GOVERNANCECOMPLIANCEORGANIZATIONAL SUPPORTBecky Dawson, BSN, RN-C Nursing Informatics

IT Project Manager, Skagit Valley Hospital

State of Attestation

30 hospital attested in 2014 26 Stage 1 4 Stage 2

225 providers attested in 2014 175 Stage 1 50 Stage 2

Hospitals

Stage 1Stage 2

Providers

Stage 1Stage 2

Source: CMS Office of eHealth Standards and Services, May, 2014

Just because you built it…

doesn’t mean they’ll use it!

Stage 1• Data

capture

Stage 2• Advanc

ed processes

Stage 3• Improve

d outcomes

First, seek to understand

Traditionally viewed as “captain of the ship”

Autonomy My way is The

Right Way Value defined

activity

Governance – Who will lead them?

Leadership

Representation

Authority

Compliance

CMIO/Medical Informatics

CMO Non-Medical

Executive Nursing Informatics IT Department Not specified

Relationships & Structure

Process

GoverningArchitectur

e

Support

Interface

Change

Culture

Getting to YES

Demonstrate value Drop the sugar-coating Transparency Acknowledge professional behavior