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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:

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

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