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3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Implementing IT in healthcare : Changing the Healthcare professionals’ mindset
Dr Colin Fincham MBBS LLB(Hons)Chief Operating Officer Intellehealth
Programme Director Wareed UAE
[Title Picture]
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Agenda
• The Wareed Programme• What makes people use HIT• What stops people using HIT
– Barriers to adoptions• Why are physicians so
important in Adoption• Central role of change in
adoption• Approaches to manage
change
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Wareed
• 14 Hospitals• 68 Clinics• 98 Other facilities• 7000 users
• Biggest IT implementation in the Region
• 14 Hospitals Live 13 in 14 months
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Some Stats
• July 2012• 69,000 OP appointments• 57,000 New Regs• 5,300 IP admissions• 17,500 Xrays• 146,000 Medications on
31,000 Pts• 268,000 Lab assays• 378,500 notes signed
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
“Computer systems cannot improve organizational performance if they aren’t used”
Davis, F.D., Bagozzi, R.P. and Warshaw, P.R (1989) User Acceptance of Computer Technology: comparison of Two Theoretical models, Management Science, 35,
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Why do it?
• One large children’s hospital in the US• Medication errors causing patient harm decreased by 30%• Medication errors per 1000 patient days decreased 23%• Allergy documentation improved 33%• Incomplete orders decreased by 67%• Over 4 year span, EMR saved $22.4 Million
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Physician resistance is ingrained
• That it will ever come in to general use, not withstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations
• London Times• 1834
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
What was being discussed?
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
How do you overcome resistance to change
• “Anyone who thinks you can overcome emotional resistance with logic was probably never married…or worked in healthcare”
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Change
the only person ever known to welcome change was a baby with a wet diaper
Understand that change is an evolution…not a revolution
EMR implemented in context of overall institutional change and transformation –QUALITY
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Principles of Change
Create a sense of Urgency
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
First rule do no harm• Despite the cost pressures,
liability constraints, resistance to change & other seemingly insurmountable barriers, it is simply not acceptable for patients to be harmed by the same health care system that is supposed to offer healing & comfort
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Principles of Change
Create a sense of Urgency Have a vision
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Frame the WIIFM correctly
• What is the most dangerous instrument in health care?
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
What is the outcome?
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Principles of Change
Create a sense of Urgency Have a vision Manage the change
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Tackle the Physician appropriately
• Altruistic• Professional• Evidence-Based• Leader• WIIFM• Different people need different approach
one size does not fit all
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
All users will be at different points
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Principles of Change
Create a sense of Urgency Have a vision Manage the change
Organize a team Execute a strategy
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
Political CampaignGet your “vision” message out
• Patient safety• Visit the masses –
• Tell them what you are going to tell them
• Tell them• Tell them what you told them
Engagement
• Right people at the right time
Communication
• Communicate, Communicate, Communicate some more
3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India
[Title Picture]
Dr Colin Fincham MBBS LLB(Hons)Chief Operating Officer Intellehealth
Programme Director Wareed UAEColin.Fincham@icapital.ae
Follow onTwitter: #ColinFinchamLinkedin: Colin.Fincham
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