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William Light, M.D. The Light Clinic Germantown, TN. 1 - Enthusiastic EHR Project Leader. The person driving the project is the number one success factor for an Electronic Medical Record Implementation! A Physician committed to the project A respected staff member
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William Light, M.D. The Light Clinic Germantown, TN
1 - Enthusiastic EHR Project Leader The person driving the project is the number one success factor for an Electronic Medical Record Implementation! • A Physician committed to the project • A respected staff member • Sets expectations and goals for group • Understands EHR product capabilities • Positive attitude and enthusiasm!
2 - A Project Implementation Plan • Identify the business case – costs, patient flow, increased efficiency • Obtain buy-in – commitment from all • Consider your options – EHR selection • Ensure support – Training, service, support • Prepare to change – develop strategy for handling bumps – be emotionally ready Source: The Business Case for Paperless Medicine, CIO, April 2006
2 - A Project Implementation Plan (cont.) • Formal – Microsoft Project Plan • Informal – Simply a list of what you want to accomplish next – on paper or in your head • An incremental implementationis highly recommended • Understand your EHR capabilities and think about what to implement to help your group the most
3 - Good EHR product and Vendor • Avoid very small EHR vendors • Don’t try to write your own EHR • Do reference calls and site visits • Look for excellent support • Expect to do your part in the implementation • Templates • Learn the product
4 - Training • For the project leader - Vendor supplied, CDs, Online Tutorials, Self-learning • For the EHR end user - One-on-one training seems to give the best results
5 - Provide your staff with multiple data entry methods • Typing • Templates & “Macros” • Voice Recognition – SpeechMike, Array Mike • Handwriting Recognition – Pen Tablet PCs • Scanning • Interfaces • Dictation with Transcription in EHR
6 - A Solid Infrastructure • What is it? It is your network and communication systems • You need a reliable Internet connection • Certified CAT 5, 5e, 6 or 6e wiring • Dell, D-Link, Cisco, or Linksys Hubs Routers and Switches – Good quality at reasonable prices - CDW in Chicago is a great vendor • What to look for? RCDD certification (Registered Communications Distribution Designer), Telecommunications companies
7 - Quality Hardware • Dell PCs with Microsoft Office Basic • Dell Servers • Fujitsu Pen Tablets • Dell Laptops • HP LaserJet Printers with network connections • Fujitsu, Xerox or Ricoh (IS-200e) scanners
8 – Good local computer support You can’t solve every problem using remote support Local support is still required • A company you trust for advice and support • Takes an interest in what you are trying to accomplish • Provides prompt support and returns calls • Does preventive maintenance • Does upgrades and patches
9 - Implement Secure Remote Accessto your EHR • Remote access is a very useful feature that is used heavily by Physicians and office staff • GoToMyPCis an outstanding product – it is HIPAA Security Compliant • Microsoft Terminal Server
10 – Watch out for Interface Promises Interfaces can take months to complete! • Find out exactly what is interfaced • Demographics • Scheduling • Charges • Has it been done before? Ask for a reference. • Does the price include both vendors • Consider looking up information on another system instead of interfacing
10.01 – Ownership & Desire EHRspurchased by Physician or Group are generally more successful than those purchased by a supporting organization such as a health system
Thank You William Light, M.D. The Light Clinic Germantown, TN