Carrie D’Andrea

INFS Assignment 4

2. Presidential leadership includes the government branches role in implementing nationwide policies
and systems that the administration feels will benefit the country as a whole. They can control
healthcare budgets and establish funding to allow medical advancement. According to Balgrosky,
“President Obama and the 111th U.S. Congress included major incentives for EHR implementations in
HITECH as part of the overall stimulus legislation”. Organizational leadership is a management method
that works towards what is best for the group and their community. Many healthcare organizations
have acted as leaders in improving healthcare by implementing the latest technology and publishing
research data. This increases transparency and quality of care. Professional leadership is the role of
creating a mission, setting goals, and implementing policies within an organization. Professional
leadership is effective in the other two areas because having an intrapersonal leader is essential to the
efficient running of a group. It would be more difficult to function on an organizational level without
professional leadership. Government leadership effects both as what could be seen as the highest
branch of healthcare legislature. I would say that government leadership is the most important because
without funding and nationwide policy, it would be difficult to keep all of healthcare on the same page.
The only way these leadership roles would actually hinder HIS progress is budget cuts or mismatching
needs of specific organizations.

3. It seems that some of the biggest hindrances to the adoption of HIS involve funding, lacking of data,
and hassle. And even though the HITECH incentive program has greatly increase physician and hospital
implementation of HER systems within the past couple years, the United States has a long way to go to
reach full technological adoption throughout healthcare. According to Balgrosky, “As of 2012, 40% of
physicians used a based HER, but 9.8% of those systems met Meaningful Use criteria”. Though many
hospitals and other organizations may invest in these changes and attempt to implement their benefits,
it can take even longer for an entire group to use this technology to its fullest extent.

5. According to Balgrosky, Rogers’ Theory describes five groups which play individual roles in the
adoption of new technologies, such as HIS. Rogers description of these groups can be directly related to
the history of HIS development and implementation. There are innovators, who created and advocate
for the new tool. Early adopters, who have invested in this new idea due to their respect for change and
innovation. The early majority; the population that followed the advice of leadership and embraced
these new tools based on others input. They will adopt the new changes when there is some evidence to
it benefits. The late majority, who eventually adjust to this change either by requirement or due to
skepticism. And then the Laggards; people who wish to resist the change and abide by tradition or what
is comfortable. They will follow the rise of new technology only when it has been proven to be fully
beneficial.

7. The Six Aims of Crossing the Quality Chasm include care that is safe, effective, patient centered,
timely, efficient, and equitable. The main reasons for implementing these new EHR systems in
healthcare organization is to eventually elevate the current principles of care to fit these characteristics.
Through analytics and research, healthcare information systems have proven to make hospital and
practice care safer by using medication monitoring and caution warnings, efficient by organizing
information and enhancing communication, and effective by regulating documentation and procedures.
According to Balgrosky, “The implications of these IOM reports… have driven the HIS and technology
and regulatory agenda for the decade of the 2000’s”.