3 Ways to Make your EHR Implementation more Successful
By Jenn Bula
To meet federal requirements and not face Meaningful Use penalties many organizations have quickly implemented new Electronic Health Records (EHR) systems (1). Some of these same organizations are not seeing the promised cost and efficiency benefits, which can be attributed to end user adoption challenges and configuration of the new system around broken or inefficient workflows (3). According to HealthIT.gov 96% of all hospitals have in their possession a certified electronic health record (EHR), but only 80% of those hospitals have adopted the basic EHR (2). Let’s face it, implementing and adopting the EHR is a daunting and at times overwhelming endeavor. Optimization is built into project plans after go-live with the intention of continuous assessment and improvement objectives. At the heart of these objectives is to see at go-live what works, see what does not work, compile lessons learn, and prioritize the low hanging fruit as well as set up structured resolution processes for the more complex issues. However, research shows hospitals are actually doing remediation and fixing technical flaws and don’t have the bandwidth for true optimization (3).
You and your teams probably already know departments, areas, or workflows which could use some maintenance now. Why configure your shiny brand new EHR around broken or inefficient workflows? Why not start by choosing a few workflows to optimize ahead of time? By choosing to focus on a small number of key areas in parallel with the design phase, adoption of the new workflows begins earlier and ensures the configuration of the new EHR will meet your vision for future state workflows. In addition, optimizing workflows ahead of time can help reduce the work necessary just before go-live to transfer data from the legacy system to the new EHR.
Acceptance and buy-in to the new EHR can be one of the biggest challenges to implementation. Increasing dissatisfaction with EHRs among clinicians is on the rise as it relates to people training and readiness (4). On the bright side, a literature study by HealthIT.gov showed the top two things organizations did early on to ensure success were to “engage staff at all levels” and “invest in workflow analysis and careful redesign in order to customize and effectively integrate new technology among users” (5).
Here are three ways to make your EHR implementation more successful:
Implementing an EHR is a big endeavor, but you can make it more successful by engaging providers and staff early and optimizing current workflows for a better designed future state workflows.
Jenn
Bula is a Senior Strategist for MedSys Group and helps build the
Advisory Services and Epic Service Line.
References
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