HIM- 500 Discussion 9 PDF

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Discussion 5-1 During the implementation of a CIS, what is the impact on stakeholders across the organization? How does it impact staff? Patients? Support your answer with relevant sources. In response to your peers, evaluate their response and compare to yours, and discuss how your peers could have defined the impact to stakeholders, staff, and patients in a different manner. Provide feedback on where there might be gaps in their analysis as well as where you might have overlooked something too. To complete this assignment, review the Discussion Rubric document.

The impact on implementing a clinical information system (CIS) can be taxing and challenging during the implementation phases making the choice to move over to one extremely daunting for stakeholders. However, the end product of having a well-functioning CIS is well worth the growing pains of implementing one. Dohan and Tan identify three broad clusters of barriers a medical practice may face during the implementation process: Infrastructure-based barriers, process-based barriers, and outcome-based barriers (Or, Dohan, & Tan, 2014). Infrastructure based barriers include staying compliant to government regulations, system functional needs of the people using the platform, lack of financial and technology support, and the inconsistency between work policy, procedures, and workflow (Or, Dohan, & Tan, 2014). This becomes challenging for stakeholders like nurses and doctors to perform their best work which may result in worse patient care. People that have been in the medical field for a long period of time may not have the base level of computer literacy to work a CIS. This fact would be classified as a process-based barrier

along with other issues like slow speed, poor system usefulness and interface design, and clinical content inadequacies (Or, Dohan, & Tan, 2014). If the CIS the company chooses is not adaptable to your companies’ workflow many stakeholders may struggle to implement it, once again leading to slowed workflow and diminished patient care along with frustration. It is crucial that the health informatic manager monitor the usefulness and effectiveness of the CIS through the implementation process and beyond to ensure it is creating a better workflow for the company and not just adding extra work and stress to the day-to-day tasks of employees. When measurements of effectiveness are not monitored, it is classified as an outcome-based barrier.

References: Or, C., Dohan, M., & Tan, J. (2014). Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. Journal of Medical Systems, 38(9). doi:10.1007/s10916-014-0099-9...