Organisational design and implementation of a telerehabilitation system in Oklahoma Online publication date: Wed, 07-Jul-2004
by Kawaljeet Kaur, Pamela G. Forducey, Lori Smith, Cynthia Scheideman-Miller
International Journal of Healthcare Technology and Management (IJHTM), Vol. 6, No. 1, 2004
Abstract: Adequate understanding of change management is essential for successful implementation of any programme. The four components of organisational change are strategy, structure, people, and processes, all of which need to be addressed for a balanced approach to change. We use this framework to discuss the implementation and sustenance of a telerehabilitation programme at a large not-for-profit healthcare organisation in Oklahoma. The article describes the process from need assessment and identification of stakeholders to the development of programme strategy, and involvement of human factors. The structure provides the building blocks for the programme, and includes the business model, economic model, and the infrastructure. The processes complement the programme structure, and include protocols, training, documentation, and outcomes measures. The article concludes with the results in terms of number of interventions, cost saved, and lessons learned.
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