Panorama WRHA Public Health Staff Development December 10 & 11, 2013 ---------------------------------------------
Presentation Overview Panorama Overview Change Management Principles Change Readiness Survey Project Coordinator Support Questions
Panorama Vision To improve disease prevention and reduce the impact of communicable diseases in the Manitoba population
History SARS demonstrated a national need for better data management Discussions began in 2009 significant work done by public health groups in the province project was halted for a variety of reasons, including H1N1 initial recommendations and advice being used by today s team
What is Panorama? Panorama is a secure, integrated, web-based electronic public health record designed to assist public health practitioners to manage: Immunization Vaccine Inventory Communicable Diseases Outbreaks
Why Panorama? Panorama aligns with provincial and RHA priorities and supports. Improved coordination by connecting care providers and harmonizing processes and standards Real time surveillance and earlier detection of outbreaks locally, regionally and provincially Identification of individual and population health needs Shared management of communicable disease investigations between jurisdictions.
Panorama will... Replace : MIMS iphis All other independent databases currently used to manage communicable diseases Integrate: Other health-care information and communication systems over time including: echart Manitoba Electronic Medical Records Other interface systems
Implementation timeline
Implementation Timeline 2013 2014 2015 2016 Mar Apr May June July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec Jan Feb Mar Apr May Project Overall Plan & Validate Project Closure Immunization and Inventory Analysis & Design Build Training, Pilot and Rollout Analysis, Design & Build of remaining Immunization Interfaces Communicable Disease and Investigations Analysis & Design Build Training, Pilot & Rollout Outbreak Analysis & Design Build Training, Pilot & Rollout
How to Access the Immunization Functionality within Panorama From the top navigation bar, select the Immunization Tab
Immunization and Inventory Implementation Benefits and Challenges + Improved quality of service + Standardized policies + Better tools to support practice + Easier access to more information + Less vaccine wastage + Improved communication - More data to enter - Potential for connectivity issues - New terminology to learn - Change in ordering process - Normal learning curve - Some paper systems will continue
Change Management Organizations don t change, people do Lack of awareness is the #1 reason for resistance If you want people to change, involve them Managers play a pivotal role in supporting change 12
Change Management #1 Success factor is active and visible sponsorship 13
Preferred Messenger Business Messages i.e.: Business rationale for change Preferred messenger = VP/Directors/MOHs Personal Messages i.e.: Personal Impact Preferred messenger = Direct Supervisor, Manager 14
Change Management Managers are important because: Employees trust them They mitigate resistance They build support Managers are the preferred messenger for changes that directly affect the employee! 15
Challenges for Managers
5 Activities for Successful Change Management Communication Sponsorship Coaching Training Resistance Management 17
Panorama Sponsorship Model 18
Change characteristics Panorama implementation has been assessed as requiring high degree of change related to: Scope Number of impacted employees Type of change Degree of process change Degree of technology system change 19
Risk Assessment Grid Change resistant Medium risk High risk Organizational Attributes Change ready Low risk Medium risk Small Incremental Large Disruptive Change characteristics 20
Change characteristics Panorama will impact: 150+ Public Health Nurses 8 Immunization Clerks? Admin Clerks? Others (Primary Care, Occupational Health, Long Term Care Facility Staff) 21
Readiness Surveys Four different surveys will be conducted to identify: Gaps Training needs The surveys will target the organization, sponsors, managers and end users. Summary reports will be produced and shared. 22
Project Coordinators Role Project coordinators: Liaise between Manitoba Health and the project Facilitate communication Coordinate WRHA involvement in Panorama activities
Panorama Project Team The Panorama Project team (including the coordinators) will provide: Change management and communication guidance and materials Facilitation and guidance for the definition of the new provincial standard processes Requirements for connectivity and desktop computer standards Train-the-trainer training Access to a practice database environment to reinforce training Implementation support
Questions?