GRADING RUBRIC MUST BE FOLLOWED

Use the Stakeholder Matrix Template to complete an analysis of relevant stakeholders in the organization related to recommendations regarding an organization’s EHR or HIM systems that you made in your first assessment. You will also be asked to create a 3–5-page report detailing your stakeholder analysis and proposing potential ways to create buy-in and overcome obstacles for implementing your recommendations.

Questions to Consider:

• What considerations are of most value to stakeholders in terms of process flow and resource allocation?
  • How can the needs and challenges of a stakeholder be addressed?
• How would you coordinate a training program that includes current best practices?
• What are the relevant best practices for designing and implementing workflow changes?
• What are the relevant best practices for resource allocation with regards to health information technology?
• How can you leverage evidence and best practices to create buy-in and overcome barriers or resistance to implementing new processes or tools?

Scenario

Refer to the Vila Health: Value and Evidence-Based Recommendations and Vila Health: Analysis of an EHR System media simulations that you have been using throughout this course. The intended audience for this analysis will be of the stakeholder groups presented in the media simulation.

You have been asked to complete a stakeholder analysis as it relates to informing stakeholders about the process for how you came to your recommendations you previously made regarding the EHR or HIM system at Independence Medical Center. Another aspect of the analysis is to summarize the impact of your recommendations on stakeholder groups and strategies for overcoming barriers related to implementing your recommendations.

Preparation

Before you begin your analysis, you should consider or complete the following:

• Review the Vila Health scenarios paying close attention to the various stakeholders, their needs, and the challenges they face.
• Review the Stakeholder Matrix Template. You will be completing this as a part of your assessment. So, make sure you understand the types of information you will need to input.
• Research best practices for collaborating with stakeholders to create buy-in and overcome barriers or resistance to implementing new processes or tools in health care settings.
• Research training strategies.
• Research best practices for resource allocation with regards to health information technology.
• Research best practices for designing and implementing workflow changes.

Instructions

For this assessment, you will analyze the stakeholders that Vila Health Independence Medical Center must recognize as it adjusts to, changes, upgrades and implements your recommendations to the EHR or HIM systems. You will want to refer to the recommendations you made in the first assessment as well as any feedback that you have received from your instructor.

For this deliverable, you will write a 3–5-page executive summary detailing your previous recommendations and how you timeline for them. Additionally, you will analyze how your recommendations impact considerations such as resource allocation, training, and workflow changes, as well as best practices for overcoming implementation barriers. Finally, you will complete the Stakeholder Matrix Template, and align critical success factors with the primary internal and external stakeholders. Include a value statement for each stakeholder (A value statement meets the needs and values of each key decision maker. See example in the Stakeholder Matrix Template.)

For this assessment, you will be evaluated on the following criteria:

• Describe the relevant stakeholders related to an impact analysis.
• Explain the process used to arrive at recommendations related to a health information management system.
• Describe a timeline for implementing recommendations related to a health information management system.
• Analyze the impact of recommendations on relevant stakeholders and an organization with relation to considerations such as patient outcomes, new training, resource allocation, and workflow changes.
• Analyze best practices to overcome barriers in creating buy-in from stakeholders and implementation related to recommendations.
• Develop value statements for relevant stakeholder groups related to critical success factors and recommendations related to a health information management system.
  • This criterion relates to the Stakeholder Matrix Template.
• Communicate analysis of stakeholders and value of recommendations in a manner that is clear and concise.
• Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Resources:

Finances and Implementation

These resources are helpful in understanding the financial impact of and HER, and some incentive programs supporting their implementation.

• Bullard, K. L. (2016). Cost effective staffing for an EHR implementation. Nursing Economic, 34(2), 72–76.
• Mirani, R., & Harpalani, A. (2013). Business benefits or incentive maximization? Impacts of the medicare EHR incentive program at acute care hospitals. ACM Transactions on Management Information Systems, 4(4), 1–19.
• Vest, J. R., Kern, L. M., Abramson, E., Ancker, J. S., & Kaushal, R. (2014). Effect of a state–based incentive programme on the use of electronic health records. Journal of Evaluation in Clinical Practice, 20(5), 657–663.
• Nilsson, L., Eriksén, S., & Borg, C. (2014). Social challenges when implementing information systems in everyday work in a nursing context. Computers, Informatics, Nursing, 32(9), 442–450.
• Yuan, C. T., Bradley, E. H., & Nembhard, I. M. (2015). A mixed methods study of how clinician ‘super users’ influence others during the implementation of electronic health records. BMC Medical Informatics and Decision Making, 15(1), 26–40.

Stakeholders

These resources discuss the benefits and challenges for stakeholders in weighing the benefits and challenges in EHR implementation and how vendors contribute.

• Chao, W. C., Hu, H., Ung, C. O., Lam, & Cai, Y. (2013). Benefits and challenges of electronic health record system on stakeholders: A qualitative study of outpatient physicians. Journal of Medical Systems, 37(4), 9960–9965.
• Olayiwola, J. N., Rubin, A., Slomoff, T., Woldeyesus, T., & Willard-Grace, R. (2016). Strategies for primary care stakeholders to improve electronic health records (EHRs). Journal of the American Board of Family Medicine, 29(1), 126–134.
• Yip, M. H., Phaal, R., & Probert, D. R. (2014). Stakeholder engagement in early stage product-service system development for healthcare informatics. Engineering Management Journal, 26(3), 52–62.