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Running Head: Lack of Technology in Healthcare in New Zealand
Lack of Technology in Healthcare in New Zealand
Assignment 3
DHSM 304: An Investigative Research Project
Leading Strategic Change in Health & Social Care
Topic: Lack of technology in health care sector like in rest home and hospitals in New Zealand
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Executive Summary
The report elaborates the lack of technology in Healthcare sector in New Zealand, providing the main objectives of the study. The study performs effective analysis of all the related concepts in Eight Sections. The First Section provides the literature review of scholarly research articles and analyzes the specific need for change in technology for healthcare in New Zealand. It also states the question for research. The section 2 elaborates the methods used to collect the required data while conducting the research. It evaluates the secondary qualitative research based on Text Analysis collecting the data from peer-reviewed journals, and research articles. Section 3 presents the research findings and elaborates the role of senior managers in change management. Section 4 explains the techniques for embedding the change for technology within the healthcare sector. Section 5 discusses the resistance to technological change in healthcare and identifies the ways to propose, negotiate and resolve the resistance. Section 6 evaluates the Implementation Plan to facilitate strategic change in technology of healthcare and evaluates the strategies to address the ethical and cultural issues in healthcare. Section 8 elaborates the implications of Treaty of Waitangi and its practical implementation. The conclusion enlists the five key points of the whole research and lastly the recommendations state five key recommendations based on the literature review.
Key Words: Technology, Healthcare, Resistance, Treaty, Implications, Waitangi.
Introduction
New Zealand has a diverse range of thousands of Rest homes including Palliative Care, Dementia Care, Respite care, Day care for old age people and various Hospitals offering quality treatment and support in diverse range of specialties.
Advancements in technology has influenced every field by becoming more effective, efficient and improving the patient satisfaction level however the Hospitals and Rest Homes are slow in adopting the technical advancements readily. The Commonwealth Fund International Health Policy Survey 2009 published in 10 countries worldwide along with New Zealand described that New Zealand could improve its efficiency and quality by expanding the use of health information technology to eliminate the medical e
ors (HMT Mag, 2009). The physicians in New Zealand seldom use health information technology to improve care and minimize e
ors. The survey found that only 46% of the physicians used electronic health records. The physician's practice and acute care settings are relatively slower in adopting the technology. The prominent ba
iers in its implementation involve training, cost, complex implementation process, and lack of evidence about the reliability of these systems.
The goal of these healthcare facilities like Rest Homes is to provide retirement living, a continuum of care, and peace of mind to older people at the best possible level. For example, Ryman Healthcare provides resort style facilities to the aged people by its 32 friendly villages, serviced apartments, independent living, and rest homes delivering warm and spacious place with TV facility, private en-suites, gardens, atriums, and courtyards. The staff members care for the people, providing nutritious meals as per the dietary requirements. In spite of numerous facilities, the Rest Homes do not receive a similar level of technology improvements like that in hospitals.
The report focuses on the cu
ent situation in the adoption of technology in healthcare in New Zealand and also elaborates ba
iers and the potential benefits of technology implementation in these settings. The main Objective of this research is:
· To explore the need for change towards technological advancements in health and social acre Organisations across New Zealand.
· To identify the ba
iers to implementation of change in technology.
· To evaluate the literature review to embed the change in the healthcare sector.
Section 1-Literature Review
1.1. As per the postulates of Rice (2016), though the rest homes play a significant role in delivering quality healthcare, they do not obtain equal financial incentives to enhance their IT infrastructure like that in hospitals. An IT sophistication Survey conducted by Richard Madson, analyzed a nationwide trend in IT adoption for 3 years. The study found that if the healthcare teams and the nursing staff has access to appropriate technological tools in resident care, the quality of care many increase effectively (Rice,2016). A UMR research by McKenna (2010), used 100 face to face interviews and questionnaire sessions with more than 7000 clinicians from 5000 hospitals in New Zealand. It provided effective analysis of ICT needs and related opportunities depicted by the New Zealand decision-makers and the clinicians. The clinicians often come across inference gap between the information available to them and the evidence needed to deliver the best possible informed care. The availability of information across the diverse care settings can be made available to clinicians to deliver a shared decision-making process that includes clinicians, patients, and the healthcare teams. The Healthcare sector in New Zealand is highly diverse involving 12,500 health provider organizations. The results found that more than 51% of Non DHB physicians and 72% DHB Physicians were unable to access the patient information they needed to treat the patients. Lack of patient management system was depicted as most prominent ba
ier to access the health information from other Hospitals. 19% of the clinicians worked in more than one location. So, it is a challenge to set up technical systems across diverse range of healthcare organizations.
Though New Zealand has the best standard of technology, with great electronic connectivity, only 16% of ICT decision makers retrieved the best value out of their technology investments. The productive use and investments of ICT in healthcare have observed inadequate funding as a ba
ier. Though 9 out of 10 physicians have availability of internet and email facility, the computers are not available for all the employees in a dedicated manner. 67% of Non-DHB healthcare professionals’ access email through clients and a huge number of clinicians worked from a single fixed location. The emails are used in less frequency in rural clinicians (McKenna,2010). 90% of the General Practitioners and ICT decision makers found Fax as a safer choice than other electronic communication media. As per the reports of Geneva Healthcare organization (2013), the initiatives sponsored by the government like Ultra Fast Broadband emphasized on rapid growth in adoption of network, mobiles and applications in Nursing Homes of old age care. The Bluetooth connected ECG devices linked to mobile and tablets may successfully transfer data across the network and may be used for consultation of physicians and old age residents.
1.2. As the infrastructure of Healthcare sector is extremely diverse in New Zealand, it is necessary to keep the different Healthcare Organisations linked with each other through a network to allow easy transfer of data and exchange of patient information across the different electronic portals. The diagnostic test results, patient refe
als, medication information and discharge summaries can be shared and accessed easily (McKenna, 2013). The increasing population and therefore increasing the amount of patient data also needs to be readily available for the clinicians to improve the delivery of care. Investments in ICT will reduce the paperwork, improve the access to patient information and accelerate the workflow. These factors will definitely increase the revenue and savings and will enhance effective decision making. The change in technology adoption is necessary to improve the electronic transfer of information. It will improve the facility of getting advanced video consultation even at rural distant locations. Improved use of Information and Communication Technology will improve the quality of care leading to better care coordination, enhance professional knowledge, improve workflow efficiencies, improve clinical processes, reduce the repetition in data, reduce hospital readmissions, and enhance decision making by making available the timely patient information. In social care Organisations many of the old age people have sharp mind and with effective adoption of technology, we can enhance their connectivity with the outer world and can increase their productivity by promoting their interests.
If the healthcare sector did not address this issue efficiently and timely, it may lag behind at the international level of standards, the healthcare delivery may be adversely affected by quality and efficiency.
1.3. On the basis of Literature review the Research Question for this project is “How the lack of technology influences the effectiveness of Healthcare Sector (like in Rest homes and hospitals) in New Zealand?”
Section 2- Research Methods
2.1. Text Analysis: The research of McKenna (2010) was done in two phases employing the qualitative method in first phase and quantitative method in second phase. In the first phase, it involved more than 100 face to face interviews of the clinicians in rural, u
an and provincial areas of New Zealand, as a method to collect data. In the second phase, the database of 7000 clinicians and ICT decision makers across 5000 hospitals was used to develop quantitative questionnaire. Theses questionnaires were mailed to various DHB and Non DHB Organisations to retrieve the information from clinicians and decision...