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Change Management Strategies for an Effective EMR ... - HiMSS

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Chapter 1: Th e Business Case <strong>for</strong> <strong>Ch<strong>an</strong>ge</strong> <strong>M<strong>an</strong>agement</strong> 11<br />

Figure 1-2: Org<strong>an</strong>izational Fabric Model<br />

Vision<br />

Sponsorship<br />

Stakeholder Mgmt<br />

Communications<br />

Training<br />

Rein<strong>for</strong>cement<br />

CREATING AN ENVIRONMENT FOR SUCCESS<br />

Technology adoption is about creating a context, <strong>an</strong> environment, in<br />

which ch<strong>an</strong>ge c<strong>an</strong> be achieved <strong>an</strong>d sustained over the long term. Th is<br />

involves two levels—org<strong>an</strong>izational <strong>an</strong>d individual.<br />

With <strong>an</strong> <strong>EMR</strong> implementation, the org<strong>an</strong>ization must create the<br />

supporting environment, provide needed training <strong>an</strong>d resources,<br />

articulate a clear direction coupled with clear expectations, engage its<br />

people, include them in the process, <strong>an</strong>d rein<strong>for</strong>ce desired new behaviors.<br />

Th is is not about checking things off a list, but rather about fi nding<br />

synergy among impacted groups, giving them what they need, <strong>an</strong>d<br />

coordinating eff orts to meet the end goal. It’s <strong>an</strong> ongoing eff ort.<br />

To give you <strong>an</strong> idea of what we are talking about, here’s <strong>an</strong> example<br />

of <strong>an</strong> individual situation occurring within a social context. Th ink<br />

about what happens when you w<strong>an</strong>t to make a signifi c<strong>an</strong>t ch<strong>an</strong>ge in<br />

your personal life—quit smoking, stop drinking, lose weight. It’s one<br />

thing to talk with a doctor or <strong>an</strong>other professional about what needs<br />

to happen when you’re in their offi ce, but once you leave the offi ce<br />

you then return to your social reality. If your friends <strong>an</strong>d family don’t<br />

w<strong>an</strong>t your behavior to ch<strong>an</strong>ge, you will have a tough time. All the rein-

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