...Organizational Change Plan - Part I Michelle Santana, RN University of Phoenix Creating Change Within Organizations HCS 587 Laura Rainey September 22, 2014 Organizational Change Plan - Part I In today's fast-moving environment any business looking for the pace of change to slow down is likely to be deeply disillusioned. In fact, businesses should embrace change. Change is imperative for any organization because it prevents business from losing their competitive edge and meets the needs of what most hope to be a growing base of loyal customers. Changes however, are unavoidable and are a significant part of every organization. They are implemented to improve the company, or as a response to a problem or a predicament. This paper will examine the need for the implementation of electronic medical records (EMR), assess organizational and individual barriers to EMR implementation, identify factors that might influence the change, summarize factors influencing organizational readiness for EMR implementation, identify the theoretical model that relates to the proposed change, and identify internal and external resources available to support the change initiative. Electronic Medical Records (EMR) Electronic Medical Records (EMR) are patients electronic medical health records. In the past, patient’s health records were kept in a physician’s office locked away in a filing cabinet collecting dust. However, the advancements in technology and Medicare’s and Medicaid...
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...Organizational Change Plan Part I Tericka Small HCS/587 Laura Rainey Organizational Change Plan Part I The proposed organizational change plan is designed for One Core Health. In a way to advance the facility, health care information must improve. Understanding the need for change is essential to the success of change. Electronic Medical Record Implementation (EMR) has become necessary at One Core Health. Having patients checked in and ready to see their providers at the scheduled appointment time not only allows the providers the time they need to assess and care for the patient, but also leads to patient satisfaction (Anderson, Commacho & Balkrishnan, 2007). This organizational change plan will examine the need in One Core Health for EMR implementation; identify factors that will influence the change. A theoretical model that is relative to EMR implementation and resources will be identified as well as internal and external resources to assist in the change will be explained. The Affordable Care Act includes mandates for electronic medical records (EMRs) and the ability to e-prescribe. In an effort to support this transition, the government has allocated $20 billion to enable healthcare institutions to develop and implement health information systems (Moreland, et.al. 2012). One Core Health still use the old fashioned method of the patient having to fill out tons of paperwork before each scheduled appointment. Each patient is supposed to arrive 15 minutes before their...
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...Implementation of Change Process: National Health Services Introduction It is a widely recognized fact that health care remains the topmost agenda for any national government around the world. In the same line the UK government is also extremely concerned about the welfare of their citizens. In this regards, the government provides almost free of cost health care services to the citizens of the state. National Health Service (NHS) is the name of the public health care body in the United Kingdom. A number of Health care services are provided at the NHS to people suffering from various illnesses. Generally these services are free of cost for the citizens of United Kingdom. The National Health Service in UK is quite efficient in providing healthcare facilities to residents of the nation. The health care services are the major concerns for any nation. It is not an easy task to meet the rising demands of the health care services in the UK. It has been observed that National Health Service has gone through some critical changes in last five years. In order to meet the rising demands in the health care services National Health Service went through a number of improvements in various health care programmes and projects (Parkin 2009). In this paper we will discuss about the change process in National Health Services in UK. Initially, the reasons that triggered the implementation of change process will be discussed. The types of changes happened in the organization will be...
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...professional and safe practices. An electronic health records system offers both, professional and safe practices. Implementing this system will make a patient feel better about the care they receive in such hospital. Simply because all their information will be available when they need the care. This can make things easier for the patient. With the use of this system, their allergies and medications can easily be tracked, this will advance their medical care. Also, this idea will help patients avoid unnecessary, and costly treatments. When a patient is ill, he or she might...
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...CHANGE PROPOSAL8 Running Head: CHANGE PROPOSAL1 Change Proposal Name: Warly Gonzalez Moreno Course: NSG3039 Institution: South University Week 2, Assignment 3 Literature review Healthcare technology has turned into more and more complicated, changing the approach nursing care is delivered and conceptualized. Since the invention of technology, healthcare practitioners have confidence in massively on the sense of touch, ability to perceive with eyes, hearing, and odor to detect changes and guide the convalescents status. Over time, nurses' separated spirits were replaced with automation designed to catch physical shifts in patient surroundings (Bell &Thornton, 2013, p.55). Despite the fact technology has been capable...
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...CHAPTER 7 SYSTEM IMPLEMENTATION AND SUPPORT LEARNING OBJECTIVES ■ To be able to discuss the process that a health care organization typically goes through in implementing a health care information system. To be able to appreciate the organizational and behavioral factors that can affect system acceptance and use and strategies for managing change. To be able to develop a sample system implementation plan for a health care information system project, including the types of individuals who should be involved. To gain insight into many of the things that can go wrong during system implementations and strategies health care managers can employ to alleviate potential problems. To be able to discuss the importance of training, technical support, infrastructure, and ongoing maintenance and evaluation of any health care information system project. ■ ■ ■ ■ 167 168 System Implementation and Support Once a health care organization has finalized its contract with the vendor to acquire an information system, the system implementation process begins. Selecting the right system does not ensure user acceptance and success; the system must also be incorporated effectively into the day-to-day operations of the health care organization and adequately supported or maintained. Whether the system is built in-house, designed by an outside consultant, leased from an application service provider (ASP), or purchased from a vendor, it will take a substantial amount of planning...
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...Kiley Overholt HCS/455 June 24, 2013 Elaine Bobo Legislative and Implementation In health care there are five stages involved when policies are introduced into the health care system. Policies are at a constant pace of being reviewed to better the health care system, with each one having an effect on the changes in health care. Since each stage takes special consideration before policies are proposed and accepted, in this paper we will talk about two, the Legislative and Implementation stages. Legislative The Legislative phase is similar to the steps of passing a bill; with the exception that it is only for the health care aspect. It all begins with an idea in which evolves into something more, where steps are to be taken in order to get the policy into action. Congress is involved in this phase to help legislative officers in making executive decisions by offering guidance on actions. The Office of Legislative Policy and Analysis (OLPA) “helps by providing information and advice on Congressional actions that affect those involved” (Office of Legislative Policy and Analysis (ofm)-Other Related Resources”,). The functions that are involved to help support during the process is: • “To serve as the principle legislative with the congress, and other Federal agencies • Prepare if there is need to testify • Analyzes pending legislation • Monitor and keep those involved informed • Brief members of Congress and staff;...
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...Health Care Spending Policy Health care spending continues to rapidly rise in our nation and shows no means of slowing down in the near future. Health care in our nation is labeled as a crisis because the cost of care is steadily outpacing the economy which puts a burden on families, businesses, and the public. The cost of care is rising at a rate that will exceed the average income and cause devastating effects on the public because of the inability to afford care. This issue brings tremendous stress to families that are working to survive in our nation and have to worry if they are financially able to afford care if needed. The health care expenditure data for our nation must be examined to identify where we can safely provide cuts to the cost while continuing to provide quality care. An important aspect of cutting costs is identifying how the public pays for the services they receive and the percent of total expenditures they represent. Health care spending is a crisis in our nation and steps must be taken to alleviate this issue. The future must also be considered because health care is an important aspect of any country. A forecast of the future economic needs of our health care system is important to identify because this issue will not go away if we do not take action. Our nation must work together to establish a more efficient and effective health care system. Initiating effective policies are the way to address the growing concerns of healthcare spending. ...
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...Readiness for Change With an ever-increasing population and the rising cost of medical care, the healthcare industry is in need of innovated ways to provide quality health care while containing cost. Technological advances offer one-such solution to cost containment, though, adoption of Information Technology (IT) in the health care industry remains low despite overwhelming evidence that the use of electronic medical records (EMR) has improved staff efficiency, increased preventative care measures, and decreased medical errors thus lowering healthcare cost (Childs, 2009). Even in an environment that is rich with evidence-based innovations, diffusion of successful electronic medical records remains a problem in the healthcare industry. This paper will explore the implementation of transitioning to an EMR in a specific facility. Implementation of an Electronic Medical Record The change initiative in this scenario is implementation of an EMR. In 2004, the Office of the National Coordinator for Health Information Technology was developed as a part of the Department of Health and Human Services. In 2009, the American Recovery and Reinvestment Act was signed into law, the goal of this act was to create new jobs and spur economic activity and invest in long-term growth (U.S. Government, 2012). The Act had a plan to achieve goals by providing $787 billion that would offer tax cuts and benefits for many working families, fund entitlement programs, such as unemployment benefits, and...
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...Case Study Analysis The complex and dynamic realm of health care has generated a need to focus on cultural change to improve health care quality. To overcome a decade of difficulties and implement a program for improving their quality, the University of North Texas Health Science Center at Fort Worth (UNTHSC) began a journey to change the culture of their organization. Using the change model the new president initiated measures to revise the quality improvement program and strategies for meeting regulatory and accreditation standards. Many barriers interfered with the process but actions were executed to overcome these obstacles (Ransom, Joshi, Nash, & Ransom, 2008). This paper will describe the cultural change journey of UNTHSC through unfreezing their old culture and laying the foundation for a new culture of quality. Measures to Monitor and Revise Quality Program Implementation The measures used to monitor and revise quality program implementation foster changing the organizational structure of an institution. The UNTHSC at Forth Worth decided to institute cultural changes as a form of monitoring and influencing the change process. The initial element of the measurement process incorporated administrative, academic, clinical practice, research application, financial elements, and community goals. A baseline measure was associated with current levels of operations. The management team was held accountable in regard to focusing on four areas of measurement...
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...Organization Change Plan Part II Crystal Robinson HCS/587 Implementing Organizational Change Introduction Most successful companies or organizations view organizational change as a necessary process for the company's existence. How the organizational change is implemented and how the implementation is managed, should be done in such a manner that demonstrates the skillfulness and usefulness of the product or service. Management has to create strategies for the implementation of change that would make employees comfortable and acceptable of the change. It is predictable for employees in a company or organization to be resistant to change. Doing something that is different or uncommon for any individual may cause resistance because it is unknown. This is why how change is implemented matters and how management handles the implementation is relevant to the success of the change. This paper will focus on strategies for implementing change in a Correctional facility as it related to inmate access to healthcare. The paper will describe different assessments and evaluations used to monitor the process of inmate healthcare access. Community techniques and resources will also be defined in this paper, along with additional organizational resources relative to the process, systems, personal, and professionals roles in the organization. Strategies for Changing Inmate Access to Healthcare Access to health care in the correctional institutions in Maryland are limited. ...
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...Patient care and treatment is an ongoing challenge full of changes and new procedures. Nurses provide patient care using evidence-based practice, which provides scientific evidence of the best current care available. The purpose of this discussion board post is to describe the roll of nurse leaders when promoting. I will provide several strategies to implement evidenced based practice within an organization. I will also provide reasons for changing health care due to cultures, current issues, and trends. Lastly, I will compare my nursing work group culture to other organizational cultures. Nurse leaders have the task of helping to implement and support new evidenced-based practice (EBP) within their organization. According to Melnyk, Fineout-Overholt,...
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...Medical Records system to the Long-Term Care Home Facility, managers will be taking a huge leap into the future. Of course, when organizations decide to make an over-haul change of this magnitude, managers need to make sure they have planned strategies for measuring the various outcomes. Now that the implementation of Electronic Medical Records system has been implemented at the Long-Term Care Facility, management needs to focus on the strategies for determining just how effective was the change to the EMR system. The managers must also be able to analyze possible future outcomes of the implementation as well as looked at how they plan to measure the quality and satisfaction outcomes of the implemented change plan. Change Effectiveness Now that Electronic Medical Records system has been implemented at the Long-Term Care Facility, managers will now have to determine how effective the change to the EMR system was. According to Spector (2010), effectiveness is determined by the degree to which employee behavior is adaptive; moving people in a direction that is in the long-term best interests of employees and the organization. By watching, talking, and gathering surveys from employees, managers will be able to determine if the EMR system was an effective change for the staff and the patients. According to Borkowski (2010), communication is essential to building and maintaining relationships in the workplace. The employees of Long-Term Care Home Facility must effectively communicate...
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...Affordable Care Act Student’s Name University Affiliation Affordable Care Act Analyze the impact of the ACA on changes to health care insurance and coverage. The Affordable care act better known as the Obama Care Act is a health care law that was signed into law by President Obama on 2010. Since the implementation of this law, there have been major changes in the platform of health insurance (Faguet 2013). The major aim of this act was to make changes to health and make it affordable to the people. Since the implementation of the act, very many Americans have had access to healthcare insurance coverage. With the implementation of the affordable care act, various factors in insurance have changed. The first change in insurance that has been experienced is the individuals who receive cover. The act has made it possible for every individual even the low-income individuals to access insurance. The second change is what is covered by the insurance. Under the ACA, coverage is only accorded to essential health benefits contrary to earlier on where almost everything was covered but for a few people. Finally, there have been new regulations for insurance. The new regulations include limitation of premium. Investigate the major implications of the legislation on the manner in which institutions now provide health care in the U.S. There have been major fuses on the lowered quality of healthcare that came with the act. First service provision has been affected since with very...
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...Implementing Change Cha’Ron Winston HCS/475 November 5, 2012 Instructor Shelly Uhrig Implementing Change Implementing change within health care organizations can be challenging. All hospital staff must engage in the implementation of change to produce better patient outcomes. Change has to be supported from the highest level of management to encourage the staff to be positive about the changes that are about to occur. Health care organizations must promote change focusing on improving patient safety, medicinal advancements, technical invasive treatments and procedures. Implementing change for better patient care is part of the goal, but also administrative change is essential to innovation of changes will prosper accordingly. Internal changes for administrative processes and procedures will support the initiative of implementing change throughout healthcare facilities. Implementing change will benefit patients and promote employee growth from training and education to conduct the proper standard to initiate changes. What is the manager’s role and responsibility in implementing change in the department? The manager’s role and responsibility in implementing changes within their assigned department consists of coordination that will ensure change will be successfully implemented. Managers must appropriately lead employees with a certain leadership style that will encourage employee engagement and adapt to changes. Managers must assist in the transition phases...
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