CHANGE MANAGEMENT IN HEALTH INFORMATICS Flashcards
make sure our organizations/institutions will stay intact as they live through and go through different changes.
Change management
it created and widely impacted changes in the healthcare setting.
health informatics
Requires the utilization of computers in storing data and information from patients
This is one of the biggest changes that impacted the healthcare setting
Health informatics
is the only constant thing in this world so we must prepare ourselves for any shift or change that happens.
For example: Online classes (a shift we must adjust to and accept for the meantime)
Change
Systematic approach to dealing with the transition or transformation of an organization’s goals, processes, or technologies.
CHANGE MANAGEMENT
The main goal for any organization and institution is to_______.
One of the ways in order for them to survive is to be able to handle_______.
survive
Change
Four general changes in an organization that may overlap:
Operational changes
Strategic changes
Cultural changes
Political changes
• Can influence the way dynamic business tasks are led, including the computerization of a particular business segment
OPERATIONAL CHANGES
Refers to changes in the way the management is operating and its operations.
OPERATIONAL CHANGES
Manual or paper based systems to digital or computerized information systems
Operational change
Work from home set-up during the pandemic (employees may choose to work at home rather than in the office)
Operational change
• Have the highest impact on the lower organizational levels
• Mostly affect frontline employees
Operational changes
when computerization of the system is applied, the employees are the ones that will do the task.
It is expected of them to adjust to the change
Operational changes
Occur when the business direction, in relation to its vision, mission, and philosophy, is altered.
STRATEGIC CHANGES
A change may occur because there may be things that were observed by the top level management in regards to market forecast.
For example: The CEO has assessed or observed that people’s preferences have changed.
Strategic changes
when an organization starts, there is always a direction to follow. However, changes in direction will always have to be made
Strategic changes
A change in business direction is always anticipated
A case of strategic change: Changing the business technique from business growth to increasing market share in the overall industry.
Strategic changes
Main responsibility of ________lie on the__________ level as they are the ones who must strategize according to the demands and taste of the consumers.
strategic changes
top management
Influence the internal organizational culture, for example, the way the business is conducted (attitude), such as actualizing a CQI (continuous quality improvement) framework.
CULTURAL CHANGES
All organizations, workplaces, institutions have
CULTURAL CHANGES
may be brought about by evaluation.
Creating an environment where managers and workers strive to constantly improve quality.
Cultural changes
If customers think that vou are too strict in dealing with them, a shift or change in attitude is done. From a strict attitude to a more pleasant and welcoming attitude.
Cultural changes
If the culture of the organization is business-like at all times and employees tend to get overworked and stressed, we can apply cultural change that considers the well-being of employees. Shortening the work days or shortening work hours to prevent burnout.
Cultural change
REFERS TO THE CHANGE IN THE ENVIRONMENT OR THE CULTURE OR ATTITUDES IN THE WORKPLACE.
Cultural changes
REFERS TO A CHANGE IN BUSINESS DIRECTION BASED ON THE DEMANDS OF CONSUMERS.
Strategic changes
REFERS TO ANY FORM OF CHANGE IN THE WAY THINGS ARE DONE IN THE ORGANIZATION,
Operational changes
Occur primarily in human resources due to political reasons of varying types
Commonly, these are changes that happen on top patronage levels in the government agencies (changes in organization’s leadership)
POLITICAL CHANGES
The CEO has resigned/retired which will put into question how the lower rank employees will receive the changes a new CEO will bring.
POLITICAL CHANGES
Any change in leadership is considered a stressful time for the institution as employees do not know how the successor will handle the organization. Especially if you are used to the previous handling of the previous CEO.
POLITICAL CHANGES
There are new attitudes, manners, leadership styles that the employees have to take in and familiarize.
Political changes
REFERS TO A CHANGE OF LEADERSHIP IN THE ORGANIZATION.
Political changes
need to adapt more innovative technology to drive better patient experiences.
Healthcare institutions
The more high-tech or the more technological a health institution is, the better they would serve their patients.
CHANGES IN THE HEALTHCARE INDUSTRY
For example: in laboratories, manual tests require a longer turnaround time compared to tests done by machines.
Patients nowadays demand faster and quicker results so a change to automation is applicable.
CHANGES IN THE HEALTHCARE INDUSTRY
In the healthcare industry, the following are factors that contribute to the changes:
Regulatory adjustments
Shifts in consumer behavior patterns
Accelerated pace of IT development
Refers to the orders, directives, memoranda from the DOH, WHO, or CDC concerning health matters.
There may be new policies or protocols that have to be followed regarding so many areas.
REGULATORY ADJUSTMENTS
For example: before a license will be renewed, there are changes that have to be implemented.
REGULATORY ADJUSTMENTS
A change that happens based on the demand or preferences of the consumers because you do not want to lose them
SHIFTS IN CONSUMER BEHAVIOR PATTERNS
There are a lot of changes as far as technology is concerned in regards to the healthcare setting. So maybe in 15-20 years there will be more advanced technology in laboratories and hospitals.
ACCELERATED PACE OF IT DEVELOPMENT
need to direct, control, and monitor changes to ensure that objectives are met.
Managers
Change management process has a wide range of models with each model having its own strategic approaches:
Kurt-Lewin’s Unfreeze-Change-Refreeze Model
Prosci’s ADKAR model
Kotter’s Change model
, founder of social psychology
Kurt Lewin
3-step model used since the 1950s
KURT-LEWIN UNFREEZE-CHANGE-REFREEZE MODEL
2 STEPS IN KURT-LEWIN UNFREEZE-CHANGE-REFREEZE
MODEL
Unfreeze
Chenge
Refreeze
create awareness of how the status quo is currently hindering the organization; communication is important to understand the logic and need for change.
If what you currently have is not working as an advantage to your organization then change must be implemented.
Unfreeze
For example: if the current boss is not productive then dapat ichange yung boss (political change).
If the status quo is bringing your organization down then it’s time for a change.
You are aware that things are not working well so therefore you have to change.
Unfreeze
- “transition” or “moving” stage; implementing change with careful planning and execution
.
Implementing and executing the change that has been identified in step 1.
Change
- reinforcing, stabilizing, solidifying the new state after change with positive rewards and acknowledgment.
After change is implemented.
A needed step in order for the organization not to go back to the defeated/losing stage.
Refreeze
Developed by entrepreneur and author,______ in 2003.
Jeff Hiat
PROSCI’S ADKAR MODEL
, a renowned change management consulting agency.
Prosci
ADKAR stands for:
Awareness
Desire
Knowledge
Abilit
Reinforcement
THIS MODEL IS MORE SPECIFIC COMPARED TO KURT-LEWIN’S
PROSCI’S ADKAR MODEL
8 steps developed by______ of Harvard Business School in his book “Leading change published in 1995.
KOTTER’S CHANGE MODEL
John Kotter
Series of tools, techniques, and processes aimed at successfully effecting change
Change management
(KPI)
KEY PERFORMANCE INDICATORS
Objectives must be placed to measure progress of the change.
We have to determine if we have changed for the better or did it just make things worse.
KEY PERFORMANCE INDICATORS (KPI)
These obiectives will be measured by KPls such as:
Reducing work by x%
Improving in stakeholder satisfaction
Customer/employee surveys
Reducing time to market
Enhanced speed of delivery
Having good return of investment
Earning more than you give before
AFTER CHANGE HAS BEEN APPLIED, AN_____ MUST BE DONE. ONE WAY TO EVALUATE CHANGES IS TO ASSESS YOUR KEY PERFORMANCE INDICATORS.
EVALUATION
Provides access to and delivers important information that improves patient care and supports education, research, and publication.
HEALTH INFORMATION PROFESSION
Have a special skill set that qualifies them to assume the role of privacy and security officers who take charge of the storage, protection, and maintenance of the information in the healthcare institution.
HEALTH INFORMATION MANAGEMENT
PROFESSIONALS
HIM professionals may fall into various job categories with varied titles, including:
Health information management department director
Patient information coordinator
Health information management system manager
Information security officer
Physician practice manager
Chief privacy officer
Health data analyst
Health record technician specialist
Clinical coding specialist
Health Information administrator
Revenue cycle specialist
Director of quality management
Health Information manager
Health Information
Technologist/Technician
• Developed under the e-health strateqic framework and plan for 2014 to 2020.
• A plan by the DOH to ensure that patient information in all hospitals and healthcare institutions in the country are well protected and united by the same rules and regulations.
PHILIPPINE HEALTH INFORMATION PROFESSION
PHILIPPINE HEALTH INFORMATION PROFESSION
Obiective:
Utilize information and communication technologies in the health sector
PHILIPPINE HEALTH INFORMATION PROFESSION
Goals:
Establish unified and coherent health and management information systems
Take advantage of ICT to reach and provide better health services
Support UN’s sustainable development goals
It is very important that this be implemented so that there is no discrepancy that occurs when interchanging and exchanging patient information between hospitals or healthcare institutions. There must be a unification of all manners in protecting and storing patient data across all health institutions in the country.
PHILIPPINE HEALTH INFORMATION PROFESSION
The use of electronic communications to transmit and exchange medical information and data to provide patient treatment.
TELEMEDICINE IN THE PHILIPPINES
Features a list of applications that perform telemedicine
OVERVIEW OF ACHIEVEMENTS
Key government players in telemedicine
National Telehealth Center of UP (UP-NTHC)
Commission on Information and Communications
Technology (CICT)
Providers of over-the-phone telemedicine servicers:
(video consultation with doctors and patient educational materials in a fixed monthly subscription fee)
Medgate and Lifeline
Mobile-app based telemedicine centers:
MyPocketDoctor and MyDocNow
Telefellow-up and specialist consultation:
(first medical clinic to mobilize the pre-employment medical exam)
Medway Healthcare Inc.
Web-based and SMS-based telehealth
platform:
Buddyworks
A chatting application that can utilize pictures for patient diagnosis and check-up and also has zoom-like features.
Fees are still applied and online reseta are downloadable
Now serving app
• First version (2007) and second version (2012)
• A Point-of-care device (portable and can be readily used near or by the bedside)
RxBox DIAGNOSTIC TELEMEDICINE DEVISE
Developed by Dr. Alvin Marcelo (UP-NTHC) and Dr. Luis Sison (UPD Engineering)
RxBox DIAGNOSTIC TELEMEDICINE DEVISE
Features:
•Sensors that can measure blood pressure, pulse rate, temperatures
911 or Medical emergency units can utilize this to have preliminary assessments of a patient’s vital signs.
Detect fetal heart beats and monitor pregnant woman’s uterine contractions
Electrocardiogram
Can send data to a nearby hospital in order to prepare materials and supplies before the patient’s arrival.
RxBox DIAGNOSTIC TELEMEDICINE DEVISE
