The challenges of digital transformation for healthcare organizations.

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How do we start a computerization process with the Electronic Health Record?

Starting a computerization process with the Electronic Health Record (EHR) is an important step in modernizing and improving healthcare management. Here is a general guide on how you can start this process:

1. Define objectives and scope:

2. Determine the clear objectives you want to achieve with EHR implementation. It may be to improve efficiency in care, reduce errors, facilitate the exchange of information between healthcare professionals, etc. It is also important to define what information will be included in the EHR and who will have access to it.

3. Form a team:

4. Assemble a multidisciplinary team that includes representatives from different areas, such as physicians, nurses, administrative staff, information technology, information security, and other relevant stakeholders.

5. Research and select an EHR system:

6. Research the EHR system options available on the market. Look for those that fit your organization's needs and requirements. Evaluate aspects such as user interface, security, ease of integration with other systems, and customizability.

7. Planning:

8. Create a detailed plan that covers all phases of implementation, including migration of existing data, staff training, testing, go-live, and monitoring. Define a realistic timeline and assign responsibilities to each team member.

9. Adaptation and customization:

10. Customize the EHR system to your organization's specific needs and existing workflows. Make sure the interface is intuitive and user-friendly for end users.

11. Personnel training:

12. Provides comprehensive training to all staff who will use the system. This includes physicians, nurses, administrators, and other healthcare professionals. Make sure they understand how to enter and access information, how to update records, and how to take full advantage of the system's features.

13. Data migration:

14. Transfer existing medical records into the EHR system in an orderly and accurate manner. Ensure that information is migrated securely and that data is not corrupted during the process.

15. Testing and adjustments:

16. Conduct thorough testing of the system prior to full implementation. Identifies and resolves any problems or errors. Adjusts the system based on feedback received from users during this stage.

17. Gradual implementation:

18. Rather than implementing the system abruptly, consider a gradual approach. This will allow healthcare professionals to adapt to the new technology more effectively.

19. Monitoring and continuous improvement:

20. After implementation, continues to monitor how the system is being used and collect feedback from users. Make periodic improvements to optimize functionality and overall satisfaction.

21. Security and privacy:

22. Be sure to implement robust security measures and comply with data privacy regulations to protect patient information.

23. Promoting change:

24. Effectively communicate the benefits of EHR to healthcare professionals and patients to encourage adoption and continued support.

Remember that every organization is unique, so it is important to tailor these steps to your own circumstances and needs. Consulting with healthcare technology and change management experts can also be helpful throughout the process.

How do we involve our clinicians in a transformation where they have to be and feel protagonists?

Effectively engaging clinicians and making them feel like protagonists in a transformation process is essential to the success of any initiative. Here are some strategies to achieve this:

1. Open and transparent communication:

2. From the outset, clearly communicate the goals, benefits, and reasons behind the transformation. Explain how the new technology or process will improve patient care and streamline workflows. Keep channels open for questions, comments, and concerns.

3. Involvement from the start:

4. Invite clinicians to participate in the initial planning and decision-making stages. This will give them a sense of ownership and allow them to contribute valuable ideas and perspectives.

5. Multidisciplinary teams:

6. Create multidisciplinary teams that include clinicians, IT staff, and other relevant experts. Encourage collaboration among these teams to ensure that the needs of all parties involved are addressed.

7. Comprehensive training:

8. Offer comprehensive, customized training on the new technology or processes. Ensure that clinicians feel comfortable and competent using the new tool. Provide ongoing training to address any developmental needs.

9. Demonstrations and pilot testing:

10. Prior to full implementation, conduct demonstrations and pilot testing of the system or process. Invite clinicians to participate and provide feedback. This will allow them to directly experience the benefits and provide feedback for improvements.

11. Adaptation to existing workflows:

12. Make sure the transformation fits into clinicians' existing workflows. Prevent them from having to make radical changes to the way they work and look for ways to improve efficiencies without causing major disruptions.

13. Recognize and reward:

14. Celebrates clinicians' successes and achievements during the transformation process. Recognizes their contribution and effort to make them feel valued and motivated.

15. Clinical leaders as champions:

16. Identify influential and respected clinical leaders in your organization. These individuals can be ambassadors of the transformation and help convey the importance and benefits to their colleagues.

17. Involvement in decision-making:

18. Involve clinicians in decision-making related to the transformation. This may include choosing technologies, customizing the system, and identifying areas for improvement.

19. Continuous feedback:

20. Establishes regular feedback channels for clinicians to express their opinions, suggestions, and concerns throughout the process. Use this information to make adjustments and improvements.

21. Senior management support:

22. Ensure that senior management is committed to the transformation and actively supports clinician involvement and empowerment.

By involving clinicians early on and making them feel ownership, you will increase the likelihood of successful and sustainable adoption of the transformation in your organization.

The implementation of information technologies in the clinical setting is no longer something desirable but a necessity and an obligation.

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