Implementation strategies in health care organizations

Implementation strategies in health care organizations can have barriers that restrain the effectiveness of their plan. These barriers can be due to lack of accountability, lack of commitment, inadequate instructions to the employees, people are not fully rewarded for executing of the plan, inadequate directions are given by departmental managers, and changes for responsibilities of employees were not clear (Latiff, Gohar, Hussain, & Kashif, 2016).

Ways to eliminate or overcome barriers in an organization are not done by just one person, but by many actions and everyone in the organization has to be a partner to implementation (Swayne, Duncan, & Ginter, 2013). The ways to remove barriers is having each level of leadership have clear communication to their employees of what their goals are and how they are to achieve those goals. It is also important to keep employees engaged and participating in the planning process. Make sure their voices and opinions are heard through the planning process. When employees are able to participate they are able to better understand their roles and goals for the organization. It is also necessary to hold employees accountable for their assigned work tasks and set goals to achieve. If an employee is not meeting their goals then this is putting the implementation behind schedule or at jeopardy of being completed. It is important that the employee or employees are aware that they will be held accountable for their job performance. Another primary reason implementation strategies are not implemented in health care organizations is, because there is no difference in resource allocation and reward distribution (Swayne, Duncan, & Ginter, 2013). People or employees concentrate on what they believe to be important, which is things that effect their budget or paycheck.

My hospital implemented Epic EHR system in October 2011 till May 2014 (Monegain, 2013). This was a huge undertaking for the health system and there was many people in my department that had worked for the system for over 20 years that didn’t want to have to learn a new system. They were a lot of resistant’s to change, which is a common implementation barrier. At the time I was working in the hospital billing department for Wyandotte Hospital. The system not only wanted to have all the billers change to the new system, but also have all the billers housed in the same building, which would be an additional 30 minute commute for most of us as well.

Some of the reasons there were setbacks was because the organization created no incentives and did not allow the employees to feel a part of the decision making process. They did not inquire about their opinions or advice on anything. Many of the employees were not learning the new system as fast as the organization would have liked. There was also 4 employees that either retired or left the system. Obviously, the EHR system was installed and runs very smoothly. It has been a great addition to our health system, however it is important for an organization to make all their employees feel valued and important in the decision making process or either keep them informed and motivated about the implementation strategies.

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