Healthcare in the United States is going through big changes. Providers are facing more demands, and there is more attention on digital technologies. Smart healthcare tools like artificial intelligence (AI), digital automation, and advanced data systems can help improve patient care, make operations better, and raise the quality of services. But many medical places still do not use these tools much because of various problems with technology, organizations, and outside factors.
People like medical practice administrators, owners, and IT managers play a key role in helping healthcare groups move through these changes. Using good change management methods and understanding challenges can help these groups get the benefits from smart healthcare technologies.
There are many problems when trying to use smart healthcare technologies. These problems can be divided into three groups based on the technology-organization-environment (TOE) framework:
Healthcare groups face technical problems. One big issue is the lack of standard ways to handle data and concerns about privacy. For example, healthcare providers collect a lot of patient data. But if there are no clear rules for managing this data, AI and automation systems cannot use it well or safely. Laws like HIPAA require strong controls to protect privacy. If organizations do not follow these laws, they can face legal and money problems. These fears slow down the use of AI tools.
Also, some staff and patients do not know how to use digital tools well. This digital illiteracy limits how much smart healthcare can grow. If people find it hard to use these tools, the money spent on them is less useful. Finally, the costs to start and maintain AI systems can be high. This is a big challenge for small or rural clinics.
There are challenges inside healthcare organizations too. Some staff prefer doing things the old way instead of trying new technologies. Research shows that about two-thirds of change projects in healthcare fail. Problems like bad planning, low motivation, and poor communication cause these failures.
Healthcare workers accept new innovations in different ways. According to Rogers’ Diffusion of Innovation Theory, some people are quick to accept change, like innovators and early adopters. But most staff are more careful or doubtful. This can slow down the process unless leaders manage it well.
Leadership and ongoing communication are very important. Without strong leaders who explain why change is needed, remove blocks, and show the benefits, staff may go back to old habits after new tools arrive.
Outside factors also slow the use of smart healthcare. Privacy worries, rules, and economic differences affect how organizations apply new tools. Governments can help by making rules that protect patients but also encourage innovation. If rules are unclear or money is not enough, progress slows.
Some areas have fewer healthcare resources. In these places, paying for AI and smart tools is a big barrier. Policymakers and leaders need to find ways to make these tools affordable and reachable for all people.
Change management is a method to help people, teams, and organizations move from how things are now to a better way. In healthcare, it helps use new technologies, processes, and work methods properly to improve patient care.
Research shows that about 66% of healthcare change projects fail. This happens because of bad planning, unmotivated staff, poor leadership, and communication problems. Changing to use new smart technologies is hard because these systems are complex.
There are several well-known change management theories that help healthcare groups handle technology changes:
This theory breaks change into three steps:
This model focuses on preparing and reinforcing change, which helps lower resistance.
This model adds more detail than Lewin’s. It includes steps to:
This complete method helps keep healthcare teams interested and motivated during the change.
Rogers divides people into five groups on how they accept change: innovators, early adopters, early majority, late majority, and laggards. Change helpers focus on innovators and early adopters. These groups show others the benefits and give support, which helps more people accept new ideas.
For medical administrators, owners, and IT managers, good change management means:
AI tools like front-office phone automation help smart healthcare in the U.S. These tools improve how patients communicate, reduce work for office staff, and make it easier for patients to get information.
AI-driven workflow automation can answer routine phone calls, schedule appointments, and follow up without humans. Staff can then focus on harder tasks, which helps run operations smoother and improves patient experience. Still, bringing in these tools depends a lot on managing human issues and fitting the tech properly.
Medical administrators must handle setting up technology and prepare staff for role changes. IT teams should be involved early to make sure AI follows privacy rules and works well. Training staff about how AI helps them—not replaces them—can reduce fears about losing jobs.
AI needs good, consistent data to work right. Systems must collect and keep accurate data, which makes workflows smooth and results reliable. This matches with earlier technology challenges about data standards.
AI workflow automation also helps meet rules about compliance, records, and patient safety. For example, automatically logging calls linked to electronic health records (EHR) helps with tracking and audits.
In the United States, health technology use depends on many rules, money, and social factors. Laws like the Health Information Technology for Economic and Clinical Health (HITECH) Act and rules from Centers for Medicare & Medicaid Services (CMS) encourage healthcare to go digital. But they also add rules to follow.
Privacy is a major worry in smart healthcare. Following laws like HIPAA is needed to keep patient trust and avoid problems. Since AI handles sensitive health data, medical groups must work with tech partners to put strong security in place.
Money problems affect especially small or rural healthcare places. Budgets may not cover AI and automation well. Grants, government help, and value-based care programs might offer money support. But leaders need to plan well and use change management to make the most of these options.
The US healthcare workforce also matters. Providers often feel tired and there are staff shortages. These issues affect how well they can handle change projects. Using smart tools like AI automation can reduce workload but needs careful change management to keep staff willing.
Medical administrators, owners, and IT managers in the US face many tough challenges in using smart healthcare tools. Problems with technology like privacy and data standards, resistance inside organizations, and outside factors like money and rules slow down use.
Change management offers tools to deal with these problems step-by-step. Using models like Lewin’s Planned Change Theory, Kotter’s 8-Step Model, and Rogers’ Diffusion of Innovation Theory, combined with strategies like strong leadership, involving staff, and training, help make success more likely.
AI-driven automation tools, such as phone solutions, show how technology can improve healthcare work if change management leads the way. In the US, balancing new tools with rules and money issues is key to using smart healthcare widely and sustainably.
By focusing on proper change management, medical practices in the US can overcome difficulties and use smart healthcare tools to improve how they work, satisfy patients, and raise care quality over time.
Smart healthcare strategies refer to the use of digital, smart technologies and innovations aimed at improving healthcare delivery, efficiency, patient outcomes, and quality of care.
They have the potential to improve operational efficiency, enhance patient outcomes, and ensure better delivery of quality healthcare, addressing many systemic challenges faced by healthcare sectors globally.
The study systematically reviewed literature to identify and compile comprehensive challenges faced during the adoption of smart healthcare strategies.
The study searched EBSCOhost, PubMed, Scopus, and Science Direct for full-text, peer-reviewed, English language articles.
After screening, 26 articles meeting the inclusion criteria were analyzed and reported.
The technology-organisation-environment (TOE) framework was used to identify and categorize the main themes of adoption challenges.
The challenges were broadly categorized into technology-related, organizational, and environmental challenges influencing adoption.
A differentiated approach in policies and practices is proposed to effectively scale up adoption and reduce failure rates of smart healthcare projects.
Effective change management strategies are necessary to handle identified challenges and improve the prospects of successful adoption and implementation.
Future research should focus on identifying key change management strategies that help healthcare organizations manage technology, organizational, and environmental challenges effectively for smart healthcare adoption.