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The Pros And Cons Of The CAMM Model

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I agree with your assessment that the ISTA framework is more congruent with the readiness for change quiz in Lorenzi and Riley (2004) than the FITT framework. In a previous post I addressed the sociotechnical issues and unintended consequences; therefore, I decided to take a look at the CAMM model, this readiness for change quiz and the Kaiser project as a whole. I will admit that when we were discussing the frameworks in a previous unit, I was drawn more to the FITT and the ISTA frameworks and did not really delve into the CAMM model much; however, after rereading Price and Lau (2014) the four dimensions of the CAMM model appear to fit well with the readiness quiz and have the potential to guide a HIT project from quiz through implementation and beyond. …show more content…

This dimension could fit with processes/functions, direction, and decision-making in the readiness for change quiz (Lorenzi & Riley, 2004). As previously discussed, Kaiser used MyHelp and Pathways to Proficiency to train user access (Poorsina, Vilardi, & Eytan, 2011). In a press release in 2007, Kaiser proudly reported that their system availability averaged 99.2%, just a few tenths of a percent off the goal of 99.7% availability. Bornstein (2012) discusses how providers began to use the content to better manage their patients. Kaiser achieved the first dimension of CAMM

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Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.

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This software will enhance patients visit and access, improve workflow, and will manage revenue and financial improvements. Change Healthcare has the technologies and provides services to improve revenue by minimizing denials, claim management, improve collections, accurate medical coding, and with the management of daily revenue cycles to provide a more effective organization. This organization will reduce the amounts of write-off claims and thus will increase the amount of revenue to the organization. This organization can connect providers electronically to more commercial and government organizations than any other healthcare organization. This is making Change Healthcare the number one organization for revenue reimbursement.

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I have gained knowledge about informatics. I have learned about the great importance of electronic medical records (EMR) to the current and future of patient charting and documentation. I have gain skills in how patient portals work, their purpose, as well as their importance to patient self-efficacy. My attitude has always been positive to the importance of informatics. I believe that change in health care can be difficult and very hard.

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The text described the dimensions and level of patient involvement in great detail using the M-APR model. The “M” stands for micro, meso, and macro; then across two dimensions the “APR,” which stands for active/proactive and passive/reactive involvement. These dimensions suggest that patient, family, and public involvement and feedback into CQI can be attained through a variety of mechanisms (Sollecito, Johnson, Pages 210-216). According to the text, passive involvement perceives services and system drawings on more removed, yet still useful, sources of patient feedback.

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