Institutional AssessmentImplementing Electronic Medical Records in a Suboxone Clinic

Tonya AndersonNURS 7250

Implementation of Electronic Medical Records Affordable Care Act

American Recovery and Reinvestment Act of 2009

Meaningful Use

Needs Assessment in Suboxone Clinic

Need- Electronic Health Record

Drug Addiction Treatment Act

Drug Enforcement Administration (DEA)

Assessment Theory Chaudron

Get started Assess Choose Treatment Periodic Evaluation

Application to Suboxone Clinic

Facility Assessment Change

Improvement

Triggered by problem or opportunity

Change affects several areas of operation

Change Theory Kurt Lewin’s Change Theory

Unfreezing

The moving Stage

Refreezing Stage

Change Theory Roger’s Change Theory

Knowledge Persuasion Decision Implementation Confirmation

Application to Suboxone Clinic

The Change Changing from paper records to

electronic medical records Barriers

Incorporating older paper charts --Time consuming, difficult to read

Privacy Limitations of hardware Internet downtime

Stakeholders Definition- “a person or group that has

an investment , share, or interest in something, as a business or industry” (stakeholder, 2012)

Physician Software company

Reason For The Change Help to meet the DEA guidelines Institute of Medicine goals –effective,

safe, efficient, and individually focused More accurate data, faster service Lower supply costs

Vested Interests Physician

Remote access E-prescribing Comply with Drug Addition Treatment Act

of 2000 Monitor patient numbers Treatment plans Prescription monitoring

Human Drivers Physician

Compliance with the DEA Improve patient outcomes Minimize paper Ensures privacy Allows remote access

Resources Computers Software Internet Scanner Printer/fax

Evaluation Theory Input, Process, Output, Outcome Model

(IPO) Input- evaluate system performance

indicators Process- embracing the plan, design

development, and delivery Output- gather result from training

evaluation Outcome- long term results

Evaluation Theory Kirkpatrick’s Learning Evaluation Model

Reaction Learning Behavior Results

Application to Suboxone Clinic

References Clark, D. (1012, May 4). Kirkpatrick 4-level of

evaluation: Happy sheets? Surely past its sell-by-date [Web log post]. Retrieved from http://donaldclarkplanb.blogspot.co.uk/2012/05/kirkpatrick-4-levels-of-evaluation.html

Creasey, T. (2007). Defining change management: Helping other understand change management in relation to project management and organizational change. Change Management Learning Center. Retrieved from http://www.change-management.com/Prosci-Defining-Change-Management.pdf

References Kritsonis, A.(2004-2005). Comparison of change

theories. International Journal of Scholarly Academic Intellectual Diversity 8(1), 1-7. Retrieved from http://nationalforum.com/Electronic%20Journal%20Volumes/Kritsonis,%20Alicia%20Comparison%20of%20Change%20Theories.pdf

Orr, G. (2003, March 18). [Review of the book Diffusion of Innovations, by Everett Rogers, 1995]. Retrieved from http://www.stanford.edu/class/symbsys205/Diffusion%20of%20Innovations.htm

Stakeholder (2012). In Dictionary.com. Retrieved from http://dictionary.reference.com/browse/Stakeholder