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Steps for Success in EHR Planning. Bill French, VP eHealth Strategies Wisconsin Office of Rural Health HIT Implementation Workshop Stevens Point, WI August 24, 2007. 10 Steps to Success. Define goals that fit into corporate vision Gain the commitment of physician champions

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steps for success in ehr planning

Steps for Success in EHR Planning

Bill French, VP eHealth Strategies

Wisconsin Office of Rural Health HIT Implementation Workshop

Stevens Point, WI

August 24, 2007

10 steps to success
10 Steps to Success
  • Define goals that fit into corporate vision
  • Gain the commitment of physician champions
  • Set appropriate expectations
  • Commit to cultural and process changes
  • Create a communication plan
10 steps to success4
10 Steps to Success
  • Obtain senior level commitment
  • Don’t underestimate the impact on the organization
  • Create the necessary structure
  • Create measurement structure to evaluate success
  • Create a realistic timeline and project plan
define goals
Define Goals

Define goals that fit into corporate vision

  • Set clear, measurable goals
  • Define a plan of action for achieving the goals
  • Determine how you will measure the success of the goals
  • All staff need to have one shared vision
some goals
Some Goals
  • Provide concurrent access to the medical record multiple providers
  • Improve quality of care
  • Enhance patient safety
  • Support health maintenance, preventive care, wellness

From “Organizing your Efforts” webcast

some goals cont
Some Goals (cont)
  • Increased productivity
  • Reduce hassle factors/improve satisfaction for clinicians, consumers, and caregivers
  • Support revenue enhancement
  • Support predictive modeling, and contribute to development of evidence-based healthcare guidance
physician champions
Physician Champions

Gain the commitment of physician champions

  • Number one indicator for EHR success
  • Involve the physician champion throughout the planning process
  • Help the champion to identify and work with staff resistance
  • Make sure the champion understands what is being required of them
physician champion
Physician Champion
  • Roles and Responsibilities
    • Serving as an advocate
    • Making the case for change
    • Constantly communicating the message in multiple ways to multiple groups
    • Being a role model and a facilitator or change
    • Understanding and be adaptable to diversity of physicians
physician champion10
Physician Champion
  • Involved throughout the EHR planning and implementation process
  • Serving as a mentor
  • Working to identify and manage resistance by other clinicians
  • Showing other clinicians the value that can be attained from an EHR
expectations
Expectations

Set appropriate expectations

  • Complete a readiness assessment
  • Share goals with staff
  • Gather staff’s current expectations and utilize throughout the selection process
cultural and process changes
Cultural and Process Changes

Commit to cultural and process changes

  • An EHR is just a tool – the process changes provide the outcomes
  • Identify hospital cultural concerns and address in staff meetings
  • Begin process mapping current processes and identifying “stuck points”
  • Identify how processes may change with an EHR
communication
Communication

Create a communication plan

  • Lack of communication is often a reason for failed implementations
  • Create a communication plan for the entire process
  • Include patients
  • Ask staff what they would like to know about the process, and how would they like to hear it
senior level commitment
Senior Level Commitment

Obtain senior level commitment

  • Identify and support a project manager
  • Eliminate administrative barriers to EHR adoption
  • Identify and budget for adequate IT support
impact on the organization
Impact on the Organization

Don’t underestimate the impact on the organization

  • Staff’s current computer skill sets
  • Inventory current forms and reports necessary for moving forward
  • Time and resources necessary for the change
metastar resources
MetaStar Resources
  • EHR Budget Worksheet
  • Process/Benefits map
  • Cost/Benefit Analysis
  • Computer Knowledge Evaluation Tool
  • Forms and Reports Inventory
structure
Structure

Create the necessary structure

  • The chief information officer CANNOT do this alone!
  • Identify current staff that are interested in the topic or would be super users
  • Create a multi-disciplinary team to plan, select and implement the EHR
  • Create a meeting schedule on a consistent basis
measurement and success
Measurement and Success

Create measurement structure to evaluate success

  • Create a mechanism for consistent measurement
  • Celebrate successes along the way
  • Identify “quick wins”
timeline and workplan
Timeline and Workplan

Create a realistic timeline and project plan

  • Identify when each phase will be completed
  • Identify which tasks will be completed
  • Set goal start and end dates to each task
  • Assign person responsible
  • Have check-in opportunities
  • Be realistic
time for questions
Time for Questions
  • Questions
  • Comments
contact information
Contact Information

Bill French

VP eHealth Stratgies

MetaStar

bfrench@metastar.com

(608) 441-8246

This material was prepared by MetaStar, the Medicare Quality Improvement Organization for Wisconsin, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.  8SOW-WI-INP-07-113