RESILIENCE CAPACITY OF MILITARY HEALTHCARE: QUANTIFYING THE EFFECTS OF TECHNOLOGY-INDUCED SHOCKS ON SOCIAL NETWORKS WITHIN MILITARY TREATMENT FACILITIES IMPLEMENTING AN ELECTRONIC HEALTH RECORD SYSTEM
Loading...
Authors
Tahan, Nabil H.
Subjects
resilience
resilience activation
resilience antecedents
social network resilience
resilience activation
resilience antecedents
social network resilience
Advisors
Boger, Dan C.
Bordetsky, Alex
Gibbons, Deborah E.
Mun, Johnathan C.
Powley, Edward H., IV
Date of Issue
2024-06
Date
Publisher
Monterey, CA; Naval Postgraduate School
Language
Abstract
In the rapidly evolving health information technology (HIT) sector, understanding the dynamics of workgroups and their adaptability to changes is crucial for long-term success. HIT management (HITM) groups face challenges like user burnout and morale decline due to inadequate technology and shortage of professionals, creating operational gaps. To modernize digital operations in federal medicine, the military health system (MHS) introduced the electronic health record (EHR) system MHS Genesis. This study focused on various concepts including technology shock, liminal suspension, and organizational resilience in HIT and informatics workgroups. Utilizing Social Network Analysis (SNA) enhanced by multiple regression quadratic assignment procedure (MRQAP), the study quantified changes in communication networks throughout the EHR implementation across military treatment facilities worldwide. Data from 270 HIT professionals were analyzed using both SNA and structural equation modeling (SEM), examining communication metrics before, during, and after the implementation. Results indicated significant correlation between technology shock and subsequent group dynamics, with liminal suspension, compassionate witnessing, and relational redundancy positively impacting group resilience. The study confirms the importance of adaptive communication networks in managing technological changes and highlights the need for further research on HIT transition strategies on organizational dynamics.
Type
Thesis
Description
Series/Report No
Department
Organization
Identifiers
NPS Report Number
Sponsors
Funder
Format
Citation
Distribution Statement
Distribution Statement A. Approved for public release: Distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.