Appl Clin Inform 2010; 01(03): 286-292
DOI: 10.4338/ACI-2010-01-R-0001
Review
Schattauer GmbH

Change Management – Recommendations for Successful Electronic Medical Records Implementation

J.S. Shoolin
1   Advocate Health Care, Oakbrook, IL
› Institutsangaben
Weitere Informationen

Correspondence to:

Joel S. Shoolin, DO, FAAFP, MBA
1400 Kensington
Oakbrook, IL 60523
Telefon: 630-575-3237   
Fax: 630-575-8201   

Publikationsverlauf

received: 04. Januar 2010

accepted: 26. Juli 2010

Publikationsdatum:
16. Dezember 2017 (online)

 

Summary

Change is difficult and managing change even more so. With the advent of Electronic Medical Records (EMRs) and the difficulty of its acceptance, understanding physician’s attitudes and the psychology of change management is imperative. While many authors describe change management theories, one comes nearest to describing this particularly difficult transition. In 1969, Elizabeth Kübler-Ross wrote her seminal treatise, On Death and Dying, detailing the psychological changes terminally ill patients undergo. Her grieving model is a template to examine the impact of change. By following a physician through the EMR maze, understanding the difficulties he/she perceives and developing a plan other change agents are able to use, the paper gives practical recommendations to EMR change management.


#

 


#

Conflicts of interest

No financial or commercial relationships pose a conflict of interest.

  • References

  • 1 Bridges W. Managing Transitions: Making the Most of Change. 2nd Ed. Cambridge, MA: Perseus Pub; 2003
  • 2 Lewin K. Field theory in social science; selected theoretical papers. Dorwin Cartwright, editor. New York: Harper and Row; 1951
  • 3 Hiatt J. ADKAR: a model for change in business, government and our community. Colorado: Prosci Learning Center Publications; 2006
  • 4 UCLA Center for Human Nutrition.. Prochaska and DiClemente’s Stages of Change Model [Internet]. California: UCLA; [cited 2008 Jan 04]. [about 1pg]. Available from: http://www.cellinteractive.com/ucla/physcian_ed/stages_change.html
  • 5 Maslow AH. A theory of human motivation. Psychological Review 1943; 50: 370-396.
  • 6 Dai W. Life events and career change: transition psychology in practice [Internet]. United Kingdom: Eos Career Services; 1999. Jan [cited 2008 Jan 4]. Available from: http://www.eoslifework.co.uk/transprac.htm
  • 7 Dezieck J. The Four Room Apartment Model of Change for Understanding and Choosing Action Strategies [Internet]. Massachusetts: Massachusetts Institute of Technology; 2003. [cited 2008 Jan 4]. Available from: http://web.mit.edu/hr/oed/learn/change/art_four_room.html .
  • 8 DiClemente CC, Prochaska JO. Self-change and therapy change of smoking behavior: a comparison of processes of change in cessation and maintenance. Addictive Behaviors 1982; 7 (02) 133-142.
  • 9 Sittig DF. et al. Emotional aspects of computer-based provider order entry: a qualitative study. J Am Med Inform Assoc 2005; 12 (05) 561-567.
  • 10 Hackl W, Hoerbst A, Amenwrth E. The electronic health record in Austria: physicians’ acceptance is influenced by negative emotions. Stud Health Technol Inform 2009; 150: 140-144.
  • 11 Zell D. Organizational Change as a Process of Death, Dying and Rebirt?. Journal of Applied Behavioral Science 2003; 39: 73-96.
  • 12 Daugird A, Spencer D. Physician reactions to the health care revolution? A grief model approach. Arch Fam Med 1996; 5: 497-500.
  • 13 Kübler-Ross E. On death and dying. New York: MacMillan,; 1969
  • 14 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 3, First Stage: Denial and Isolation, p. 35, 37.
  • 15 Phillips W. Transitions: Implementing Change by Managing Transitions [Internet]. California: QM2; [cited 2008 Jan 4]. Available from: http://www.qm2.org/mbriefs/90.html .
  • 16 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 4, Second Stage: Anger, p. 44, 46.
  • 17 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 5, Third Stage: Bargaining, p. 72-73.
  • 18 Personal communication, B. Smith, CIO, Advocate Healthcare, 2008.
  • 19 AdvocateOnline, QC Narrative Report: http://advocateonline.advocatehealth.com/page.cfm?id=15506 Narrative Report, December, 2005.
  • 20 Poissant L. et al. The impact of electronic health records on time efficiency of physicians and nurses: A Systematic Review. J Am Med Inform Assoc. 2005; 12: 505-515.
  • 21 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 6, Fourth Stage: Depression, p. 77-78.
  • 22 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 7, Fifth Stage: Acceptance, p. 100, 105.
  • 23 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 8, Hope, p. 122.
  • 24 Liddell Hart BH. Deterrent or defense, a fresh look at the West’s military position. New York: Prager; 1960
  • 25 Collins JC, Porras JI. Built To Last, Successful Habits of Visionary Companies. New York: Harper-Collins,; 1994

Correspondence to:

Joel S. Shoolin, DO, FAAFP, MBA
1400 Kensington
Oakbrook, IL 60523
Telefon: 630-575-3237   
Fax: 630-575-8201   

  • References

  • 1 Bridges W. Managing Transitions: Making the Most of Change. 2nd Ed. Cambridge, MA: Perseus Pub; 2003
  • 2 Lewin K. Field theory in social science; selected theoretical papers. Dorwin Cartwright, editor. New York: Harper and Row; 1951
  • 3 Hiatt J. ADKAR: a model for change in business, government and our community. Colorado: Prosci Learning Center Publications; 2006
  • 4 UCLA Center for Human Nutrition.. Prochaska and DiClemente’s Stages of Change Model [Internet]. California: UCLA; [cited 2008 Jan 04]. [about 1pg]. Available from: http://www.cellinteractive.com/ucla/physcian_ed/stages_change.html
  • 5 Maslow AH. A theory of human motivation. Psychological Review 1943; 50: 370-396.
  • 6 Dai W. Life events and career change: transition psychology in practice [Internet]. United Kingdom: Eos Career Services; 1999. Jan [cited 2008 Jan 4]. Available from: http://www.eoslifework.co.uk/transprac.htm
  • 7 Dezieck J. The Four Room Apartment Model of Change for Understanding and Choosing Action Strategies [Internet]. Massachusetts: Massachusetts Institute of Technology; 2003. [cited 2008 Jan 4]. Available from: http://web.mit.edu/hr/oed/learn/change/art_four_room.html .
  • 8 DiClemente CC, Prochaska JO. Self-change and therapy change of smoking behavior: a comparison of processes of change in cessation and maintenance. Addictive Behaviors 1982; 7 (02) 133-142.
  • 9 Sittig DF. et al. Emotional aspects of computer-based provider order entry: a qualitative study. J Am Med Inform Assoc 2005; 12 (05) 561-567.
  • 10 Hackl W, Hoerbst A, Amenwrth E. The electronic health record in Austria: physicians’ acceptance is influenced by negative emotions. Stud Health Technol Inform 2009; 150: 140-144.
  • 11 Zell D. Organizational Change as a Process of Death, Dying and Rebirt?. Journal of Applied Behavioral Science 2003; 39: 73-96.
  • 12 Daugird A, Spencer D. Physician reactions to the health care revolution? A grief model approach. Arch Fam Med 1996; 5: 497-500.
  • 13 Kübler-Ross E. On death and dying. New York: MacMillan,; 1969
  • 14 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 3, First Stage: Denial and Isolation, p. 35, 37.
  • 15 Phillips W. Transitions: Implementing Change by Managing Transitions [Internet]. California: QM2; [cited 2008 Jan 4]. Available from: http://www.qm2.org/mbriefs/90.html .
  • 16 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 4, Second Stage: Anger, p. 44, 46.
  • 17 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 5, Third Stage: Bargaining, p. 72-73.
  • 18 Personal communication, B. Smith, CIO, Advocate Healthcare, 2008.
  • 19 AdvocateOnline, QC Narrative Report: http://advocateonline.advocatehealth.com/page.cfm?id=15506 Narrative Report, December, 2005.
  • 20 Poissant L. et al. The impact of electronic health records on time efficiency of physicians and nurses: A Systematic Review. J Am Med Inform Assoc. 2005; 12: 505-515.
  • 21 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 6, Fourth Stage: Depression, p. 77-78.
  • 22 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 7, Fifth Stage: Acceptance, p. 100, 105.
  • 23 Kübler-Ross E. On death and dying. New York: MacMillan; 1969. Chapter 8, Hope, p. 122.
  • 24 Liddell Hart BH. Deterrent or defense, a fresh look at the West’s military position. New York: Prager; 1960
  • 25 Collins JC, Porras JI. Built To Last, Successful Habits of Visionary Companies. New York: Harper-Collins,; 1994