Comp 14 - Special Topics in Vendor- Specific Systems

Unit 8 - Vendor-Specific Go-Live Strategies

This material 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.

Outline

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Big-Bang vs. Phased Roll-Out

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Big-Bang

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Phased Roll-Out

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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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StaffingExample EHR implementation team:

• 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

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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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On-site Consultants

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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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Change Management

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System Change Management

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System Change Management (cont.)

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System Change Management:Set of 6 Steps

• http://en.wikipedia.org/wiki/Change_Control

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