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Implementing IT in Healthcare

Implementing IT in Healthcare: Changing the Healthcare professionals mindset by Dr. Colin Fincham, MBBS, COO, Intelle Health, Know more here: http://transformhealth-it.org/

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Implementing IT in Healthcare

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  1. Implementing IT in healthcare : Changing the Healthcare professionals’ mindset Dr Colin Fincham MBBS LLB(Hons) Chief Operating Officer Intellehealth Programme Director Wareed UAE

  2. Agenda The Wareed Programme What makes people use HIT What stops people using HIT – Barriers to adoptions Why are physicians so important in Adoption Central role of change in adoption Approaches to manage change

  3. Wareed 14 Hospitals 68 Clinics 98 Other facilities 7000 users Biggest IT implementation in the Region 14 Hospitals Live 13 in 14 months

  4. Some Stats July 2012 69,000 OP appointments 57,000 New Regs 5,300 IP admissions 17,500 Xrays 146,000 Medications on 31,000 Pts 268,000 Lab assays 378,500 notes signed

  5. “Computer systems cannot improve organizational performance if they aren’t used”Davis, F.D., Bagozzi, R.P. and Warshaw, P.R (1989) User Acceptance of Computer Technology: comparison of Two Theoretical models, Management Science, 35,

  6. Why do it? One large children’s hospital in the US • Medication errors causing patient harm decreased by 30% • Medication errors per 1000 patient days decreased 23% • Allergy documentation improved 33% • Incomplete orders decreased by 67% • Over 4 year span, EMR saved $22.4 Million

  7. Physician resistance is ingrained That it will ever come in to general use, not withstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations London Times 1834

  8. What was being discussed?

  9. How do you overcome resistance to change “Anyone who thinks you can overcome emotional resistance with logic was probably never married…or worked in healthcare”

  10. Change

  11. Principles of Change

  12. First rule do no harm Despite the cost pressures, liability constraints, resistance to change & other seemingly insurmountable barriers, it is simply not acceptable for patients to be harmedby the same health care system that is supposed to offer healing & comfort

  13. Principles of Change

  14. Frame the WIIFM correctly What is the most dangerous instrument in health care?

  15. What is the outcome?

  16. Principles of Change

  17. Tackle the Physician appropriately Altruistic Professional Evidence-Based Leader WIIFM Different people need different approach one size does not fit all

  18. All users will be at different points

  19. Principles of Change

  20. Political Campaign • Get your “vision” message out • Patient safety • Visit the masses – • Tell them what you are going to tell them • Tell them • Tell them what you told them • Engagement • Right people at the right time • Communication • Communicate, Communicate, Communicate some more

  21. Vision + Execution = Successful Change Good Luck

  22. Dr Colin Fincham MBBS LLB(Hons) Chief Operating Officer Intellehealth Programme Director Wareed UAE Colin.Fincham@icapital.ae Follow on Twitter: #ColinFincham Linkedin: Colin.Fincham

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