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Special Topics in Vendor- Specific Systems

Explore training, staffing, monitoring, and change management strategies for successful Electronic Health Record system implementation, comparing big-bang and phased approaches.

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Special Topics in Vendor- Specific Systems

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  1. Special Topics in Vendor- Specific Systems EHR Go-Live Strategies This material (Comp14_Unit8) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

  2. EHR Go-Live StrategiesLearning Objectives By the end of this unit, learners will be able to: 1. Describe characteristics of training and go-live strategies that would facilitate implementation of a new Electronic Health Record (EHR) system 2. Compare the advantages and disadvantages of a big-bang roll-out versus a phased roll-out and vice-versa 3. Identify staffing, command center and on-site consultant considerations 4. Compare strategies for monitoring system usage and change management Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  3. Big-Bang vs. Phased Roll-Out Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  4. Big-Bang Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  5. Phased Roll-Out Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  6. Staffing • Greatly dependent on: • Product being implemented • Location, e.g. hospital or physician office • Implementation performed by vendor or consultants • Big-bang vs. phased roll-out • Hosted locally or remotely • Temporary staffing or permanent staffing Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  7. StaffingExample EHR implementation team: • Physician Champion • Project Director • Project Manager • Enterprise Master Patient Index Cleanup • Application Coordinator RN • Application Coordinator MD • Application Coordinator analysts • Health Information Management Director • Reporting Applications Coordinator • Reports/Designer/Analyst • Database Extract and Load Administrator • 3rd Party Reporting Tool Administrator • Programmer/Analyst • Hardware/OS support • Storage Support • Enterprise Data Backup support • Network Support • Security Coordinator • Workstation Management • Workstation/Printer Systems Support • Database administrator • Principal Trainer • Supplemental trainers • Go live support • Helpdesk support • Risk Manager • Chief Privacy Officer Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  8. Command Center • Special location during implementation • Typically setup in a big-bang rollout • All project communications go through this center • Usually serves as project help desk and receives all user calls • Field staff meet at center at least 2 times per day • Project executives meet at center each day Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  9. On-site Consultants Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  10. Monitoring System Usage • System performance monitoring • Application usage monitoring • Documents created • Orders written • Orders completed • Prescriptions written • Monitor calls to Help Desk • System issues • Application questions Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  11. Change Management Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  12. System Change Management Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  13. System Change Management (cont.) Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  14. System Change Management:Set of 6 Steps Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  15. EHR Go-Live StrategiesSummary • We have covered a few of the most important go-live strategies • Reviewed staffing, command centers, use of consultants and change management • These are just a few of the very important aspects of go-live strategies that have to be considered during implementation Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

  16. EHR Go-Live StrategiesReferences References: McNamara, C. (n.d.). Organizational Change and Development (Managing Change and Change Management). Free Management Library. Retrieved from http://www.managementhelp.org/mgmnt/orgchnge.htm Wikipedia. (2011). Change management. Retrieved from http://en.wikipedia.org/wiki/Change_management Wikipedia. (2011). Change control. Retrieved from http://en.wikipedia.org/wiki/Change_control Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

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