Top 10 factors for successful EHR implementation
- Adequate finances, technical infrastructure, and resources are committed for the long haul – this is a journey not a destination.
- Clinicians supported with dedicated time to participate in planning, workflow redesign and ongoing education.
7. Clinical Content Standardization
- Orders management, clinical documentation and clinical decision support development standardized.
- Decisions based on best practices and evidence-based medicine.
"Standardization is a goal that most organizations are trying to achieve, but it is a tough one, particularly if you have many organizations," Fuller says. She recommends bringing together different constituencies, and looking at what they have for standards and then evaluating them against best practice and evidence-based medicine. A good starting point, she says, is using a third party vendor tool, which already has a lot of content.
8. Realistic Time Lines and Expectations
- Maintains momentum and enthusiasm.
- Prevents scope creep and manages expectations.
- Pace moves to foster success.
9. Effective Training and Communication Plan
- Targets right group, with right message, at the right time.
- Provides "just in time" mandatory role-based scenario training for provisioning.
"Just in time training or JIT is training close enough to go live that clinicians don't forget it," said Fuller. In other words, "use it so they don't lose it." She says this requires more than just training of functionality of the system, it needs to relate to the role that we [clinicians] have, in order to make it meaningful." The training for docs may be different than for nurses she said. "The content has to fit the type of role they perform in patient care," Fuller added.
- Follow-up incremental training provided after "go live" with good feedback mechanisms.
10. Right Vendor Partnership Relationship
- EHR meets Meaningful Use Certification, and functionality supports organization goals and clinician workflow.
Fuller recommends organizations check out CSC's Meaningful Use Community – an open and interactive online community for providers seeking to achieve meaningful use of EHRs. The platform allows providers to exchange best practices, pose questions, engage with CSC experts and other industry experts, get timely updates on meaningful use and obtain useful resources. There are more than 1,200 members, and over 200 hospitals represented