Deploying a Culture Change Programme management approach in support of information and communication technology developments in Greater Glasgow NHS Board

Abstract

This article reports on the project management and Culture Change Programme adopted by the NHS Greater Glasgow Health Board to deliver an electronic patient record (EPR) to support cardiology and stroke clinical services. To achieve its vision for the EPR (;to "really make a difference" to patient care by providing to the right person, the right information, under the right safeguards') the Board recognized that attending to social and organizational issues is at least of equal importance to addressing strictly technical concerns. Consequently, an ICT Culture Change Programme (ICT CCP) was devised and implemented to assist in the management of change, and in particular to facilitate a visionary clinical and cultural environment operating in conjunction with the evolving technical environment. In this article we describe the key components of this approach, outline the benefits we believe have accrued, and describe the steps being taken to build upon lessons learned.

Change Management in Medical Institutions: Implementation View

“…No doubt, this information will transform the denial of some staff members to positive and cooperative act. Regarding those who adopt exploration as one of the other responses, it should attempt to encourage them to discover the new situation based on making the opportunities and resources to support this discovering [27]. Fifthly, it should divide the target from the change into short term targets in a plan because the positive results and short term wins motivate the teamwork to keep on their engagement and sustain the efforts for achievement more wins.…”

The Need for a Socio-Technical Analysis in E-Health

“…Furthermore; due to the complexity of healthcare delivery systems, assimilation of information technology in healthcare needs a deeper understanding of organisational and environmental aspects of technology adoption and use (Yusof et al, 2008;Catwell & Sheikh, 2009). At the micro level, user acceptance (Frame et al, 2008;Agarwal & Prasad, 1997), perceived ease of use (Al-Azmi et al, 2009), lack of knowledge about the system (Bath, 2008;Elrod & Androwich, 2009;Kaplan & Harris-Salamone, 2009;André et al, 2008;Liu et al, 2011), lack of training, lack of stakeholder consultation (Showell, 2011), lack of willingness to assimilate the technology into daily routines and processes (Cash, 2008;Ross et al, 2010;Davidson & Heslinga, 2007;Kaplan & Harris-Salamone, 2009), conflict between system and user embedded values (Cash, 2008;Kaplan & Harris-Salamone, 2009), complex and complicated user interfaces (Yusof et al, 2007), conflict between physician activities and training schedules (André et al, 2008;Yusof et al, 2007;Kaplan & Harris-Salamone, 2009) and complications in patient-provider communications are some of the major concerns. At this level it is paramount that the systems are user centric and have a good fit with user values as well as existing healthcare systems.…”

Why Using Actor Network Theory (ANT) Can Help to Understand the Personally Controlled Electronic Health Record (PCEHR) in Australia

“…Lastly, people issues are yet another big concern ranging from user acceptance (Frame, Watson, & Thomson, 2008;Agarwal & Prasad, 1997), perceived ease of use (Al-Azmi, Al-Enezi, & Chowdhury, 2009), lack of knowledge about the system (Bath, 2008;Elrod & Androwich, 2009;Kaplan & Harris-Salamone, 2009;André et al, 2008;Liu et al, 2011), lack of training, lack of stake holder consultation (Showell, 2011), lack of willingness to assimilate the technology into daily routines and processes (Cash, 2008;Ross, Schilling, Fernald, Davidson, & West, 2010;Davidson & Heslinga, 2007;Kaplan & Harris-Salamone, 2009), conflict between system and user embedded values (Cash, 2008;Kaplan & Harris-Salamone, 2009), complex and complicated user interfaces (Yusof et al, 2007), conflict between physician activities and training schedules (André et al, 2008;Yusof et al, 2007;Kaplan & Harris-Salamone, 2009).…”