Special Topics in Vendor- Specific Systems EHR Go-Live Strategies This material (Comp14_Unit8) was...

Special Topics in Vendor- Specific Systems

EHR Go-Live Strategies

This material (Comp14_Unit8) was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

EHR Go-Live StrategiesLearning Objectives

2

By the end of this unit, learners will be able to:

1. Describe characteristics of training and go-live strategies that would facilitate implementation of a new Electronic Health Record (EHR) system

2. Compare the advantages and disadvantages of a big-bang roll-out versus a phased roll-out and vice-versa

3. Identify staffing, command center and on-site consultant considerations

4. Compare strategies for monitoring system usage and change management

Health IT Workforce Curriculum Version 3.0/Spring 2012

Special Topics in Vendor- Specific Systems EHR Go-Live Strategies

Big-Bang vs. Phased Roll-Out

3Health IT Workforce Curriculum Version 3.0/Spring 2012


Big-Bang



Phased Roll-Out



Staffing

• Greatly dependent on:– Product being implemented– Location, e.g. hospital or physician office– Implementation performed by vendor or

consultants– Big-bang vs. phased roll-out– Hosted locally or remotely – Temporary staffing or permanent staffing



•Physician Champion•Project Director•Project Manager•Enterprise Master Patient Index

Cleanup•Application Coordinator RN•Application Coordinator MD•Application Coordinator analysts•Health Information Management

Director•Reporting Applications Coordinator•Reports/Designer/Analyst•Database Extract and Load

Administrator•3rd Party Reporting Tool

Administrator

•Programmer/Analyst•Hardware/OS support•Storage Support•Enterprise Data Backup support•Network Support•Security Coordinator•Workstation Management•Workstation/Printer Systems

Support•Database administrator•Principal Trainer•Supplemental trainers•Go live support•Helpdesk support•Risk Manager•Chief Privacy Officer

StaffingExample EHR implementation team:



Command Center

• Special location during implementation– Typically setup in a big-bang rollout– All project communications go through this

center– Usually serves as project help desk and

receives all user calls– Field staff meet at center at least 2 times per

day– Project executives meet at center each day



On-site Consultants



Monitoring System Usage

• System performance monitoring• Application usage monitoring• Documents created• Orders written• Orders completed• Prescriptions written• Monitor calls to Help Desk• System issues• Application questions



Change Management



System Change Management



System Change Management (cont.)



System Change Management:Set of 6 Steps



EHR Go-Live StrategiesSummary

• We have covered a few of the most important go-live strategies

• Reviewed staffing, command centers, use of consultants and change management

• These are just a few of the very important aspects of go-live strategies that have to be considered during implementation



EHR Go-Live StrategiesReferences

References:

1. McNamara, C. (n.d.). Organizational Change and Development (Managing Change and Change Management). Free Management Library. Retrieved from http://www.managementhelp.org/mgmnt/orgchnge.htm

2. Wikipedia. (2011). Change management. Retrieved from http://en.wikipedia.org/wiki/Change_management

3. Wikipedia. (2011). Change control. Retrieved from http://en.wikipedia.org/wiki/Change_control



http://www.managementhelp.org/mgmnt/orgchnge.htm

http://en.wikipedia.org/wiki/Change_management

http://en.wikipedia.org/wiki/Change_control

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