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Smarter Safer Better
Change for Success
Driving Change Across Major
Clinical Programs
Bianca JordaanChange and Adoption Manager
eMR Connect Program
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Driving Change Across NSW
• eMR Connect overview
• What is change?
• Defining and supporting change management
• The eMR Connect challenge for NSW Health
• eMR Connect approach to change management
• The challenges ahead
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eMR Connect Program Progress
At 10 March 2017
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Growing Momentum Across NSW
26,000Appointments
booked per day
Medication
management
workflows
documented
90
130eMR Quick
Reference Guides
in Learning Live
Charts
opened a
dayTests ordered
per day194,000
33,000 Clinicians
using an eMR
471,000
120 eLearning modules
available across NSW
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I am happy to change …
… when it suits / benefits me
TV support Instructor support App support
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I am happy to change ...
… just give me time
1950s 1970s 2016
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I am happy to change ...
… but where will this take me?
Paper Electronic Connected
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Connecting with Local Health Districts
On the wards
Change happens in the hospital,
not in eHealth NSW’s office
Varying skills
Change managers have different
levels of skills and experiences
Sharing the lessons
The same lessons were being
learnt over and over again even
though sites are unique
Learn &
improve
Change
coaching
Change
resources
Demystify
change
$
The Challenge eMR Connect
Approach
?
?
?
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Change ManagementTHE 6 CRITICAL SUCCESS FACTORS
eMR Connect Change and
Adoption Framework based on
learnings of Canada Health
Infoway.
Change and Adoption
Framework further developed in
consultation with NSW eMeds
Program lead sites.
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Demystifying Change Management
CHANGE FRAMEWORK• Applying processes,
knowledge, skills,
experience
PROCESSES & TOOLS• Key steps
• Populated templates
• Key messages
CHANGE
SCHEDULE• Align to project
schedule
SUPPORTING LEADERS• Steering Committee
• Monthly messages
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Schedule EXAMPLE
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Executive Key Messages TEMPLATE
Key Messages for MarchOur key themes right now are: [these can be news, progress,
functionality, innovations, issues being resolved, etc.]
• Clinical documentation is now less than 8 months to go-
live
• Medication management has been formally kicked off with
the executive team
• Device procurement is underway
Please share the messages below in your conversations and
meetings with our project stakeholders:
• [A sentence to provide more details about the first topic.]
• [A sentence to provide more details about the second
topic.]
• [A sentence to provide more details about the third topic.]
Key Dates Key dates for the Project for March include: [these can be about project
milestones, key meetings and events, etc.]
Benefit for MarchDid you know?
• Implementing an electronic medication management
solution can reduce medication administration errors
• Implementing the eMR will support advanced clinical
decision support at the point of patient care
• [A key message will be reflected each Month to ensure
these messages are cascaded on a regular basis.]
eMeds Myths and FactsFighting fires?
Myth: There are not enough computers on the ward at the moment and
this will impact on staff being able to use the eMR at the point of care
Fact: Additional devices are being funded through the eMR Program and
these will be rolled out across the different facilities. A key consideration
is the right device for the right workflow.
The eMR team hopes these messages are useful for you, and
welcomes any feedback and suggestions. eMR@health.nsw.gov.au
All March Key stakeholder engagement activities
30 April eMeds project schedule finalised
4 May Project Start-up session
Mid May Benefits Ownership session
All May Current State Review interviews
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Local Health District Coaching
TIMEUpfront
training and
support
TOOLSCompleted tools
and templates
CONFIDANTSomeone to bounce
ideas off
SCHEDULINGGuidance on what to do
and when
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Resourcing Change – Lessons
Fund extensive change activities –
workflows take time
Analysts evolve from BA to training
to testing to change
Change / training resources start early –
learn from planning and as-is practices
Embed benefit ownership – understanding,
engagement and measurement takes time
Fund change
resources and
activities
$
Leverage existing change capabilities –
state-wide eLearning approach
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eMR Connect Training
CHALLENGE AND APPROACH
980Interns
1800Registered
Nurses
8%staff
turnover
OngoingStudent
intake
Regularfunctionality
released
Learning Live
Reference guides
and online help
eLearning
For employees,
students, agency staff
eMR Connect Hub
Resources and
tools for trainers
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eMeds eLearning
• Online interactive learning modules for the eMR,
including eMeds, available to all Local Health
Districts through HETI Online1
• Local Health District staff have ready and direct
access to online modules covering fundamentals
of system, as foundation to ongoing eMR
learning
• Features safety messaging
• Developed with clinical input
1 HETI Online: NSW Health learning management system which supports education and training
across the NSW Health system
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Learning and Improving• Roundtable
• Learning forums
• Local Health District 'Lessons Learned' focus groups
• Knowledge transfer
• Attendance
• Format of working group
• Effort to maintain log, document findings and track actions
What
Worked
Issues
Willingness to learn •
Willingness to share • Know when a lesson is a lesson •
Partnering to deliver the best outcome
It’s all about the culture
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Refining 90+ Workflows
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Go Live Lessons Learned EXAMPLE
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ChallengesQUICKENING PACE
• Uplift skills
• Greater
standardisation
USER OPTIMISATION
• Support focus
• Adoption and benefit
monitoring
CAPABILITY AND CAPACITY
• Increased change focus
• More change managers needed
• Capacity to measure and
evaluate
CAREER PATHS
• Clinicians as change managers
• Career progressions
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Questions?
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