Ehr implementation methodology

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EHR Implementation Methodology presented as final Capstone project for MEDIT235 in conjunction with Project Plan and Gannt Chart.

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  • 15 Minutes Total 5 Minutes for questions 6 Minutes for general slides 2 Minutes for interfaces 2 Project plans
  • Linda
  • Ehr implementation methodology

    1. 1. Introduction to Gebaroff, Vasquez & Williams Consulting
    2. 2. <ul><li>Beginning with the End in Mind </li></ul><ul><ul><li>Understanding your objectives is key </li></ul></ul><ul><li>Build vs. Buy </li></ul><ul><ul><li>Maximize benefit of software that already exists </li></ul></ul><ul><li>An Iterative Process </li></ul><ul><ul><li>A lot will be learned during this project: Put those discoveries to work for you </li></ul></ul><ul><li>Formal Success Metrics </li></ul><ul><ul><li>It is important to agree on what “success is” and to measure it. </li></ul></ul>
    3. 3. <ul><li>Common EHR-Related Goals </li></ul><ul><ul><li>Qualifying for Incentives – e.g. Achieving Meaningful Use </li></ul></ul><ul><ul><li>Migration Towards an Accountable Care Organization Model </li></ul></ul><ul><ul><li>ICD-9 to ICD-10 Transition </li></ul></ul><ul><ul><li>Increased Efficiency and/or Lower Error Rates </li></ul></ul><ul><li>Collecting Metrics </li></ul><ul><ul><li>For each objective, it is important to agree on a means by which it can be measured. </li></ul></ul>
    4. 4. <ul><li>Begin with Where You Are </li></ul><ul><ul><li>Use surveys to measure how the hospital is perceived by staff, patients and vendors. </li></ul></ul><ul><li>Paint a Compelling Picture of the Future Vision </li></ul><ul><ul><li>Bear in mind the survey results – Don’t create a vision no one will believe or want </li></ul></ul><ul><li>Describe the Adventure </li></ul><ul><ul><li>Be able to sketch out how you will realize the vision. </li></ul></ul>
    5. 5. <ul><li>Identify: </li></ul><ul><ul><li>Project Steps </li></ul></ul><ul><ul><li>Dependences </li></ul></ul><ul><ul><li>Resources </li></ul></ul><ul><ul><li>Timelines </li></ul></ul><ul><li>Provide or Supplement Project Management Staff </li></ul>
    6. 6. <ul><li>The Importance of Sponsorship </li></ul><ul><ul><li>Be clear on who actually makes key decisions </li></ul></ul><ul><li>The Role of Resistors </li></ul><ul><ul><li>Get them engaged in the project </li></ul></ul><ul><ul><li>Otherwise they may engage in sabotage </li></ul></ul><ul><li>The Role of Champions </li></ul><ul><ul><li>Not necessary technical experts </li></ul></ul><ul><ul><li>Influential and enthusiastic </li></ul></ul>
    7. 7. <ul><li>Internal Communication </li></ul><ul><ul><li>Making sure the hospital staff is kept informed </li></ul></ul><ul><ul><li>Keeping rumor in check </li></ul></ul><ul><ul><li>Maximizing motivation/contribution </li></ul></ul><ul><li>External Communication </li></ul><ul><ul><li>Avoiding surprises </li></ul></ul><ul><ul><li>Managing relationships / contracts </li></ul></ul><ul><ul><li>Managing the hospital’s “brand” </li></ul></ul>
    8. 8. <ul><li>Collection of Baseline Measurements </li></ul><ul><ul><li>Examples: </li></ul></ul><ul><ul><ul><li>Admissions / day </li></ul></ul></ul><ul><ul><ul><li>Procedures / day </li></ul></ul></ul><ul><ul><ul><li>Revenue / day </li></ul></ul></ul><ul><li>Document Workflows </li></ul><ul><ul><li>Understand how people work today </li></ul></ul><ul><li>Internal/External Interfaces </li></ul><ul><ul><li>Understand which systems communicate with which </li></ul></ul><ul><li>Review Infrastructure </li></ul><ul><ul><li>What computers/networks/buildings might need to be upgraded? </li></ul></ul><ul><li>Assess Skills </li></ul><ul><ul><li>Who will need to be taught what? </li></ul></ul>
    9. 9. <ul><li>Interfaces are critical due to: </li></ul><ul><ul><li>Cost </li></ul></ul><ul><ul><li>Complexity </li></ul></ul><ul><ul><li>Impact on multiple parties </li></ul></ul><ul><li>Documenting Your Current Interfaces </li></ul><ul><ul><li>Identifying Internal and External Partners </li></ul></ul><ul><li>Focus on simplification </li></ul><ul><ul><li>HL7 framework </li></ul></ul><ul><ul><li>“ Integration engine” vs. decentralized </li></ul></ul>
    10. 10. Integration Engine Devices Labs EMR Imaging Clinics Admin Protocols HL7 HTTPS LOINC DICOM X12N Payers Govt./ HIE
    11. 11. Govt./ HIE Devices Labs EMR Imaging Clinics Admin HL7 HTTPS / HL7 LOINC DICOM X12N Payers LOINC HL7 HL7
    12. 12. <ul><li>Identification of Modules and 3 rd Party Add-Ons </li></ul><ul><ul><li>What capabilities aren’t built into candidate solutions? </li></ul></ul><ul><li>Issuing RFI’s </li></ul><ul><ul><li>Getting the information you need </li></ul></ul><ul><li>Issuing RFP’s </li></ul><ul><ul><li>Formalizing how vendors will compete for your business </li></ul></ul>
    13. 13. <ul><li>Software </li></ul><ul><li>Hardware </li></ul><ul><li>Property Rental or Acquisition </li></ul><ul><li>Construction </li></ul><ul><li>Arrange for Temporary Staffing </li></ul>
    14. 14. <ul><li>Iteration Planning </li></ul><ul><ul><li>Which departments go first? </li></ul></ul><ul><li>Implementation Prototyping </li></ul><ul><ul><li>Let staff use new workflows, devices in a realistic setting </li></ul></ul><ul><li>Data Migration </li></ul><ul><ul><li>How will old data get into the new system </li></ul></ul><ul><li>Finalize Integration Planning Phase </li></ul><ul><ul><li>Develop a detailed timetable </li></ul></ul><ul><li>Integration, Build and Test </li></ul><ul><ul><li>Confirm that systems work when fully-assembled </li></ul></ul><ul><li>Deploy the EHR Solution </li></ul>
    15. 15. <ul><li>Assessment and Feedback </li></ul><ul><li>Report to Executive Sponsor and Board </li></ul>

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