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Guaranteeing successful EHR implementations By Shahid N. ShahThe Healthcare IT Guy
Why listen to me? 20+ years of software engineering and multi-site healthcare system deployment experience 12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com)  15+ years of technology management experience (government, non-profit, commercial) 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit) Author of Chapter 13, “You’re the CIO of your Own Office”
Why should you care about this presentation? Do you have a well thought-out EHR implementation plan that will guarantee success? Pat yourself on the back and try not to make fun of the rest of us mere mortals. No YES! Adopt the EHR implementation ideas I’m proposing. Stay and tell me why I’m wrong or nod your head in agreement. Tell your boss this is the best EHR presentation you’ve ever been to.
Why are you implementing an EHR? Most obvious Most noise, least attention Most promising ,[object Object]
Procedures per day
Revenue per day
Revenue per patient,[object Object]
Confronting EHR Myths
Good news: EHRs are NOT IT projects PMO Governance Decisions Software Hardware Network Storage Interfacing Workflow Documents Imaging
Staff Involvement
Rollout Plan for Your EHR
Reduce culture shock by transforming workflow before EHR
Resist the “big bang” approach
Paperless document management Create a matrix of every document you work with to see how it should be handled.
EHR Implementation Plan
Practical IT Considerations
What About Related Software? EHRs aren’t enough
Hardware Considerations If you’re going paperless, you’ll need much more hardware than you think Regular desktops on the existing cabinetry (which may not have room for the desktops   Laptops on the existing cabinetry Tablets Mobile devices COW carts with desktops or laptops Wall mounted or pole mounted computers/monitors or laptop stations
Can You Connect To Your EHR?
How Will You Store Data? Storage isn’t just about hard drives. It’s really about all the different kinds of data and how you will collect, store, extract, interface, retain, and manage it.
EHR Security Considerations Your EHR MUST support:
More Security Issues To Consider What level of access do technical staff need to maintain the system? Does EHR maintenance require access to the database where patient data are stored? Can all sensitive information be blocked from support staff’s view and access? Can troubleshooting be achieved through the use of test data rather than live patient records? What means are used for remote support? For systems hosted by vendors, what audit trails are in place to monitor vendor staff activity? Does the vendor provide access to these logs? Are audit trails of routine maintenance available? Source: AHIMA

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Guaranteeing Successful EHR Implementations

  • 1. Guaranteeing successful EHR implementations By Shahid N. ShahThe Healthcare IT Guy
  • 2. Why listen to me? 20+ years of software engineering and multi-site healthcare system deployment experience 12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com) 15+ years of technology management experience (government, non-profit, commercial) 10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit) Author of Chapter 13, “You’re the CIO of your Own Office”
  • 3. Why should you care about this presentation? Do you have a well thought-out EHR implementation plan that will guarantee success? Pat yourself on the back and try not to make fun of the rest of us mere mortals. No YES! Adopt the EHR implementation ideas I’m proposing. Stay and tell me why I’m wrong or nod your head in agreement. Tell your boss this is the best EHR presentation you’ve ever been to.
  • 4.
  • 7.
  • 9. Good news: EHRs are NOT IT projects PMO Governance Decisions Software Hardware Network Storage Interfacing Workflow Documents Imaging
  • 11. Rollout Plan for Your EHR
  • 12. Reduce culture shock by transforming workflow before EHR
  • 13. Resist the “big bang” approach
  • 14. Paperless document management Create a matrix of every document you work with to see how it should be handled.
  • 17. What About Related Software? EHRs aren’t enough
  • 18. Hardware Considerations If you’re going paperless, you’ll need much more hardware than you think Regular desktops on the existing cabinetry (which may not have room for the desktops  Laptops on the existing cabinetry Tablets Mobile devices COW carts with desktops or laptops Wall mounted or pole mounted computers/monitors or laptop stations
  • 19. Can You Connect To Your EHR?
  • 20. How Will You Store Data? Storage isn’t just about hard drives. It’s really about all the different kinds of data and how you will collect, store, extract, interface, retain, and manage it.
  • 21. EHR Security Considerations Your EHR MUST support:
  • 22. More Security Issues To Consider What level of access do technical staff need to maintain the system? Does EHR maintenance require access to the database where patient data are stored? Can all sensitive information be blocked from support staff’s view and access? Can troubleshooting be achieved through the use of test data rather than live patient records? What means are used for remote support? For systems hosted by vendors, what audit trails are in place to monitor vendor staff activity? Does the vendor provide access to these logs? Are audit trails of routine maintenance available? Source: AHIMA
  • 23. How do you know you’ve successfully implemented an EHR? Demand success metrics early on
  • 24. Conclusion and Questions If ylikewhat I presed, I’m available as a hiredagunto solve yourshahid.shah@netspective.com To sign up for the EHRoutlook.com weekly update, The Fast 5, visit:http://www.ehroutlook.com/email-signup.html