Final exam: Case Study Neshaminy Manor PowerPoint

Basic Requirements

- Process Change

- System Integration

- Investments of Time and Money

Process changes (Basic Requirements)

Policies & procedures Workflow

- Don't automate a bad system

- Junk in, Junk Out

Thinking outside of the box

System Integration (Basic Requirements)

Legacy systems

- current clinical, financial, Administrative systems in use

Investments of time and money (Basic Requirements)

Upper level management buy in is key!

Budget

- cost benefit analysis

- Does the benefit outweigh the cost?

Infrastructure (Needed Preparation)

- Do I need o purchase a new server?

- Do I need to "drop" any new computer lines?

- Will the new system integrate with our current system?

Workspace (Needed Preparation)

- Is there enough space for additional computers?

- Is there enough space for a larger printer?

- Will additional space be need for documenting?

Ex: 1 nurse to 3 nurse

Job Duties & Assignments (Needed Preparation)

- How does this affect the person responsible for assembling a chart? What their new responsibilities?

- How does this affect our Release of Information?

Creating New policies & procedures (Needed Preparation)

Definition of the legal health record

- What will be included

- What will not be included?

Access Control

- Who has access to what information?

- You will no longer have a "unit" to divide charts

What are the levels of access?

- administrative down to Registration

- Mapping out the access on a need to know basis

Needed Preparation (top to bottom)

Job Security --> Educate --> Select a champion

Job security

reassure that automation does not necessarily mean job cuts

Educate

- Provide users with the purpose and reason why you are moving to an EHR

- This will help a little with Resistance

User Training (implementation phase- heading out)

- Vendor support needed

- Select your Champion early

- Assess your user's competency level and skill set

- User Manuals

- Nursing, HIM & large departments

- Physicians

Vendor support needed (User Training: implementation phase- heading out)

- Do you plan to have a support person onsite?

- Do you plan to go to their location to be trained?

Select your Champions Early (User Training: implementation phase- heading out)

- Who do you know that already excels?

- Do you have any hidden talent?

- Both a Physician & Nurse Champion will be needed

- "Super user"

Asses your user's competency level and skill set (User Training: implementation phase- heading out)

Asses your user's competency level and skill set

User Manuals (User Training: implementation phase- heading out)

- Should be made available on every unit

- Should be concise and user-friendly

- Is one provided within the system?

Nursing, HIM & Large departments (User Training: implementation phase- heading out)

Should be trained based on their specific department

Physicians (User Training: implementation phase- heading out)

Depending on the size of your facility, should be trained one on one or in teams

User Training Conclusion

Create a designated training area or learning environment

- Away from the unit (if possible): This helps to avoid distractions

system conversion

- Which method will you use?

- Pilot testing

Which method will you use? (system conversion)

- Abrupt changeover: Turn one system off and turn the other on

- Gradual phase- in: gradually begin using the new system and slowly phase out the old one

- Integration?: Is the new system and legacy system

Pilot testing (system conversion)

Test, Retest