engagement and user input in design, training and support, champions, integration with existing work
practices
Organizational: getting the organization ready for change, planning, leadership and management, realistic
expectations, user ownership, teamwork and communication, learning and evaluation
Wider socio-political: other healthcare organizations, industry, policy, professional groups, independent
bodies, the wider economic environment, international developments.
(Cresswell, Bates, & Sheikh, 2013).

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Most importantly, a trained user is a more satisfied user. A poorly trained staff member
lacks the understanding of the technologies capabilities, which can ultimately lead to
workarounds whereby the system is used in unintended ways—or even worse —avoided in its
entirety
(Cresswell, Bates, & Sheikh, 2013). For the staff at Featherfall, the most effective
training methodology is one that is created to fit the individual roles of users, without being too
restrictive as this can undermine understanding of how the whole system functions
(Cresswell,
Bates, & Sheikh, 2013). Alert’s ADT is user-friendly while containing all the necessary
components needed to allow the medical center to prosper and grow. The functionality of the
system runs from charting and access, to patient health records, to housekeeping notifications
and admission. Each role within the organization has been carefully considered and represented
in the Alert’s system, ensuring that the provided training allows each user role to practice ‘hands-
on’ and as closely simulate the actual working environment is imperative.
Ethical Management and Monitoring
Increased accessibility and transferability of healthcare technologies and the data
contained within its interfaces raises ethical questions regarding ownership of protected health
information (Sittig & Singh, 2011).
A facility has the responsibility to prevent and inform
patients of the potential for privacy breaches, and the monitoring and security of the system itself
Ethical obligations are paramount to the healthcare industry’s responsibility, regardless of the
method of collection, storage, and security of health information (
AHIMA, n.d.)
.
Personal health
information requires special attention to prevent misuse.
In an industry where interactions with
patients and their personal identifiable information are primary, expertise in the protection of the
information is required.
Alert’s ADT offers with it electronic audit trails, multiple levels of

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19
security, password protection, and biometric capabilities. These platforms and features will
provide Featherfall Medical Center and its users the assurances needed to deliver safe and ethical
managed technology.
Financial Resources
The administration in Featherfall is now confronted with the challenges associated with a
capital purchase and allocating funding and resources for it. The healthcare industry is primarily
driven by the coverage and reimbursement policies set forth by the Center for Medicare and
Medicaid (CMS), and other privatized insurance carriers. Featherfall’s technology investment is

