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EHR IMPLEMENTATION: FACTORS FOR SUCCESS

EHR IMPLEMENTATION: FACTORS FOR SUCCESS. Tess Settergren, MHA, MA, RN-BC Director, Clinical Informatics July 19, 2005. What is EHR?.

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EHR IMPLEMENTATION: FACTORS FOR SUCCESS

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  1. EHR IMPLEMENTATION: FACTORS FOR SUCCESS Tess Settergren, MHA, MA, RN-BC Director, Clinical Informatics July 19, 2005

  2. What is EHR? “A real-time patient health record with access to evidence-based decision support tools that can be used to aid clinicians in decision-making. The EHR can automate and streamline a clinician's workflow, ensuring that all clinical information is communicated. It can also prevent delays in response that result in gaps in care. The EHR can also support the collection of data for uses other than clinical care, such as billing, quality management, outcome reporting, and public health disease surveillance and reporting.” (Brailer, 2005)

  3. EHR Components • Patient Data (PHI) • Discrete, structured, sometimes coded • Textual/other non-structured • Digitized images, biomedical, other • Clinical Decision Support • Information Displays • Rules-based Order Entry (CPOE) • “Best Practice” Reminders, Alerts, Tools

  4. EHR Components • Clinical Messaging • Results & Other Clinical Management • Operational Efficiency • Personal Health Record • View Results & Reports; Add Data • Patient Education Resources • Clinical Advice & Messaging • Support of Secondary Data Use

  5. EHR Building Blocks Decision Support FUNCTIONAL BLOCKS Multi-disciplinary Guidelines Scheduling QM/UM Results Reporting & Imaging Documen-tation Coding & Grouping Order Entry Registration Confidentiality and Security Unique Patient and Provider Identifiers Data Exploration and Display Tool Automated Data Capture Automated Data Capture Scanning Scanning TECHNICAL UNDERPINNINGS

  6. EHR Target: Provider Level RIGHT INFORMATION TO THE RIGHT PERSON AT THE RIGHT PLACE Patient AT REASONABLE COST AT THE RIGHT TIME Staggers & Leaderman, 2000

  7. EHR Target: Community Level Interconnected Clinicians & Informed Practice Enabling Technologies Personalized Care Population Economic Growth Resource Efficiencies Care Quality-- Outcomes

  8. EHR “Opportunities” • Technology & Standards Maturity • Health Information Technology Financing • Organizational (Cultural) Readiness • Individual Adoption of Innovation • Data Security & Availability

  9. Transforming Healthcare Delivery • Installation is hard, and mainly technical • Implementation is really hard, and mainly organizational • Transition (lasting change) is incredibly hard and purely human • Transformation is a state of profound new personal and enterprise behavior [which accompanies the strategic acceptance of information technology] Cerner Corp

  10. Diffusion of Innovation (Rogers, 1995)

  11. EHR Evolution

  12. CSFs for Successful Implementation • Commitment to Redesigning Processes…a Vision • Operations-Led IT Strategy • Alignment with Strategy: Clinical/Operational, Financial, Customer Service, & Employee Learning/Growth • Foundational to Organizational Metrics—Integration of CLINICAL, FINANCIAL, & QUALITY Measures

  13. CSFs for Clinician Adoption • Engaged & Credible Leaders • Managers Accountable for Success • Data Availability & Flexible Displays • Efficiency & Revenue “Hooks” • Easiest Path to “Doing It The Right Way” • Leverage Nursing Support of Providers • Report Card Transparency • Training, Training, Training; then Optimization

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