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CONTENTS 1 Introduction to the Project and Definition of the organisational Change Problem being addressed by the Project 1 1.1 Project Rationale 1 1.2 Definition of Organisation Change Problem 1 2 Analysis of the Problem situation 1 2.1 Strategic Problems in the NHS 1 2.1.1 Criticism of the NHS 1 2.1.2 Waiting Lists 2 2.1.3 Quality Control Problems 2 2.1.4 Failure to Exploit Information Technology 2 2.2 Operational Problems in the NHS 2 3 Definition of the IS solution to the chosen business problem (s) 3 3.1 EPR, EHR, ICRS and NPfIT 3 3.2 Electronic Record Development and Implementation Programme (ERDIP) 4 4 Identifying the correct organisational change issues 5 4.1 Overview 5 4.2 Changes to NHS Structures 5 4.2.1 Creation Of Primary Care Trusts (PCTs) 6 4.2.2 Creation Of Strategic Health Authorities 6 4.2.3 Regional Directors of Health and Social Care 7 4.3 Ensuring Quality of Service Delivery 7 4.3.1 National Institute for Clinical Excellence (NICE) 7 4.3.2 Commission for Healthcare Audit and Inspection (CHAI) 7 4.4 Improvements to Operational Procedures 8 4.5 Changes Needed to Procure and Operate the New Information Systems 8 4.5.1 Changes in NHS Structures 8 4.5.2 Service Providers and Clusters 8 5 Process Models 9 5.1 Primary Care Information Flows 9 5.2 Winchester Direct Cataract Referral 10 6 Evaluating what business improvement occurred 13 7 Evaluating the impacts of the organisational change upon business improvement 14 8 Statement as to how solution meets the project's requirements 14 9 Record of time spent...

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