Organizations spend large amounts of money to purchase, deploy, and optimize their Electronic Health Records (EHRs). They are not plug-n-play systems so a commitment to an ongoing improvement cycle is necessary. When done well, this responds to the people, the process, and the technology. When not done well, complete failure of the system could result in costing the organization thousands of dollars.
Based on the foundational premise that EHR governance done right speeds up change and leads to a positive user experience, this book draws upon more than a decade of work with government, academic, and nonprofit organizations using Epic, Allscripts, McKesson, Meditech, and Cerner. Designed to be practical and pragmatic, it outlines a strategic process that can scale to small and large organizations alike. It begins with how to articulate a clear vision to organizational leaders so they can champion strong EHR governance both theoretically and financially. It then walks through each step required for leading successful change, calling out critical lessons learned to help the reader avoid pitfalls and achieve measurable improvement more rapidly. It concludes with a commitment to ongoing growth and refinement through benchmarked metrics, innovation, and out-of-the-box thinking.
Author(s): Paula Scariati
Publisher: Routledge/Productivity Press
Year: 2023
Language: English
Pages: 247
City: New York
Cover
Half Title
Title Page
Copyright Page
Dedication
Table of Contents
Preface
Acknowledgements
About the Author
Section 1 Context
Chapter 1 Why Governance
EHRs Are Not Plug-n-Play Systems
Make It Easy to Do the Right Thing
Burnout and Moral Injury
Chapter Summary
Chapter Exercises
Chapter 2 When Governance
Earlier Is Better
Setting Expectations and Priorities
Voice of the Customer
Chapter Summary
Chapter Exercises
Chapter 3 How Governance
Governance Dependencies
Software Needs for EHR Governance
A Roadmap for Leading Change
Chapter Summary
Chapter Exercises
Section 2 Change
Chapter 4 Create Urgency
The Eisenhower Box
Solution Jumping
The Case for a Good Business Case
Chapter Summary
Chapter Exercises
Chapter 5 Form a Powerful Coalition
It’s a Team Sport
We’re in This Together
Try To See It My Way
Chapter Summary
Chapter Exercises
Chapter 6 Create a Vision and a Strategy
Core Values
Governance Framework
Decision-Making Bodies
Design Standards
Chapter Summary
Chapter Exercises
Chapter 7 Communicate the Vision
Assumptions Are the Termites of Communication
Communication Skills and Traditions
Who Told You That?
Chapter Summary
Chapter Exercises
Chapter 8 Remove Obstacles
The Allure of Inertia
Change is the Only Constant in Life
Resistance is Futile
Confusion over Decision Rights
Chapter Summary
Chapter Exercises
Chapter 9 Generate Short-Term Wins
One Size Doesn’t Fit All
The Pain of Documentation
Tell a Story with the Data
Chapter Summary
Chapter Exercises
Chapter 10 Consolidate Gains and Produce More Wins
Automate
Scale
Virtual Governance
Chapter Summary
Chapter Exercises
Chapter 11 Anchor New Approaches in the Culture
Culture Eats Strategy for Breakfast
Culture Styles
The Way We Do Things around Here
Chapter Summary
Chapter Exercises
Section 3 Commitment
Chapter 12 User Experience
People, Process, and Technology
The KLAS Arch Collaborative
Onboarding New Physicians
Chapter Summary
Chapter Exercises
Chapter 13 Accelerating Change through Innovation
Intrapreneurship and Entrepreneurship
Design Thinking
Never Waste a Good Crisis
Chapter Summary
Chapter Exercises
Chapter 14 It’s a Journey Not a Destination
Order Set Management
Legal and Ethical Considerations
Land and Expand
Chapter Summary
Chapter Exercises
Epilogue
Notes
Index
