Transcript

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Implementing IT in healthcare : Changing the Healthcare professionals’ mindset

Dr Colin Fincham MBBS LLB(Hons)Chief Operating Officer Intellehealth

Programme Director Wareed UAE

[Title Picture]

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Agenda

• The Wareed Programme• What makes people use HIT• What stops people using HIT

– Barriers to adoptions• Why are physicians so

important in Adoption• Central role of change in

adoption• Approaches to manage

change

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Wareed

• 14 Hospitals• 68 Clinics• 98 Other facilities• 7000 users

• Biggest IT implementation in the Region

• 14 Hospitals Live 13 in 14 months

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Some Stats

• July 2012• 69,000 OP appointments• 57,000 New Regs• 5,300 IP admissions• 17,500 Xrays• 146,000 Medications on

31,000 Pts• 268,000 Lab assays• 378,500 notes signed

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

“Computer systems cannot improve organizational performance if they aren’t used”

Davis, F.D., Bagozzi, R.P. and Warshaw, P.R (1989) User Acceptance of Computer Technology: comparison of Two Theoretical models, Management Science, 35,

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Why do it?

• One large children’s hospital in the US• Medication errors causing patient harm decreased by 30%• Medication errors per 1000 patient days decreased 23%• Allergy documentation improved 33%• Incomplete orders decreased by 67%• Over 4 year span, EMR saved $22.4 Million

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Physician resistance is ingrained

• That it will ever come in to general use, not withstanding its value, is extremely doubtful; because its beneficial application requires much time and gives a good bit of trouble both to the patient and the practitioner; because its hue and character are foreign and opposed to all our habits and associations

• London Times• 1834

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

What was being discussed?

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

How do you overcome resistance to change

• “Anyone who thinks you can overcome emotional resistance with logic was probably never married…or worked in healthcare”

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Change

the only person ever known to welcome change was a baby with a wet diaper

Understand that change is an evolution…not a revolution

EMR implemented in context of overall institutional change and transformation –QUALITY

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Principles of Change

Create a sense of Urgency

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

First rule do no harm• Despite the cost pressures,

liability constraints, resistance to change & other seemingly insurmountable barriers, it is simply not acceptable for patients to be harmed by the same health care system that is supposed to offer healing & comfort

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Principles of Change

Create a sense of Urgency Have a vision

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Frame the WIIFM correctly

• What is the most dangerous instrument in health care?

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

What is the outcome?

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Principles of Change

Create a sense of Urgency Have a vision Manage the change

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Tackle the Physician appropriately

• Altruistic• Professional• Evidence-Based• Leader• WIIFM• Different people need different approach

one size does not fit all

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

All users will be at different points

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Principles of Change

Create a sense of Urgency Have a vision Manage the change

Organize a team Execute a strategy

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

Political CampaignGet your “vision” message out

• Patient safety• Visit the masses –

• Tell them what you are going to tell them

• Tell them• Tell them what you told them

Engagement

• Right people at the right time

Communication

• Communicate, Communicate, Communicate some more

Vision + Execution = Successful ChangeGood Luck

3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India

[Title Picture]

Dr Colin Fincham MBBS LLB(Hons)Chief Operating Officer Intellehealth

Programme Director Wareed [email protected]

Follow onTwitter: #ColinFinchamLinkedin: Colin.Fincham