. Which types of barriers (cultural, structural, business case) are the biggest
ID: 52107 • Letter: #
Question
. Which types of barriers (cultural, structural, business case) are the biggest threat to a health IT project? Why did you select these? Identify and assess strategies to overcome these barriers.
2. Why are some individuals resistant to change? How can you motivate them to change?
3. Give an example of two professional cultures within a health system that may have competing interests in an electronic health record project. Describe a strategy to manage the two groups’ disparate interests.
4. Identify and describe the most important factors to consider when deciding to adopt a quality improvement or governance model (CMMI, ITIL, Six Sigma, or Lean)?
Explanation / Answer
1. Many healthcare centers are keen at recruiting qualified professionals with appropriate health IT skills for handling the health IT related projects. The EHRs, HIEs and ICD10 require a lot of work done by IT staff. The important areas of IT organization to recruit the right professionals include clinical application support, clinical informatics and network architecture and support.
Therefore, lack of health IT skills is a largest barrier for the health IT projects. The other barriers include lack of financial support and inability to find vendors and products reaching the needs of the health IT projects. All these come under structural barriers fo running a health IT project.
The strategies to overcome these barriers include
2. The major reasons for the individuals to resist change are
The points to remember to overcome the resistance to change are
3. Patients and healthcare professionals have special interests to access the electronic health records. Patients can enhance the accuracy of the record by having access to it, develop contacts with the hospital staff and doctors effectively, add more patient information to make the patients understand the health records. The healthcare providers have the chance of complying with their duty more efficiently when they have acess to the health records. They will be able to provide equal assistance to all the patients.
Sharing the records to the major two groups would expect the groups to have enough knowledge and skills, practices and attitudes from the professionals, patients and public. Acessibility to a health record needs change in the cultural attitudes which stand as the barriers for implementation of the health records.Therefore, providing training about the way of accessing health records would be a great advantage for both the patients and other healthcare professionals to handle healthcare records.
4. Most of the general practitioners (GPs) receive formal training to use audit for measuring and improving healthcare. As the quality and outcome framework (QOF) has been introduced, the way of its implementation has changed. Many of the GPs say that they are unable to get engaged in audits. Some of the GPs aware (5 percent) of the LIPS program and who know about PDSA, have not used it in practice. Though many of the GPs know about Lean, Six Sigma, ITIL and CMMI as tools for auditing, they are unable to use them.
Some of the factors that show impact on adopting these quality improvement tools are perception of quality improvement, attitude towards quality of care, lack of proper system mind-set, expectations on the roles of practice, perception on collective approach, and skills in quality improvement and change leadership.
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