Organisation
This domain has five key areas and focusses upon the organisation within the which the technology will be implemented. This may be a single organisation (e.g. one rehabilitation centre) or multiple organisations (e.g. the hospital system, a regional commissioning group/organisation, a national healthcare system)
Support
The sources of support for technology implementation that exist within the organisations.
Considers:
- the presence of formal teams that support innovation within the organisation and who can help with technology implementation (e.g. innovation teams)
- the presence of informal networks with experienced colleagues who can support the implementation of the rehabilitation technology
“There’s a whole system involved in getting this implemented”
– Clinician
Readiness and priorities
The current ability and willingness of the organisation to implement technologies in services.
Considers:
- the organisation’s familiarity with technology implementation both within rehabilitation and more widely
- the degree to which the rehabilitation technology implementation aligns with other organisation level changes
- the alignment of the rehabilitation technology implementation with local or national priorities.
Organisational characteristics
The attitude towards, and previous experience of, implementing (technological) change within the organisations.
Considers:
- the degree to which previous experiences of innovation and technology implementation were regarded as positive or negative
- the perceived willingness and current ability of the organisation to embrace the changes needed to implement the rehabilitation technology
- the effectiveness of channels of communication between the key stakeholders that influence technology implementation within the organisation
“It’s almost as though technology snuck up on us and it’s brand new, arrived last week, and nobody knows what to do about it.”
– Clinician
Operational processes and permissions
Understanding of the operational processes and permissions that must be completed to implement a new technology.
Considers:
- availability and clarity of guidance of the requirements for, and the capacity to undertake, timely assessment of the required approvals for rehabilitation technologies. These are likely to include assessments of data protection, infection risk, procurement processes and other risk assessments
Information Technology and Information Governance involvement
The Information Technology and Governance scrutiny required before implementation of a new technology or addition of new features to an existing technology.
Considers:
- the degree to which the technology to be implemented aligns with local and national IT and IG policies
- the availability of the information required to make judgements of IT and IG implications
- the accessibility and capacity of IT and IG teams to provide timely advice, support and undertake appropriate assessments.
“Know your IT processes, from day dot to stop any time wasting.”
– Clinician
