Organizational Change Plan
Kimberly J. Seger RN, BSN
March 18, 2013
Dr. Sonnia Oliva
Organizational Change Plan
Looking at a health care system as a whole, one should look at the advantages and disadvantages that system could give them. If I were to change one thing at the organization I work at, I would implement transitioning from paper charting to using Electronic Medical Records, or EMR to the system as a whole. Change is never easy for anyone let alone a huge corporation. It takes time, money, and employees to make this change successful. Need for Change
Paper charting is currently being used at my place of employment. When I moved over to this new position I couldn’t believe that I saw them still using paper charts. When a patient calls in to receive their lab results, we as a coordinator, have to get up, away from our desk and phone and retrieve their record from the shelves and then look for the result. When we do receive the lab results, we then have to document them in our paper chart opening the door for mistakes and errors. This can be a hassle and time consuming. When a physician comes to speak to us about a particular patient, the paper chart again comes out, and we collectively have to comb through the large chart to hopefully find what they were looking for. Medicine has come a long way from where we have started, but in a way, we are still way behind. According to Laing (2002): The use of an electronic medical record (EMR) has the potential to lower operating costs by using an accepted, standardized language that will provide consistent documentation, reduce errors, eliminate duplication, and reliance on workers’ memory. Another benefit of the EMR is increased efficiency by improving workflow, access to the patient record, and elimination of physical storage of records. Barriers
When making any change within an organization, the organization needs to prepare themselves for barriers to the proposed change. Some barriers within the organization could be undefined goals and objectives, miscommunication, lack of resources, culture, and lack of resources. Undefined goals and objectives from the organizations leaders can put the successful change in jeopardy. It is necessary for all the goals to be in place and have the end goal for everyone to see so that the team as a whole knows what the end result it. When the change is ready the employees will look to management for insight and if they do not have a clear vision of the goals and objectives, then this will set up the change for failure. Leaders should clarify continually the goals and objectives of the change, outlining roles and specifying performance standards for the employees. According to Rosenberg and Mosca (2011), “Leadership, culture, structure, and the related organizational factors can undermine successful change”. Executives of the organization should be looking after these financial and environmental issues throughout the change process. Insufficient communication between the stakeholders and the employees would have a negative impact on the change with disorganization, and will cause the change to be unsuccessful. Management may have a set of protocols for employees to adhere to perform the new change; otherwise the culture of the organization can strongly resist changing as employees become too familiar with the current way of doing things. The worst thing that could happen to a company who is trying to invoke change, especially one as big as changing from paper charting to EMR, would be running out of resources. The lack of resources could be due to a variety of factors. Bad resource allocation could occur when managers make bad decisions in allocating resources such as money, time, machinery and staff. Individual Barriers
Coming from an area where EMR was implemented, paper charting seems like the dark ages. Right now if there is any mention of changing to EMR, the more...
References: Laing, K. (2002, March/April). The Benefits and Challenges of the Computerized Electronic
Medical Record. Gastroenterology Nursing, 25(2), 41-45.
Rosenberg, S., & Mosca, J. (2011, Third Quarter). Breaking Down the Barriers to Organizational
Change. International Journal of Management and Information Systems, 15(3), 139-146.
Spector, B. (2010). Implementing organizational change. Theory into practice. (2nd ed). Upper
Saddle River, NJ: Pearson Prentice. Retrieved from University of Phoenix eBook Collection database.
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