Implementation Strategies

Implementation Strategies

Implementation Strategies

Throughout this course, you have been developing a workflow redesign that could be applied in a health care practice setting. However, determining an appropriate workflow redesign is only part of the process. It is much easier to design something on paper than it is to actually make it work effectively within an organization. Nurse informaticists must consider how the workflow redesign can be implemented in a real-world organization. Attention needs to be focused on understanding organizational risks, organizational culture, and the needs of the end user. Implementing a new project may be disruptive. The key is to plan in such a way as to minimize this disruption as much as possible.
 
In this Discussion, you consider possible implementation strategies for the workflow redesign measure that you selected for your Course Project. (Incomplete Medication Reconciliation)
 
To prepare:
 

• Review the articles in this week’s Learning Resources and reflect on the insights they provide on implementing a workflow redesign project within a health care setting. Also reflect on your past experience with workflow redesign and technology integration. What implementation strategies were applied?
• Review pages 377–397  (SEE ATTACHED PDF FILE) in the Dennis & Wixom textbook. Identify a specific implementation or conversion strategy that would be appropriate for the workflow redesign you selected for your Course Project. For example, will it be a phased implementation? If so, which applications will be launched first, and why?
• Consider why the strategy you selected would be appropriate for the scope of your workflow redesign project and your practice setting. Reflect on how it will support the needs of end users.
• Consider the benefits and drawbacks of applying the implementation strategy you selected. What would the positive outcomes be? What potential challenges or barriers might you encounter?

 
With these thoughts in mind:
 
Post by tomorrow  10/18/2016 a minimum of 550 words essay in APA format with 3 references  from the required readings below. Apply the level one headings as numbered below:
 
1) A summary of the workflow redesign measure you plan to use for Part 3 of your Course Project. (Incomplete medication reconciliation)
 
2) Describe the implementation (or conversion) strategy you would recommend, and justify why it would be appropriate in your practice setting and for the scope of your workflow redesign.
 
3) Explain the potential outcomes of this strategy, including benefits and potential obstacles.
 
 
 
 
 
Required Readings
 
 
 
Dennis, A., Wixom, B. H., & Roth, R. M. (2015). Systems analysis and design (6th ed.). Hoboken, NJ: Wiley.
 

• Chapter 12, “Moving Into Implementation” (pp. 377–397)

 
 
 
In this chapter, the authors explore the process of assigning, initializing, and completing tasks during the information system development phases. They also clarify what occurs in this phase of the process and how to insure the best results.
 
 
 

• Chapter 13, “Transition to the New System” (pp. 400–424)

 
 
 
The focus of this chapter is on the process of transitioning from one method of collecting and storing information to a new information system. It explores the immediate effect of those changes and how to prepare your organization to profit from the improvements.
 
 
 
Gagnon, M.-P., Ouiment, M., Godin, G., Rousseau, M., Labrecque, M., Leduc, Y., & Abdeljelil, A. B. (2010). Multi-level analysis of electronic health record adoption by health care professionals: A study protocol. Implementation Science, 5, 30–39.
 
Retrieved from the Walden Library databases.
 
In this article, the authors seek to determine the best method for ensuring the adoption of electronic health records (EHR). They review a number of different theoretical frameworks for facilitating the adoption process and then outline a research study to determine which model is most relevant.
 
 
 
Ludwick, D. A., & Doucette, J. (2009). Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. International Journal of Medical Informatics, 78(1), 22–31.
 
Retrieved from the Walden Library databases.
 
The authors of this study conducted a systematic literature review to examine current research on the implementation and use of electronic health records. Their review indicated that some of the key factors in determining the success of an implementation were the design of the interface, project management, and functionality. Data security was also a concern.
 
van Achterberg, T., Schoonhoven, L., & Grol, R. (2008). Nursing implementation science: How evidence-based nursing requires evidence-based implementation. Journal of Nursing Scholarship, 40(4), 302–310.
 
Retrieved from the Walden Library databases.
 
This article examines the reasons behind persisting ineffective practices in nursing. The authors review relevant strategies for successfully changing behavior and implementing new products.
 
 
 
Optional Resources
 
 
 
Leonard, J. (2011). Implementation. Retrieved from http://igcseict.net/systems_analysis_and_design/implementation_overview.php

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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