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CPOE Project Management – Philip Felt

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The current healthcare reform bill is pressuring healthcare systems to satisfy the HITech Act, a portion of the American Recovery and Reinvestment Act (ARRA), and meet the requirements of meaningful use. CPOE, computerized physician order entry (or as CMIOs like to call it, computerized physicians order management), must be completed by 2017.
   
Flying Lessons: Crew Resource Management in Healthcare – Jarrell and Konschak

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In 1977, two Boeing 747s collided on a runway in the Canary Islands, killing 582 people. It was the largest accident in aviation history and it led to an industry-wide examination on the cause of aviation accidents. It turned out that up to 80 percent of aviation accidents were caused by human error. This revelation prompted NASA to convene an aviation safety workshop in 1979, which led to the development of Crew Resource Management (CRM), an error-reducing method that has revolutionized air travel safety. In following aviation’s lead, CRM was first applied to healthcare in the operating room of University Hospital in Basel, Switzerland, in 1994. In 2001, the IOM recommended that this type of training be used to increase patient safety and it also advocated by the National Academies, the Agency for Healthcare Research and Quality and the Institute for Healthcare Improvement. Today, CRM training programs are being used in a variety of healthcare settings, including operating rooms, anesthesia departments, emergency departments, intensive care units, and labor and delivery departments.
   
Designing your EMR Training Program - Clark, Felt, and Mercer

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Even the best-planned, financed, and resourced electronic medical record (EMR) implementation projects have unexpected issues; however, one thing should be expected and planned for in every EMR implementation – system training. It is critical that all personnel – from administrative staff, to physicians, to clinicians – be trained efficiently, effectively, and in a timely manner on the new system. Lack of proper and effective training can sabotage even the best of EMR implementation projects.
   
Critical Success Factors For Successful ECM System Selection - Danaher and Greener

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With healthcare reform at the top of our current administrator's agenda and widespread electronic medical record (EMR) adoption at the forefront of the American Recovery and Reinvestment Act (ARRA) of 2009, the move toward digital accessibility of information is the reality for today's healthcare organization (HCO). Comprehensive patient information must be available in a secure, central location to those who need it, when they need it, and where the need it.
   
How One Healthcare Organization Successfully Achieved Physician Adoption - Levin and Konschak

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Today, widespread adoption of the EMR is at the forefront of President Obama’s healthcare reform strategies as evidenced by the American Recovery and Reinvestment Act (ARRA) of 2009, signed into law in February 2009. This economic stimulus package provides incentive payments for physicians and hospitals that adopt EMR systems. As expected these incentives come with a timeline and are not without conditions, with penalties levied on health providers who have not yet installed EMR systems beginning in 2015. So, if the consensus is that the EMR can, and will, fundamentally change healthcare, why is it only a small number of U.S. physicians have adopted these systems (and for those that do, 1 in 5 of these efforts will fail or stall)?This paper presents a case study of how one health care provider (HCP), Sentara Healthcare (Sentara), effectively implemented an EMR and credits much of its success to one thing, engaging physicians in the adoption process.
   
System Selection: Aligning Vision and Technology - Kizer and Konschak

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President Obama’s recent allotment of roughly $20 billion for health information technology (HIT) has healthcare information technology (IT) professionals and provider organizations across the U.S. reconsidering long-deferred IT projects. Whether embarking on the monumental task of an electronic health record implementation, or simply replacing an out-of-date billing system, it is imperative to select the vendor and system whose strengths are most in line with organizational vision and functional needs.

This paper discusses a system selection methodology for aligning the provider organization’s strategic vision, goals and objectives with the proposed technology solution being purchased from the vendor.
   
Organizational Structures for Clinical Transformation - Staley and Konschak

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The healthcare industry is in the process of transforming itself using technology. These transformation efforts focus on moving from manual processes, often based on historical practices, to technology-enabled or even automated processes. The overall effort involved in such a transformation creates a tremendous amount of disruption to all aspects of the organization, creating the absolute need for a commitment to managing change.

This paper explores, through case studies, the clinical and cultural considerations in implementing and managing workflow changes at three large healthcare systems.
   
Business Intelligence: An Essential Tool for Every Healthcare Organization - Konschak

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Market pressures continue to make it harder for healthcare organizations to maintain a positive bottom line. Decreasing reimbursements, increased costs, and the desire to increase quality at any expense are having a major impact on the bottom line. Organizations are investing millions in computer systems, diagnostic technology, and preventive care programs in an attempt to meet organizational goals. Are they working?
   
Developing a Project Management Office: Ten Lessons Learned from the Trenches - Felt and Konschak

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The number and complexity of projects occurring simultaneously within even a moderately sized integrated delivery network can be staggering. In order to deliver these projects on time, within scope, and on budget, the establishment of a PMO is essential.

This paper identifies the ten critical success factors (lessons learned) identified during our team’s years of combined experience managing projects and establishing health care PMOs.
   
New Frontiers in Home Telemonitoring - Konschak and Flareau
Journal of Healthcare Information Management / Volume 22 / Number 3 / Summer 2008

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Home-monitoring technology is a somewhat rare example of highly effective healthcare information technology that patients "get." Clinical and IT professionals throughout the United States and Europe demonstrate that patients quickly understand and grow to value telemonitoring as a tool to take charge of their own health. Healthcare providers involved with home telemonitoring programs report significant direct and indirect benefits for all stakeholders, as well as a number of lessons learned when working with patients, clinical and medical staff, healthcare administrators and board members and third-party payors. Despite decades of successes, health telemonitoring technologies are still relatively untapped. However, new technologies are reaching the marketplace. Demographic and regulatory shifts are pushing stakeholders toward a new frontier in telemonitoring. Based on their own experiences and an extensive literature review, the authors conclude: the new frontier of home telemedicine is here. Where are you?
   
Improvements in the Emergency Dept.: Understanding and Managing Computer Simulations - Konschak

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Changes to any emergency department- large or small, rural or urban, busy or, well, busy-cause numerous and sometimes unforeseen consequences to healthcare delivery. Whether change is deliberate or is visited upon a provider from outside forces, it will impact patients, staff and the community. Computer simulations offer a safe and cost-effective way to experiment with changes to processes, staffing and even the footprint of a department or entire hospital. In this way, simulations guide administrators in making the best decisions for their facilities.
   

IT Training for End Users - Mercer

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Many healthcare systems are weighing multi-million dollar technology investments. In an industry with slim margins and demands for better access to affordable high quality care, executives must know the expected costs and benefits of all facets of its information technology investments, as noted in an earlier DIVURGENT white paper.

Training of staff and clinicians in the use of new healthcare information technology (IT) is a significant and important component of a thorough analysis of costs.

   

Understanding the Total Cost of Ownership (TCO) Analysis for IS in the Healthcare Setting - Konschak and Felt

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In an industry with slimming margins and increasing demands for quantifiable results in every business and clinical area, it is increasingly important for healthcare organizations-and the internal "owners" of budget line items-to identify in a compelling way:

the total cost of ownership of specific investments and

the benefits expected over the life of the application.

   

The IT Professional and Change Leadership - Konschak

Trustee, 2006 Vol. 59, Issue 7, Page 30


More often, IT leaders are being put at the forefront of change in their organizations. I have seen this as both an outside healthcare consultant and as a technologically inclined health system pharmacy leader. The reason is simple: the revolution needed in health care today requires a unique mix of information technology knowledge and strong leadership.

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