BUS FPX 3026 Assessment 6 Identifying Forces Causing Change and Skills for Managing Change
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BUS FPX 3026 Assessment 6 Identifying Forces Causing Change and Skills for Managing Change

BUS FPX 3026 Assessment 6 Identifying Forces Causing Change and Skills for Managing Change


Capella university

BUS-FPX3026 Foundations and Future of Health Care Delivery Management

Prof. Name



The implementation of electronic health records (EHR) has seen a significant rise in recent years, reaching 86% in physician offices and 80% in hospitals by 2017 (Office of the National Coordinator for Health Information Technology [ONC], 2019). This transition has brought about profound financial and operational impacts on healthcare management across inpatient and outpatient settings. Effective organizational leadership is paramount in navigating such changes successfully within the healthcare sector. This paper aims to explore a major healthcare system change, analyze the driving forces behind it, review crucial information pertinent to the change process, discuss insights from H. James Dallas, and elucidate Kotter’s leadership skills.

Major Healthcare System Change Example and Change Forces

In 2009, under the Obama administration, the Centers for Medicare & Medicaid Services (CMS) and the ONC endorsed the American Reinvestment & Recovery Act (ARRA), introducing the Health Information Technology for Economic and Clinical Health (HITECH) Act (CDC, 2017). This act mandated the implementation of Meaningful Use, aiming to leverage EHRs for enhancing healthcare information exchange (CDC, 2017). Despite the origins of electronic medical records (EMR) dating back to the 1960s, widespread adoption by physician offices and hospitals occurred later, enabling improvements in health information data collection. EHRs, serving as digital repositories of patient health information, offer enhanced security compared to traditional paper-based records, facilitating seamless information exchange between healthcare organizations (Financesonline.com). The adoption of EHRs was driven by political, economic, and technological advancements, with President Obama’s vision focusing on national health information sharing, job creation in the Health Information Technology sector, and enhancement of clinical care quality (ONC, 2019). Despite initial resistance, the adoption of EHRs has doubled since 2009, reflecting the significance of this change in healthcare management (ONC, 2019).

Information and Insights Important to the Change Process

Effective change management encompasses three critical processes: learning, motivation, and collaboration (Healey, 2018). In the context of EHR implementation, thorough planning, transparency, and comprehensive training are vital for successful adoption. Leaders must ensure transparent communication to elucidate the rationale behind the change and provide adequate training and hands-on experience to foster staff proficiency with the new system (Healey, 2018).

Important H. James Dallas Insights

Organizational culture plays a pivotal role in successful change implementation, with senior leaders acting as catalysts for fostering a culture of trust and respect (Dallas, 2015). Leaders who engage with frontline staff and invest time in building relationships can significantly enhance employee engagement and buy-in during change initiatives such as EHR implementation (Dallas, 2015).

Kotter’s Leadership Skills

Kotter’s 8-Step Model of Change delineates key factors for successful organizational transformation, including creating a sense of urgency, enabling action by removing barriers, and sustaining acceleration (Kotter International, n.d.). Leaders must prioritize communication, eliminate impediments to change, and maintain momentum throughout the EHR implementation process to ensure sustained success (Kotter International, n.d.).


In conclusion, effective change management in healthcare organizations necessitates a comprehensive understanding of the importance of stakeholder engagement, transparent communication, and leadership skills. By prioritizing employee involvement, transparent communication, and effective leadership strategies, healthcare administrators can navigate through change initiatives such as EHR implementation successfully.


Centers for Disease Control and Prevention. (2017, January 18). Introduction. Retrieved March 7, 2019, from https://www.cdc.gov/ehrmeaningfuluse/introduction.html

Dallas, H. J. (2015). Mastering the challenges of leading change: Inspire the people and succeed where others fail. Retrieved from https://ebookcentral-proquest-com.library.capella.edu

Financesonline.com. (n.d.). What is the difference between EHR and EMR? Retrieved March 7, 2019, from https://financesonline.com/difference-ehr-emr/

BUS FPX 3026 Assessment 6 Identifying Forces Causing Change and Skills for Managing Change

Healey, B. J. (2018). Principles of Healthcare Leadership. [Capella]. Retrieved from https://capella.vitalsource.com/#/books/9781567938951/

Kotter International. (n.d.). 8-step process of change. Retrieved from https://www.kotterinternational.com/8-steps-process-for-leading-change/

Office of the National Coordinator for Health Information Technology (ONC). (2019). Office-based Physician Electronic Health Record Adoption. Health IT Quick-Stat #50. Retrieved from dashboard.healthit.gov/quickstats/pages/physician-ehr-adoption-trends.php

BUS FPX 3026 Assessment 6 Identifying Forces Causing Change and Skills for Managing Change