Organizational Change Management
Significant organizational change occurs when an organization changes its overall strategy for success, adds or removes a major section or practice, and/or wants to change the very nature by which it operates. It also occurs when an organization evolves through various life cycles, just like people must successfully evolve through life cycles. For organizations to develop, they often must undergo significant change at various points in their development; hence the topic of organizational change and development has become widespread in communications about business, organizations, leadership and management.
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Every process should increase organizational value by supporting the business vision and supporting strategies. To do otherwise would lower the utility of a change effort and would place it at risk because it probably would not gain the necessary organizational support to make it successful.
Legacy completed a system wide implementation of an electronic health record (EHR) program called Epic. The technology change allowed for better care and better health through reduced overhead costs, increased productivity, efficiency, access portability for clinicians, and alignment to government standards, among many other attributes. However the greater benefit is the increased financial gains and payment from the Medicare Incentive program; thus allowing Legacy to reduce or maintain the high costs of providing care, rather than passing those additional costs to patients.
The HITECH portion of the ARRA stimulus package allocates funding for per-hospital and per-physician Medicare incentives for those who achieve "Meaningful Use" as early as 2011. The Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.
In support of principle one, the practice that must accompany it is to align the goals of a change effort with organizational strategy. An organization’s strategic plan identifies the products and services it delivers and the core business and key supporting processes that help deliver these products and services. It also identifies the organization’s special competencies and how they enhance the core and key supporting organizational processes. If the goals of the change effort do not support the organizational strategy then the change effort will not yield significant value to the organization.
The Epic EHR supports the business goals of Legacy by promoting preventative medicine through integrative communication and access, better record keeping, and improved coordination of health care services, as well as by reducing waste, inefficiency, and miscommunication. These efforts will reduce the national cost of health care and lower out-of-pocket expenses, which...