PanoramaWRHA 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 managementDiscussions 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:
ImmunizationVaccine InventoryCommunicable DiseasesOutbreaks
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 Timeline2013 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
ProjectOverall
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
12
Change Management
Organizations don’t change, people doLack of awareness is the #1 reason for resistanceIf you want people to change, involve themManagers play a pivotal role in supporting change
13
Change Management
#1 Success factor is active and visible sponsorship
14
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
15
Change Management
Managers are important because:Employees trust them They mitigate resistanceThey build support
Managers are the preferred messenger for changes that directly affect the employee!
Challenges for Managers
17
5 Activities for Successful Change Management
CommunicationSponsorshipCoachingTraining Resistance Management
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Panorama Sponsorship Model
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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
20
Risk Assessment Grid
Medium risk High risk
Low risk Medium risk
Change characteristics
OrganizationalAttributes
Changeresistant
Change ready
SmallIncremental
LargeDisruptive
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Change characteristics
Panorama will impact:
150+ Public Health Nurses 8 Immunization Clerks ? Admin Clerks ? Others (Primary Care, Occupational Health,
Long Term Care Facility Staff)
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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.
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?