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Any plans of implementing an EHR system at your practice?
If yes, then you might want to know more about the stages involved.
From an Information Technology point of view, there are six stages in the implementation
road map.
Let’s examine each stage and develop the frame work of a road map. A Project team
represented by staff with the appropriate skills is formed and team meetings are
conducted on a regular basis. These team meetings continue throughout the six stages
of EMR implementation.
Stage 1: Assessment
The first stage comprises of Assessment which helps prepare the practice for the
implementation by undertaking a Practice Readiness Assessment. This includes the
profile of a Practice in terms of IT. Further, an assessment of the office staff
is usually conducted as an Assessment Survey. A Hardware requirement analysis is
also carried out at this stage.
Stage 2: Planning
The practice data collected in the previous stage (Practice Readiness Assessment,
Practice profile IT & Office staff skills survey) is carefully reviewed and based
on this, the electronic health records implementation goals are defined and improvement
opportunities are identified and targeted.
Stage 3: Selection
EHR system's requirements are defined based on the above Implementation plan. This
covers the EHR system configuration, selection process and details of the goals
that are archived based on the selection. The EHR system is selected in this stage.
Stage 4: Implementation
An EHR system implementation plan is created and the time lines for the implementation
are agreed upon with the vendor. The implementation plan includes details on Installation
and configuration of Hardware and EHR system software. Staff training program is
initiated and System testing follows. The staff begins to use the EHR system. A
journal of experience and processes is maintained.
Stage 5: Evaluation
The Evaluation stage involves the post implementation review to be conducted and
the Journal of experience and processes is updated. The performance measures created
during the planning phase are validated and an improvement plan is prepared.
Stage 6: Improvement
During this phase the EHR is modified to resolve issues encountered during the evaluation
phase. Improvements as defined in the improvement plan are carried out.
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