Assignment 4: Organizational Change. Health, Medicine, Nursing Essay
Please use the change theory you used for order # 00189884
Instructions
Assignment
Acme Medical Center is implementing a new electronic health record (EHR), converting from a paper system. Dana is the nurse manager of the orthopedic department which clusters outpatient, inpatient, and rehab services via product line management. In preparing her implementation plan for the new EHR, Dana anticipates several different employee responses to the change:
Kevin RN and Nancy RN are very enthusiastic about the new EHR and are very comfortable using technology.
Bob RN always resists change and avoids going to training until the last minute. He can use technology effectively but usually employs workarounds instead.
Sherri RN sometimes mimics Bob's behavior but mostly goes with the flow. She has difficulty using technology and requires much support during transitions.
Dr. Phillips is the program director but plans to retire next year.
Dr. Wilson was a new physician to the program last year, but already admits more patients to the service than any other doctor. He also uses all the services of outpatient, inpatient, and rehab.
In a 3-4-page scholarly paper, explain how Dana could utilize the theory you selected for your project to anticipate the transition to the new EHR. Dana wants to involve all the staff and physicians in the project. What activities could Dana assign to each person? Dana knows that unanticipated problems could arise during the transition, such as a power outage. How would your selected theory explain each persons' reaction to such an event?
Organizational Change and EHR Implementation at ACME Medical Center Using Kotter’s 8-Step Model
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Organizational Change and EHR Implementation at ACME Medical Center Using Kotter’s 8-Step Model
Introduction
ACME Medical Center will switch from paper recording to electronic health record (EHR). The orthopedic department nurse manager, Dana, who will be responsible for managing outpatient, inpatient, and rehab services, will be responsible for facilitating the change. Kotter's 8-Step Change Model is a research-based and formal method of managing complex change within healthcare. The model is all about momentum building, involving stakeholders, achieving stakeholders' short-term wins, and anchoring sustainable improvements. Successful applications of Kotter's model in health care environments have led to outcomes measurable in clinical effectiveness, staff compliance, and stakeholder involvement (Hu et al., 2025; Walji et al., 2024). This essay describes how Dana can utilize Kotter's model to drive staff involvement, assign tasks strategically, and prepare for unforeseen circumstances in EHR implementation.
Step 1: Establishing a Sense of Urgency
The first phase is the articulation of the imperative need for EHR implementation, highlighting inefficiency and risk involved in keeping the current paper-based records. Risk of non-compliance, patient safety, and workflow inefficiency must be revealed. Hu et al. (2025) illustrate that establishing urgency using empirical data and clinical metrics aids acceptance and dissolves passive resistance.
Step 2: Creating the Guiding Coalition
The influential members of the orthopedic department must be invited to come together and create a guiding coalition. Enthusiastic and technologically inclined patient-care staff must lead the effort at peer involvement. Influential high-volume physicians across service lines are best positioned to lead the system. Including cynical or resistant members in the coalition guarantees issues being heard firsthand and increases the feeling of inclusiveness. Walji et al. (2024) emphasize the need for forming an umbrella coalition of various clinical roles to guide system-wide reform.
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