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Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go-Live Strategies This material was developed by Columbia University, funded by the Department of Health and Human Services, Oﬃce of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

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Page 1: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Comp 14 - Special Topics in Vendor- Specific Systems

Unit 8 - Vendor-Specific Go-Live Strategies

This material was developed by Columbia University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 1U24OC000003.

Page 2: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Outline

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 20112

Page 3: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Big-Bang vs. Phased Roll-Out

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 20113

Page 4: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Big-Bang

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 20114

Page 5: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Phased Roll-Out

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 20115

Page 6: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Staffing

• Greatly dependent on:– Product being implemented– Location, e.g. hospital or physician office– Implementation performed by vendor or

consultants– Big-bang vs. phased roll-out– Hosted locally or remotely – Temporary staffing or permanent staffing

Component 14/Unit 8 6Health IT Workforce Curriculum

Version 2.0/Spring 2011

Page 7: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

StaffingExample EHR implementation team:

• Physician Champion• Project Director• Project Manager• Enterprise Master Patient Index

Cleanup• Application Coordinator RN• Application Coordinator MD• Application Coordinator analysts• Health Information Management

Director• Reporting Applications

Coordinator• Reports/Designer/Analyst• Database Extract and Load

Administrator• 3rd Party Reporting Tool

Administrator

• Programmer/Analyst• Hardware/OS support• Storage Support• Enterprise Data Backup support• Network Support• Security Coordinator• Workstation Management• Workstation/Printer Systems

Support• Database administrator• Principal Trainer• Supplemental trainers• Go live support• Helpdesk support• Risk Manager• Chief Privacy Officer

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 20117

Page 8: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Command Center

• Special location during implementation– Typically setup in a big-bang rollout– All project communications go through this

center– Usually serves as project help desk and

receives all user calls– Field staff meet at center at least 2 times per

day– Project executives meet at center each day

Component 14/Unit 8 8Health IT Workforce Curriculum

Version 2.0/Spring 2011

Page 9: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

On-site Consultants

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 20119

Page 10: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Monitoring System Usage

• System performance monitoring• Application usage monitoring

– Documents created– Orders written

• Orders completed

– Prescriptions written

• Monitor calls to Help Desk– System issues– Application questions

Component 14/Unit 8 10Health IT Workforce Curriculum

Version 2.0/Spring 2011

Page 11: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

Change Management

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 201111

Page 12: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

System Change Management

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 201112

Page 13: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

System Change Management (cont.)

Component 14/Unit 8Health IT Workforce Curriculum

Version 2.0/Spring 201113

Page 14: Comp 14 - Special Topics in Vendor- Specific Systems Unit 8 - Vendor-Specific Go- Live Strategies This material was developed by Columbia University, funded

System Change Management:Set of 6 Steps

• http://en.wikipedia.org/wiki/Change_Control

Component 14/Unit 8 14Health IT Workforce Curriculum

Version 2.0/Spring 2011

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