adverse effect on challenge success. Business executives are involved with the economic viability of the organization, the return on investment, and the income cycle, which are commonly the drivers for facts technology systems and initiatives. However, healthcare practitioners have to utilize these systems, assist in their implementation, and make a contribution to their optimization. There is a significant hazard in not managing an organizations operations effectively. Without the acceptance and adoption of new information technology by practitioners, the advantages may additionally by no means be realized. It is indispensable to the success of IT initiatives that provide technical benefits to the consumer. With every hazard, there is an opportunity; if managed well, it can be used to the advantage of the assigned customer. Awareness of a doable problem is right, put it on the table, talk about it, design for it, and control it.

A legal downside of EHRs is that, like any other object that has been digitized, there is a threat that it could be accessed with the aid of an unauthorized party putting organizations at Risk for legal battles.

References:

Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health care information systems: A practical approach for health care management (4th ed.). San Francisco, CA: Jossey-Bass.

• Chapter 6, System Implementation and Support (pp. 179-213)

Reddy, C. K., & Aggerwal, C. C. (2015). Healthcare data analytics. Boca Raton, FL: CRC Press.

• Chapter 1, An Introduction to Healthcare Data Analytics (pp. 118)
• Chapter 14, Information Retrieval for Healthcare (pp. 467506)

Reddy, C. K., & Aggerwal, C. C. (2015). Healthcare data analytics. Boca Raton, FL: CRC Press. Chapter 1, An Introduction to Healthcare Data Analytics

De Haes, S., & Van Grembergen, W. (2013). Improving enterprise governance of IT in a major airline: A teaching case. Journal of Information Technology Teaching Cases , 3(2), 60-69.

Eastham, J., Tucker, D. J., Varma, S., & Sutton, S. M. (2014). PLM software selection model for project management using hierarchical decision modeling with criteria from PMBOK knowledge areas. Engineering Management Journal , 26(3), 13-24.