Organizations spend large amounts of money to purchase, deploy and optimize their EHRs. They are not plug-n-play systems. This requires commitment to an ongoing improvement cycle that, when done well, responds to the people and process as well as the platform. When not done well, could result in complete failure of the system costing the organization thousands of dollars. In early 2014 the User Experience Team (UXP) of a large health system was invited to reorganize the Organization’s EHR Governance. This request came on the heels of provider complaints about slow change request turn-around-time, low throughput and poor process transparency. At that time, approximately 60 change request were being released into the live environment on a quarterly basis and it was not uncommon for a change request to take over a year from the time it was submitted to the time it was finally seen by the end user within the EHR. This was compounded by a lack of tools for tracking a change request’s lifecycle. This resulted in provider apathy and a pervasive sentiment that EHR Governance was a black hole. That core User Experience Team, who make up the author team for this book is comprised of key stakeholders who manage EHR governance processes end-to-end on a daily basis. Their foundational premise has always been that governance done right speeds up change and leads to a positive User Experience. This book is structured to be practical and pragmatic. It begins with how to articulate a clear vision to organizational leaders so they can champion strong EHR governance both theoretically and financially. The book concludes with a commitment to ongoing improvement and refinement – Governing Governance. Based on more than 5 years of ongoing refinement, this book shares processes that can scale to small and large organizations alike. It also calls out critical lessons learned to help the reader avoid the same mistakes and achieve measurable improvement more rapidly.
Organizations spend large amounts of money to purchase, deploy and optimize their EHRs. They are not plug-n-play systems. This requires commitment to an ongoing improvement cycle that, when done well, responds to the people and process as well as the platform.
Section 1: CONTEXT
Chapter 1: WHY GOVERNANCE
Chapter 2: WHEN GOVERNANCE
Chapter 3: HOW GOVERNANCE Section 2: CHANGE
Chapter 4: CREATE URGENCY
Chapter
5: FORM A POWERFUL COALITION
Chapter 6: CREATE A VISION AND A STRATEGY
Chapter 7: COMMUNICATE THE VISION
Chapter 8: REMOVE OBSTACLES
Chapter 9:
GENERATE SHORT TERM WINS
Chapter 10: CONSOLIDATE GAINS AND PRODUCE MORE WINS
Chapter 11: ANCHOR NEW APPROACHES IN THE CULTURE Section 3: COMMITTMENT
Chapter 12: USER EXPERIENCE
Chapter 13: ACCELERATING CHANGE THROUGH
INNOVATION
Chapter 14: ITS A JOURNEY NOT A DESTINATION
Chapter 15: EPILOGUE
Paula Scariati, DO, MPH, MS, is a Preventive Medicine & Public Health physician specialty trained in informatics who loves using technology to improve patient access and care. With more than 25 years of experience in government, academic, private, and nonprofit organizations, Paulas approach to digital transformation combines her unique clinical perspective with her expertise in medical informatics, governance, and change management. Throughout her career, shes partnered with high-performing, multi-functional teams in fast-paced environments to develop innovative apps, lead EHR go lives, optimize workflows, and map improvement processes. Her work is data-driven, and at the heart of everything she does is an unrelenting commitment to user experience. Paulas informatics repertoire spans the continuum of care using software tools from Allscripts, McKesson, Meditech, Cerner, and Epic, along with ADT, CDI, population health, and best of breed platforms.
A seasoned national speaker, an award-winning medical school instructor, and an ASQ Lean Six Sigma Green Belt, Paula has authored over 100 articles including 14 peer review publications. In her free time, she enjoys tackling house remodeling projects and refining her Italian language skills. She can be reached for a curbside consult or a more formal engagement through LinkedIn or by email at Paula.Scariati@fastmail.com.
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