Evidence based changes are becoming more important as more organizations are formed and competition becomes fierce. Patients are always looking for the best care available and evidence-based practice changes provide that. Bastani et al. (2021) mentions that evidence-based decision making can help improve the community’s health and improve resource usage among the organization. One evidence-based change that I was a part of was when the organization wanted to change from one system to the next. It involved several steps that were worked on by several departments. Several stakeholders were involved because it affected the entire organization and required input because of the monumental change.
The system that leadership wanted to be update was the system where our Medicaid providers were entered. The old system used an old version of Microsoft Access that was becoming obsolete due to the number of providers entered and what we used it for. The directory for every other department came from this system. Any issue would not show up online and can cause issues when member services need to find a provider or when AHCA looked at our provider logs. As an important stakeholder, I was tasked with showing how slow the system is by recording basic tasks done in the system. Another task was to give feedback on what a new system should entail.
Leadership had an idea that the change needed to be made but required evidence. My team and I provider more evidence to pursue a change. They went and picked a new vendor to replace. During that process, we gave the new vendor feedback on how to best implement the system. Park and Lee (2008) list that policymakers need to make sure a technological advancement actually improves quality. This is what leadership had to figure out with the new system. Our feedback helped the new system organization implement it well and improve quality across all departments
The change was accepted because everybody had a hand from creation to implementation. Everybody had ownership and wanted to make sure it did not fail. It also lasted for a long time because the change was definitely needed. The old system was outdated and was causing a lot of issues with patients. Claims were coming through for providers that were no longer contracted. Luckily most issues were caught but a few got in and had to be recouped. The new system has avoided those issues and has been working wonderfully.
Bastani, P., Alipoori, S., Imani-Nasab, M.-H., Jamalabadi, S., & Kavosi, Z. (2021). Evidence-based decision making among healthcare managers: Evidence from a developing Country. International Journal of Healthcare Management, 14(1), 197–202. https://doi-org.lopes.idm.oclc.org/10.1080/20479700.2019.1632002
Park, S., & Lee, S. (2008). Evidence-based decision-making and health technology assessment in South Korea. Value in Health, 11(Suppl 1), S163–S164. https://doi-org.lopes.idm.oclc.org/10.1111/j.1524-4733.2008.00382.x
