Change Management

 

As health care organizations adopt more and more informatics solutions, they inevitably experience significant changes. Such changes are often met with hesitation, resistance, and even outright refusal. Nurse informaticists should be aware of these barriers and be prepared to employ change-management strategies to ensure stakeholder buy-in and end-user adoption.

 

In this Discussion, you explore the concept of change management and how it is relevant to the role of the nurse informaticist. You consider what steps can be taken during implementation of a project to contribute to more successful end-user adoption. In addition, you explore the competencies and skills a nurse informaticist should have when serving as a change agent within an organization.

 

To prepare

 

• Review this week’s Learning Resources, including pages 481–483 (See attached file) in the Dennis course text, on change management. How is change management relevant to the role of the nurse informaticist?

• Consider steps a nurse informaticist can take to promote more successful end-user adoption.

• What change-management strategies are most useful for a nurse informaticist to be aware of when implementing a change within an organization? How can those strategies help to mitigate negative attitudes toward change?

• Reflect on the competencies and skills required for nurse informaticists to be effective change agents. How can you best prepare yourself to manage change and address resistance?

  With these thoughts in mind:

  Post by tomorrow 10/25/16 a 550 words essay in APA format and 3 references that include the level one headings as numbered below:

  1) An analysis of how change management is relevant to the role of the nurse informaticist.

  2) Explain at least two change-management strategies that can be used to promote end-user adoption, and justify their effectiveness in mitigating resistance.

  3) Identify at least two skills or competencies necessary for nurse informaticists in serving as change agents, and describe how you plan to cultivate those skills or competencies.

   

  Required Readings

  Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

 

• Review Chapter 13, “Transition to the New System” (pp. 400–424)

 

 

 

Kulhanek, B. J. (2011). Creating effective electronic medical record change management processes. Computers, Informatics, Nursing, 29(8), 431–435.

 

Retrieved from the Walden Library databases.

 

 Efficient implementation and use of electronic medical/health records requires organizationwide restructuring. This article addresses how management procedures, organizational initiatives, and communication needs require adjustment in order to suit the changing health care environment.

 

 

 

Lee, V., Ridzi, F., Lo, A. W., & Coskun, E. (2011). A healthcare case study of team learner style and change management. Journal of Organizational Change Management, 24(6), 830–852.

 

Retrieved from the Walden Library databases.

 

 This article discusses the importance of considering the end users’ learning styles when an implementation is planned. The authors conclude that a mix of a variety of learning styles appears to be the strongest approach.

 

 

 

Leyland, M., Hunter, D., & Dietrich, J. (2009). Integrating change management into clinical health information technology project practice. Privacy, Security, Trust and the Management of e-Business, 89–99.

 

Retrieved from the Walden Library databases.

 

 The authors of this article contrast “hard changes”—those focusing on cost, schedule, and scope of a process—with “soft changes”—the human side of change. The authors conclude that failure to address the human side of change increases the likelihood of the failure of a project.

 

 

 

 

 

 

Discussion: Workflow Modeling

 

Workflow modeling is widely used throughout many different types of businesses, including health care organizations, to visually summarize the steps of complex processes and systems. When constructing a workflow model, it is important to ensure that the model accurately reflects the actual steps in a process.

 

In this Discussion, you consider a case study of a health care clinic and its process for ordering medical supplies. You then examine a workflow model that is meant to reflect that process and analyze the model’s accuracy based on the information in the case study. You also analyze the importance of accurate workflow modeling and consider strategies for creating accurate workflow models for health care processes.

 

Case Study:

 

Deerborne Dialysis is a local dialysis clinic that is part of a larger health care network, Buckeye Health. Buckeye Health executives have recently been examining the processes by which organizations within the network manage their supplies. Deerborne Dialysis was identified as an exemplary model of efficient supply management, and Buckeye Health executives have requested a workflow model of how Deerborne Dialysis handles their supply management process.

 

 

 

Sharon is the nurse who oversees the process of ordering and stocking supplies for Deerborne Dialysis. She knows the process well and developed a description of the steps in the supply management process. First, Sharon conducts a daily check of the supplies in the storage room. If there is a supply that is running low, Sharon submits an order to the medical supplier. When the clinic receives the shipment, Sharon unpacks the shipment and cross-checks the supplies that were shipped with the supplies that were ordered. If there is a discrepancy, the entire shipment must be returned to the medical supplier, who then rushes a new shipment to the clinic to be received the next day. If there is no discrepancy, or once the new shipment is received, unpacked, and cross-checked, Sharon stocks the shelves in the storage room and gives the supply bill to the clinic’s accountant, who ensures that the medical supplier receives payment.

 

 

 

Sharon has created the following workflow model to reflect the steps she goes through to manage the clinic’s inventory of supplies:

 

 

 

 

To prepare:

 

• Review the case study above and examine the workflow model that is meant to reflect the process described in the case study.
• Identify problems with the workflow model. How could the model be revised to be more accurate, clear, and effective?
• Reflect on the importance of creating an accurate workflow model of health care processes. What are the challenges involved in workflow modeling? What are the consequences of inaccurate workflow models?
• Consider strategies that you can use to ensure that workflow models are effective and accurate.

 

With these thoughts in mind:

 

Postby tomorrow 9/27/16 a minimum of 550 words essay in APA format with 3 references (References must come from the list provided in the instruction area), addressing the level one headings as numbered below:

 

 

 

1) A summary of at least three specific problems you identified in the workflow model.

 

2) Describe how the model could be revised to address those problems.

 

3) Analyze the importance of accuracy and clarity in workflow modeling, and describe at least one strategy you plan to use to ensure that the workflow models you create are accurate and clear.

 

 

 

 

 

 

 

Required Readings

 

 

 

Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.

 

• Chapter 5, “Process Modeling” (pp. 153–186)

 

 This chapter introduces the most common process-modeling techniques. In particular, there is emphasis on the data flow diagram and how it is developed and used.

 

 

 

Helmers, S. (2011). Microsoft Visio 2010 step by step. Sebastopol, CA: O’Reilly.

 

• Chapter 3, “Adding Sophistication to your Drawing” (pp. 69–110)

 

 This chapter focuses on creating a diagram that is both professional and accurate. Topics covered include adding and using text boxes, inserting fields, and grouping shapes.

 

 

 

• Chapter 4, “Drawing the Real World: Flowcharts and Organization Charts” (pp. 111–142)

 

 The focus of this chapter is creating accurate flowcharts and organization charts. It explains how to create and use swimlanes. It also covers the development of organization charts and how they can be stylized.

 

 

 

• Chapter 5, “Adding Style, Color, and Themes” (pp. 143–170)

 

 This chapter demonstrates how to change the color, types of lines, and over all format of a drawing. It also covers the use of Visio themes.

 

 

 

Benyoucef, M., Kuziemsky, C., Rad, A. A., & Elsabbahi, A. (2011). Modeling healthcare processes as service orchestrations and choreographies. Business Process Management Journal, 17(4), 568–597.

 

Retrieved from the Walden Library databases.

 

 Remodeling health IT systems for optimal health care delivery requires an assessment of both the health care organization and the usability of the available technology. This article evaluates ways of combining web-service-based health care processes to best suit the needs of service-specific health care organizations.

 

 

 

Unertl, K. M., Weigner, M. B., Johnson, K.B., & Lorenzi, N. M. (2009). Describing and modeling workflow and information flow in chronic disease care. Journal of American Medical Informatics Association, 16(6), 826–836.

 

Retrieved from the Walden Library databases.

 

 This article evaluates how workflow and work practices in chronic disease care can be improved through the use of informatics tools. It also focuses on studies that discern potential real-world benefits of health information technology (HIT).

 

 

 

Vankipuram, M., Kahol, K., Cohen, T., & Patel, V. L. (2011). Toward automated workflow analysis and visualization in clinical environments. Journal of Biomedical Informatics, 44(3), 432–440.

 

Retrieved from the Walden Library databases.

 

 In this article, the authors offer a framework for improving workflow analysis. It combines cognitive decision making, movement, and interaction and communication. The authors used a combination of qualitative and quantitative research practices to gather the data for analysis.

 

 

 

Required Media

 

Laureate Education, Inc. (Executive Producer). (2012d). A workflow diagram. Baltimore, MD: Author.

 

 This multimedia piece continues to build on the scenario introduced in Week 1. In this segment, the health care facility creates a workflow diagram with assessment that maps the current workflow.

 

 

 

1. As a nurse, ethics and ethical decision making is an essential part of your nursing skill set. What does ethical decision making mean to you?

2. As a nurse, it is important to develop a personal nursing philosophy statement, an explanation of what nursing is to you and how it guides your nursing practice. Disscuss your personal nursing statement

3. As a nurse, often conflict can occur in both your work and home life. Describe an event in which there was a conflict and the methods you need to resolve this conflict.

200 words each

12 font

times new roman

double spaced

2 refrences APA format

refrences must be no more than 5 years old and can ONLY be from SCHOLARY JOURNALS OR WEBSITES.

CHECK GRAMMER, PUNCTUATION, AND SPELLING

 

SEE RUBRIC ATTATCHED!!!!!!!!!!!!!!!

 

  

Assignment Question to Case Study

• What strategies would you employ to assess the patient for abuse? Explain why      you selected these strategies.
• How  might exposure to the media and/or social media affect the patient?
• What   type of mandatory reporting (if any) is required in this case? Why?
• See attachment for case study and details.