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EHR Lessons Learned: Week 9

I am getting close to the end of this 10-week blog series about the lessons learned in deploying an electronic health record in the Military Health System. I’ve looked at lessons in workflow, testing, software, hardware, training, cutting the wires, the web and easily computable data. With all factors taken into account, managing the change for maximum buy-in by staff is another area critical to a successful deployment of an EHR.

 

Empower Your Staff From the Beginning to Feel Ownership of the New EHR

Empowering your staff from the beginning is, without a doubt, critical for successfully deploying an EHR. When the system’s users take ownership and buy-in, they are more willing and even eager for the change. That might sound easy, but it isn’t. Change is difficult within any organization, and changing the manner in which care is documented is no different. Not everyone immediately embraces new technology in their daily activities, so it is crucial to include the workforce at all stages of the decision-making process. The users should be included from the first steps of purchasing and deploying an EHR. The users include not only your physicians, but also the related clinicians, nurses, clerks and administrative support. Change management scholars tell us that you will always have a percentage of staff that will remain change averse and fight against every step of the way. The buy-in from the majority of your staff should help to ensure a successful deployment and long-term acceptance from the system’s users.

 

Aside from having the medical and administrative staff up and running and happy with an EHR, patients also have to embrace the changes. The patient component is the final topic to examine next week in my last blog of this series.

 

Week 8: Usable and Easily Computable Data Makes Good Health Care Sense

Week 7: Do Not Constrain Your Medical Providers With Wires

Week 6: Web Hosted Solutions Make Sense for Speed and Redundancy

Week 5: The See One, Do One, Teach One Training Philosophy

Week 4: EHRs Should Be Intuitive

Week 3: Hardware Matters

Week 2: Test Drive Before You Buy

Week 1: Choosing the Right EHR

 

 

1 Comment »

JJ Moore, MD said:
5/26/2010 6:02:06 PM
1. All data is immediately available world wide without fail, ever.

2. The EHR must start with a problem list that organizes by organ system and interacts with the physician.

3. The usual indication for any Rx must instantly align with the usual diagnosis in less than a nanoscond.

4. Rx must be studied like a fighter pilot so that any prescibing is a single instantaneous mouse click.

5. All pertinent laboratory and radiology must always be aligned with the correct diagnosis in less than a nanosecond.

6. Every single type of laboratory must be reformatted and aligned with the correct diagnosis in less than a naosecond.

7. Every single x-ray report must align with the correct diagnosis in less than a nanosecond.

8. The Radiology reports must be reformatted so that only pertinent data for the clinician is immediately visible.

9. Access to the actual radiology study with the ability to navigate , select and magnify is required.

10. More requirements to follow.....

The EHR CZAR

John Joseph Moore, Junior, M.D.
Colonel (0-6) (Retired)
United States Army Medical Corps

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