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
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
Big-Bang
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
Phased Roll-Out
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
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
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
•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:
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
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
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
On-site Consultants
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
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
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
Change Management
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
System Change Management
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System Change Management (cont.)
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System Change Management:Set of 6 Steps
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
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
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
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
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Special Topics in Vendor- Specific Systems EHR Go-Live Strategies
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