BACKGROUND: Healthcare providers, such as doctors and nurses, have been famous for high resistance to change. A careful change management plan, particularly training process, is utmost necessary. A quaternary care hospital in India changed its system, from manual to Electronic Medical Record/Health Information System (EMR/HIS). The hospital management wanted to train its 4000 diverse end-users on the EMR/HIS in two months' time. OBJECTIVE: This paper describes an in-house designed training process and its deployment in the given healthcare organizational settings. METHODS: We designed a training process named DRIPDA. The training process was deployed to train 4000 end-users of EMR/HIS, in the quaternary care hospital. Various factors, such as methods and tools of training, constraints of trainees, trainers, and organization were considered while deploying the training process. The effectiveness of the DRIPDA was assessed using the Kirkpatrick model. RESULTS: End-users received training on the new system only in 25% of estimated time and 28% of the projected expense, without having any distraction in their usual workflow, or any productivity loss. CONCLUSION: We found that the DRIPDA training process could train all employees effectively and efficiently. A decent training process can help in managing the change, thereby reduce the training time and cost.
A. Kumar et al. / Deployment of an in-house designed training process in a quaternary care hospitalin a short time, without compromising productivity of the current system [7,10]. It is the way to empower employees to receive and adopt changes in their current business environment [11]. The change management team usually gets involved in processes, such as readiness assessments, communication, trainings, resistance management, data collection, and feedback analysis [12,13]. To provide training is one of the vital responsibilities of the change management team. The change management team uses a structured approach to a transitioning organization, group, or individual, from the given condition to a desired future condition [13][14][15]. However, the delivery of training becomes a challenge, in case, large and diverse user base requires training. The situation worsens even further if time and budget are limited. Unfortunately, the change management team often faces the difficulties of less budget and time because the earlier phases of the project always ran over budget and time [16][17][18]. The diversity in the end-users' job profile (doctor, nurse, pharmacist, storekeeper, front-office employee, quality team, secretary, clerical staff, and employee on demand), different duty timings, employee attrition, new employees, and lack of training infrastructure are some other difficulties that a change management team may face [19][20][21][22].Therefore, preparing an effective and efficient training process becomes necessary, when we have a limited time and budget, and diverse large user base in the workplace [23][24][25]. The significance of training increases even furthe...