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.

Name thesis:degree_name

Master of Health Sciences (MHSc)

Discipline thesis:degree_discipline

Health Sciences

Grantor

University of Ontario Institute of Technology

Year dc:date.issued

2013

Author dc:creator

• Joshi, Amardeep

Advisors dc:contributor.advisor

• Percival, Jennifer
• McGregor, Carolyn

• Change management
• Process modeling
• IT adoption
• Electronic health records
• Change process model

Language dc:language.iso

en

Handle dc:identifier.uri

https://hdl.handle.net/10155/370

OAI identifier oai:identifier

oai:ontariotechu.scholaris.ca:10155/370