Guaranteeing Successful EHR Implementations

Guaranteeing successful EHR implementations
By Shahid N. ShahThe Healthcare IT Guy

Why listen to me?
20+ years of software engineering and multi-site healthcare system deployment experience
12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com)
15+ years of technology management experience (government, non-profit, commercial)
10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit)
Author of Chapter 13, “You’re the CIO of your Own Office”

Why should you care about this presentation?
Do you have a well thought-out EHR implementation plan that will guarantee success?
Pat yourself on the back and try not to make fun of the rest of us mere mortals.
No
YES!
Adopt the EHR implementation ideas I’m proposing.
Stay and tell me why I’m wrong or nod your head in agreement.
Tell your boss this is the best EHR presentation you’ve ever been to.

Why are you implementing an EHR?
Most obvious
Most noise, least attention
Most promising
Admissions per day
Procedures per day
Revenue per day
Revenue per patient

First: Demand success metrics

Confronting EHR Myths

Good news: EHRs are NOT IT projects
PMO
Governance
Decisions
Software
Hardware
Network
Storage
Interfacing
Workflow
Documents
Imaging

Staff Involvement

Rollout Plan for Your EHR

Reduce culture shock by transforming workflow before EHR

Resist the “big bang” approach

Paperless document management
Create a matrix of every document you work with to see how it should be handled.

EHR Implementation Plan

Practical IT Considerations

What About Related Software?
EHRs aren’t enough

Hardware Considerations
If you’re going paperless, you’ll need much more hardware than you think
Regular desktops on the existing cabinetry (which may not have room for the desktops
Laptops on the existing cabinetry
Tablets
Mobile devices
COW carts with desktops or laptops
Wall mounted or pole mounted computers/monitors or laptop stations

Can You Connect To Your EHR?

How Will You Store Data?
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.

EHR Security Considerations
Your EHR MUST support:

More Security Issues To Consider
What level of access do technical staff need to maintain the system?
Does EHR maintenance require access to the database where patient data are stored?
Can all sensitive information be blocked from support staff’s view and access?
Can troubleshooting be achieved through the use of test data rather than live patient records?
What means are used for remote support?
For systems hosted by vendors, what audit trails are in place to monitor vendor staff activity? Does the vendor provide access to these logs?
Are audit trails of routine maintenance available?
Source: AHIMA

How do you know you’ve successfully implemented an EHR?
Demand success metrics early on

Conclusion and Questions
If ylikewhat I presed, I’m available as a hiredagunto solve yourshahid.shah@netspective.com
To sign up for the EHRoutlook.com weekly update, The Fast 5, visit:http://www.ehroutlook.com/email-signup.html

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Guaranteeing Successful EHR Implementations

by EHRoutlook on Aug 17, 2011

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Guaranteeing Successful EHR Implementations — Presentation Transcript