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Nunavut Social Services

Nunavut Social Services. A case study in change management. Lynn Ryan MacKenzie Executive Director Social Services Department of Health and Social Services Government of Nunavut. Nunavut. Communities. Nunavummiut. Government. Social Services. CMS/EMR capacity:

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Nunavut Social Services

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  1. Nunavut Social Services A case study in change management Lynn Ryan MacKenzie Executive Director Social Services Department of Health and Social Services Government of Nunavut

  2. Nunavut

  3. Communities

  4. Nunavummiut

  5. Government

  6. Social Services

  7. CMS/EMR capacity: a key driver of system development

  8. 50% to 80% of large IS/EHR projects fail

  9. Sober reality… • EHRs can produce administrative efficiencies • They often slow down clinical work • Smaller or more localized EHRs tend to be more efficient and effective than larger implementations • Paper, in some instances, can offer more flexibility than current EHR technology

  10. Our results “suggest it is time… to move beyond simplistic, technology-push models and consider how to capture the messiness and unpredictability of the real world." (Greenhalgh, 2009)

  11. Failure of the US Department of Defense 13-year, $2 billion transition to EMR was “largely due to poor planning and execution, and a failure to appreciate the significant complexity of the program” (GAO, 2010).

  12. Good management Good technology

  13. Good management Good technology

  14. Factors of Successful Implementation Salleh, et all (2011)

  15. Case Study Questions • What factors are relevant to this project? • Which are most critical? • Is there a big gap in a single factor that threatens to derail the project? • Are small gaps in multiple factors negatively coalescing? • Is there a keystone habit that could be used to drive successful implementation? • What strategies should be the focus of the next 4 months?

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