Successful EHR / EMR Implementations
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Successful EHR / EMR Implementations

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A few key points to ensuring a successful EMR/EHR implementation.

A few key points to ensuring a successful EMR/EHR implementation.

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    Successful EHR / EMR Implementations Successful EHR / EMR Implementations Presentation Transcript

    • EHR Implementation Success Defying the Odds May 20 th , 2010
    • What are the Odds? It will take 1.5 years to implement a medical record and at a minimum 1 out of 3 organizations will fail .
    • What are the Potential Impacts?
      • Adversely Affected Patient Care
      • Inaccurate Claims
      • Failed Audits
      • Missed Timely Filing Deadlines
      • Frustrated Staff
    • An Evidence Based Approach
      • Phase 1 – Assessment
      • Phase 2 – Planning
      • Phase 3 – Implementing
      • Phase 4 – Improvement
    • Phase 1 - Assessment
    • Determine Objectives
      • Improve Efficiencies
      • Reduce Errors and Improve Care
      • Improve Access to Key Information
      • Real-time Visibility into the Organization
      • Ensure Compliance
      • Financial Incentives
    • Evaluate Your Current State
      • What are your average signature times
      • What is the magnitude of your errors
        • Denials
        • Adjustments
      • What are your “No Show” percentages
      • How long does it take to receive payment for a service
      • How would your staff rate their ability to…
      • Audit Take Backs
    • Envision Your Future State
      • Reevaluate your internal processes and think about how your staff could work more effectively.
      • Inventory the kinds of information that would be valuable for you to report on that is inaccessible today.
        • Think about the data that describes your processes
    • Key Take Away #1
      • Realize that both short and long term success will require more than just software.
    • Join a Community
      • Pick a partner who is tied to your successful implementation
      • Talk to your potential peers
        • In Implementation
        • In Support
      • Look for a national or regional user group where you can share your experiences
      • Used a Previous Version
      • Stayed Compliant
    • Technology Must Empower You
      • 12 months after you go live, your staff will be more technologically sophisticated than they are today
      • Change is constant in healthcare, so choose a technology partner that will give you the tools to adapt
    • Phase 2 - Planning
    • Lead to Succeed
      • Look across your organization and pick internal champions to support project
        • Clinical
        • Fiscal
      • Empower someone to lead your project
      • Socialize the “What’s in it for me?” story to all staff members
      • Physician
      • Administrative
    • Key Take Away #2
      • A project that is led by Clinicians for Clinicians will be much more successful than an IT project used by Clinicians.
    • Plan for Success
      • Create a detailed project plan that lays out tasks, milestones, and dependencies
      • Remember that if you do not define success, it will be defined for you
      • Ensure you understand the necessary time commitments and plan accordingly
      • Phase your go live across programs or locations if necessary
    • Key Take Away #3
      • If you believe any group of your staff is too valuable to participate in the design of your system, then they are too valuable not to participate.
    • Phase 3 - Implementing
    • Governance and Communication
      • Ensure project sponsorship from executive level
      • Empower knowledgeable staff to quickly configure the system with appropriate levels of oversight
      • Setup a process by which critical decisions can be made without slowing down the entire project team
      • Communicate progress and successes regularly with all project stakeholders
    • Key Take Away #4
      • To keep project momentum, decisions that can’t be made quickly need to triaged and then assigned out with an expected resolution date
    • Training is Paramount
      • The faster your colleagues become familiar with the system, the faster they will meet/exceed pre-system productivity levels
      • Training never ends so you must create power users and a training environment
      • Have your champions train your staff with help from your technology partner
    • Certify Your System
      • Create a dummy set of clients and walk them through your system
        • Admit them to a program
        • Schedule them for services
        • Complete some of their documentation
        • Create test claims for those services
      • Validate the key business rules you have configured in your system
    • Phase 4 - Improvement
    • Monitor Your Progress
      • Create an semiannual process through which you evaluate your staffs ability to effectively do their jobs with the system
      • Create dashboards and reports that monitor the effectiveness of your processes
      • Adjust the people, process or technology accordingly to keep things moving smoothly
    • Key Take Away #5
      • One year after you go live, you will be most unhappy with those features you asked to change before your staff actually used the system
    • Thank You
      • Email: [email_address]
      • Web: http://twitter.com/GreggBoyle