1. Institutional Assessment Implementing Electronic Medical Records in a Suboxone Clinic Tonya Anderson NURS 7250

2. Implementation of Electronic Medical Records  Affordable Care Act  American Recovery and Reinvestment Act of 2009  Meaningful Use

3. Needs Assessment in Suboxone Clinic  Need- Electronic Health Record  Drug Addiction Treatment Act  Drug Enforcement Administration (DEA)

4. Assessment Theory  Chaudron  Get started  Assess  Choose  Treatment  Periodic Evaluation Application to Suboxone Clinic

5. Facility Assessment  Change  Improvement  Triggered by problem or opportunity  Change affects several areas of operation

6. Change Theory  Kurt Lewin’s Change Theory  Unfreezing  The moving Stage  Refreezing Stage

7. Change Theory  Roger’s Change Theory  Knowledge  Persuasion  Decision  Implementation  Confirmation Application to Suboxone Clinic

8. 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

9. 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

10. 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

11. Vested Interests  Physician  Remote access  E-prescribing  Comply with Drug Addition Treatment Act of 2000  Monitor patient numbers  Treatment plans  Prescription monitoring

12. Human Drivers  Physician  Compliance with the DEA  Improve patient outcomes  Minimize paper  Ensures privacy  Allows remote access

13. Resources  Computers  Software  Internet  Scanner  Printer/fax

14. 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

15. Evaluation Theory  Kirkpatrick’s Learning Evaluation Model  Reaction  Learning  Behavior  Results Application to Suboxone Clinic

16. 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/k irkpatrick-4-levels-of-evaluation.html http://donaldclarkplanb.blogspot.co.uk/2012/05/k irkpatrick-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 http://www.change-management.com/Prosci- Defining-Change-Management.pdf

17. 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%20V olumes/Kritsonis,%20Alicia%20Comparison%20of%20C hange%20Theories.pdf http://nationalforum.com/Electronic%20Journal%20V olumes/Kritsonis,%20Alicia%20Comparison%20of%20C hange%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 http://www.stanford.edu/class/symbsys205/Diffusion %20of%20Innovations.htm  Stakeholder (2012). In Dictionary.com. Retrieved from http://dictionary.reference.com/browse/Stakeholder http://dictionary.reference.com/browse/Stakeholder