Leadership Reform

Leadership Reform

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Leadership Reform

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Leadership Reform

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Rural primary care physicians and assistants of physicians experiences obstructions while implementing EHRs at rural primary care clinics. This study deals with this subject. The knowledge that they gain:
Disseminate knowledge of EHR technology through the removal of barriers
Take decisions on rural PCPs.
Change policies and plan projects
Mange relationship with stakeholders
I have explored the rural PCPs’ implementation of EHR system through a qualitative and phenomenological design.
Research Question:
The research questions include the following:
What the primary care physicians and their assistants have faced? What they think about complex adaptive systems while trying to recover the problem of implementing electronic health records?


Topic significance:
According to Adams & Gaetane (2011) Business community might enrich from the outcome of the research and it may influence rural primary clinics to adopt the electronic health records. Through a qualitative research gaps will be filled, literature will be extended and the structure of future research provided in it will increase the scope of further research. It will be useful in business practices, processes and policies.
Contribution to Business practice:
As discussed in Sheffield & Haslett et al (2012), through a qualitative and phenomenological research, there will be a formation of clear understanding of how to overcome the barriers and that too from the perspective of the rural PCPs and their assistants. The stakeholders of rural primary care clinics will get information about what influences the decision-making leading towards a successful implementation of EHR. According to Mechanic (2008), it will benefit from low health care cost although the quality of treatment will increase It will encourage implementation and adoption of EHR in HIT field and develop efficient low cost health care services that will result into a sustainable business.
Implications for Social change
Because of the research, the PCPs and rural primary care clinics may strive to work independently without any assistance from government. According to Adler-Milstein & Bates (2010) the impact will lead to innovative and efficient health care system to fulfill the demands of increased life expectancy as well as reduced resources. An increased rate of EHR implementation will usher a social change.
According to Channon et al (2012) many countries including Indian Government has influenced the doctors, nurses, hospitals and insurance companies to use ICT (Information and Communication Technologies) for improvement of qualitative healthcare facilities that will reduce the healthcare cost. Electronic Health Record (EHRs) is one such use of ICT by many countries. According to Goldberg (2012), in last few years, India’s healthcare department has grown in quality and quantity with Private sectors investing in healthcare sector and thus making it into one of the primary contributors of India’s GDP.
EHR is a need of rural India because of the following:
Accurate and instant information for the patients
Enable access of interface such as telehealth to know about clinicians, staff members, and pharmacists.
Other facilities not provided locally
Help the rural health care organizations to provide effective local care and this is inexpensive
Offers efficient specialty referrals
Government of India has set some rules for EHR in the year 2013. Ministry of Health and family Welfare ordered the establishment of EHR standards committee, who recommended the guidelines. On its behalf, Federation of Indian Chambers of Commerce and Industry manages it. The guidelines make it sure that all medical data is easily available and portable. This task is problematic as only 160 million people use internet.
The barriers are
Limited access to infrastructure and capital
Suitable products for rural health care
Difficulty in using broadband connection
Difficulty in acquiring community buy-in
Limited scope to collaborate with rural stakeholders
Restricted buy-in from rural health care or hospital’s staff with multifarious job
Adams, C.M. and Jean-Marie, G., 2011. A diffusion approach to study leadership reform. Journal of Educational Administration, 49(4), pp.354-377.
Adler-Milstein, J. and Bates, D.W., 2010. Paperless healthcare: Progress and challenges of an IT-enabled healthcare system. Business Horizons,53(2), pp.119-130.
Brahmer, J.R., Tykodi, S.S., Chow, L.Q., Hwu, W.J., Topalian, S.L., Hwu, P., Drake, C.G., Camacho, L.H., Kauh, J., Odunsi, K. and Pitot, H.C., 2012. Safety and activity of anti–PD-L1 antibody in patients with advanced cancer.New England Journal of Medicine, 366(26), pp.2455-2465.
Lazarus, J.H., Bestwick, J.P., Channon, S., Paradice, R., Maina, A., Rees, R., Chiusano, E., John, R., Guaraldo, V., George, L.M. and Perona, M., 2012. Antenatal thyroid screening and childhood cognitive function. New England Journal of Medicine, 366(6), pp.493-501.
Mechanic, D. and McAlpine, D.D., 2010. Sociology of Health Care Reform Building on Research and Analysis to Improve Health Care. Journal of Health and Social Behavior, 51(1 suppl), pp.S147-S159.
Sheffield, J., Sankaran, S. and Haslett, T., 2012. Systems thinking: taming complexity in project management. On the Horizon, 20(2), pp.126-136.

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