The Influence of ERP Success Factors on EHR Implementation

3,446 views
3,278 views

Published on

Research was carried out in six Dutch hospitals on the premise that successful ERP system models could apply equally well to EHR implementation. The study differentiated between second and third generation EHR systems and found that the ERP success factors only apply to third generation implementations. Study findings were presented at WoHIT Copenhagen on November 6th, 2008 by Arne Freriks MSc and Robert Stegwee PhD.

0 Comments
8 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
3,446
On SlideShare
0
From Embeds
0
Number of Embeds
28
Actions
Shares
0
Downloads
221
Comments
0
Likes
8
Embeds 0
No embeds

No notes for slide
  • © 2006 Capgemini - All rights reserved
  • The Influence of ERP Success Factors on EHR Implementation

    1. 1. The Influence of ERP Success Factors in Dutch EHR Implementations Robert A. Stegwee, PhD Arne J.W. Freriks, MSc
    2. 2. Agenda <ul><li>ERP Success Factor Models applied to EHR </li></ul><ul><li>Studies into EHR implementations in 6 Dutch hospitals </li></ul><ul><li>Conclusions and Implications for practice </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    3. 3. Determinants of Success in Electronic Health Records <ul><li>Main research question: </li></ul><ul><ul><li>Can ERP Success Factor Models be applied to EHR system implementation in hospitals? </li></ul></ul><ul><li>What constitutes an EHR System? </li></ul><ul><li>How do ERP Success Factor Models apply? </li></ul><ul><li>Hypothesis: </li></ul><ul><ul><li>ERP Success Factors apply to 3 rd Generation EHR Systems Implementation </li></ul></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    4. 4. 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
    5. 5. How do ERP Success Factor Models Apply? <ul><li>Enterprise Resource Planning systems </li></ul><ul><ul><li>Support enterprise wide processes </li></ul></ul><ul><ul><li>Constitute an integrated set of functions </li></ul></ul><ul><li>Different measures of success </li></ul><ul><ul><li>Project, early operational, longer-term (Markus & Tanis) </li></ul></ul><ul><ul><li>Key Success Factors on different levels (Al-Mudimigh et al.) </li></ul></ul><ul><li>Four examples of identified success factors: </li></ul><ul><ul><li>Business Case Development and Benefits Tracking </li></ul></ul><ul><ul><li>Business Process Management Skills </li></ul></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Change management </li></ul></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    6. 6. Our Hypothesis for Case Study Research <ul><li>ERP Success Factors are applicable to EHR system implementation for 3 rd Generation EHR systems </li></ul><ul><li>3 rd Generation EHR systems… </li></ul><ul><ul><li>Support enterprise wide processes </li></ul></ul><ul><ul><li>Constitute an integrated set of functions </li></ul></ul><ul><li>Higher generation EHR systems are not on the market (yet) </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    7. 7. Arne Freriks Case Studies in 6 Dutch Hospitals
    8. 8. 3 rd Generation? © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008 Hospital ambition 1 2 3 4 5 A B C D E F Current generation
    9. 9. Prominent Success Factors <ul><li>Business Case Development and Benefits Tracking </li></ul><ul><li>Business Process Management Skills </li></ul><ul><li>Training </li></ul><ul><li>Change management </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    10. 10. 1. Business Case & Benefits Management <ul><li>Identify and structure benefits </li></ul><ul><li>Provide direction to </li></ul><ul><ul><li>Project </li></ul></ul><ul><ul><li>Business change </li></ul></ul><ul><ul><li>Benefits measurement </li></ul></ul><ul><li>Some hospitals identified benefits to be achieved </li></ul><ul><li>Outcomes not measured </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    11. 11. 2. BPM (Process Change & Process Modeling) <ul><li>Why process change? </li></ul><ul><ul><li>To adapt hospital to EHR system </li></ul></ul><ul><ul><li>To improve processes </li></ul></ul><ul><li>Task orientation  process orientation </li></ul><ul><li>Two good examples, one bad example </li></ul><ul><li>Vendors: process change is a no-no </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    12. 12. © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    13. 13. © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    14. 14. 3. Training <ul><li>Push-button classroom course… </li></ul><ul><li>… or real-life, one-on-one, end user training… </li></ul><ul><li>… with attention to processes </li></ul><ul><li>Overcome configuration & assimilation knowledge barriers </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    15. 15. 4. Change Management <ul><li>3 rd Generation EHRs claim important place in daily routine </li></ul><ul><li>In general: little attention to change management </li></ul><ul><li>Big exception: Hospital A </li></ul><ul><li>How about Hospital C? </li></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    16. 16. Your Success © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    17. 17. Robert Stegwee Conclusions and Implications for Practice
    18. 18. ERP Success Factors Do Apply to EHR Systems <ul><li>3 rd Generation EHR implementations require a major turnround in both </li></ul><ul><ul><li>IT project skills and </li></ul></ul><ul><ul><li>Care organization skills </li></ul></ul><ul><li>Implication: Create awareness of ERP success factors </li></ul><ul><li>Translate benefits of 3 rd Generation EHR Systems into actions </li></ul><ul><ul><li>Business Case Development and Benefits Tracking </li></ul></ul><ul><ul><li>Business Process Management </li></ul></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Change Management </li></ul></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    19. 19. 1. Business Case Development and Benefits Tracking © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    20. 20. 2. Business Process Management © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    21. 21. 3. Training Professionals in Tools and Processes © 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    22. 22. 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
    23. 23. What You Need to Take Away ... <ul><li>ERP Success Factors do apply to EHR systems </li></ul><ul><li>They come into play when you’re moving toward 3 rd Generation EHR systems </li></ul><ul><li>This requires new ways of looking at IT projects and looking at the organization of care </li></ul><ul><li>Four key areas to take into account: </li></ul><ul><ul><li>Business Case and Benefits Tracking </li></ul></ul><ul><ul><li>Business Process Management </li></ul></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Change management </li></ul></ul>© 2008 Capgemini - All rights reserved Robert A. Stegwee & Arne J.W. Freriks, November 6, 2008
    24. 24. [email_address] [email_address]

    ×