Lesson 15

• Change management in health informatics - there are generally four kinds of changes that all kinds of org might encounter. (POCS)

  Political changes

  Operational changes

  Cultural changes

  Strategic changes
• Operational changes influence the way DYNAMIC BUSINESS TASKS ARE LED, including computerization of particular business segment.
• Strategic changes occur when business direction in relation to its VISION MISSION and PHILOSOPHY is ALTERED.
• Cultural changes influence the internal organizational culture.
• Political changes in human resources occur primarily DUE TO POLITICAL REASONS of varying types happens on top patronage levels in gov agencies.
• Kurt lewin's three step "unfreeze change refreeze" model - 1950

  Proposed by universally recognized founder of social physiology. Highly relevant today and often used as BASIS FOR MANY CHANGE MANAGEMENT BASIS FOR MANY CHANGE MANAGEMENT STRATEGIES.
• Proski's ADKAR model - acronym for strategy that encompasses "awareness of the business reasons for change; desire to engage and participate in the change; knowledge about how to change ability to implement change and reinforcement to ensure change sticks"
• Kotter's 8 step model of change - developed by harvard business schools JOHN KOTTER.

  • focuses on efficient and effective change management in a competitive world.
  • Highlights building strong solid strategy
• Change management - is a series of tools techniques and processes aimed at successfully affecting change. These tools and techniques can be implemented in variety of context
• Downey 2008 - describes common tools or techniques that change management practitioner might use during a change initiative. Includes..

  • Questioning skills together info
  • Processing mapping for both
  • Gap analysis
  • Business case development
  • Project management
  • Problem solving
  • Requirement elicitation techniques
  • Negotiation skills
• Downey - it is crucial that progress of the change initiative can be quantified against the objectives set by the org. For it to be successful the org needs to set clear objectives and settle on key performance indicators KPIs
• HEALTH INFORMATION MANAGEMENT PROFESSIONALS (MAY 2014) - credentials with their academic preparation work experience commitment to patient advocacy and professional code of ethics. They have specially skill set that uniquely qualifies them to assume the role both of privacy official
• Health information management professional:

  • Collects, disseminate patient health info
  • Committed to the timely and accurate collection of health info
  • Represents patients interest in matters of privacy and security
  • Certified by american health info management association
  • Ensures confidential patient info is kept private
• 2009 - singapore develop its national electronic health record initiative, which permitted healthcare practitioners in the island state to access patients records
• Malaysia initiated hospital implementation system in 1993, with its first tele medicine project in 1996
• 2010 - thailand created its national health information committee
• 2014 to 2020 - philippine develop and e-health strategic framework and plan, the objective is to utilize information and communication.

  • Establish unified and coherent health and management info systems
• DOH in region 4B - launch the first interactive telemedicine system in MARINDUQUE, at the Dr Damian J. Reyes provincial hospital. The system currently provides medical consultations and diagnostics through video calls (de dios 2006)
• RXBox - is a collaboration between a team of engineers doctors and researches from UP diliman and UP manila. Led by electronics and communication engineer nathaniel cruz.