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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; problem-solving & 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•Teach EHR functionality in classes
•IT staff are experts and removed from care/support processes
•Create new role – e.g. Optimization Specialists - to aid clinicians in using functionality
Adaptive•Teach EHR-enabled care in the care setting to observe process variability and workarounds• IT staff are partners who have IT expertise and learn problem-solving to support staff & provider customers• Better use of existing roles to provide teacher/coaches; to partner with clinicians to understand current work, respond to problems as the are signaled, & rapidly improve
Barbara Balik [email protected]
