Organizational Change Plan Essay

Electronic health Record or EHR, is an electronic enroll of patient health information that includes demographics, progress notes, medications, vital signs, sometime(prenominal) medical history, and any other pertinent data that relates to a patients health record (Himss, 2012-2013). Electronic Health Records make clinical work flow more telling and efficient as easily as provides monetary incentives from Medic atomic number 18 and Medicaid for those brass instruments that implement the use of these electronic records.CPOE, also known as Computerized doc send Entry, is a system utilized by physicians to enter in patient parades electronically. It is a safer and more effective way for doctors to enter orders for their patients and by using it, an composition pass on receive monetary benefits from Medicargon and Medicaid. win over is historic to any organization in order for that business to keep up with its competitors and to increase as healthy as improve the products a nd services that it provides to its customers.Technology plays a big role in the careens of an organization because engineering science is becoming more and more of a means of parley whether it be in the form of communication with cell phones to a physician communicating what orders he wants for a patient by using CPOE. The organization that I work for is in conduct of implementing Computerized Physician Order Entry in order to certify to and meet the requirements for Stage 2 for purposeful Use. The Centers for Medicare & Medicaid Services has an EHR Incentive program that provides organizations monetary incentives for meeting sealed requirements through the use of electronic health records.Their Meaningful Use requirements are split up into stages and in order to meet Stage 2, organizations suck up to implement certain requirements with the first being to use Computerized Physician Order Entry (Woodcock, 2010). Organizational and individual barriers such as miss of involv ement from employees, lack of communication, affright and stress spate cause issues when it comes to implementing a careen such as CPOE. According to Barriers To Change (2007), Involving employees as soon as possible in the dislodge do work and letting them create as more of the multifariousness as possible, is key to a successful change effort. The organization that I work for has seek to involve the physicians in the building process of CPOE from the beginning. We stomach asked their input on what order sets would be reliable for them to nurse to make ordering easier and realise let them practice in the Meditech Test environment by entering orders on fake patients we flummox gotten really good feedback from the doctors that chose to come and it has helped with the change process. Inadequate communication is often the reason behind barriers to change and people being receptive to the change.Many people in the infirmary did not know what CPOE was communicating with them from the beginning about the system and what it actually is may have helped with the introduction of the system to the organization. Our hospital goes LIVE with CPOE September 24, 2013 and although administration was asked many months prior to this to inform the hospital of what was coming, most employees knew nothing about it until they came to the training classes that were held to show them how orders would be entered when we went up with CPOE.When it comes to change, certain details need to be shared with employees because they need to know why this change is occurring, what this change means for the organization itself, and what the change means for them and how it will affect their job(s). People often fear change, especially if they are not a part of it or aware of it. If employees understand why the change is occurring then they are more presumable to accept it. CPOE peck be a big change for an organization and can cause fear. explicate to employees what CPOE is, how it will improve patient safety in terms of legibility, and how it will create a damp workflow for physicians and staff.According to Borkowski (2005), stress can certainly be increased due to change it can create a physical as well as a psychological response in the work force. CPOE can put a lot of stress on physicians and condescending staff because their unanimous workflow has to change learning a new routine of working needs encouragement and support from everyone. Factors that may influence the change could include content issues, process issues, contextual issues, and individual differences. Content issues are specific to each organization and refer to the change that is being employ, in this case CPOE. These content issues can occur in an attempt to meet demands such as government regulations or changes in proficient demands (Factors Influencing Organizational Change Efforts, n.d., p. 762).In the case of the organization that I work for they are implementing CPOE in order to meet the demands of Meaningful Use Stage 2 government requirements. Process issues are the actions that are taken during the implementation of the change and involve open, honest communication with employees about the change (Factors Influencing Organizational Change Efforts, n.d., p. 762). The organization should be honest with its employees about what CPOE is and why it is needed or why it will be a good change for the organization. They should also be efficient and express confidence that the change will be successful knowing that administration is behind the change is an important part of being confident and demo employees that the organization is ready for this change (Factors Influencing Organizational Change Efforts, n.d., p. 763).Contextual issues deals with external factors that usually cant be changed and indwelling factors that can be. External factors would include government regulations, as stated before, meeting Meaningful Use Stage 2 requirements. Internal factors would be attitudes or feelings about the change, lack of resources, or lack of knowledge about technology. If attitudes are negative coming from administration then employees are going to have a negative attitude towards the change as well. Administration or those implementing the change need to have a positive attitude and positive outlook on CPOE and express to employees that CPOE is going to improve workflow as well as patient safety when it comes to order entry.According to Factors Influencing Organizational Change Efforts (n.d.) organizations have a variety of individuals who have different attitudes and personalities that could influence the reaction and commitment to change. Individual differences can have a big impact on the implementation and the acceptance of CPOE attitudes need to be positive and back up and communication needs to be open in order to have successful implementation of computerized physician order entry.Factors influencing organizational readiness mainly come from individuals themselves who are not ready or who do not want to accept the change. Individual readiness for change is when someone is open and willing to change if the person is not open or willing then this affects their readiness for change. It seems as though the physicians are the ones who are the least ready for the change from paper charting to CPOE. Physicians are used to writing orders on paper, gravid communicatory orders or giving telephone orders and with CPOE this all changes.CPOE requires physicians to do their own ordering so verbal and telephone orders are supposed to be used as little as possible. Their readiness to change from ordering on paper to electronic ordering is not very high because they like the flexibleness of being able to tell nurses to place orders for them and with CPOE this process is supposed to stop. Kurt Lewins change model of unfreezing, change and refreezing relates to the proposed change from placing orders on paper to electronic ord er entry. Unfreezing is an important step in the change process because it deals with communicating to employees about the change. Inform staff what CPOE is, why the hospital is making the change to CPOE and what CPOE means for the employees. Change deals with making the actual change from physicians ordering on paper to placing their own orders electronically.The refreezing stage is when the change has been implemented and accepted the change has been accepted and the effects of the change are being monitored (Borkowski, 2005). Resources for the implementation of CPOE involved internal as well as external persons. Training will include superusers who will be accessible to assist staff on the units when the change is made. The Clinical Informatics team will be procurable extra hours to provide coverage on the CPOE Go Live day. Our facility uses Meditech so there will be Meditech consultants that come to assist us with the Go Live preparation of CPOE. Our physicians and nurses wil l have the coverage and help that they need with the implementation of Computerized Physician Order Entry.ResourcesBorkowski, N. (2005). Organizational Behavior in Health Care. Retrieved from The University of genus Phoenix eBook Collection database. Factors Influencing Organizational Change Efforts. (n.d.). Journal of Organizational Change Management, 20(6), 761-773. Retrieved from http//www.emeraldinsight.com.ezproxy.apollolibrary.com/journals.htm?articleid=1630997&show=abstract HiMSS. (2012-2013). Retrieved from http//www.himss.org/library/ehr/?navItemNumber=13261 Woodcock, E. (2010, September). . , 31(9), 91-92.Retrieved from http//search.proquest.com.ezproxy.apollolibrary.com/docview/757065487