Industry-Wide Interventions

This chapter provides a contextual framework for industry-wide interventions and examines the circumstances by which interventions are adopted through all levels of system within an industry. Industry-wide interventions come about as a result of system-wide observations around the need for change. Rothwell et al. identify eight levels of organization change, with the sixth being industry or community-based change. Despite an apparent or unapparent need for change at the industry level, many different stakeholders may see themselves as responsible for making the case for necessary change. The theory of emergent change describes change as continuous, open-ended, and unpredictable. These three elements are certainly at play and working simultaneously as the overall healthcare system adopts or rejects the implementation of EHR. The opportunity to strengthen a team during times of transition involves a great deal of communication. Opening lines of communication allows ambassadors of change efforts to gauge how groups and individuals are faring in the change process.