Question

The activity

An EHR was implemented at the General Hospital one year ago, before you were hired. The implementation process did not go smoothly and now there are strong EHR advocates and strong EHR-dissenters on the team. The CEO wants to move forward with an implementation of the bar-coded medication administration feature of the EHR, but the director of nursing does not. You have been asked to manage the implementation and see that it is successful. You will first need to review the case history of the EHR implementation and the best practices documentation available from national HIT organizations.

The CEO made the EHR selection on his own and told employees when the EHR would be implemented. It is his belief that people “perform better” with clear direction and strong leadership. The Chief Medical Officer (CMO) believed the EHR selection decision should have come from the staff following a vendor fair where they would be able to try out different systems and receive hands-on demos. The Chief Operating Officer (COO) would have preferred to form a representative committee of staff to work with the leadership to make the EHR selection. She believed a small representative committee of peers would work as a go-between with the staff and the leadership and would bring their knowledge of the day-to-day staff needs to the decision-making process.

Questions

1. What was the purpose of the Change & Adoption team and how did this help with the EHR implementation?

2. What practice, in your opinion, should the General Hospital borrow from PeaceHealth’s EHR implementation to help the eMAR implementation?

3. The contract you are reviewing has language that identifies it is a “standard form contract.” What does this term mean?

4. According to the article, why might it be advantageous for the General Hospital to not identify any one eMAR vendor as the vendor of choice?

Answer 1

1) The purpose of the change is to bring a quality patient care services. This helped the EHR implantation smoothly may be by proper guidance, training the staff for its usage and tracking it continuously

2)They can burrow software package development to maintain security and privacy while transferring patient data.This can help eMAR implantation easier.

3)Standard form contract is a form of contract between two parties where one party set a standard of rules abs regulations and other party has to adhere to it

4). Appointment of one eMAR vendor is the right choice because multiple vendor can give us different suggestions then a committee has to be set up to identify a common output and give a result. So if there is a single vendor handling them and understanding them will be easier and the rights and wrong can be predicted and changes can be implemented.