Guaranteeing Successful EHR Implementations
- 1. Guaranteeing successful EHR implementationsBy Shahid N. ShahThe Healthcare IT Guy
- 2. Why listen to me?20+ years of software engineering and multi-site healthcare system deployment experience12+ years of healthcare IT and medical devices experience (blog at http://healthcareguy.com) 15+ years of technology management experience (government, non-profit, commercial)10+ years as architect, engineer, and implementation manager on various EMR and EHR initiatives (commercial and non-profit)Author of Chapter 13, “You’re the CIO of your Own Office”
- 3. Why should you care about this presentation?Do you have a well thought-out EHR implementation plan that will guarantee success?Pat yourself on the back and try not to make fun of the rest of us mere mortals.NoYES!Adopt the EHR implementation ideas I’m proposing.Stay and tell me why I’m wrong or nod your head in agreement.Tell your boss this is the best EHR presentation you’ve ever been to.
- 4. Why are you implementing an EHR?Most obviousMost noise, least attentionMost promisingAdmissions per day
- 7. Revenue per patientFirst: Demand success metrics
- 9. Good news: EHRs are NOT IT projectsPMOGovernanceDecisionsSoftwareHardwareNetworkStorageInterfacingWorkflowDocumentsImaging
- 11. Rollout Plan for Your EHR
- 12. Reduce culture shock by transforming workflow before EHR
- 13. Resist the “big bang” approach
- 14. Paperless document managementCreate a matrix of every document you work with to see how it should be handled.
- 17. What About Related Software?EHRs aren’t enough
- 18. Hardware ConsiderationsIf you’re going paperless, you’ll need much more hardware than you thinkRegular desktops on the existing cabinetry (which may not have room for the desktops Laptops on the existing cabinetryTabletsMobile devicesCOW carts with desktops or laptopsWall mounted or pole mounted computers/monitors or laptop stations
- 19. Can You Connect To Your EHR?
- 20. How Will You Store Data?Storage isn’t just about hard drives. It’s really about all the different kinds of data and how you will collect, store, extract, interface, retain, and manage it.
- 21. EHR Security ConsiderationsYour EHR MUST support:
- 22. More Security Issues To ConsiderWhat level of access do technical staff need to maintain the system?Does EHR maintenance require access to the database where patient data are stored?Can all sensitive information be blocked from support staff’s view and access?Can troubleshooting be achieved through the use of test data rather than live patient records?What means are used for remote support?For systems hosted by vendors, what audit trails are in place to monitor vendor staff activity? Does the vendor provide access to these logs?Are audit trails of routine maintenance available?Source: AHIMA
- 23. How do you know you’ve successfully implemented an EHR?Demand success metrics early on