During class we had a discussion regarding how to effectively plan the timeline for implementing a new system. It was brought up that implementing a new system has a longer time line than is perceived by administration and staff members. During the implementation of a new system, it is important that the change management side interface with front line people.
We also discussed the Open Notes Project. Stated by the Open Notes project- "As a patient, you have the right to read the notes your doctor or clinician writes about you during or after your appointment. Having the chance to read and discuss those notes with your doctor or family member can help you take better control of your health and health care." Patients reacted to the stated purpose of this project by saying they liked it
because they felt more involved in their own care. Also as a reaction, providers started changing the way they were documenting in a patient's chart. Patients can write in the medical
record as well. How do we know if this
works or if it doesn't? Providers feel that their patients may take offence to the wording that is used in their chart due to the older way of
entering in notes in a narrative form.
Structured text is now the way chart notes are being written. It has been argued that structured text does not show the nuances of the
patient, however it is easier to search in patients files.
Finally we had a discussion about project champions. It was said that they are members of the administration or staff who are respected and their opinion matters. Project champions are very important because they help move projects or new innovations through the phases of initiation, development, and implementation. These champions are vital to the organization because they help create a "burning platform" for change and are critical to the transformation of care.
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