Implementing it in healthcare changing the healthcare professionals mindset

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  1. 1. 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
  2. 2. 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
  3. 3. 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
  4. 4. 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
  5. 5. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India Computer systems cannot improve organizational performance if they arent 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,
  6. 6. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India Why do it? One large childrens 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
  7. 7. 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
  8. 8. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India What was being discussed?
  9. 9. 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 marriedor worked in healthcare
  10. 10. 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 evolutionnot a revolution EMR implemented in context of overall institutional change and transformation QUALITY
  11. 11. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India Principles of Change Create a sense of Urgency
  12. 12. 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
  13. 13. 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
  14. 14. 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?
  15. 15. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India What is the outcome?
  16. 16. 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
  17. 17. 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
  18. 18. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India All users will be at different points
  19. 19. 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
  20. 20. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India Political Campaign Get 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
  21. 21. 3rd International Conference on Transforming Healthcare with IT 31st Aug.-1st Sep. 2012 Hyderabad, India Dr Colin Fincham MBBS LLB(Hons) Chief Operating Officer Intellehealth Programme Director Wareed UAE Colin.Fincham@icapital.ae Follow on Twitter: #ColinFincham Linkedin: Colin.Fincham

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