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Courtney thanks for sharing. What are some factors that can cause or predict unexpected outcomes regarding this change?

Leading Evidence-Based Change

It is worth realizing that a lot of organizations are turning towards the use of evidence-based change as the means to make critical talent management decisions, aid achieve greater success as well as establishing a more engaging work environment for the stakeholders. One of the problems we do encounter today in the health sector revolves around the lack of proper management of business associate contracts. A business associate is commonly recognized as a subcontractor that creates, receives, maintains as well as transmits protected health information on behalf of another business associate. It is proper to note that a business associate contract is meant to disclose protected information and this is highly depending on the relationship between these parties (DeLoss, 2003). Even though the health sector needs the help of business associates contracts, it has been identified as an area of great struggle currently whereby access to information has emerged as a great challenge. The primary indicator of this problem is that for a long time, most health care institutions have struggled in offering essential information to business associates hence compromising their role and this at the end affects the provision of health care negatively. The use of manual paperwork when it comes to the keeping of records has been recognized as the primary reason that these health care organizations have to struggle or in other words be challenged in linking properly with business associates.

As a result of this problem, it becomes of great significance to embrace a change. In this case, it would be essential for these health care organizations to focus on selecting, implementing as well as utilizing Electronic Health Records (EHR). The EHR technology helps a lot in ensuring that health care institutions become efficient and seeing that patient outcomes are improved. It is the means to keep all records updated and accessed easily by business associates whenever the need be. Part of the change needed includes the organizations where the EHR is not functional staying close to other health care organizations where the system is operating well as the means to learn some basics things from them which will aid in their progress and growth as they aim at solving the identified problem. According to the article by Miriovsky, Shulman & Abernethy, (2012), it is evident how EHRs can enhance comparative effectiveness research. The authors state that electronic health records make it possible to offer patient-level information to the concerned parties and this helps in improving service delivery (Miriovsky, Shulman, & Abernethy, 2012). Reviewing such articles makes it clear of how health care institutions that rely on manual paperwork in recording keeping ought to embrace a change and adopt the use of electronic health records.

The coming up of the electronic health records brings with it anticipation about future uses, and this consists of the sharing as well as the exchange of information among different systems. However, as health care institutions focus on embracing this system, it becomes of great significance to become aware of the development as well as the use of standard data elements and also data content in the electronic health record. As the information is being shared, it is essential to acknowledge the privacy rules as set by the Health Insurance Portability and Accountability Act (HIPAA). The management ought to liaise with HIPAA to ensure that all standards are met and the business associates ought to understand the same. It will be essential to adapt Lewin’s classic model for change and apply it in solving the problem. The model helps us realize that change does not have to be a complex process (Schein, 1996). It is necessary to have an understanding that a change is required, then deciding to move toward the new, desired undertaking and ensuring the new practice is held as a norm. Three stages as illustrated by the change model help in seeing that the problem we do face today in most health care institutions as far as record keeping and information sharing is concerned is solved. Therefore, reflecting on the area of leading evidence-based change helps one realize how greater success can be realized as we deal with the current challenges (Jesuthasan, & Boudreau, 2011).


DeLoss, G. E. (2003). HIPAA requirements for lawyers-business associate contracts. NDL Rev., 79, 41.

Jesuthasan, R., & Boudreau, J. (2011). Evidence–based change helping companies achieve greater success and competitive advantage, new Towers Watson book reveals. Retrieved from–Based–Change–Helping–Companies–Achieve–Greater–Success–and–Competitive–Advantage–New–Towe

Miriovsky, B. J., Shulman, L. N., & Abernethy, A. P. (2012). Importance of health information technology, electronic health records, and continuously aggregating data to comparative effectiveness research and learning health care. Journal of Clinical Oncology, 30(34), 4243-4248.

Schein, E. H. (1996). Kurt Lewin’s change theory in the field and in the classroom: Notes toward a model of managed learning. Systems practice, 9(1), 27-4

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