2011 CMIO Summit | Brian McDonough


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2011 CMIO Summit | Brian McDonough

  1. 1. Brian P. McDonough, M.D. CMIO St. Francis Hospital
  2. 2. June 10, 2011Boston, Massachussetts
  3. 3.  A process by which information is exchanged between individuals through a common system of symbols, signs or behavior. http://www.merriam-webster.com
  4. 4.  Leadership and Project Team End User CommunityThere can be some overlap of these two groups
  5. 5.  Change currencies Change lanes in traffic Change treatment plans Change prescribing patterns
  6. 6.  Change in workflow Change in responsibility Change in expectations Change in technology
  7. 7.  Communicate with clinicians and others Know how to craft the message Know that their message reflects reality- accurately Know that their message is received and understood-accurately
  8. 8.  Project leaders depend on stakeholders to implement the changes.
  9. 9.  Understand the project Validate steps and decisions taken by project leaders as needed Offer feedback and criticism where appropriate Buy into the project
  10. 10.  Keep it simple but engaging Keep it honest Keep it moving in the face of: Doubters Issues Potholes Speed-bumps
  11. 11.  Make it personal Address problems head-on“behind every user is a patient who needs care”
  12. 12.  The care of the patient is the primary goal of the organization If you can “tap” into that aspect of the process you will dramatically reduce the number of potential problems
  13. 13.  There are no closed doors There are no smoke filled rooms There are no personal agendas
  14. 14.  The easiest way to fail is to not communicate well Honesty is of paramount importance If you don’t know the answer---do not bluff
  15. 15.  Focus first and foremost on the person who is under our care Deliver safe care in a safe environment Support ease of use of the system by physicians and other clinicians Build into the design an appropriate flexibility for meaningful individual patient variation
  16. 16.  Function of understanding by end user Grasping the need for change Need for transparency
  17. 17.  There is a fine line between getting the message out too early or too late It is important to build enthusiasm about the project but not burn people out
  18. 18.  Migration from paper-driven, data source- fragmented and “task-diffuse” environment to an electronic, information-centralized and task focused one Affects all patient-care processes—no matter how indirect or supportive Distribution of responsibility and “turf” (physician, clerk, nurse etc)
  19. 19.  Keep doctors in the loop Be part of the process
  20. 20.  Communication messages need to be individualized Communication can not be off the cuff Overall objective: Achieve design, build and implementation goals— Cannot be achieved without much careful planning The same is true for project communication
  21. 21.  Physician Nurse Ancillary Personnel Executive/Administration Project Management/IT Marketing, Operations
  22. 22.  Match the appropriate communicator to the audience The messenger needs to speak the language of the audience The messenger must be respected by the audience
  23. 23.  A non-physician communicator dramatically decreases the effectiveness of both message “delivery and receipt” Local face is best: Do not fall into the trap of the outside consultant or system team Do not try to save money by sharing your physician leaders or borrowing others’ leaders
  24. 24.  E-mail Regular mail Intranet-must see when sign on first time of day Flyers, brochures, fact sheets Posters, signs Presentation (web, DVD) Give-aways with project logo
  25. 25. Care units, lounges, break rooms, OR sinks, locker roomsLive meetingsGeneral Medical StaffDepartmentalSectionalGrand RoundsCommittees
  26. 26.  Webinars Power Point Presentations
  27. 27.  Be Honest Be Accurate Be Ahead of The Curve