PRESENTATION OUTLINE
      INTRODUCTION AND BACKGROUND
      PROBLEM AND PURPOSE
      OBJECTIVES
      RESEARCH METHODOLOGY
      IMPORTANCE OF CHANGE MANAGEMENT IN EHR 
      SYSTEMS
      CHALLENGES IN THE IMPLEMENTATION OF EHR 
      SYSTEMS
      MONITORING AND EVALUATION OF EHR SYSTEMS
      CONCLUSION
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       INTRODUCTION AND BACKGROUND
       • For many years hospitals have been managing health records manually.
       • Hospitals are changing to electronic health records systems for day to day functioning.
       • Electronic health records are digital version of patient’s collected information available 
       instantly and securely to authorised users (Katuu, 2015).
       • Public and private hospitals or health care providers are adopting the use of technology 
       for  the  benefit  of  patient  care,  higher  quality,  fewer  errors  and  greater  efficiency 
       (Luxford & Safran, 2011).
       • The adoption of EHR systems often has less to do with technology but more to do with 
       underlying changes in the business, clinical processes, and workflow for daily tasks 
       (Martin and Voynov, 2014).
       • It  is  common  for  organisations to overlook the importance of change management 
       processes in the overall plan of EHR implementation and only involve users in the 
       operation phase (Schmucker, 2009)
       • Effective  implementation  and  operation  of  EHR  systems  requires  a  well  structure 
       change management approach.
       • Change management is regarded as a discipline that guides how people prepare, equip 
       and support individuals to successfully adopt the implementation, in order to drive the 
       organisation towards positive end results (Prosci, 2018).
      HEALTH INFORMATION TECHNOLOGY IN SOUTH AFRICA
      • National Health Act (NO. 61 of 2003) indicates that the National Department 
       of Health (NDOH) has the mandate to facilitate and coordinate the establishment, 
       implementation and sustainability of health information systems across national, 
       provincial and local level including the private health sector.
      • The adoption of electronic health records systems in South Africa is driven by the 
       national  e-Health  strategy  that  normalizes  the  use  of  information  and 
       communication technology for health related purposes (eHealth strategy of South 
       Africa, 2012-2017).
      • The  e-Health  strategy  of  South  Africa  is  set  to  ensure  effective  adoption  and 
       successful implementation of health information systems (Emarus & Van der Walt, 
       2015: 187).
      • The  aim  of  the  e-Health  strategy  of  South  Africa  is  to  lay  basis  for  future 
       incorporation and coordination of e-Health initiatives in public and private health 
       sector (eHealth strategy of South Africa, 2012: 8).
      • The  EHR  system  is  envisioned  to  support  the  National  Health  Insurance 
       anticipated to improve the availability and accessibility of health care services for 
       South African citizens (Munyaradzi & Katurura, 2018:1)
      • The  e-Health  strategy  of  South  Africa  has  insufficient  directive  on  change 
       management  in  the  implementation  of  health  information  technology  for 
       healthcare organisations.
        BACKGROUND OF THE STUDY
    • The developments and alignment of health information 
     systems in the Kwa-Zulu Natal province is still work in 
     progress. 
    • The Kwazulu-Natal department of health embarked and 
     operated EHR systems years ago; yet not all hospitals 
     use the EHR systems.
    • There is no notable evidence of literature, that mentions 
     the impact of change management in the pre or post 
     implementation of health information technology in the 
     province, particularly in the eThekwini area.