Table 1.
Investment | Implementation | Use | |
---|---|---|---|
Strategic Level | § Alignment with organization’s strategic vision | § Alignment with organizational model for care delivery | § Learning strategy for the use of knowledge and information made available § Cultural reform to provide “psychological safety” |
Operational Level | § Expectations regarding the organization’s capacity for change § Expectations regarding managerial instrumentality over organizational/workflow changes |
§ Employee involvement §Devolution of authority §Organizational learning capacity |
§ Creation and maintenance of an innovative, “mutual gains” employment contract § Managerial practices that incentivize and promote broad health IT use and ongoing learning |
Frontline Level | § Skills and abilities to use the technology § Staffing adequacy § Existence of appropriate work structures |
§ Perceived preparedness for technological change § Perceived employment and wage security |
§ Maintenance of skill levels § Continued trust in employee involvement mechanisms § Promoting point-of-contact learning and feedback |