Leading Through Change at Meridian Health Network
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- Leading Through Change at Meridian Health Network
- Patient Safety
- Cloud-Based EHR TransformationDr. Alicia Grant | Project Informatics Manager
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- Why Meridian Must Change
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- Cloud-Based EHR
- Aging EHR
- Current ChallengesAging technologyWorkflow disruptionIT workloadCost pressuresRegulatory deadlines
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- Our Vision
- 🔗 Better Coordination
- Better Patient Care❤️
- Cloud/EHR
- 📈 Long-Term Efficiency
- Less Redundancy↘
- The Goal Is Bigger Than Go-LiveBetter information → Better coordination → Better care
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- My Role: Steward of the Mission and the People
- StewardshipMission + People + Resources + Outcomes
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- How We Will Make Decisions
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- Regulatory RequirementsPatient Safety
- Impact × RiskHigh impact + high risk = immediate attention
- Clinical/Workflow Impact
- Operational Impact
- Resources Cost
- Stakeholder ImpactPatient Safety
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- Fair, Ethical, Transparent Decisions
- HONESTY | COMPETENCE | FAIRNESS | ACCOUNTABILITY
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- Our Change Management Roadmap
- Kotter + ADKAR
- Create Urgency
- Build Coalition
- Communicate Vision
- Remove Barriers
- Celebrate Wins
- Reinforce Adoption
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- Our Change Champion Coalition
- Training CordinatorCompetency + Training
- Clinical ChampionWorkflow + Peer Engagement
- Dr. Grant
- Administrator/CFOResources + Strategy
- IT ManagerTechnical Readiness + Risk
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- Communication: The Right Information to the Right People
- CLINICIANSWorkflowTrainingKnown issuesWeekly
- EXECUTIVESMajor risksDependenciesRisksWeekly
- ITTechnical readinessDependenciesRisks2x weekly
- FINANCE/CFOCost impactDependenciesRisks2x weekly
- COMPLIANCERegulatory issuesDependenciesRisksMilestones/As needed
- TRAININGReadinessCompetency gapsWeekly
- ALL STAFFMajor decisionsMilestones2x weekly
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- When a Delay or Need Emerges
- UPDATE
- TEST
- IDENTIFY
- Raise it early!
- SOLVE
- DOCUMENT
- ASSESS
- COMMUNICATE
- ESCALATE
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- Collaborative Problem Solving
- This workflow is adding too much documentation.
- The system is working as configured."
- Let's understand the problem before deciding on the solution.
- Listen → Analyze → Test → Learn → Adjust
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- Followership: Leadership Goes Both Ways
- CHANGE CHAMPIONSExpertiseFeedbackAdvocacyPeer Engagement
- DR. GRANTVisionDirectionResourcesAccountability
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- Developing Future Leaders
- Delegate → Coach → Empower → Develop
- Clinical ChampionWorkflow leadership
- Administrator/CFOResource Alignment
- Training CoordinatorCompetency Development
- IT ManagerTechnical Readiness
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- How We Will Know We Are Succeeding
- IMPLEMENT
- MEASURE
- LEARN
- IMPROVE
- REINFORCE
- Success measures:Adoptation - Training Readiness - Workflow Performance - Issue Resolution - Patient Engagement - Care Coordination - Operational Efficiency
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- SUPPORTING RESOURCES
- Petersen, C., Berner, E. S., Cardillo, A., Fultz Hollis, K., Goodman, K. W., Koppel, R., Korngiebel, D. M., Lehmann, C. U., Solomonides, A. E., Subbian, V. (2023). AMIA's code of professional and ethical conduct 2022. Journal of the American Medical Informatics Association, 30(1), 3–7. https://doi.org/10.1093/jamia/ocac192Shoukat, M. H., Shah, S. A., Muneeb, D. (2023). Shared leadership and team performance in health care: How intellectual capital and team learning intervene in this relationship. The Learning Organization, 30(4), 426–445. https://doi.org/10.1108/TLO-12-2021-0146Kuntz, J., Wong, J. H. K., Budge, S. (2023). Motive, mindset and opportunity: Exploring leader ambidexterity factors in health-care. The Learning Organization, 30(3), 355–374. https://doi.org/10.1108/TLO-12-2022-0153Grand Canyon University. (2026). Meridian Health Network case study [Case study].