Seven steps to successful change: How a large academic medical center prepared patients for organizational change

Vanderbilt University Medical Center (VUMC) launched a new electronic health record (EHR) in a “big bang” implementation that saw the new software go live across multiple hospitals, clinics and geographic locations in a single morning. The organization rightly focused most of its energy on preparing...

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Autores principales: Brian Carlson, Madison Agee, Terrell Smith, Paul Sternberg, Jason Morgan
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2019
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Acceso en línea:https://doaj.org/article/dfcd5ecdf1dd4504979676e8f78fbbaf
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spelling oai:doaj.org-article:dfcd5ecdf1dd4504979676e8f78fbbaf2021-11-15T04:28:53ZSeven steps to successful change: How a large academic medical center prepared patients for organizational change2372-0247https://doaj.org/article/dfcd5ecdf1dd4504979676e8f78fbbaf2019-11-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss3/16https://doaj.org/toc/2372-0247Vanderbilt University Medical Center (VUMC) launched a new electronic health record (EHR) in a “big bang” implementation that saw the new software go live across multiple hospitals, clinics and geographic locations in a single morning. The organization rightly focused most of its energy on preparing its nearly 25,000 employees for the impacts of the transition, but it also considered the effects that would be felt by its patients and families. Survey data indicate that patient satisfaction scores demonstrably dip before, during and after an EHR implementation, and take approximately a year to recover. A team at DMC employed a seven-step approach to preparing patients for the impacts of the transition, which led to a return to pre-implementation patient satisfaction scores in about half the time of its peer institutions. The article explores these seven steps in detail and offers recommendations for how healthcare organizations facing large-scale change can use a similar structured approach to mitigate negative impacts to patients. <strong>Experience Framework</strong> This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Culture%20%26%20Leadership%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-CultureLeadership">Access other resources</a> related to this lens</li> </ul>Brian CarlsonMadison AgeeTerrell SmithPaul SternbergJason MorganThe Beryl Institutearticlepatient experienceehrchange managementcommunicationtransformationworkforce preparationpatient satisfactionproject managementconsumer experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution DOAJ
collection DOAJ
language EN
topic patient experience
ehr
change management
communication
transformation
workforce preparation
patient satisfaction
project management
consumer experience
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient experience
ehr
change management
communication
transformation
workforce preparation
patient satisfaction
project management
consumer experience
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Brian Carlson
Madison Agee
Terrell Smith
Paul Sternberg
Jason Morgan
Seven steps to successful change: How a large academic medical center prepared patients for organizational change
description Vanderbilt University Medical Center (VUMC) launched a new electronic health record (EHR) in a “big bang” implementation that saw the new software go live across multiple hospitals, clinics and geographic locations in a single morning. The organization rightly focused most of its energy on preparing its nearly 25,000 employees for the impacts of the transition, but it also considered the effects that would be felt by its patients and families. Survey data indicate that patient satisfaction scores demonstrably dip before, during and after an EHR implementation, and take approximately a year to recover. A team at DMC employed a seven-step approach to preparing patients for the impacts of the transition, which led to a return to pre-implementation patient satisfaction scores in about half the time of its peer institutions. The article explores these seven steps in detail and offers recommendations for how healthcare organizations facing large-scale change can use a similar structured approach to mitigate negative impacts to patients. <strong>Experience Framework</strong> This article is associated with the Culture & Leadership lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Culture%20%26%20Leadership%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-CultureLeadership">Access other resources</a> related to this lens</li> </ul>
format article
author Brian Carlson
Madison Agee
Terrell Smith
Paul Sternberg
Jason Morgan
author_facet Brian Carlson
Madison Agee
Terrell Smith
Paul Sternberg
Jason Morgan
author_sort Brian Carlson
title Seven steps to successful change: How a large academic medical center prepared patients for organizational change
title_short Seven steps to successful change: How a large academic medical center prepared patients for organizational change
title_full Seven steps to successful change: How a large academic medical center prepared patients for organizational change
title_fullStr Seven steps to successful change: How a large academic medical center prepared patients for organizational change
title_full_unstemmed Seven steps to successful change: How a large academic medical center prepared patients for organizational change
title_sort seven steps to successful change: how a large academic medical center prepared patients for organizational change
publisher The Beryl Institute
publishDate 2019
url https://doaj.org/article/dfcd5ecdf1dd4504979676e8f78fbbaf
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