Information Systems and Changing Organizational Culture Discussion: NURS 8210 Week 10 ORDER NOW FOR ORIGINAL PAPER
NURS 8210 Week 10 Assignment
Information Systems and Changing Organizational Culture Discussion
The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (2011) notes that “the nursing profession is the largest segment of the nation’s health care workforce.” Nursing’s three million–plus members are known for their ability to react quickly and efficiently on the front lines of patient care. This agility is lost, however, when the nursing profession fails to evolve with the field of information technology. Have you witnessed any unintentional barriers that have excluded nurses from quickly adopting and accepting informatics systems?
Those nurses who apply strategies developed by change management experts can help expedite the adoption process by positively addressing staff concerns and implementation challenges. In this Discussion, you explore change leadership strategies through a role playing activity.
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Reference:
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health [Consensus report]. Retrieved from the Institute of Medicine of the National Academies website:http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx
To prepare:
- Review the Learning Resources, focusing on the findings of the TIGER Leadership Collaborative.
- Consider the TIGER Nursing Informatics Competencies model from a leadership standpoint.
- Engage in the following role play: Your practice setting has appointed you to lead the implementation of a new information technology initiative. As you plan for this undertaking, you consider the various challenges that this implementation may bring to your practice.
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- Select an information technology initiative that your practice could benefit from (i.e., a new information system, point-of-care service, robotics machinery, mobile devices, etc.).
- What change management strategies might you utilize to facilitate a quick and successful implementation?
- What potential barriers might the initiative bring to the practice? What leadership strategies could shift the culture toward a smooth transition?
By Day 3 post a cohesive response that addresses the following:
- Briefly identify your practice setting and the information technology initiative you selected. Provide a rationale for your selection.
- Evaluate the potential barriers to implementing your hypothetical initiative.
- Identify the change management strategies that you would use to facilitate a successful implementation. Identify key resources that you would need to promptly overcome potential barriers.
- Appraise the leadership strategies that you would employ to establish a culture that supports the new information technology initiative. Reference the TIGER Informatics Competencies where appropriate.
Read a selection of your colleagues’ postings.
By Day 6 respond to at least two of your colleagues in one or more of the following ways:
- Ask a probing question, substantiated with additional background information, evidence, or research.
- Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
- Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
- Validate an idea with your own experience and additional research.
- Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
- Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.
Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources.
Click on the Reply button below to post your response.
NURS 8210 Week 10: Information Systems and Changing Organizational Culture
As an advanced nurse practitioner, you may play an important leadership role in technology integration and change management. Honing the necessary leadership skills can help you assimilate emergent technologies into the core of the nursing profession.
This week, you explore change management theories and strategies that can be applied to overcome barriers and positively influence organizational culture.
Learning Objectives
Students will:
- Evaluate potential barriers to implementing new information technology initiatives
- Appraise strategies for leading change in response to new information technology initiatives
Photo Credit: Westend61 / Getty Images
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Information Systems and Changing Organizational Culture Discussion Required Readings
Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.
- Chapter 2, “Strategies for Culture Change”
- Chapter 9, “Leadership Collaborative”
- Chapter 10, “Challenging Leadership Status Quo”
Chapters 2 and 10 discuss the theories, models, and trends of technology. Chapter 9 details TIGER’s strides in the realms of education and basic competency requirements to better prepare nurses in informatics principles.
Caballero Muñoz, E., & Hullin Lucay Cossio, C. M. (2010). Engaging clinicians in health informatics projects. Studies in Health Technology and Informatics, 151,195-206. Retrieved from the Walden Library databases. The authors of this article break down the implementation, planning, and design phases of informatics projects into specific management categories. Each category consists of factors that can help to integrate clinician’s work flow needs.
Liaw, S. T., & Gray, K. (2010). Clinical health informatics education for a 21st century world. Studies in Health Technology and Informatics, 151, 479-491. Retrieved from the Walden Library databases. This article examines the educational and competency requirements put into place by the American Medical Informatics Association.
Information Systems and Changing Organizational Culture Discussion Required Media
Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Information systems and changing culture. Baltimore, MD: Author.
Note: The approximate length of this media piece is 7 minutes.
This week’s media presentation provides real-world examples of doctors, nurses, and general staff changing their standard methods and procedures to reap the benefits of new technology systems.
Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript
Information Systems and Changing Organizational Culture Discussion Optional Resources
Simpson, R. L. (2009). Innovations in transforming organizations. Nursing Administration Quarterly, 33(3), 268-272.
Stanton, M. P., & Barnett Lammon, C. A. (2008). The “wins” of change: Evaluating the impact of predicted changes on case management practice. Professional Case Management, 13(3), 161-168.
Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. Hospital Topics, 87(1), 3-9.
Discussion: Welcome to the Week 10 Discussion area!
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. Initial postings must be 250–350 words (not including references).
Submission and Grading Information
Grading Criteria
Post by Day 3 and Respond by Day 6
To participate in this Discussion:
Week in Review
This week you evaluated potential barriers to implementing new information technology initiatives and appraised strategies for leading change in response to them. In the final week you will synthesize methods and challenges of system evaluation and complete a final evaluation for the health information technology system or application that you researched in Application 3 and disseminate your findings in the form of an executive summary.
SAMPLE APPROACH
Information Systems and Changing Organizational Culture Discussion
In the past, I believed my impact on nursing and the care of the patient came because I had a role as a nurse informatics. My role today is outside of informatics, but as a supervisor of case managers. In six months, I have been involved in three health information technology (HIT) projects. Nursing leaders (NL) in their practice setting need to core competencies to make HIT decisions for their practice. NL needs to have a strategic vision for using HIT as a tool to help the nurse do their job better (Simpson, 2011). The purpose of this discussion is to address an HIT initiative and rationale, the barriers and strategies to bring change, and a leadership strategy to establish a culture to support the HIT initiative.
Practice Setting, HIT Initiative and Rationale
My practice setting is clinical documentation improvement (CDI). The CDI nurses review the clinical record for completeness and clarification of the documentation. It impacts financial reimbursement based on coding, but also patient safety indicators and, hospital-acquired infections, and readmissions. Providers must document if a diagnosis is present on admission (POA) to avoid a chronic diagnosis from being seen as a complication after surgery or for an infection that the patient had on arrival. The CDI nurse queries the provider to ask for clarification of documentation based on clinical indicators. Or to identify if a diagnosis was POA. In the past, the query was not a part of the medical record, and the provider had to find the previous progress note and make an addendum (Arrowood et al., 2015). I have been designing and leading a HIT initiative to have the CDI query to be a progress note type. The provider will receive the query in his/her Inbox and will edit the progress note query with his/her responses and then cosign the CDI query progress note. It then becomes a part of the legal medical record and is transparent for all providers to see the information. The implementation begins on August 1st with the education of the providers at the first hospital. The rationale for this change is to create an easier response method for the providers, to decrease the time for the provider to respond, and to provide transparency and clarification in the legal medical record.
Barriers and Change Management Strategy
The biggest barrier to the HIT initiative was working with the information technology (IT) team to complete the configuration. IT did not understand the workflow, and several design sessions took place to create the right workflow. It extended the time of the implementation by four months. To implement this change, the Technology Acceptance Model (TAM) was used to influence the change. The TAM states that if the users believe that the HIT will useful and easy to use, the users will be positively influenced to accept the new change (Pai & Huang, 2011). For the past five months, I have been meeting with the hospital steering committees, internal medicine providers, finance, quality, and population health to promote the change and how it will improve the documentation that affects their departments. It has created excitement within the healthcare system and the anticipation of using the new process.
Leadership Strategy
Leaders understand the roles of each member of the interprofessional team and work with them for a successful implementation. They work towards implementing systems based on evidence-based practice (Graduate-level QSEN competencies: Knowledge, skills and attitudes, 2012). The queries are based on guidelines from the American Health Information Management Association (AHIMA), the Centers for Medicare and Medicaid Services (CMS) and the Association for Clinical Documentation Improvement Specialists (ACDIS). TIGER leaders will use a champion approach to implement change (Walker, 2011). To make this change, I worked with our chief medical information officer (CMIO) to create the education for the providers using Brain Shark. Dr. Budman, the CMIO, reviewed the education and recorded the eLearning to send to the providers. The physician advisors for CDI at each hospital have been trained as super users and will reinforce the training and use of the new queries.
Summary
Although I am not currently working in the nursing informatics area at my healthcare system, I have been able to use my informatics competencies to influence this important change in my healthcare system. Don Marker (2010) states, “The leader is great at explaining why something needs to be accomplished and then empowers those responsible to get it done” (Marker, 2010, p.32). I was able to empower my CDI team to assist in the education of all providers, and they will be teaching and reinforcing the education from the eLearning to the providers in provider lounges and specialty meetings. The communication of the ease of use, usefulness, and education is creating a culture of willingness to change.
Information Systems and Changing Organizational Culture Discussion References:
Arrowood, D., Bailey-Woods, L., Easterling, S., Endicott, M., Love, T., McDonald, L.,Wieczorek, M. (2015). Best Practices in the Art and Science of Clinical Documentation Improvement. Journal Of AHIMA / American Health Information Management Association, 86(7), 46-50.
Graduate-level QSEN competencies: Knowledge, skills, and attitudes. (2012). Retrieved from http://qsen.org/competencies/graduate-ksas/ – informatics
Marker, D. (2010). Leadership or Management? Why being a “good manager” might not be the best career goal. Management Quarterly, 31-34. Retrieved from http://www.questia.com/library/p690/management-quarterly
Pai, F.-Y., & Huang, K.-I. (2011). Applying the Technology Acceptance Model to the introduction of healthcare information systems. Technological Forecasting and Social Change, 78(4), 650-660. doi:http://dx.doi.org/10.1016/j.techfore.2010.11.007
Simpson, R. L. (2011). Challenging Leadership Status Quo. In M. J. Ball, J. V. Douglas, & P. H. Walker (Eds.), Nursing Informatics: Where technology and caring meet (Fourth ed., pp. 155-165). London New York: Springer.
Walker, P. H. (2011). Strategies for Culture Change. In M. J. Ball, J. V. Douglas, & P. H. Walker (Eds.), Nursing Informatics: Where technology and caring meet (Fourth ed., pp. 13-34). London New York: Springer.
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