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A pre-post study of patient journey modeling as a change management tool to increase clinician acceptance of EHRs.

The purpose of this research was to determine if patient journey process modeling could
act as a change management tool to support electronic health record (EHR) adoption, at a
tertiary-care mental health centre. This research study was based on a pre/post design,
which evaluated the attitudes of clinicians??? pre and post implementation of the EHR. A
survey was used to assess the attitudes of various healthcare professionals, such as
physicians, nurses and a spectrum of allied health disciplines, at various phases of the
planning and implementation process. In addition to the surveys, current and future state
PaJMa (patient journey modeling architecture) models representing technology use and
process flows of all units were created by observational studies, and served as change
management tools. These PaJMa models were then presented as part of an intervention
that was held in the form of an educational session to highlight the benefits of
technology, and to address the common concerns identified from the initial survey
results.
The centre for mental health sciences facility was used as the case study to apply
the PaJMa model and assess its change management functionality. Since, the
organization was moving from paper to electronic based patient charts it was an ideal
choice for this research. It was predicted that the attitudes and opinions of clinicians
towards the EHR implementation, and EHRs in general, would change and become more
positive with increased knowledge and education. This in-turn would increase EHR
adoption and hence lead to a successful implementation.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:OOSHDU.0
Date01 December 2013
CreatorsJoshi, Amardeep
ContributorsPercival, Jennifer, McGregor, Carolyn
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeThesis

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