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OS21 - Adoption & Engagement (ID 27)
- Event: e-Health 2017 Virtual Meeting
- Type: Oral Session
- Track: Clinical
- Presentations: 1
- Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 206B
OS21.03 - Innovative Change Management Approach to Implementing an Electronic Health Record (ID 302)
Purpose/Objectives: Purpose: The purpose of this proposed oral presentation is to share an innovative change management approach used to successfully support the implementation of an electronic health record in a 300 bed mental health care centre. The model is unique, based on formal stakeholder feedback and recommendations from an organizational EHR change readiness survey conducted in January 2015. The following actions were recommended to ensure effective transition to EHR Develop a robust change management strategy Creating a climate of influence and championship with leaders with particular emphasis on frontline clinical management Ongoing and innovative communication and clinical staff engagement initiatives with multiple opportunities for input from a wide variety of hospital staff Utilizing strategies to manage resistance and engage dissenters Ongoing stakeholder analysis regarding change and responding with customized interventions to build awareness and support staff Strong project structure and work plan(s) specific to the EHR change project Standardization leveraging the EHR change project as an opportunity to embed standardized change management practice in the organization The presentation will address the development and success of the change management strategies implemented by the organization in response to these recommendations.
Methodology/Approach: This innovates change support project successfully employed a unique methodology which integrated a diverse range of approaches and tools. It is intended as a pilot program which will serve as the organizational model for future change projects. This integrated approach included: Targeted application of the ADKAR model for successful change implementation Application of William Bridges model for transition as a theoretical foundation Sustained engagement with frontline clinical managers to develop their roles as transition leaders Collaborating with clinical mangers to develop and implement program specific change plans using customized tools and templates Establishing a long term change support committee, structured in sub groups to address the key components of the change project including: communication, clinical informatics, clinical manager engagement, advisory group liaison, organizational development, professional practice Establishing a large multi-disciplinary change advisory group to disseminate key information hospital-wide and support committee initiatives Integrating structured project management methodologies as a foundational element of the initiative. Integrating organizational leadership competency model adoption and training and with the change initiative Note: Because of its complexity, training coordination was considered as a separate function; independent of the change initiative.
Finding/Results: Currently, in house evaluation methods reveal a high degree of success in the EHR change process, including: 100% percent of milestones complete in the overarching committee change plan, a 100% compliance rate for program change plan development, and 25% (to date) of clinical staff being engaged in a structured change planning workshop. The formal post-survey results are expected in November, 2016. Positive indicators and opportunities for improvement will be explored more extensively in the final presentation.
Conclusion/Implications/Recommendations: The change survey recommendations provided an effective framework for an innovative EHR change plan which engaged the organization, supported staff, and project implementation. The plan will act as an effective vehicle to embed a standardized change management approach to support future initiatives.
140 Character Summary: Embedding an innovative change management approach in a health care setting using best practices developed from implementing an electronical health record.
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