Evaluation of an Information System Change

Information System Change can help Villa Hospital improve patient care and their access to healthcare facilities, decrease costly interventions and issues patients face. Research by Neelima et al. (2024) showed that information system change can enhance patients’ health and the hospital’s operations. The information system discussed in this assessment includes Remote Patient Monitoring (RPM) and patient portals. This assignment focuses on information system change and developing an evaluation report that it brings to the Vila Hospital.

Part 1: Evaluation Report, Framework Components

The framework structure includes three areas which are information quality, results and effects of system, and the evaluation of the structure quality of system change. The framework is derived from the three phases of change management proposed by Kurt. these three phases are called unfreezing, change, and refreezing (Ratana et al., 2020). This framework can help healthcare providers to assess the planned changes like adding the RPM and patient portals. Such new changes can help patients receive better and timely care for their needs. 

How to Access the Impact of Change Project

Kurt provided three phases of change management which can be used to help healthcare providers evaluate the effects of changes made by new information change systems. The first stage called the unfreezing provides information about recommended changes and the results of RPM to stakeholders. As per the above-provided framework, this stage has also been referred to as the Information Quality component. The second stage, changing, involves incorporating new systems such as RPM, and evaluating the impact of change it brings to the organization. The refreeze stage uses the new information system to track the quality of structure in a change process (Ratana et al., 2020).

Defining the Quality of the Information Framework

It is important to ensure that the information provided on new information system change is credible which can be evaluated using the CRAAP test which measures the Currency, Relevancy, Authority, Accuracy, and Purpose. User satisfaction can help assess the information quality and surveys can be used for this purpose. The new information system change must adhere to Protected Health Information System (PHI) guidelines that include patient data privacy (Kukharenko & Yankevskiy, 2022). The system can help healthcare providers to address any privacy concerns patients might have to ensure patient satisfaction. Patients’ health conditions after implementing the new system also provide data on how the patient feels about the change. This information should be handled with care because patient satisfaction is one of the major goals of incorporating new information system change. 

Defining Outcomes of Quality Care Framework

The duration of the implementation program is six months so that in the first three months the trials of the system can be monitored and changes can be made. The productivity of the system for patients and healthcare providers will determine the efficacy of the information system (Carini et al., 2021). The system must fulfill patients’ needs such as satisfaction, reduced financial constraints, and the mortality rate. Healthcare providers will be able to provide better care to patients and develop customized treatment plans as the patient portal and RPM will reduce their workload. 

Defining the Structural Quality Framework

Structural change of the system is the third component of the framework which determines the support of healthcare providers for the system and the impact the system made during the trial period of the first three months. For this purpose, evaluation can be made by acquiring the information from surveys, system initial monitoring, and feedback from users. 

Part 2: Evaluation Plan Table

The evaluation plan was developed based on goals, components, measurement, frequency, and rationale measurements of Villa Hospital. The goal of implementing this plan is to help Vila Health provide advanced care to patients in a comfortable environment. This plan is designed to focus on two goals. One is to involve all healthcare providers and stakeholders in the implementation plan and the second goal is to make the desired or recommended changes. To develop a positive impact on patients’ health, the evaluation plan will help healthcare providers enhance their awareness and get hands-on experience in using the new information system (Antonio et al., 2020). The table has provided measurement frequency, goals, and rationale. 

Part 3: Overview Discussion with Stakeholders

The information technology team, administrators, nurse informatics, project leaders, and clinical informatics are the five stakeholders included in the implementation plan. This plan is developed to achieve the goal of transforming the Villa Hospital to provide advanced healthcare to patients. This transformation will involve changes such as RPM and patient portals to help patients contact their healthcare providers remotely and help them save visits and commute costs (Antonio et al., 2020). This evaluation report addresses all the changes made based on the components of the framework. Currently, patients are facing the issue of not getting efficient care at home which reduces their satisfaction level and increases their financial burden for them. Healthcare providers on the other hand have found burnout due to a huge load of work. Thus, incorporating RPM and patient portals will help healthcare providers provide efficient care to patients so that they are satisfied. 

These barriers are important to address because patients have a high fear of not getting timely healthcare support due to the increased death rate of patients. So, the new information system will increase patient satisfaction, reduce financial burden, and also the fear of death when they get timely healthcare (Antonio et al., 2020). RPM will also help healthcare providers to provide efficient care to patients even when they get discharged to enhance their quality of life. 

Conclusion

Remote patient monitoring (RPM) and patient portals are the essence of this implementation plan because they will increase patient satisfaction levels, reduce financial burden, and also their fear of not getting timely care. These systems will also help healthcare providers to give patients the care they need while being at home. Moreover, the administrative burden of healthcare providers will also be decreased and their productivity will increase which results in increased patient care and fulfilling the goals of Villa Health. 

References

Antonio, M. G., Petrovskaya, O., & Lau, F. (2020). The state of evidence in patient portals: umbrella review. Journal of Medical Internet Research, 22(11), e23851. https://doi.org/10.2196/23851 

Carini, E., Villani, L., Pezzullo, A. M., Gentili, A., Barbara, A., Ricciardi, W., & Boccia, S. (2021). The impact of digital patient portals on health outcomes, system efficiency, and patient attitudes: Updated systematic literature review. Journal of Medical Internet Research, 23(9). https://doi.org/10.2196/26189 

Kukharenko, E., & Yankevskiy, A. (2022). Management of distributed medical information systems. Lecture Notes in Information Systems and Organisation, 187–205. https://doi.org/10.1007/978-3-030-94252-6_14 

Neelima S., Govindaraj M., Subramani, K., ALkhayyat, A., & Mohan, C. (2024). Factors influencing data utilization and performance of health management information systems: A case study. Indian Journal of Information Sources and Services, 14(2), 146–152. https://doi.org/10.51983/ijiss-2024.14.2.21 

Ratana, S., Raksmey, C., & Danut, D. (2020). Conceptualizing a framework: a critical review of the development of change management theories. Studies in Healthcare, 15(2), 205–214. https://doi.org/10.2478/sbe-2020-0035