• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month
  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8
  9. 9
  10. 10
  11. 11
  12. 12
  13. 13
  14. 14
  15. 15
  16. 16
  17. 17
  18. 18
  19. 19
  20. 20
  21. 21
  22. 22
  23. 23
  24. 24
  25. 25
  26. 26
  27. 27
  28. 28
  29. 29
  30. 30
  31. 31
  32. 32

This project will be a detailed analysis on the NHS' Electronic Patient Record (EPR) implementation programme.

Extracts from this document...


CONTENTS 1 Introduction to the Project and Definition of the organisational Change Problem being addressed by the Project 1 1.1 Project Rationale 1 1.2 Definition of Organisation Change Problem 1 2 Analysis of the Problem situation 1 2.1 Strategic Problems in the NHS 1 2.1.1 Criticism of the NHS 1 2.1.2 Waiting Lists 2 2.1.3 Quality Control Problems 2 2.1.4 Failure to Exploit Information Technology 2 2.2 Operational Problems in the NHS 2 3 Definition of the IS solution to the chosen business problem (s) 3 3.1 EPR, EHR, ICRS and NPfIT 3 3.2 Electronic Record Development and Implementation Programme (ERDIP) 4 4 Identifying the correct organisational change issues 5 4.1 Overview 5 4.2 Changes to NHS Structures 5 4.2.1 Creation Of Primary Care Trusts (PCTs) 6 4.2.2 Creation Of Strategic Health Authorities 6 4.2.3 Regional Directors of Health and Social Care 7 4.3 Ensuring Quality of Service Delivery 7 4.3.1 National Institute for Clinical Excellence (NICE) 7 4.3.2 Commission for Healthcare Audit and Inspection (CHAI) 7 4.4 Improvements to Operational Procedures 8 4.5 Changes Needed to Procure and Operate the New Information Systems 8 4.5.1 Changes in NHS Structures 8 4.5.2 Service Providers and Clusters 8 5 Process Models 9 5.1 Primary Care Information Flows 9 5.2 Winchester Direct Cataract Referral 10 6 Evaluating what business improvement occurred 13 7 Evaluating the impacts of the organisational change upon business improvement 14 8 Statement as to how solution meets the project's requirements 14 9 Record of time spent on project and types of activities against plan 16 10 Evaluation from the whole group on the project, the team and their effectiveness 21 11 Personal evaluation and reflection by team members 22 11.1 Personal reflection - Manal Al-Eid 22 11.2 Personal reflection - Brian Probert 23 References 24 Appendix 1 - Project Plan 26 1 INTRODUCTION TO THE PROJECT AND DEFINITION OF THE ORGANISATIONAL CHANGE PROBLEM BEING ADDRESSED BY THE PROJECT 1.1 Project Rationale This project will be a detailed analysis on the NHS' Electronic Patient Record (EPR) ...read more.


Although not directly related to EHR, it is worth noting that change number 8 - reducing the number of queues - is probably a pre-requisite for the successful implementation of "Choose & Book" since this will offer less scope for consultants to "fine-tune" the scheduling of particular appointments. Personalised team referrals (whereby the patient is referred to a pool of consultants instead of to a named consultant) will also benefit from computerised booking systems. 4.5 Changes Needed to Procure and Operate the New Information Systems 4.5.1 Changes in NHS Structures The structures required to procure and operate the new information systems were outlined in "Delivering 21st Century IT Support for the NHS -- National Strategic Programme" (DOH, June 2002). This announced that a programme director would be appointed and would report to the head of the NHS Information Authority (NHSIA) which would have overall responsibility for the procurement. Each Strategic Health Authority would appoint a Chief Information Officer to coordinate the application of the national programme at a local level. In June 2003, the government announced that the NHSIA would be wound up and the National Programme for IT would be run as an executive agency within the NHS. 4.5.2 Service Providers and Clusters By 2002, the NHS had already made a strategic decision to operate the new systems using "a managed service model, and to reduce the number of contracting points through the use of prime service providers (PSPs)" (NHSIA, September 2002 Appendix C). This approach was refined by the Department of Health (January 2003) which defined three categories of service provider: National Infrastructure Provider (NISP), National Application Service Provider (NASP) and Local Service Provider (LSP). NISPs provide infrastructure services such as communications, NASPs provide IT services which are national in scope such as the national component of the EHR while LSPs provide all IT services within a particular area of the country. ...read more.


11.3 Personal reflection - Zhefu Snag In this teamwork for task 2, I was responsible for the organizational change and business improvement theory related to EPR in NHS with the team leader Brian. I was the editor of the PowerPoint slides for the final presentation. In the portfolio, I was in charge of drawing the EPR process model and paper-based patient record for comparison to demonstrate the improvements of EPR. Furthermore, I have drawn the EPR business model, system model, activity diagram and DFD as well to make it clear that how EPR works in the NHS. Beside, I was also responsible for two sections with Brian. They were "Evaluating what business improvement occurred" and "Evaluating the impacts of the organizational change upon business improvement". From my teamwork experience in CS 5090 task2, I have encountered some problems. First one is communication gap. Because I am from China, my first language is not English. I cannot speak English very well to communicate with my group members. However, this problem was overcome easily by us. Our members were always pay more attention and were patient to listen to me, corrected my grammar mistakes in time. Furthermore, my team leader often communicated with me by phone, MSN chat to improve my oral English as well. Secondly, sometimes, because of my different study background, I had different ways to think and work, which caused some conflicts in my teamwork. For this problem, my leader resolved it through his great leadership. He adopted the "collaborating strategy" to gather all different opinion then tried to make individual needs and goals toward a common goal. Thirdly, team meetings have been difficult for us to organize, because one the members is part time and lives far away from the campus. In that case, the team meetings have been taken during the workshop hour following the lecture on Thursday, Sometimes in 1 or 2 hours before lecture. From the teamwork experience in CS 5090 task2, I have felt the importance of teamwork. Furthermore, I have got many benefits from it. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Marked by a teacher

    The purpose of this assignment is to complete a health needs assessment within a ...

    4 star(s)

    the population live in rented or council property 10.25% higher than the national average. Due to the type of properties on offer in the ward there is a lot of social movement in and out of the local towns surrounding the ward.

  2. Marked by a teacher

    The problem for unpaid carers is that they have few rights and resources but ...

    4 star(s)

    This can be support that may help maintain the carers? health and wellbeing such as; gym memberships, weekend breaks, driving lessons, evening courses or a holiday so they can relax and take a break from their caring role (Carers Direct, 2010).

  1. Marked by a teacher

    A personalised induction will always be more effective. Discuss. Base your answer on the ...

    4 star(s)

    For examples if a client has an aversion to water, the imagery of a water fall could be stressful, but if the person likes water, this description would be nice and relaxing and bring a peaceful feeling. During the course of a research programme the induction was standardised, an image of a lift was used to deepen the trance.

  2. Marked by a teacher

    The purpose of this essay is to carry out an assessment of a patient ...

    3 star(s)

    I used skills of observation, open ended questions and listening in an attempt to retrieve as much information possible, particularly in Activities of Living. This helped to build a composite picture of my client and allowed her to introduce new facts that might be pertinent.

  1. Marked by a teacher

    Unit 10 care practice and provision

    3 star(s)

    the service user they all fully aware of what the needs are for the service user. After and before Johnny's operation the practitioners of Royal Berkshire hospital will consider the different approaches that will help and reduce bad health, they will take into account these different approaches set up by

  2. The importance of therapeutic relationships in the delivery of care.

    physical and visual elements of safety, but also ensuring our natural defences are safeguarded and given the appropriate care when necessary. By doing so we show patients we care about them, they are important to us. A safe environment gives patients comfort and confidence; basic comfort is the main priority for patients upon entering hospital.

  1. This essay will focus on inter-professional working in health and social care delivery.

    Different professions have differing views on status, which could and did lead to clashes in communication and joint working. Irvine et al (2002) suggested interprofessional relationships are distorted by mutual mistrust and hostility.

  2. HPV Case Report - examining attendance rates for cervical screening appointments.

    However, this cannot always be done, and is it likely that women will miss the appointment because of this. Campbell et al (1996) found that if women express this preference, assurance that this is possible will effectively increase the number of women who participate.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work