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Secrets to EMR Success Demystified HealthWorld 2016
Secrets to EMR Success DemystifiedHealthWorld 2016
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• EMR is an IT project• CIO is in charge, rest of the organization will follow• A software implementation goal goes without saying• Pragmatic leadership is sufficient • Software will fix it
Common Project Misconceptions
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Source: Information WeekNote: Total exceeds 100% due to multiple answers of respondents.
Unplanned Resistance to Change
Limitations of Existing Systems
Lack of Executive Commitment
Lack of Executive Champion
Unrealistic Expectations
Lack of Cross-Functional Team
Inadequate Team and User Skills
IS Staff and Users Not Involved
Project Charter Too Narrow
20% 40% 60% 80% 100%
“People Issues”
Leaders of over 400 major transformational programs across industries identified the following reasons for failure:
Common Challenges
Copyright © 2015 Accenture. All rights reserved. 4
Set clear expectations and guiding principles. They will be used as basis for many decisions.
Clear Vision & Goals
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Governance ModelRepresentative of entire organization/all employees. Enable Clear and definite Decision Making.
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Process Redesign/Standardization
PHS Admission – Emergency Department to Inpatient- MPRS
Inpa
tient
Nur
seBe
d M
anag
emen
tED
Nur
seIn
patie
nt P
rovid
er
Adm
ittin
g Te
amED
Pro
vider
Tea
mED
Car
e Co
ordi
natio
n
PrimaryApplication:ADT,ASAP,EpicCareInpatientClinicalDocumentation,EpicCareInpatientOrdersSecondaryApplication:None
Follows admission criteria; consult with ambulatory
providers
Determines that the patient needs to be
admitted
Consults inpatient provider regarding plan or intended
location (if appropriate)
Request bed for patient
Decides to admit patient; assigns the Service and level of
care required
Locates patient on the ED system list and
opens the Admission Navigator
Places admitting order and reconciles home medications and current orders
Signs the order to admit and sign and hold orders to be
released when patient reaches the floor
Aware that the patient needs to be admitted
Notes that patient status has changed to
“Bed Requested”
Notified of bed assignment through a column in the Ready
for Admit Track Board view
Provides report to Inpatient Nurse
Contacts transport or transports patient to
floor
Bed Mgmt workflow
Views patient in the Requested Transfers and ED Admissions report/monitor bed planning activity
Is a bedavailable within 2
hours?
Assigns an inpatient bed and Service determined by
Inpatient Provider Team
ED Boarder Workflow
Notified of new patient by Admitting
Department through Bed Management
Board
Electronically notifies provider of new patient admitted/readmitted to
coordinate care via email
Receives report from ED Nurse
Finds patient on Expected tab of the
unit census and transfers patient
Releases the signed and held orders from the Arrival Navigator
Continues inpatient care until patient is
discharged
Yes
No
Accepts patient
FINAL 2/18/14
Assists in examining alternative pathways
to admission
Agree on guiding principles for process redesign and harmonization.
Use Business Case as a guide in tough areas.
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Leaders need to lead by example, talk the talk, all the time, consistently across organizations.
Leadership
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Communications & Change EnablementUse Change Curve and Stakeholder analysis as a basis for all Communication and Change Enablement activities.
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You are wonderful but not unique – ask, visit, learn. Be humble to learnfrom others.
Learn from Others
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Program will do a lot. Each organization will also have to do a lot to ensure technical and organizational readiness.
Organizational Readiness
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This is different to any other development program before. You are expected to do a lot yourselves.
Work Hard & Focus
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This is once in a lifetime experience. You have a Dream Team. Embrace positivity, quick wins and can-do attitude.
Enjoy the Ride!
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Top Things to Remember
