Metodehåndbog – Forandringsparathed - EPJ-Observatoriet

EPJ-Observatoriet Metodehåndbog – Forandringsparathed
Indholdsfortegnelse
1. Baggrund............................................................................................................................... 7
1.1 Handlingsplan for Elektroniske Patientjournaler (HEP)............................................ 7
1.2 National strategi for IT i sygehusvæsenet 2000-2002 .................................................. 7
1.3 National IT-strategi for sundhedsvæsenet 2003-2007.................................................. 8
2. EPJ-Observatoriet............................................................................................................ 10
2.1 EPJ-Observatoriets organisation ................................................................................ 10
2.2 EPJ-Observatoriet 1998 – 2000................................................................................... 10
2.3 EPJ-Observatoriet 2000 – 2002................................................................................... 10
2.4 EPJ-Observatoriet 2003 –............................................................................................ 11
3. Udbredelsen af EPJ.......................................................................................................... 11
3.1 EPJ-udbredelsen 1998-2000........................................................................................ 11
3.2 EPJ-udbredelsen 2000-2002........................................................................................ 12
3.3 EPJ-udbredelsen 2003-2007........................................................................................ 12
4. Erfaringer fra ind- og udland med implementering af nye it-systemer...................... 13
5. Årsager til problemer i forbindelse med implementering af nye it-systemer............. 14
6. Menneskelige/organisatoriske forhold i en organisation (peopleware)....................... 16
7. Forandring af de menneskelige/organisatoriske forhold.............................................. 17
8. Modstand mod forandring .............................................................................................. 17
9. Ledelse af forandringsprocessen..................................................................................... 22
10. Udvikling af modeller til hjælp i forandringsprocessen ............................................. 24
11. Forandringsmodeller ..................................................................................................... 25
11.1 Lorenzi og Rileys model............................................................................................. 26
Vurderings- og informationsindsamlingsfasen................................................................. 27
Feedback- og optionsfasen ............................................................................................... 28
Strategiudviklingsfasen..................................................................................................... 28
Implementeringsfasen....................................................................................................... 28
Evalueringsfasen............................................................................................................... 28
11.2 Leavitts åbne systemmodel........................................................................................ 29
11.3 Den analytiske/rationelle model ................................................................................ 30
Problemerkendelse og problemformulering ..................................................................... 31
Diagnose ........................................................................................................................... 31
Strategiovervejelser og valg af ændringsstrategi.............................................................. 32
Implementering................................................................................................................. 32
Evaluering og læreproces ................................................................................................. 32
11.4 Proces-modellen......................................................................................................... 32