![Page 1: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/1.jpg)
Institutional AssessmentImplementing Electronic Medical Records in a Suboxone Clinic
Tonya AndersonNURS 7250
![Page 2: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/2.jpg)
Implementation of Electronic Medical Records Affordable Care Act
American Recovery and Reinvestment Act of 2009
Meaningful Use
![Page 3: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/3.jpg)
Needs Assessment in Suboxone Clinic
Need- Electronic Health Record
Drug Addiction Treatment Act
Drug Enforcement Administration (DEA)
![Page 4: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/4.jpg)
Assessment Theory Chaudron
Get started Assess Choose Treatment Periodic Evaluation
Application to Suboxone Clinic
![Page 5: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/5.jpg)
Facility Assessment Change
Improvement
Triggered by problem or opportunity
Change affects several areas of operation
![Page 6: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/6.jpg)
Change Theory Kurt Lewin’s Change Theory
Unfreezing
The moving Stage
Refreezing Stage
![Page 7: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/7.jpg)
Change Theory Roger’s Change Theory
Knowledge Persuasion Decision Implementation Confirmation
Application to Suboxone Clinic
![Page 8: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/8.jpg)
The Change Changing from paper records to
electronic medical records Barriers
Incorporating older paper charts --Time consuming, difficult to read
Privacy Limitations of hardware Internet downtime
![Page 9: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/9.jpg)
Stakeholders Definition- “a person or group that has
an investment , share, or interest in something, as a business or industry” (stakeholder, 2012)
Physician Software company
![Page 10: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/10.jpg)
Reason For The Change Help to meet the DEA guidelines Institute of Medicine goals –effective,
safe, efficient, and individually focused More accurate data, faster service Lower supply costs
![Page 11: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/11.jpg)
Vested Interests Physician
Remote access E-prescribing Comply with Drug Addition Treatment Act
of 2000 Monitor patient numbers Treatment plans Prescription monitoring
![Page 12: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/12.jpg)
Human Drivers Physician
Compliance with the DEA Improve patient outcomes Minimize paper Ensures privacy Allows remote access
![Page 13: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/13.jpg)
Resources Computers Software Internet Scanner Printer/fax
![Page 14: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/14.jpg)
Evaluation Theory Input, Process, Output, Outcome Model
(IPO) Input- evaluate system performance
indicators Process- embracing the plan, design
development, and delivery Output- gather result from training
evaluation Outcome- long term results
![Page 15: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/15.jpg)
Evaluation Theory Kirkpatrick’s Learning Evaluation Model
Reaction Learning Behavior Results
Application to Suboxone Clinic
![Page 16: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/16.jpg)
References Clark, D. (1012, May 4). Kirkpatrick 4-level of
evaluation: Happy sheets? Surely past its sell-by-date [Web log post]. Retrieved from http://donaldclarkplanb.blogspot.co.uk/2012/05/kirkpatrick-4-levels-of-evaluation.html
Creasey, T. (2007). Defining change management: Helping other understand change management in relation to project management and organizational change. Change Management Learning Center. Retrieved from http://www.change-management.com/Prosci-Defining-Change-Management.pdf
![Page 17: Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic](https://reader034.vdocuments.us/reader034/viewer/2022051821/56815ab0550346895dc8596e/html5/thumbnails/17.jpg)
References Kritsonis, A.(2004-2005). Comparison of change
theories. International Journal of Scholarly Academic Intellectual Diversity 8(1), 1-7. Retrieved from http://nationalforum.com/Electronic%20Journal%20Volumes/Kritsonis,%20Alicia%20Comparison%20of%20Change%20Theories.pdf
Orr, G. (2003, March 18). [Review of the book Diffusion of Innovations, by Everett Rogers, 1995]. Retrieved from http://www.stanford.edu/class/symbsys205/Diffusion%20of%20Innovations.htm
Stakeholder (2012). In Dictionary.com. Retrieved from http://dictionary.reference.com/browse/Stakeholder