Integrating Change Management into Clinical Health Information Technology Project Practice

Author(s):  
Marga Leyland ◽  
Danielle Hunter ◽  
James Dietrich
2021 ◽  
Author(s):  
Tomas Hambili Paulo Sanjuluca ◽  
Ricardo Cruz-Correia ◽  
Anabela Antunes Almeida

Abstract Background COVID19 pandemic has shown the importance of data to manage health crises. Therefore, countries that were more mature regarding using Information Systems (IS) were better prepared to respond to their population needs. Unfortunately, in Angola, such Health Information Systems (HIS) maturity is very low, so new Health Information Technology (HIT) projects must change this scenario. Objective Describe the impact of COVID19 on a new health information technology project called "ObsCare Lubango" to collect essential data on deliveries and births at the Maternity Hospital in Lubango-Angola. Methods Retrieve data from the notes, communication events of the project management. Also, the collected data regarding obstetrics (pregnancies and childbirth) was from Jan 2019 to Apr 2021 (14 months before COVID19 and 14 months after the beginning of COVID19). The data analyzed were collected from the utilization audit trail that stores the sessions and clicks in the application logs. These logs are then presented in aggregated and anonymized form in a web interface. Results The start of COVID19 in Maternity halted the evolution of the health information project implementation. At the beginning of 2020, the usage of ObsCare Lubango was growing steadily (5.9%, 7.5%, 9.4% in the first three months), but rapidly dropped to 0% in the following months after the first of COVID arrived in late March. Conclusion COVID19 had a significant impact on the evolution of ObsCare Lubango and heavily impacted the quality of the data collected in the paper. COVID19 will probably increase the digital divide in health care between nations.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Salifu Yusif ◽  
Abdul Hafeez-Baig ◽  
Jeffrey Soar

In Ghana, as with other developing countries, there are several health information technology (HIT) initiatives as interventions to improve healthcare delivery. HIT implementation undoubtedly results in change. However, most studies relating to HIT implementation readiness have constantly neglected the role of change in successfully implementing HIT. This study intends to identify factors affecting successful change management as part of preparation towards successfully implementing HIT in public hospital in Ghana. To carry out this study, we conducted in-depth interviews with a matrix of HIT senior managers and thematically analyzed the data. The data was transcribed and uploaded into a Nvivo 11 software for analysis using thematic analysis techniques. Five (5) themes were discovered. They are: 1) Stakeholder participation; 2) Proof of experience in similar project; 3) Availability of committed change agents/all-levels-change representatives; 4) Clearly articulated change implementation strategy; and 5) Training and improvement mechanism (post-implementation). A fresh call is made for more attention to be paid to change as part of preparatory measures towards the adoption of HIT in Ghana using the five cardinal approaches identified as a guide.


Author(s):  
Christine A. Doyle

Health information technology (HIT) has become an important part of patient care, and can provide useful solutions for a quality assurance and improvement (QA&I) program by illustrating current quality and demonstrating gaps in quality that can be targeted for improvement. Like any other information technology project, however, HIT solutions can give misleading results if the wrong information is selected for review or if there are systematic errors in data handling. Although many health information systems are sometimes maligned as a glorified statistical tool or billing document, well-designed and implemented anesthesia information management systems (AIMS), perioperative electronic health records (EHR), and other software solutions can provide an excellent vehicle for use in quality programs. When planning the implementation of a major HIT project, it is usually best to start at the “end”—the desired workflow and goals of the project—and then work backward.


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