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Brian P. McDonough, M.D.
                     CMIO
       St. Francis Hospital
June 10, 2011

Boston, Massachussetts
   A process by which information is exchanged
    between individuals through a common
    system of symbols, signs or behavior.
        http://www.merriam-webster.com
   Leadership and Project Team

   End User Community



There can be some overlap of these two groups
   Change   currencies
   Change   lanes in traffic
   Change   treatment plans
   Change   prescribing patterns
   Change   in   workflow
   Change   in   responsibility
   Change   in   expectations
   Change   in   technology
   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
   Project leaders depend on stakeholders to
    implement the changes.
   Understand the project
   Validate steps and decisions taken by project
    leaders as needed
   Offer feedback and criticism where
    appropriate
   Buy into the project
 Keep it simple but engaging
 Keep it honest
 Keep it moving in the face of:
 Doubters
 Issues
 Potholes
 Speed-bumps
   Make it personal
   Address problems head-on



“behind every user is a patient who needs
 care”
   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
   There are no closed doors
   There are no smoke filled rooms
   There are no personal agendas
   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
   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
   Function of understanding by end user
   Grasping the need for change
   Need for transparency
    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
   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)
   Keep doctors in the loop
   Be part of the process
 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
   Physician
   Nurse
   Ancillary Personnel
   Executive/Administration
   Project Management/IT
   Marketing, Operations
   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
   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
   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
Care units, lounges, break rooms, OR sinks,
 locker rooms
Live meetings
General Medical Staff
Departmental
Sectional
Grand Rounds
Committees
   Webinars
   Power Point Presentations
   Be Honest
   Be Accurate
   Be Ahead of The Curve

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2011 CMIO Summit | Brian McDonough

  • 1. Brian P. McDonough, M.D. CMIO St. Francis Hospital
  • 2. June 10, 2011 Boston, Massachussetts
  • 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. Leadership and Project Team  End User Community There can be some overlap of these two groups
  • 5. Change currencies  Change lanes in traffic  Change treatment plans  Change prescribing patterns
  • 6. Change in workflow  Change in responsibility  Change in expectations  Change in technology
  • 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. Project leaders depend on stakeholders to implement the changes.
  • 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.  Keep it simple but engaging  Keep it honest  Keep it moving in the face of: Doubters Issues Potholes Speed-bumps
  • 11. Make it personal  Address problems head-on “behind every user is a patient who needs care”
  • 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. There are no closed doors  There are no smoke filled rooms  There are no personal agendas
  • 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. 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. Function of understanding by end user  Grasping the need for change  Need for transparency
  • 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. 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. Keep doctors in the loop  Be part of the process
  • 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. Physician  Nurse  Ancillary Personnel  Executive/Administration  Project Management/IT  Marketing, Operations
  • 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. 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. 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. Care units, lounges, break rooms, OR sinks, locker rooms Live meetings General Medical Staff Departmental Sectional Grand Rounds Committees
  • 26. Webinars  Power Point Presentations
  • 27. Be Honest  Be Accurate  Be Ahead of The Curve