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What do you do if you're a healthcare professional preparing for electronic health record implementation?

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Electronic health records (EHRs) are digital versions of patients' medical histories, diagnoses, treatments, and prescriptions. They can improve the quality, efficiency, and safety of healthcare delivery by enabling better communication, coordination, and decision-making among healthcare professionals. However, implementing EHRs can also pose significant challenges, such as technical, financial, legal, and ethical issues. If you're a healthcare professional preparing for EHR implementation, here are some steps you can take to make the process smoother and more successful.

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1 Assess your readiness

Before you adopt EHRs, you need to evaluate your current situation and identify your goals, needs, and expectations. You can use various tools and frameworks, such as the EHR Readiness Assessment Tool (ERAT) or the HIMSS EMR Adoption Model (EMRAM), to assess your level of readiness and maturity in terms of technology, infrastructure, workflow, staff, and culture. You also need to consider your budget, timeline, and resources, and how they align with your desired outcomes and benefits.

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Keith Grunig, MBA

Communicator | Strategist | Innovator | Creator | Motivator | Relationship Builder | Consultant | Team Leadership
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Having been part of several EHR implementations and rollouts, I've seen it done well and done poorly. #1- Have a plan and work with transition teams for data flow. Have a backup plan if data flow isn't correct. #2- Understand the processes and functionality of the EHR. If switching from one to the other, know the differences as much as possible ahead of time and how to navigate. #3- Remind clinicians that it is about the patient. The information in the system can be fixed if we screw something up. But keeping the patient as the focus is essential. Many clinicians get so worried about the system that they forget the patient.

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ERIC HANSEN

SNFs get paid for your Part B supplies ? Part B Supply Billing ? We Only Get Paid When You Do
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? Identify Single-Point Failures (SPF) A term borrowed from NASA, it’s the idea that you isolate single points that can lead to catastrophic failure. Without exposing weaknesses, you risk implementing change destined to fail. Before implementing change, identify all SPF’s. Stop the bleeding before stitching the wound.

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2 Choose your EHR system

The next step is to select an EHR system that meets your requirements and preferences. You can consult with vendors, peers, experts, and stakeholders to compare different options and features, such as functionality, usability, interoperability, security, and support. You can also look for certification, accreditation, and endorsement from reputable organizations, such as the Office of the National Coordinator for Health Information Technology (ONC) or the Certification Commission for Health Information Technology (CCHIT), to ensure quality and compliance.

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ERIC HANSEN

SNFs get paid for your Part B supplies ? Part B Supply Billing ? We Only Get Paid When You Do
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? Brainstorm needs with your team ? Assess company needs alone ? Engage all stakeholders ? Explore this alone ? Identify single-point failures ? Skip potential weaknesses ? Analyze multiple systems ? Skip the assessment

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3 Plan your implementation

Once you have chosen your EHR system, you need to plan your implementation strategy and process. You can use various models and methods, such as the Plan-Do-Study-Act (PDSA) cycle or the Project Management Body of Knowledge (PMBOK), to guide your planning and execution. You also need to establish a project team, define roles and responsibilities, set milestones and deliverables, allocate resources and budget, and monitor and evaluate progress and performance.

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ERIC HANSEN

SNFs get paid for your Part B supplies ? Part B Supply Billing ? We Only Get Paid When You Do
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Use PMBOK to implement your EHR 1. Initiation: Identify stakeholders and develop a project charter. 2. Planning: Define roles, create a management plan covering scope, schedule, cost, quality, resources, communication, risks, and procurement. 3. Execution: Mobilize resources, implement the system, and provide training and support. 4. Monitoring and Controlling: Track progress, manage changes, ensure quality, and update stakeholders. 5. Closing: Finalize implementation, review project success, document lessons learned, release resources, and celebrate success.

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4 Train your staff

One of the most critical steps in EHR implementation is to train your staff on how to use the new system effectively and efficiently. You need to design and deliver a comprehensive and customized training program that covers the technical, operational, and clinical aspects of the EHR system. You also need to provide ongoing support and feedback, as well as opportunities for practice and reinforcement, to ensure competency and confidence.

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ERIC HANSEN

SNFs get paid for your Part B supplies ? Part B Supply Billing ? We Only Get Paid When You Do
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? ADDIE trains staff in less time. Here’s how: 1?? Assess the specific training needs that each staff role requires. 2?? Create structured program that covers technical, operational, and clinical usage of the EHR. *Include objectives, instructional content, and assessment criteria. 3?? Develop training materials and exercises that address different learning styles. 4?? Conduct training sessions using a blend of instructional methods (e.g., workshops, hands-on practice, and simulations). 5?? Continuously assess performance and program effectiveness. *Provide ongoing support and opportunities for additional training to address gaps in knowledge and skill.

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5 Test your system

Before you go live with your EHR system, you need to test it thoroughly to ensure its functionality, reliability, and accuracy. You can use various techniques and tools, such as unit testing, integration testing, system testing, user acceptance testing, and simulation testing, to check for errors, bugs, and glitches. You also need to verify the data quality, integrity, and security, as well as the interoperability and compatibility with other systems and devices.

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6 Evaluate your outcomes

After you have implemented your EHR system, you need to evaluate your outcomes and impacts. You can use various metrics and indicators, such as clinical quality measures, patient satisfaction scores, workflow efficiency, cost savings, and revenue growth, to measure and demonstrate the value and benefits of EHRs. You also need to solicit and analyze feedback and suggestions from your staff, patients, and partners, and make adjustments and improvements as needed.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Ravi Nerella, MD, MHA

Hospitalist, Mercy Hospital Springfield, MO
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One of the biggest issues that I have seen with EHR implementations has been the lack of understanding of ongoing optimization. Organizations, focus, predominantly on implementation, and lose sight of or are unaware of the ongoing need for optimization and refinement post implementation. With new features being implemented by the vendor, organizations need to have clinicians who understand the EHR to provide feedback and input to the analysts. Another common issue that I have seen is poor configuration of workflows that actually help clinicians. Healthcare organizations, want to utilize the ER to provide higher quality care. However, they lose sight of the impact of changes made to workflows without proper input and feedback from end users.

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What do you do if you're a healthcare professional preparing for electronic health record implementation?

1

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3

4

5

6

7

1 Assess your readiness

2 Choose your EHR system

3 Plan your implementation

4 Train your staff

5 Test your system

6 Evaluate your outcomes

7 Here’s what else to consider

Healthcare

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What do you do if you're a healthcare professional preparing for electronic health record implementation?

1

2

3

4

5

6

7

1 Assess your readiness

2 Choose your EHR system

3 Plan your implementation

4 Train your staff

5 Test your system

6 Evaluate your outcomes

7 Here’s what else to consider

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