Use of the Equity Implementation Model to Review Clinical System Implementation Efforts

Table 3

Changes in User Stresses and Benefits for Different User Groups and MIS Staff

	Central Schedulers	Center Receptionists	Department Receptionists	Appointment Supervisors	Nurses	Records Clerks	MIS Operations Staff
Stresses:
Learning computer skills	+	+	+	+	+
System crashes, lack of trust in computer data	−	−	−	−
Fear of job loss	−	−
Early preparation of physicians' schedules					−
Increased coordination with users							+
Less responsiveness							−
Printing problems							+
Benefits:
Moving close to home and shopping	+
Fewer distractions	+
Less exposure to illness	+
Increased skills	+	+	+	+
Responsiveness to patients		+
Having current information		+	+
Other tasks easier			+
Recurring appointments easier			+
Patient waiting list			+
Scheduling across centers			+
Standard physician work schedules				+
Ease of rescheduling				+
Appointment book searches					+
Getting patient charts					+
Ease in pulling patient records						+
Ease in distribution and tracking of records						+
Learn new system							+

Note: Plus signs indicates increase; minus signs indicate decrease.

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