Presentation developed for CHUG 2011 conference in Austin Texas. I was a speaker selected to give an implementation talk to new users

1. EMR IMPLEMENTATION
KEYS TO OUR SUCCESS
Consultants In Gastroenterology P.C.
Kansas City Missouri
Presenter Michelle Morgan

2. PLAN
 Recognize all stake holders
 Create a mission and vision
 Sell the vision and mission
 Prioritize the goals expected from the EMR
with stakeholders
 Patient care in the drivers seat,”Is it good for
the patient”
 Resource Requirements
 Change Management Implementation:
Improving communication

3. EMR MISSION
Move the practice and ambulatory centers from a
60% to 85% computer system implementation.

4. EMR VISION
 To accomplish our mission we envision patient
care to exceed customer expectations. We will
strive to meet the needs of the community. Our
work environment is one of mutual trust, respect
and open communication promoting positive
professional staff and physician relationships.
We will exercise fiscal responsibility and
encourage innovation.

5. MISSION AND VISION
CREATION
 The long-term vision statement outlines what
the organization wants to be
 Focuses on tomorrow
 Can be inspirational
 Timeless
 Ask: What inspires your organization?
(GE Healthcare summit, 2007)

6. STAKEHOLDERS
 Physician
 Nurse NP, PA, MA
 Residents, Interns
 Front Desk- scheduling/registration
 Billing Clerk
 Clerical Staff

7. COMPUTER
IMPLEMENTATION
COMMITTEE
 Select individuals from each department to
represent the stakeholders
 Each department will play a role (believe me)
 Set specific guidelines for communication for
implementation recommendations, workflow
ideas, problems, concerns. Example: Project
management program, designated helpdesk
centralize an area for documentation

8. FINALIZING AND
ANALYZING PLAN
 Does the computer
implementation team satisfy
each stakeholder?
 Are they included in the
Mission and Vision
statement?

9. MEETING AGENDA
 Discuss Mission and Vision, make adjustments
 Set goals
 Assign tasks to stakeholders
 Software representative and support
 Discuss resource requirements
 Change Management: pre-implementation

10. EXAMPLES OF GOALS
 Approved standardized physician order sets
 Seamless linkage of information between the MD
office and the hospital
 Ability to have results, registration and
appointments online
 Multidisciplinary plan of care and nurse
admission screen that automatically populate
previously collected data
 Our Ultimate Goal:100% EMR

11. GOALS
 Look at these goals and prioritize
 Each department are going to have different
goals
 As a Team we need to focus on a set of goals.
 Using SMART to finalize the goals.
 SMART- Specific, Measurable, Attainable,
Realistic, Time based (Stick to the schedule)

12. RESOURCE
REQUIREMENTS
 Budget needs to be established and keep in mind future
investments, additional storage, future hardware needs,
upgrades and updating systems.
 Project management
 Interface development
 Network infrastructure
 Ongoing support
 Software
 Hardware
 Additional staff

13. CHECKLIST FOR DECISION
MAKING
 Do the proposed ideas support patient safety?
 Do the proposed ideas support customer service?
 Do the proposed ideas improve communication efficiency?
 Do the proposed ideas fit the vision?
 Are the proposed ideas urgent and required for progress?
 Are the proposed ideas funded?
 Are the proposed ideas the most cost effective?
 Are the proposed ideas sufficiently clear?
 Does the outcome promote a smooth, natural transition?
 Will people easily take ownership of the end result?
(Scripps, 2007 GE Healthcare summit)

14. RECOMMENDATIONS
 TRAINING, TRAINING, AND MORE TRAINING IT IS NOT
AN OPTION
 Establish and Develop a training program for the
implementation and incorporate that into new
employee orientation for future training.
 Keep a designated area with test applications for
training.
 Have realistic expectations for the changes
 Expected frustration with implementing a new
workflow. There is a period of learning before a
comfort level is reached.

15. STRONGLY
ENCOURAGED
 Have onsite help for physicians and staff in the initial
stages of implementation.
 For Return on Investment Jump Head first and face your
fears and implement All or none with the system.
Decreases resistance to change each time something
changes.
 Have follow up training
 Really Involve stakeholders on Hardware needs and
usage abilities, also physicians likes and dislikes.
 Make a uniform plan most physicians will agree on and
stick to it. Try not to let one physician do his on thing
while the other does something entirely different.

16. WORKFLOW TIPS
 Involve all stakeholders involved in the workflow
development
 Stay away from “this is how we have always done this”
therefore think outside the box
 Utilize similar practices for workflow help, CHUG email
for tips and recommendations.
 Give sufficient time and communicate information about
workflow change is going to happen and what to expect.
 TEST the WORKFLOW mulitple times, VERY frustrating
and confusing when the workflow has to change several
times.

17. DISCOURAGE
 Don’t expect staff to change their processes and
culture in one day.
 Don’t implement one little piece at a time the system
works collaboratively.
 Don’t forget to embrace the change as a learning
experience
 Don’t forget change is guaranteed.
 Don’t buy Hardware physicians won’t use so ask
them.
 Don’t underestimate how much storage you will
need.

18. BOTTOM LINE
 Point to Ponder……
If the Physicians don’t use it, nothing else
matters (GE Healthcare summit, 2007)

19. QUESTIONS OR
COMMENTS?
 Please feel free to share about
your experiences

20. GE RESOURCES
 http://www.centricityusers.com/
 http://centricitypractice.gehealthcare.com/
 http://support.centricityservices.com/
 http://cpstraining-gehc.com/
 http://hls.gehealthcare.com/

21. OUTSIDE SITES
 http://www.healthcareitnews.com/
 http://www.himss.org/ASP/index.asp
 www.cms.gov (Meaningful use)

22. RESOURCES
 GE Healthcare Summit 2007, Powerpoint
presentation.
 Scripps, 2007. What a Bear attack and
implementing EMR taught me. Powerpoint.