Uncovering Key Factors for a Hospital IT Change Strategy
Noel Carroll, Ita Richardson, Marie Travers
2017
Abstract
Changing an Information Technology (IT) system within any organisation is a difficult and complex process. However, within the hospital setting, additional complexities make such change more difficult. These complexities include the protection of patient safety and privacy, improving the quality of the patient experience, protecting information and supporting the clinician in their medical requirements. Our research indicates that uncovering the process of hospital IT change management is not documented – making it difficult to build on evidence-based research and instill a ‘lessons learned’ approach in publicly funded hospitals. We address this gap in this paper. Using qualitative research methods we present the results of observations carried out in healthcare settings as well as twelve structured interviews with hospital staff. We employ the Kotter Change Model as a lens to understand this change process. While benefiting from the structure that Kotter’s model provides, we argue for the need to extend this model in an effort to capture the various influences of healthcare IT-enabled innovation which will, in turn, enable much needed change within hospitals. Building on our findings, we introduce a Healthcare IT Change Management Model (HIT-CMM).
References
- Benjamin, R. I., Levinson, E., 1993. A framework for managing IT-enabled change. In Sloan Management Review, 34(4), 23-33.
- Carroll, N., Travers, M. and Richardson, I., 2016. Evaluating Multiple Perspectives of a Connected Health Ecosystem. In 9th International Conference on Health Informatics (HEALTHINF), Rome, Italy, February.
- Cazzaniga, S., Fischer, S., 2015. How ICH Uses Organizational Innovations to Meet Challenges in Healthcare Management: A Hospital Case Study. In Challenges and Opportunities in Health Care Management, Springer International Publishing, 355- 361.
- Forte, G., 1997. Managing Change for Rapid Development, In IEEE Software 14(6), 114-123.
- Grbich, C., 1999. Qualitative Research in Health: An Introduction, Sage Publications. California.
- Hayes, S., Richardson, I., 2008. Scrum Implementation using Kotter's Change Model, 9th International Conference on Agile Processes and eXtreme Programming in Software Engineering, Limerick, Ireland, Lecture Notes in Business Information Processing 2008, vol 9, Part 6, 10th-14th June, 161- 171.
- Hiatt, J. M., 2006. ADKAR: a model for change in business, government and our community, Prosci Learning Center. Loveland.
- Kissick, W., 1994. Medicine's Dilemmas: Infinite Needs versus Finite Resources, Yale University Press. New Haven.
- Kotter, J., 2005. Leading Change: Why Transformation Efforts Fail, Harvard Business School Press. Boston.
- Lewin, K., 1947. Frontiers in Group Dynamics: Concept, Method and Reality in Social Science; In Social Equilibria and Social Change. Human Relations, June, 1(36).
- O'Leary, P., Carroll, N., Clarke, P. and Richardson, I., 2015. Untangling the Complexity of Connected Health Evaluations. In International Conference on Healthcare Informatics (ICHI), October, 272-281. IEEE.
- Travers, M., Richardson, I., 2015. Medical Device Software Process Improvement - A Perspective from a Medical Device company, in 8th International Conference on Health Informatics, (Healthinf), Lisbon, Portugal, January.
- Yin, R. K., 2013. Case study research: Design and methods, Sage publications.
Paper Citation
in Harvard Style
Carroll N., Richardson I. and Travers M. (2017). Uncovering Key Factors for a Hospital IT Change Strategy . In Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2017) ISBN 978-989-758-213-4, pages 268-275. DOI: 10.5220/0006124502680275
in Bibtex Style
@conference{healthinf17,
author={Noel Carroll and Ita Richardson and Marie Travers},
title={Uncovering Key Factors for a Hospital IT Change Strategy},
booktitle={Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2017)},
year={2017},
pages={268-275},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0006124502680275},
isbn={978-989-758-213-4},
}
in EndNote Style
TY - CONF
JO - Proceedings of the 10th International Joint Conference on Biomedical Engineering Systems and Technologies - Volume 5: HEALTHINF, (BIOSTEC 2017)
TI - Uncovering Key Factors for a Hospital IT Change Strategy
SN - 978-989-758-213-4
AU - Carroll N.
AU - Richardson I.
AU - Travers M.
PY - 2017
SP - 268
EP - 275
DO - 10.5220/0006124502680275