Guaranteeing Successful EHR Implementations


Published on

In this presentation, Shahid Shah outlined a series of practical, hands-on steps that medical practices can take to assure that their EHR implementation is successful. It will also offer criteria practices can use to evaluate and improve their EHR’s performance.

  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Guaranteeing Successful EHR Implementations

  1. 1. Guaranteeing successful EHR implementations<br />By Shahid N. ShahThe Healthcare IT Guy<br />
  2. 2. Why listen to me?<br />20+ years of software engineering and multi-site healthcare system deployment experience<br />12+ years of healthcare IT and medical devices experience (blog at <br />15+ years of technology management experience (government, non-profit, commercial)<br />10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit)<br />Author of Chapter 13, “You’re the CIO of your Own Office”<br />
  3. 3. Why should you care about this presentation?<br />Do you have a well thought-out EHR implementation plan that will guarantee success?<br />Pat yourself on the back and try not to make fun of the rest of us mere mortals.<br />No<br />YES!<br />Adopt the EHR implementation ideas I’m proposing.<br />Stay and tell me why I’m wrong or nod your head in agreement.<br />Tell your boss this is the best EHR presentation you’ve ever been to.<br />
  4. 4. Why are you implementing an EHR?<br />Most obvious<br />Most noise, least attention<br />Most promising<br /><ul><li>Admissions per day
  5. 5. Procedures per day
  6. 6. Revenue per day
  7. 7. Revenue per patient</li></li></ul><li>First: Demand success metrics<br />
  8. 8. Confronting EHR Myths<br />
  9. 9. Good news: EHRs are NOT IT projects<br />PMO<br />Governance<br />Decisions<br />Software<br />Hardware<br />Network<br />Storage<br />Interfacing<br />Workflow<br />Documents<br />Imaging<br />
  10. 10. Staff Involvement<br />
  11. 11. Rollout Plan for Your EHR<br />
  12. 12. Reduce culture shock by transforming workflow before EHR<br />
  13. 13. Resist the “big bang” approach<br />
  14. 14. Paperless document management<br />Create a matrix of every document you work with to see how it should be handled.<br />
  15. 15. EHR Implementation Plan<br />
  16. 16. Practical IT Considerations<br />
  17. 17. What About Related Software?<br />EHRs aren’t enough<br />
  18. 18. Hardware Considerations<br />If you’re going paperless, you’ll need much more hardware than you think<br />Regular desktops on the existing cabinetry (which may not have room for the desktops  <br />Laptops on the existing cabinetry<br />Tablets<br />Mobile devices<br />COW carts with desktops or laptops<br />Wall mounted or pole mounted computers/monitors or laptop stations<br />
  19. 19. Can You Connect To Your EHR?<br />
  20. 20. How Will You Store Data?<br />Storage isn’t just about hard drives. It’s really about all the different kinds of data and how you will collect, store, extract, interface, retain, and manage it.<br />
  21. 21. EHR Security Considerations<br />Your EHR MUST support:<br />
  22. 22. More Security Issues To Consider<br />What level of access do technical staff need to maintain the system?<br />Does EHR maintenance require access to the database where patient data are stored?<br />Can all sensitive information be blocked from support staff’s view and access?<br />Can troubleshooting be achieved through the use of test data rather than live patient records?<br />What means are used for remote support?<br />For systems hosted by vendors, what audit trails are in place to monitor vendor staff activity? Does the vendor provide access to these logs?<br />Are audit trails of routine maintenance available?<br />Source: AHIMA<br />
  23. 23. How do you know you’ve successfully implemented an EHR?<br />Demand success metrics early on<br />
  24. 24. Conclusion and Questions<br />If ylikewhat I presed, I’m available as a hiredagunto solve<br />To sign up for the weekly update, The Fast 5, visit:<br />