EHR: Change Management & Clinical Adoption Standard • Based in Standard EHR Approach
(see Standard-Adaptive Approach to EHR Implementation) • Use extensive amount of technology to solve care process problems •Educate/tell caregivers what will change for them post go-live
Adaptive • Based in Adaptive EHR Approach (see Standard-Adaptive Approach to EHR Implementation) • Use minimal amount of technology to get the largest gain; problemsolving & innovation to solve care process problems •Staff and leaders understand current work; improve work processes; identify what is needed to enable ideal care; identify impact of EHR as designed; identify adaptation needs – of technology or of workflows
Barbara Balik
[email protected]
EHR: Change Management & Clinical Adoption Standard • Complete surveys for
implementation readiness; identify high-risk issues •Complete day-in-the-life walk through based on systems as designed • If problems arise with EHR, provide more training or 1st order problem solving • Schedule set by EHR team with “on time/on budget” as key metric
Adaptive •Teach adaptive learning skills to all departments and leaders as EHR preparation
• Understand current work directly
through observation; identify impact of technology through application to real-life scenarios • When problems arise with EHR, signals go to teacher/coach who does 2nd order problem solving • Schedule set to meet patients needs ideally short- and long-term; continually decrease resource use
Barbara Balik
[email protected]
EHR: Change Management & Clinical Adoption Standard
Adaptive
•Teach EHR functionality in classes
•Teach EHR-enabled care in the care setting to observe process variability and workarounds • IT staff are partners who have IT •IT staff are experts and removed expertise and learn problem-solving from care/support processes to support staff & provider customers •Create new role – e.g. Optimization • Better use of existing roles to Specialists - to aid clinicians in using provide teacher/coaches; to partner functionality with clinicians to understand current work, respond to problems as the are signaled, & rapidly improve
Barbara Balik
[email protected]
