HIM2652 Rasmussen College Mod 4 Change Management Written Assignment The EHR really changes how people do their jobs, and change management is needed. However, change management may look different for a team of medical records clerks versus an orthopedic surgeon.
You were hired to put together a change management plan for each of these employees or groups of employees at Rasmussen Hospital. Write a brief Change Management Plan for each scenario given, using the four R’s shared in the Change Management reading in this class. Be sure to address any fears or concerns the employees may have.
SCENARIO ONE: Medical Records Clerical Team
This team of five spent most of their day pulling paper medical record folders off of shelves, pulling paper out of them, filing paper back into them, and putting the folders back on the shelves. The folders could be thin or very thick. The job involved bending down to very low shelves or stretching up to high shelves. They also had to push carts from place to place, delivering and picking up charts from clinics. With the new EHR, all of the paper will be scanned into the EHR, and they will no longer be using paper charts. They will need to learn to use the computer, which many of them have not done before. Their new jobs will involve scanning paper records received by the clinic, and keying in the Medical Record Number so that the scanned document goes into the correct patient’s record. Accuracy will be very important.
SCENARIO TWO: Dr. John Smith, Orthopedic Surgeon
Dr. Smith is an orthopedic surgeon who has been working at the hospital for 30 years and is 10 years from retirement. He does not like to use computers. His normal workflow is to see patients, dictate his notes into a tape recorder, and send the tape to a transcriptionist who will type the note on paper. The paper is delivered to his office three days later for his signature. It often sits on his desk for several days before he signs it, and then it is picked up by a medical records clerk and filed to the medical record. With the EHR, Dr. Smith will be expected to use a computer template with picklists, checkboxes, and free text in the patient’s record in the EHR to create his patient documentation himself, meaning they will be available immediately instead of three days later. He will no longer be able to dictate. He is not very happy about this as he is not used to using a computer, and he feels that this will add a lot more time to his day and take time away from the patient. He does not understand what benefits the EHR will bring to the organization. He is very busy and does not have time for long training classes.
SCENARIO THREE: Lab Technicians
There are 10 lab technicians. Their current work flow is that the patient comes to get their blood drawn. The lab tech takes their blood and puts a hand printed label on the tube. When the lab is completed, the results go into the Lab System, and are printed on paper out of the lab system. The paper is sent to Medical Records to be filed in the chart. The lab technician will have to call the doctor with the lab results if they are important and need to be known immediately. With the EHR, the patient will come to the lab with a label already preprinted with their information on it. The label will be placed on the tube. The Lab System will have an HL7 Interface into the new EHR, (You will learn more about HL7 in the following module.) and the results will flow electronically right from the Lab System into the EHR via the interface, so no paper will have to change hands, and the lab results will go right to the patient’s chart and be ready for the doctor to review online. If the lab results are important, they will send an urgent message to the doctor’s in basket and may even automatically page the doctor.
Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below: Scenario #1: Medical Records Clerical Team
I first would like to let everyone know, that there are no job cuts happening with the new
changes going on. I understand that you all may not have much experience with computers, but
please do not let this stress you, there will be training and time to “play” to get use to the
computers and the system that you will be using. Just imagine the time you will be save using
the electronic health record (EHR), all the things you need to find will be at the tips of your
fingers, and without having to climb, bend, squat, and or reach. Records will be scanned into the
system and stored into the computer program where you will be able to locate by entering in a
patient medical record number. Like I said before, there will be training for the EHR and
training for the scanner you will be using. The help does not stop after training, there will be
others, including myself that will be “coaches” here for you whenever you need a refresher on
new procedures. Please do not hesitate to reach out and ask for help during and after training.
Scenario #2: Dr. John Smith, Orthopedic Surgeon
Yes computers can be confusing at first Dr. Smith, but imagine the quality, and accuracy they
can bring by not going through so many hands before getting to where it needs to be. I
understand you do not have much time for training classes, if you could sit in on a couple that
will be more beneficial to what you need to know that would be more helpful than not attending
any. Plus your MA/LPN will have had the full training as will myself, and can assist you with
any questions you may have during the change and even after. If you are not a great at typing
out your notes, you can use the voice to type option, and it is like dictating but it is directly to
your computer. Using the EHR system will help you provide more effective diagnoses to your
patients, reduce medial errors. You will be able to access clinical data much easier and faster,
and establish and maintain effective clinical workflows.
Scenario #3: Lab Technicians
This is going to be so exciting to start this new process, and the training set in place for you will
walk you through every step that you will need to know. Just imagine, no more missing stickers,
or stickers getting wreck from sticking to your gloves, or paper work getting contaminated with
blood, or not being able to read the hand writing on the paper work. This process is going to
make things so much easier for the lab technicians, and free up your time. You will no longer
have to worry about dropping everything to get a hand written note to the Dr., or track them
down, simply just input everything into the EHR and let the computer do the work for you. With
the training, and the coaches on hand, there is nothing to worry about.
Purchase answer to see full