The Influence of ERP Success Factors on EHR Implementation

The Influence of ERP Success Factors in Dutch EHR Implementations Robert A. Stegwee, PhD Arne J.W. Freriks, MSc

Agenda

ERP Success Factor Models applied to EHR

Studies into EHR implementations in 6 Dutch hospitals

Conclusions and Implications for practice

Determinants of Success in Electronic Health Records

Main research question:

Can ERP Success Factor Models be applied to EHR system implementation in hospitals?

What constitutes an EHR System?

How do ERP Success Factor Models apply?

Hypothesis:

ERP Success Factors apply to 3 rd Generation EHR Systems Implementation

What Constitutes an Electronic Health Record System © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 Collector Documentor Helper Colleague Mentor Functionality 1993 1998 2005 2010 2015+ full minimal Source: Gartner (March 2006) Availability of Products Clinical Data Repository Clinical Display Clinical Decision Support Order Management Knowledge Management Interoperability Clinical Documentation Controlled Medical Vocabulary Clinical Workflow

How do ERP Success Factor Models Apply?

Enterprise Resource Planning systems

Support enterprise wide processes

Constitute an integrated set of functions

Different measures of success

Project, early operational, longer-term (Markus & Tanis)

Key Success Factors on different levels (Al-Mudimigh et al.)

Four examples of identified success factors:

Business Case Development and Benefits Tracking

Business Process Management Skills

Training

Change management

Our Hypothesis for Case Study Research

ERP Success Factors are applicable to EHR system implementation for 3 rd Generation EHR systems

3 rd Generation EHR systems…

Support enterprise wide processes

Constitute an integrated set of functions

Higher generation EHR systems are not on the market (yet)

Arne Freriks Case Studies in 6 Dutch Hospitals

Prominent Success Factors

Business Process Management Skills

Training

Change management

1. Business Case & Benefits Management

Identify and structure benefits

Provide direction to

Project

Business change

Benefits measurement

Some hospitals identified benefits to be achieved

Outcomes not measured

2. BPM (Process Change & Process Modeling)

Why process change?

To adapt hospital to EHR system

To improve processes

Task orientation  process orientation

Two good examples, one bad example

Vendors: process change is a no-no

3. Training

Push-button classroom course…

… or real-life, one-on-one, end user training…

… with attention to processes

Overcome configuration & assimilation knowledge barriers

4. Change Management

3 rd Generation EHRs claim important place in daily routine

In general: little attention to change management

Big exception: Hospital A

How about Hospital C?

Robert Stegwee Conclusions and Implications for Practice

ERP Success Factors Do Apply to EHR Systems

3 rd Generation EHR implementations require a major turnround in both

IT project skills and

Care organization skills

Implication: Create awareness of ERP success factors

Translate benefits of 3 rd Generation EHR Systems into actions

Business Process Management

Training

Change Management

4. Change Management in Electronic Health Records © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 We are fed up with all these changes But this is the latest version! Clinic Source: Dennis Muntslag, The Art of Implementation, 2001

What You Need to Take Away ...