EHR Governance : A Practical Guide to User Centric, Consensus Driven Optimization book cover
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EHR Governance
A Practical Guide to User Centric, Consensus Driven Optimization




  • Available for pre-order. Item will ship after May 4, 2022
ISBN 9780367403928
May 4, 2022 Forthcoming by Productivity Press
216 Pages 65 B/W Illustrations

 
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Book Description

Organizations spend large amounts of money to purchase, deploy and optimize their EHRs. They are not plug-n-play systems. This requires commitment to an ongoing improvement cycle that, when done well, responds to the people and process as well as the platform. When not done well, could result in complete failure of the system costing the organization thousands of dollars. In early 2014 the User Experience Team (UXP) at Dignity Health was invited to reorganize the Organization’s EHR Governance. This request came on the heels of provider complaints about slow change request turn-around-time, low throughput and poor process transparency. At that time, approximately 60 change request were being released into the live environment on a quarterly basis and it was not uncommon for a change request to take over a year from the time it was submitted to the time it was finally seen by the end user within the EHR. This was compounded by a lack of tools for tracking a change request’s lifecycle. This resulted in provider apathy and a pervasive sentiment that EHR Governance was a black hole. That core User Experience Team, who make up the author team for this book is comprised of key stakeholders who manage EHR governance processes end-to-end on a daily basis. Their foundational premise has always been that governance done right speeds up change and leads to a positive User Experience. This book is structured to be practical and pragmatic. It begins with how to articulate a clear vision to organizational leaders so they can champion strong EHR governance both theoretically and financially. The book concludes with a commitment to ongoing improvement and refinement – Governing Governance. Based on more than 5 years of ongoing refinement at Dignity Health (now CommonSpirit Health), this book shares processes that can scale to small and large organizations alike. It also calls out critical lessons learned to help the reader avoid the same mistakes and achieve measurable improvement more rapidly.

Table of Contents

Section 1: CONTEXT

Chapter 1: WHY GOVERNANCE

No Software Survives Contact With The End User

Make It Easy to Do the Right Thing

Burnout vs Moral Injury

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 2: WHEN GOVERNANCE

Earlier Is Better

Setting Expectations

Voice of the Customer

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 3: HOW GOVERNANCE

Governance Dependencies

Software Needs for EHR Governance

A Roadmap For Leading Change

CHAPTER SUMMARY

CHAPTER EXERCISES

Section 2: CHANGE

Chapter 4: CREATE URGENCY

The Eisenhower Box

Solution Jumping

The Case for a Good Business Case

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 5: FORM A POWERFUL COALITION

It’s a Team Sport

We’re In This Together

Try To See It My Way

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 6: CREATE A VISION AND A STRATEGY

Core Values

Governance Framework

Decision-Making Bodies

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 7: COMMUNICATE THE VISION

Assumptions Are The Termites Of Communication

Communication Skills and Traditions

Who Told You That?

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 8: REMOVE OBSTACLES

The Allure of Inertia

Change is the Only Constant in Life

Resistance is Futile

Confusion Over Decision Rights

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 9: GENERATE SHORT TERM WINS

One Size Doesn’t Fit All

The Pain of Documentation

Tell a Story with the Data

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 10: CONSOLIDATE GAINS AND PRODUCE MORE WINS

Automate

Scale

Virtual Governance

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 11: ANCHOR NEW APPROACHES IN THE CULTURE

Culture Eats Strategy For Breakfast

Culture Styles

The Way We Do Things Around Here

CHAPTER SUMMARY

CHAPTER EXERCISES

Section 3: COMMITTMENT

Chapter 12: USER EXPERIENCE

People, Process and Technology

The KLAS Arch Collaborative

Design Standards

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 13: ACCELERATING CHANGE THROUGH INNOVATION

Intrapreneurship and Entrepreneurship

Design Thinking

Never Waste a Good Crisis

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 14: IT’S A JOURNEY NOT A DESTINATION

Order Set Management

Legal and Ethical Considerations

Land and Expand

CHAPTER SUMMARY

CHAPTER EXERCISES

Chapter 15: EPILOGUE

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Author(s)

Biography

Dr. Paula Scariati is a board-certified preventive medicine and public health physician with a subspecialty certification in clinical informatics. Paula is currently a Medical Director of Health Informatics at CommonSpirit Health, the largest non-for-profit healthcare system in the U.S. During her career in informatics, Dr. Scariati helped deploy 13 hospitals on Cerner Millennium to HIMSS Level 6 in 27 months. A former CMIO at a 235-community hospital, Paula is a CDC-trained epidemiologist with expertise in research models and methods, evidence-based medicine, public health, health policy, and quality improvement. She’s authored 13 peer reviewed publications, is an award-winning medical school instructor, software developer and seasoned national speaker. She has nineteen years of clinical experience and is also an ASQ certified Lean Six Sigma Green Belt.